Regulatory pressure
CAA 2026 puts vendor compensation, and the fiduciary duty to review it, squarely on the employer.
The Trust Layer for Healthcare Payments
A zero-custody, audit-ready ledger for self-insured employer healthcare payments.
One verifiable record of every claim dollar, shared by the employer, the TPA, the stop-loss carrier and the provider. ChicLedger never holds the money.
Austin, Texas
The problem
Self-funded healthcare has outgrown the infrastructure built to run it.
As employers take more control over their healthcare spend, TPAs and DPCs are being asked to prove where every dollar goes, with systems that were never built to do it. There's no shared financial layer connecting authorization, payment and reconciliation across the network.
3–5%of net revenue may be lost annually through leakage
Zero visibility
Employers cannot see where their claims dollars are actually spent.
No infrastructure to scale
TPAs and DPCs lack the systems to deliver transparency, or to grow without rebuilding it each time.
Source: U.S. Department of Labor; SmartLight Analytics; HFMA.
Why now
01
02
03
CAA 2026 made every plan dollar a disclosure question.
Disclosure threshold, per vendor
$1,000
Since February 3, 2026, virtually every service provider to a self-insured health plan, including TPAs, PBMs and stop-loss carriers, must disclose all direct and indirect compensation of $1,000 or more.
The Consolidated Appropriations Act, 2026 extended compensation disclosure far beyond brokers. The employer, as plan fiduciary, must be able to judge whether what every vendor earns is reasonable.
That judgment needs a record of what was actually paid, to whom and at what cost. ChicLedger produces it as a by-product of settlement, ready for audit.
Sources: Trucker Huss; Groom Law Group.
Most workers are self-insured
67% of covered workers are in self-funded plans, and 80% at larger firms (KFF 2025).
Infrastructure readiness
Real-time payment rails and modern APIs make a shared, audit-ready record buildable today.
The market
The self-funded market is shifting toward greater employer control.
- 75%Self-funding keeps expanding.
Projections expect self-funded employer healthcare to reach 75% by 2030.
- 44%Large employers already contract directly with providers.
44% of U.S. employers with 50,000+ employees use direct contracting.
- ~20%Smaller employers are following.
Direct contracting is used by around 20% of employers with fewer than 1,000 workers.
$944.7BSelf-funded employer healthcare
$120–220BHospital / direct contracting
$65–111BTPAs / administrators
$18BBrokers & consultants
Distinct addressable markets across the self-funded ecosystem that ChicLedger is built to serve as one shared financial infrastructure layer.
Source: KFF, CMS NHE, NAHPC, Grant Thornton, Harris Williams, Health Affairs, Mployer and BenefitsPRO.
The missing layer
A shared financial record, from authorization to settlement.
TPA authorizes
Claim approved, amount set.
ChicLedger records
Creates a single source of truth.
Executes settlement
Sends payment instructions.
Reconciles & reports
Real-time visibility for all sides.
“We create a single, immutable financial record across the network.”
ChicLedger never adjudicates or authorizes payment. That stays with the TPA. No custody of funds. No health information. One immutable record, permissioned for every side.
Built for the whole network
One record. Every side of the transaction.
Each party sees only its own data, drawn from the same verifiable ledger.
TPAs
A platform layer that wins business
Deliver independently verifiable transparency without rebuilding your stack.
DPCsGrow without new back-office
Prove where every dollar goes as your employer book expands.
EmployersSee your claims dollars
Verify spend yourself, without being asked to trust anyone on faith.
ProvidersGet paid faster, cleaner
Opt into faster settlement with audit-ready reconciliation data.
Stop-loss carriers & MGUs
For stop-loss
Reimburse on evidence, not spreadsheets
Specific and aggregate claims arrive with an immutable record of what was paid, when and to whom, so reimbursement and audit start from the same facts the employer sees.
Our conviction
Transparency in healthcare should be something the system can prove, not something employers are asked to trust.
Why we built ChicLedgerThe Trust Layer for Healthcare Payments
Let's talk about how ChicLedger fits your organization.