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This is where health insurance leadership comes together. Becker's 4th Annual Spring Payer Issues Roundtable brings together over 400 payer and health plan executives and more than 100 speakers to Chicago, April 13th and 14th. This year's event includes keynote conversations with the industry's top leaders and former President George W. Bush. For the full agenda and event details, visit Beckershospitalreview.com and click on the Events tab in the upper right. We're looking forward to hosting you here in Chicago.
B
Hello everyone. Welcome to Becker's Healthcare Podcast. I'm Scott King, thrilled today to be joined by a very special guest, Tai Wang, co founder and chief executive officer over at Engle Health. Ty, how you doing? Thanks so much for joining.
C
Doing well. Thanks so much for having me on again, Scott, of course.
B
And you know, we're really looking forward to having you speak at our Spring Payer Issues Roundtable as well. And we have a lot of kind of big topics to get to here in healthcare and with health plans. But before we address those ties, runner, if you could just please share a little bit about your career background and your journey in healthcare.
C
Yeah, I'd be happy to. I'm Tai Wang, co founder, CEO of Engle Health. Before starting Engle Health, my co founder and I were both at Palantir leading major teams and deployments over there and working across government and commercial customers, including healthcare customers. So that's where we learned a lot of, I would say, kind of the operational pieces of how this whole ecosystem works together and how we ended up building Angle Health. And today Angle Health is the first AI native vertically integrated health plan and we're one of the fastest growing healthcare companies in the country. Our products themselves are fully customizable major medical health plans, all ACA compliant for small and medium sized businesses. And essentially we're delivering these Fortune 100 level healthcare benefits to your local businesses. So Angle Health enables brokers and their small employer clients to build these custom health plans just like a major employer with thousands or tens of thousands of employees and a large sophisticated benefits team might do it. And we're really, we've been able to bring that all the way down market to your local businesses because of the infrastructure that we've built.
B
Thanks so much for sharing that info on your background, Ty, and how Engle Health came to be and what it does. And it's certainly a time where obviously providers and payers alike are both facing a lot of regulations. Right. And we know how difficult that can be. How are you seeing a relationship between providers and health plans change on both sides as they face cost pressure, specifically in workforce shortages.
C
Yeah, I would say one of the biggest shifts that we're seeing today is that the relationship between providers and health plans is becoming a bit less transactional and kind of more operational. So like you mentioned, with all the changing regulation, with the economy, it's, it's impacting providers and hospitals just as much as health plans. And the two sides are really inextricably linked. When costs go up on one side, they go up on the other side. And as a result we're seeing more openness, I would say, to shared problem solving. So things like reducing administrative burdens, simplifying workflows like prior authorizations, improving integrations and data handoffs, and being more aligned on the care pathways that actually work. And I think for us, as a modern platform for healthcare benefits, we specifically seek out those partners and partners that are willing to redesign more traditional workflows rather than just renegotiating fees. And I think we're seeing a lot more openness and a lot of collaboration there across the payer and provider sides.
B
Yeah, yeah, I've talked to a lot of, a lot of people speaking at the Spring Parish Shoes Roundtable recently from the health plan side and they definitely agree with you, Ty. It's that they're just seeing like, you know, everyone's got so many issues to deal with, everyone's just kind of coming to the table with some ideas and to work collaboratively. So yeah, definitely agree with it. You know, seeming to not be so transactional anymore. So I appreciate your insight there. And you know, I'm also curious, where do you see the biggest gap today between payer strategy and operational execution?
C
Yeah, that's a good question. The. I think one thing that many plans talk about are around value based care, digital enablement, things like the member or patient experience. But the challenge that, and I would say this is, this is the gap is that many payers and legacy health plans are still operating on legacy systems, on fragmented systems, manual processes that really make executing on some of these things at scale very difficult. So the strategies really assume and require things like having clean data, having real time insights, having very much aligned incentives. Whereas the operational side and to actually execute on that, there's still really, the operational side is really still stuck doing things like reconciling eligibility files or chasing faxes. So I think until major health plans truly modernize their core infrastructure so there's systems for claims and benefits and provider data and care management, it'll be extremely Hard to execute on those strategies. And that's why we're really building and why we started Angle Health by building technology infrastructure from the ground up. So although Angle Health today is a product company delivering these affordable and personalized health plans to thousands of small businesses across the country, we really believe that our core asset is the technology platform that powers it. And I think we're seeing a lot more focus and urgency as well from major players and from the market in also trying to modernize themselves.
B
What's one investment or initiative you believe will most reshape how health plans operate over the next two to three years?
C
The easy answer there is AI, I think, but I'm happy to take it kind of a little bit deeper than that. I think it's outcome linked payment infrastructure. So as more reimbursement incentives are tied to outcomes rather than pure utilization. And I think this is a major push, especially with programs like Access. Health plans need to be able to really track performance across their vendors and providers and health systems and really in any care setting. And it's much more than the contracts themselves. It's really investment in the systems that enable them to operationalize things like measurable, standardized and very transparent outcome data.
