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ETH
Healthcare Financing · Ethiopia

The missing
infrastructure
for Ethiopian healthcare.

One platform connecting every payer to every provider — processing claims, managing networks, and making healthcare financing actually work.

1M+
Members by Year 5
ETB 60M
Year 5 Revenue Target
0%
Insurance risk assumed
Platform live · Pilot ready
How TPA+ connects the ecosystem
🏢
PayersEmployers · Insurers · Donors
TPA+ Platform Claims · Network · Analytics
🏥
ProvidersHospitals · Clinics · Diagnostics
5%admin fee model
Y3–4break-even
Not an insurer. The platform that makes insurance work.

The Gap We Fill

Ethiopia's healthcare financing has a structural problem.

Payers exist. Providers exist. But the operational infrastructure connecting them — claims, contracts, payments — has never been built. Until now.

01

No unified claims infrastructure

Every employer, insurer, and donor program runs its own fragmented system. There's no shared standard, no common platform, and no visibility across payers.

02

Providers lack structured contracts

Facilities face unpredictable payment timelines, no standardized pricing, and no referral coordination — making it impossible to plan or improve care delivery.

03

Cost and quality go unmanaged

Without utilization controls, fraud detection, or performance incentives, healthcare spend in Ethiopia runs largely unchecked — harming payers and patients alike.

Our Identity

Clarity on what we are — and what we are not.

This distinction matters. TPA+ is infrastructure, not a competitor to insurers or providers. We exist to make the whole system work better.

What We Are

The operational backbone of healthcare financing

  • A strategic purchasing platform for all payer types
  • A neutral intermediary between payers and providers
  • A claims processing and network management company
  • A technology-driven service provider that scales nationally
What We Are Not

No risk. No conflict. No competition.

  • We do not underwrite insurance or bear financial risk
  • We do not own or operate healthcare facilities
  • We do not compete with our payer or provider clients
  • We do not require an insurance license to operate

Core Services

Two pillars. One integrated platform.

Every service we offer falls into one of two functions — both essential, both delivered through a single digital platform.

📋

Third-Party Administration

End-to-end claims management for payer organizations — faster, cheaper, and more accurate than any in-house solution.

  • Claims adjudication & processing
  • Pre-authorization & utilization review
  • Medical audit & fraud detection
  • Member enrollment & ID management
  • Financial reconciliation & reporting
🌐

Provider Network Management

Building and governing Ethiopia's highest-quality provider network — contracted, priced, and held accountable.

  • Provider empanelment (public & private)
  • Contract negotiation & tariff setting
  • Referral pathway design
  • Quality monitoring & indicators
  • Performance management & incentives

Payment Innovation

Pay for outcomes, not just activity.

A hybrid payment model designed to align provider incentives with quality, efficiency, and prevention — at every level of care.

Primary Care
Capitation
Fixed per-member payment that rewards prevention over treatment volume
Hospital Care
Case-Based
Episode payments that improve efficiency and reduce unnecessary admissions
Diagnostics
Fee Schedule
Price ceilings that contain cost while preserving access to essential tests
All Levels
P4P Incentives
Performance bonuses tied to measurable quality and outcome indicators

The Platform

Built from the ground up for Ethiopia's context.

A purpose-built digital platform — not an off-the-shelf product. Designed for scale, interoperability, and the operational realities of the Ethiopian market.

Scalable Architecture
API-First Design
Interoperable
⚙️

Claims Engine

Automated adjudication rules with configurable payer-specific logic

🏥

Provider Portal

Real-time claim submission, tracking, and payment status for facilities

🪪

Member Identity

Enrollment, verification, and benefit management at point of care

🔍

Fraud & Analytics

Pattern detection, utilization analytics, and audit trail management

🔗

Integrations

Open APIs connecting client HR, ERP, and HMIS systems seamlessly

📊

Dashboards

Live reporting for payers, providers, and internal operations teams

100K
Members at launch
Year 1 pilot target
ETB 1.2B
Claims volume managed
at full national scale
3–4
Years to financial
break-even
5%
Administrative fee on
claims processed

Who We Serve

Designed for every payer in Ethiopia's ecosystem.

Starting with the most ready institutional clients — and building toward national coverage as credibility and scale grow.

🏢

Employers & Corporates

Companies spending millions on employee health benefits with no visibility into cost, utilization, or provider quality.

Primary client
🛡️

Private Insurers

Insurance companies that need outsourced TPA operations and an accredited provider network — without building it themselves.

Primary client
🌍

Donors & International Programs

Global health programs operating parallel, siloed systems that need a trusted operational partner with proven infrastructure.

Primary client
🏛️
Government Schemes — Future Pipeline
CBHI and SHI programs become accessible clients as operational credibility and institutional trust are established through Phase 1 and 2.
Phase 3 target

Implementation

From pilot to national platform.

Three deliberate phases — built around evidence, trust, and scale. Each phase unlocks the next.

Phase 1

Prove the Model

Months 0–12
  • Establish the legal entity and governance
  • Build and launch the MVP platform
  • Sign first anchor employer or donor client
  • Empanel an initial provider network
Phase 2

Build the Network

Year 2–3
  • Expand across employer and insurer segments
  • Deepen provider contracting across regions
  • Scale and mature the technology platform
  • Publish outcomes data to build credibility
Phase 3

Reach National Scale

Year 3–5
  • Achieve national geographic coverage
  • Integrate with government health schemes
  • Expand analytics and data services
  • Establish TPA+ as the sector standard

Regulatory

Designed to operate within Ethiopian law.

By design, TPA+ avoids insurance licensing requirements while remaining fully compliant with health services regulations.

Health Services Registration

Registered as a health management and services company — not an insurer — under Ethiopian commercial law.

No Insurance License Required

Clear separation from risk-bearing activities means TPA+ operates without triggering insurance regulatory requirements.

Data Protection Compliance

Platform design built around patient data privacy and financial reporting standards from the ground up.

Public Sector Engagement

Separate engagement protocols for work with public providers — with relevant Ministry of Health coordination.

Get Involved

Be an anchor partner.

The first organizations to partner with TPA+ will shape how this platform is built. If you're an employer, insurer, donor program, or investor — let's talk.

📍
Based inAddis Ababa, Ethiopia
✉️
Emailhdhufera@clintonhealthaccess.org
🏢
OrganizationClinton Health Access Initiative (CHAI)

Concept stage. This platform is in active development. Early partners will directly influence the pilot design, provider network geography, and technology priorities.

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