What Auxiant does

Auxiant is an independent Third Party Administrator (TPA) founded in 1982 and headquartered in Madison, Wisconsin, with operations in Cedar Rapids, Iowa and Milwaukee, Wisconsin. The company administers self-funded health benefit plans for employer groups ranging from 35 to 5,000 employees across verticals including public sector, manufacturing, tribal nations, banking, technology, and hospitals. Services span medical, dental, vision, Section 125, COBRA, HRA, and Taft Hartley plan administration, delivered through a sales-led model combining direct employer engagement with broker and consultant distribution channels.

The technology platform comprises proprietary components including a PPO router and internal repricing engine, the FocusHealth value-based purchasing scoring system that combines cost and quality into composite hospital scores, the UnionPlus+ Taft Hartley administration suite, the DeductPlus+ integrated buy-down product, and a suite of medical management programs covering utilization, case, disease, oncology, behavioral, and population health management. Auxiant also operates a CMS-mandated Transparency in Coverage machine-readable files portal aggregating rate data from 20+ PPO network partners including Aetna, Cigna, Multiplan, HealthLink, and Zelis.

Revenue is generated through subscription-style administration fees on customized benefit plans, stop loss insurance coordination across 30+ carrier partners, and value-added proprietary products. The company is privately held by the O'Deen family, with Ryan O'Deen named President in March 2026, and employs over 250 full-time staff across three offices. No venture capital or private equity backing is disclosed.

Name

Auxiant

Legal name

Auxiant

Website

https://auxiant.com

Company type

Private

Founded year

1982

Operating status

Operating

Headcount range

251–500 employees

Short description

Auxiant is an independent Third Party Administrator founded in 1982 that administers self-funded health benefit plans for mid-market employers (35–5,000 employees), offering proprietary products including FocusHealth value-based purchasing, UnionPlus+ Taft Hartley tools, and integrated medical management across three U.S. offices.

Ownership category

akta.pro rank

Product category

Healthcare Benefits Administration (Third Party Administration)

SIC

Services-Health Services (8000)

akta.pro primary industry

Flexible Benefits Administration (FSA/HSA/HRA) (HLAEALAK)

akta.pro secondary industries

Taft-Hartley / Union Multiemployer Group Health Plans (FSAIAFAG), Utilization Management (Prior Auth/Medical Necessity) Administration (HLAEALAF), Ancillary Benefits TPA (Dental/Vision/Life/Accident/Critical Illness) (HLAEALAN)

Keywords

• Third party administration
• Self-funded health plans
• Stop loss coordination
• Taft Hartley administration
• Value-based purchasing

Headquarters

HQ city

Wauwatosa

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. TPA Administration Services: Auxiant generates revenue as an independent Third Party Administrator providing health plan administration services to self-insured employers. Revenue comes from administration fees for medical, dental, vision, Section 125, COBRA, HRA management, and enrollment services.
2. Stop Loss Insurance Services: Revenue from stop loss insurance coordination and management for self-funded employer plans.
3. Value-Added Products: Revenue from proprietary products including FocusHealth, Integrated Buy Down, UnionPlus+, and Medical Management programs.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Auxiant is an independent Third Party Administrator that delivers customized health plan administration for self-insured employers, including medical and dental claims administration, enrollment, Section 125, COBRA, HRA management, stop loss coordination, Taft Hartley plan administration, partially self-funded plan products, and a suite of utilization, case, disease, and behavioral health management programs. Services are supported by proprietary technology platforms such as FocusHealth value-based purchasing transparency, UnionPlus+ Taft Hartley software, the AuxiantHealth member and provider portal, and a Transparency in Coverage machine readable files portal.

Differentiator

Problem solved

Functional benefit

Brands

• FocusHealth: Auxiant's Value Based Purchasing Program - a consumer transparency program providing network-specific cost and quality information to help members choose high-value hospitals.
• UnionPlus+
• DeductPlus+ / Integrated Buy Down
• Auxiant Medical Management

