> How do you plan to maintain this cost down once you extend to new states / product /over time, to keep this cost advantage? You are correct that the legacy i

> How do you plan to maintain this cost down once you extend to new states / product /over time, to keep this cost advantage? You are correct that the legacy insurance industry struggles with tech and compliance. I've had the fortune (misfortune?) of being a part of writing and managing policy, claims, rating, and other insurance systems. It is common for a large, legacy insurer to have tens of policy systems and tens of claims systems operating in parallel due to many years of acquisitions and mergers. Technology is a huge part of our cost advantage, but it isn’t the only factor. We also benefit from our product design, underwriting, provider network structure, etc. Technology automation and efficiency allows us to a) lower G&A about 10 points and pass through the savings to our customers, and b) reduce delays and duplications in care. The pure technology cost actually decreases for us over time, on a PMPM basis, as we grow membership. Adding new states and products doesn’t require new systems for us. We just have to make some configuration additions. Architecturally, we’ve built a federation of micro-services and we host on a cloud provider (Azure).