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Selling to Commercial Payers

Session Dates:

Wednesday, March 12

Wednesday, March 26

Wednesday, April 9​

All sessions are from 2:00 - 4:00 PM CST. Recordings will be available after sessions.

The Key to Unlocking the Employer & Health Plan Market 

Commercial health insurance is the largest and most competitive payer market, covering over 150 million people across employer-sponsored and individual marketplace plans. Selling digital health solutions to commercial payers requires understanding the role of employers, brokers, third-party administrators (TPAs), and self-insured vs. fully insured plans. 

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Join Demi Radeva in this three-session masterclass designed to help you win contracts with commercial insurers, ASO plans, and employer groups. 

What You’ll Learn: 

✅ Understand the differences between marketplace vs. group (employer) health plans. 


✅ Learn how to sell into self-funded employer plans vs. fully insured plans. 
 

✅ Navigate the role of brokers, TPAs, and employer benefits consultants. 
 

✅ Discover how commercial insurers evaluate digital health vendors. 
 

✅ Learn how to leverage data, ROI, and engagement metrics to secure contracts. 
 

✅ Analyze case studies of successful digital health sales to commercial payers. 

Session I: Pre-Sales – Understanding the Commercial Market

  • The Commercial Health Plan Landscape: Understanding the key players & decision-making structures. 

  • Self-Insured vs. Fully Insured Plans: How purchasing decisions differ across employer-sponsored plans. 

  • Marketplace Plans: How Affordable Care Act (ACA) exchanges drive digital health adoption. 

  • The Role of Brokers & Consultants: Who really makes purchasing decisions, and how to engage them. 

Session II: Sales – Winning Contracts with Commercial Plans

  • Developing Your Commercial Buyer Persona: Selling to health plans, employers, and TPAs. 

  • Crafting a Winning Value Proposition: Positioning your solution for ROI, cost containment, and engagement. 

  • Pilot Program Best Practices: How to structure pilots that lead to long-term contracts. 

  • Closing Deals with Brokers & Agents: Understanding how benefits consultants influence purchasing. 

Session III: Post-Sales – Scaling & Expanding Your Commercial Contracts

  • Commercial Health Plan Contracting: Navigating network inclusion, rebates, and alternative payment models. 

  • Understanding Reimbursement & Employer Incentives: How employers measure ROI on digital health solutions. 

  • Scaling from One Employer to Many: Growth strategies for expanding commercial sales. 

  • Forecasting Revenue & Market Expansion: Tools to project market penetration & revenue growth. 

Why Take This Course?​​​

  • Industry-Leading Insights: Learn from Demi Radeva, who have closed deals with top commercial health plans & employers. 

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  • Real-World Case Studies: Understand how startups have scaled in the commercial insurance space. 

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  • Sales & Contracting Playbooks: Work through broker engagement, contracting models, and sales outreach strategies. 

Who Should Enroll?​​​

  • Founders and BD leaders selling to commercial payers, employers, and brokers 

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  • Sales professionals targeting self-funded employer plans & commercial insurers 

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  • Entrepreneurs looking to leverage benefits consultants & TPAs for sales growth 

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  • Anyone seeking a step-by-step guide to navigating commercial payer sales 

Meet Demi Radeva

Demi Radeva

Demi Radeva, MSc

Payer Expert

BSc, Finance & International Business

MSc, International Health Policy, London School of Economics

Executive Education, Innovation & Entrepreneurship, Stanford​​

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  • Decade in Strategy, Innovation, Consulting and Business Development

  • Mentor of the Year, Techstars

  • UnitedHealthcare Accelerator

  • Adjunct Professor, Medical Industry Leadership Institute

  • Business Advisor, University of Minnesota Venture Center

  • Mentor, Minnesota Cup (MN Cup)Former Co-Founder, Digital Health Tech Company (Social Care + Onco)

  • Former Director of Strategy & Business Development, UnitedHealthcare

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Selling to Commercial Payers
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