B
If you could change one regulatory or industry practice tomorrow, so like very soon to improve affordability and access, what would it be and why?
C
If I were to change one regulatory or industry practice tomorrow, I think the, I think what could make one of the most immediate impacts is I'd bring a lot more transparency into employer healthcare costs and broker compensation structures, particularly by the major insurance companies. So particularly by large, where these large incumbents use certain incentives to steer behavior. We see it all the time today in the market where in most cases broker compensation is designed in ways that favor or lock brokers and employers into certain carriers or incentivize things like higher premiums, regardless of whether that's, that's best for the employers or the members. And we see that across, I think across all, all lines of business within the health plan space where we're only in the commercial space. But it's, it's true in Medicare, it's true in, in, in the government program space. So I, I think most brokers want to do the right thing, but because of the kind of very opaque incentive structures that exist as well as the gatekeeping of healthcare cost data, which is extremely impactful when you talk about small and medium sized businesses and the lack of access that they have there, that can make it very difficult for brokers to be that strategic partner with Fully aligned incentives. And it's one thing that we focus on a lot today. So I would say we're really paving that road at Angle Health with what we call the Angle Health Scorecard, where, where maybe the only health plan today that provides an unprecedented level of transparency into the actual health care costs for employers with every single quote that we, that we issue.
B
And the last question I have for you, Ty, what issue is putting the most pressure on health plan margins right now and how will you respond differently in 2026?
C
Yeah, I think that probably one of the biggest ones very, very timely as well this week is the Medicare rates that CMS is setting for us. Since we're not a Medicare plan, it's less impactful for us. But it's the medical cost trend I think that has and will probably always be the single biggest cost pressure. And it, it's being driven by things like specialty care, by things like pharmacy and ultimately unmanaged medical conditions. Most I would say in terms of kind of how we're responding, I think most plans leverage or historically have leveraged these very blunt tools to do reactive cost containment. How we view it at Angle Health and what we're really focused on is what I would say is proactive care orchestration. So being able to identify risk earlier, being able to engage and steer members to the right settings and being able to intervene before major costs spike without creating, while also delivering a kind of first class member experience. So the way that we're doing that is through tighter integration between the actual benefit plans themselves to the clinical programs and the provider partners that we, that we work with there and then a focus on workflows that really improve the engagement, workflows that really improve the experience for the member and also drive operational efficiencies for the employer, for the provider, for the health plan. And our belief is that margins improve if you can make the system work in a better kind of more coordinated way in the long term. Not when you increase friction, which may improve margins in the short term, but is a very short sighted way of thinking about it. So we really focus on that kind of long term view and rebuilding what we call these kind of core care pathways so that we can fully align each of the stakeholders while also streamlining that experience for our members.
B
I think that sounds great. And Ty, thanks so much for joining us on the podcast. It was a great conversation. Looking forward to having you speak with us in April.
C
Amazing. Thanks so much, Scott. This is fun and I'm excited to see everyone again in April.
Date: February 21, 2026
Host: Scott King (Becker’s Healthcare)
Guest: Ty Wang, Co-Founder and CEO, Angle Health
In this episode, Scott King interviews Ty Wang, Co-Founder and CEO of Angle Health. The discussion dives into Ty's career path, the evolution of payer-provider relationships, the gap between strategy and execution for health plans, the future impact of technology and regulatory practices, and the greatest pressures facing health plan margins today. Ty shares deep insights into how a tech-forward, AI-native approach can reshape traditional models, improve outcomes, and foster greater transparency and alignment in employer-sponsored health plans.
[01:05]
[02:57]
[04:51]
[06:44]
[07:47]
[09:48]
On collaborative problem-solving:
“The two sides are really inextricably linked. When costs go up on one side, they go up on the other side… we’re seeing more openness... to shared problem solving.”
— Ty Wang, [03:18]
On executing innovative strategies:
“...the strategies really assume and require things like having clean data, having real time insights, having very much aligned incentives... the operational side is still stuck doing things like reconciling eligibility files or chasing faxes.”
— Ty Wang, [05:02]
On the need for outcome-linked infrastructure:
“As more reimbursement incentives are tied to outcomes rather than pure utilization... [it’s] investment in the systems that enable them to operationalize things like measurable, standardized, and very transparent outcome data.”
— Ty Wang, [07:07]
On transparency in broker incentives:
“Broker compensation is designed in ways that favor or lock brokers and employers into certain carriers or incentivize things like higher premiums, regardless of whether that’s best for the employers or the members.”
— Ty Wang, [08:13]
On Angle Health’s long-term focus:
“Margins improve if you can make the system work in a better, more coordinated way in the long term. Not when you increase friction, which may improve margins in the short term, but is a very short-sighted way of thinking about it.”
— Ty Wang, [11:35]
Ty Wang articulates a vision for health insurance that brings technology, transparency, and collaboration to the forefront—moving past legacy systems and opaque practices toward a holistic, member-centered, and truly integrated ecosystem. Angle Health exemplifies how tech startups can push the industry forward by breaking away from reactive models, enabling small businesses, and realigning incentives for brokers, employers, and members alike.