Michael Botta’s Sesame Wants to Make Health Care a Cash-Pay Bargain

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Michael Botta’s Sesame Wants to Make Health Care a Cash-Pay Bargain

Michael Botta's Sesame is betting that more Americans will compare prices and pay out of pocket when insurance is expensive, confusing or simply not enough.

Michael Botta built Sesame Care on a simple premise: for a growing number of Americans, it can be cheaper and easier to pay for some health care directly than to go through insurance. Sesame, the New York-based cash-pay marketplace he co-founded, is built around that idea and expanding it into areas where demand is high, pricing is opaque, and coverage is inconsistent. Fertility is one example. Weight loss is another.

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“Insurance is becoming less generous, and people have higher deductibles, co-pays, and co-insurance,” Botta said in an interview with Observer. He........

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