Decent

Decent is an AI-native health insurance brokerage. We make your health plan better year-round, not just once a year.

[Nick Soman @nicksoman]

I've started a new company to try to fix U.S. healthcare. It's called @Decent, again. https://t.co/slyGKEK57o

[Decent @Decent]

RT @nicksoman: 🏴‍☠️💜@Decent is merging with @nicehealthcare. 🏴‍☠️💜

Eight years ago, @dadventureland and I started Decent to make healthcar…

[Nick Soman @nicksoman]

Quick 🍿 prediction on today's tariffs (no politics, no charts, no econ degree):

* Higher costs for healthcare imports: devices and some drugs. 💊

* If tariffs stick (big if), health plans will price them in. 🤑

* Fully insured rates will rise most - regulators cap profit margins, so carriers pass costs on fast. 📈

* Self-funded rates will rise too, but they have more levers to pull and will make even more sense to even more companies. 💰

* Plans like @Decent's with capitated primary care and strong steerage remain best positioned to win. 🏴‍☠️

Irony bonus: more cost pressure could push us closer to single payer. 💥

[Decent @Decent]

RT @nicksoman: ❤️@Decent builds health plans around Direct Primary Care because healthcare is human. The right tech gives humans superpower…

[Nick Soman @nicksoman]

As 2024 comes to a close, I've been reflecting on what it means to work in healthcare. For better and for worse, your work impacts lives and communities. The stakes are high.

Where you choose to work matters. This industry employs more Americans than any other. When you lend your mind, heart, and time to a company, you make it stronger. Don't strengthen companies you don't feel proud of. Don't support leaders you don't respect. Don't promote products you wouldn't recommend to the people you love. You deserve better, and they do too.

The door is always open for change.

[MyDPCStory @MyDPCStory]

📢 Meet our sponsor of the month: @Decent!
They're doing what the #DPCcommunity has been waiting for - building health plans AROUND Direct Primary Care. Learn more about Decent by visiting: https://t.co/HCsd6REXwy

[MyDPCStory @MyDPCStory]

📢 Meet our sponsor of the month: @Decent!
They're doing what the #DPCcommunity has been waiting for - building health plans AROUND Direct Primary Care. Learn more about Decent by visiting: https://t.co/HCsd6REXwy

[Nick Soman @nicksoman]

I’ve flown hundreds of thousands of miles with @united, but a recent experience has me questioning if I ever will again.

Before my first family vacation in years, I called @united to ask if I could fly to Vancouver with just my passport card. A friendly rep reassured me on a recorded call — even noted it on my account — that I’d be fine. Then at the airport, I was stopped and told I couldn’t fly. Scrambling, I paid out-of-pocket for a detour to Seattle and an Uber to cross the border.

@united admitted their rep gave me bad advice, but they refused a full refund. I’m not here to tear down companies; I run one, and I know it’s hard. But when mistakes impact a customer, the least you can do is try to make it right. You can hold me to the same standard with @Decent. I’ll vote with my feet if @united won’t own their mistake.

[Hint Health @HintHealth]

Great insights from @nicksoman (@Decent) and our own David Pinkert on the future of healthcare 👀https://t.co/gtooMKiPkG

[Nick Soman @nicksoman]

Healthcare is funny because you can talk about the broken system all day long, but it's considered tacky to ask people how they make money. You might ruin the Busta Rhymes after party at #HLTH tomorrow if you interrupted "Gimme Some More" to ask who's paying the bills. 💸

Well, I'm tacky. So how does @Decent make money?

We DON'T accept kickbacks 💰, charge a % of savings based on made up numbers 📈, take commission on stop loss sales 🛑, make backroom exclusive deals for cash 🤑, or treat our families to lavish vacations on Big Insurance's dime 🏝️ (sorry Anna).