Products and services

• Auxiant TPA Services Comprehensive health plan administration platform for self-funded employers, including medical and dental plan administration (with prescription and organ transplant coverage), Section 125 plans, COBRA, Health Reimbursement Accounts, Taft Hartley hourly banking, employer direct agreements, reference-based pricing programs, dedicated specialist teams, a reporting package with standard reports, data analysis tools, and plan modeling tools. Targeted at employers seeking a customized benefit plan with cost control.
• FocusHealth Value Based Purchasing Program Auxiant's proprietary consumer transparency program that provides network-specific hospital cost and quality information to members before care. Combines quality and cost into a composite score for each hospital to incentivize members to use the highest-value hospitals through creative plan design. Demonstrated outcomes include $4,207 average savings per procedure, $134,242 average savings per group, 29.26% cost avoidance of allowed charges, and $17.6 million potential cost avoidance. Targeted at plan sponsors and members of self-funded health plans.
• DeductPlus+ (Integrated Buy Down) Partially self-funded plan product that integrates with a client's fully insured benefits plan to decrease premium while limiting cost exposure to employees. Payments are made only when claims are incurred, allowing accrual of premium savings. Reduces costs and maintains benefits without cost shifting to employees. Targeted at employers seeking to lower plan premiums while protecting employees from higher out-of-pocket costs.
• UnionPlus+ Proprietary, customizable, secure software for Taft Hartley and union health and welfare plan administration, built on more than 20 years of labor plan experience. Includes electronic contractor reporting, hour and dollar bank tracking, contribution accounting, eligibility tracking, delinquency reporting, individual member account statements, and reciprocity accounting. Targeted at Taft Hartley funds, labor unions, and contractor remitters.
• Auxiant Medical Management Suite of medical management programs including Utilization Management, Case Management, Disease Management, Specialty Pharmacy and Infusion Management, Oncology Management, Telemedicine, Behavioral Health Management, and Population Health Management. Designed to help plan administrators and members achieve appropriate, quality, and cost-effective care with flexibility to design and control programs. Targeted at self-funded employer plan sponsors and members.
• Transparency in Coverage Machine Readable Files Portal Auxiant-hosted web portal (transparency.auxiant.com) providing CMS-mandated machine readable files in compliance with the federal Transparency in Coverage Rule (CMS-9915-F). The portal hosts in-network negotiated payment rates and historical out-of-network allowed amounts from multiple PPO networks (Aetna, Cigna, First Choice Health, HealthLink, HealthSmart, MedPartners, Midlands Choice, Medical Mutual, Multiplan, Ohio Health Choice, Parkview Direct Contract, PHPKC, ProviDRs Care, Sagamore, Select Health, The Alliance, Trilogy, WPS, Zelis, Health Payment Systems) and pharmacy benefit managers. Targeted at plan sponsors, regulators, and members requiring access to federally required pricing files.
• AuxiantHealth Provider Portal Interactive web application providing healthcare providers with access to health plan information including enrollment and claims data, copies of Explanations of Benefits, and the ability to track claims. Providers can also access claim submission information via ID card mailing address or EDI information. Targeted at medical providers serving Auxiant-administered plans.
• Auxiant Member Portal Interactive web application providing plan members with access to their health plan information including enrollment and claims data, copies of Explanations of Benefits, and the ability to track their claims. Targeted at employees and dependents enrolled in Auxiant-administered self-funded health plans.
• Online Enrollment Web-based enrollment system that allows employees to complete benefit plan enrollment online. Part of the suite of administrative tools provided to self-funded employer clients.

Quantifiable outcome

• 99%+ financial, payment and processing accuracy
• +4 more outcomes

Named customers1 record

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration23 records

Feature7 records

Partnerships

Ten partnerships are on record, tiered core.

• AetnacoreTechnology or IntegrationPPO network partner providing in-network negotiated rates for Auxiant's self-funded health plan clients. Machine readable files available through Auxiant's Transparency in Coverage portal.
• CignacoreTechnology or IntegrationPPO network partner providing in-network negotiated rates. Machine readable files hosted externally at Cigna's website.
• First Choice HealthcoreTechnology or IntegrationPPO network partner with machine readable files hosted on Auxiant's Transparency in Coverage portal.
• HealthLinkcoreTechnology or IntegrationPPO network partner providing in-network rates for employer health plans.
• HealthSmartcoreTechnology or IntegrationPPO network partner with machine readable files available through Auxiant's portal.
• MultiplancoreTechnology or IntegrationPPO network partner with multiple machine readable file sets available.
• ZeliscoreTechnology or IntegrationNetwork partner providing payment optimization and transparency services. Hosts out-of-network allowed amounts data.
• WPScoreTechnology or IntegrationPPO network partner with machine readable files hosted externally.
• Stop Loss Carriers (30+)coreTechnology or IntegrationAuxiant works with more than 30 industry-leading stop loss carriers to provide stop loss insurance coordination for self-funded employer plans.
• Pharmacy Benefit Managers (PBMs)coreTechnology or IntegrationAuxiant has flexibility to work with any PBM for prescription drug benefit management services.

Scale indicators11 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• HealthEZ: Technology-forward TPA providing self-funded health plan administration with integrated transparency and member engagement tools. Direct peer competing for similar broker-driven employer accounts.
• MedBen: Midwest-based independent TPA specializing in self-funded health plan administration with proprietary reporting and cost-containment tools. Strong regional overlap with Auxiant's footprint.
• Allied Benefit Systems: Independent TPA administering self-funded employer health plans including medical, dental, vision, and COBRA. Closely comparable mid-size independent TPA with similar product breadth.
• Meritain Health: Aetna-owned TPA offering self-funded health plan administration, pharmacy, and medical management services. Directly competes with Auxiant for self-insured employer business across similar client size ranges.
• UMR: UnitedHealthcare's TPA subsidiary and the largest independent TPA in the US, providing medical, dental, and specialty benefit administration for self-funded employers. Directly comparable as a full-service TPA serving similar employer group clients.
• WebTPA: Independent TPA focused on self-funded employer plans with technology-enabled administration. Direct peer serving similar employer group market.
• HealthSmart (now part of Acrisure): Third-party administrator providing self-funded plan administration, PPO networks, and stop loss coordination; one of Auxiant's listed PPO network partners and a direct competitor in the same TPA space.
• BAS (Benefit Administrative Systems): Independent TPA administering self-funded employer plans with stop loss integration. Comparable mid-size independent TPA competing for the same broker and consultant channel.

Broad incumbents

• Cotiviti: Healthcare analytics and payment integrity company that competes with Auxiant's repricing and cost-containment capabilities at scale. Broader incumbent operating across payers and providers rather than as a TPA.
• Sedgewick Claims Management Services: Large incumbent providing broader claims management, absence management, and care management services that overlap with Auxiant's medical management suite but as part of a wider portfolio serving larger enterprise and carrier clients.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/auxiant

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Auxiant