INSTEAD, we give the self-funded employers we serve two options:
1) Pay the lowest possible rate for your Decent plan (typically 30-40% less than market, INCLUDING the cost of Direct Primary Care), and pay Decent a fixed admin fee per employee to help us cover our costs. If claims costs end up lower than expected, we keep the difference. 🕺 OR
2) Pay a bit more for your Decent plan to cover a slightly higher fixed admin fee. If claims costs end up lower than expected, you keep the difference. 💃

You can decide. We're happy either way. Both of these options motivate everyone to support your health throughout the year, so we can get you a great renewal 12 months from now too. Our diabolical plan is to earn your trust and your business forever.

Want to learn more, or get a quote for your small business or small business clients? I am tackily yours at [email protected].

[Nick Soman @nicksoman]

❤️@Decent doesn't need money (really) but Direct Primary Care as "value-based care's most underrated play" has a nice ring to it. We serve a movement in DPC that will eventually just be called healthcare.

[Nick Soman @nicksoman]

I'll be presenting "The Good, The Bad, and the Transparent: Building a @Decent Health Plan around Direct Primary Care" at #RosettaFest next week. Excited to support @HealthRosetta, who are wonderful design partners and now plan customers. See you all in DC!

PS Scheduling a meeting during a conference is like putting a sandwich inside a sandwich. Just text me. 707-234-5671

[Nick Soman @nicksoman]

New @Decent merch drop! 🏴‍☠️ Pirate hoodies and OL OF YOU SUCK t-shirts. No logos, all ethos. https://t.co/97pooARk33

[Nick Soman @nicksoman]

I feel proud and not particularly humbled to announce that @Decent has won a 2024 Rosie Award via our design partner and plan customer the @HealthRosetta. This is the top recognition in America for employer health plans, awarded to 0.4% of eligible plans. As a friend there told me, "The biggest thing Decent is doing from the get go is they're sweating the little details that add up."

My teammates are incredible, but this isn't our story. We are arms dealers to a Direct Primary Care movement that's much bigger than us. We can fix healthcare together. And we won't be stopped. 🏴‍☠️

[Decent @Decent]

RT @nicksoman: A friend texted me this excellent article about why many therapists don't take insurance and asked "Is there a @Decent solut…

[Nick Soman @nicksoman]

if you had pretty @Decent insurance that ER bill would be $250 max

[Nick Soman @nicksoman]

📢@Decent doesn't need money and is not for sale, thank you all for asking. 😎❤️😏

[Nick Soman @nicksoman]

Ever wondered how your company health plan sets its rates? Read this new post from @nikillinit. Even the ads are @Decent. https://t.co/5tcbgyDSIZ

[Nick Soman @nicksoman]

❤️ @Decent is hiring a Director of Product, reporting to our amazing VP of Product Sandy Dedo. This is a critical hire because we are a Product-led company: we will win by delivering a transformative experience to millions around our shared conviction that your health plan doesn't have to suck.

Product at Decent is a service organization that exists to empower, unblock, and delight the various stakeholders we serve, including the doctors and nurses practicing direct primary care, our team, and the employers, employees and families suffering from the rising costs of healthcare in America. You can see more about the job here: https://t.co/pw1EroNMwd

We are well funded and growing quickly, but this is a terrible company to work at unless you are stubborn, optimistic, ambitious, and sincere. We are remote first and we don't care where you live, so long as it's in the U.S. so you can be on our plan. You should have 10+ years of product and people management experience, including with health plans and healthcare. And you should be ready to work hard and smart and do your best to change the world. We are big on humanity, automation, and AI. If this excites you more than it scares you, please email [email protected].

Like always, you get $2,000 and two bottles of whiskey if we hire someone you refer. Know someone who might be into it? Please tag them and share this post.

[Nick Soman @nicksoman]

❤️@Decent is one of the Best Workplaces of 2024. But it isn't for everyone. As a remote company, we don't have offices, free meals, or foosball. We also don't have commutes, working hours, or a dress code.

People are more important than companies. The people who work here are the only thing that makes it special. Most of us have families. All of us have friends. We don't want to let each other down.

Life is more important than work. But we're trying to change the world together, so we work hard anyway.

Life is also too short for bad work. See the full list of Best Workplaces here: https://t.co/qxXf7tkA1s #IncBestWorkplaces