No wait time for affordability; Missouri startup transforms how Paytients pay for health care
July 1, 2024 | Taylor Wilmore
Editor’s note: The following story was produced through a paid partnership with MOSourceLink, which boasts a mission to help entrepreneurs and small businesses across the state of Missouri grow and succeed by providing free, easy access to the help they need — when they need it.
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Inspired by his time at Boone County Hospital in Columbia, Missouri, Brian Whorley created a system that’s helping more than a million Americans better manage health care costs, reduce financial anxiety and get the treatments they need.
“I wanted to reduce costs as a barrier to care,” said Whorley, founder of Paytient. “I felt if we did that, the outcome would be more folks being able to live healthier, happier, longer lives.”
Paytient’s mission is clear: providing members a Health Payment Account with a revolving line of credit on a Visa card, allowing Paytients (a clever reference to the startup’s users) to pay out-of-pocket health care and veterinary expenses upfront and then select an interest-free payment plan that best fits their budget.
Employers and health insurers fund the service, resulting in higher enrollment in lower premium plans and more frequent health care access, with Paytient assuming all credit risk. This innovation has led to rapid growth, with Paytient now integrated into 6,000 employer health plans.
“We’re changing how people make decisions about health care by offering a way to pay for care over time,” said Whorley. “We’re smoothly removing the friction of out-of-pocket expenses, giving people peace of mind and certainty of affordability.”
Pay and go on with your day
This approach has resonated with users, as reflected in numerous positive reviews on Trustpilot, Whorley said. One reviewer commented: “Setting up Paytient was fast and easy and lifted some weight off my shoulders from having to worry about how I’m going to make the next pay day. Thank you so much.”
Whorley was on a bike ride through the Katy Trail in Columbia when the idea for Paytient came to him as a solution for those who avoid or delay expensive health care treatments.
His experience working at Boone County Hospital was pivotal to Paytient’s creation. Founded on April 2, 2018, Paytient quickly moved from concept to market, with Whorley and his long-term business partner, Daniel Lin, developing the initial version. Paytient is now accessible via card or smartphone app.
“Paytient is growing very quickly because we’ve got an incredible team building an incredible product that makes a very uncertain moment in people’s lives better,” Whorley said.
Paytient’s growth accelerates through the Missouri Innovation Center
In 2019, as Whorley began to recruit and grow his Paytient team, he got a helpful boost for his company by being involved with the Missouri Innovation Center, or MIC, and completing the Missouri Accelerator Fund.
“The Missouri Accelerator Fund was one of our earliest Angel rounds,” he said. “There was a check from that, and it also came with space in the facility. We were able to base our crew there.”
MIC focuses on aiding high-growth life science companies, which often require specialized lab space and patient capital. Whorley significantly benefited from MIC’s resources and support, including an investment from MIC’s previous $2 million tech accelerator fund, he said.
“That fund was designed to help folks in the tech software app space, as opposed to strictly only life science,” said MIC founder Quinten Messbarger.
How MIC helps life science companies land capital
MIC is committed to supporting local entrepreneurs in creating high-growth ventures that improve lives and stimulate the economy in mid-Missouri.
“Our goal ever since we were created is to do everything we can to help entrepreneurs as they’re launching and growing their startups,” said Messbarger, noting he recognizes the unique capital requirements for life science businesses, as several require a lot of money in their pre-revenue stage that could last for many years.
“A lot of life science companies are going to require FDA approval, and that could be five, eight or 14 years, depending on what kind it is. They’re not bankable,” Messbarger added. “We help companies get funding, get grants and raise capital from investors.”
Funding for MIC’s startups is possible through the presence of Centennial Investors, an angel network/venture capital company in Columbia. This group plays a crucial role in investing in many local companies so they can thrive.
This financial support is part of MIC’s broader mission; it also provides entrepreneurs with specialized lab spaces, resources, access to certain centers within the University of Missouri and mentoring.
Paytient aims to scale
After getting over the initial hurdle of explaining Paytient’s impact to investors as a brand new category of health plans, Whorley is now focused on expanding Paytient’s reach even further.
“We’re transitioning from a local scale to regional scale to a national scale,” he said. “We’ve had the privilege of having those conversations that share our impact with larger partners.”
Whorley’s advice to other health care entrepreneurs who are about to break ground: remember who’s at the focus of their work.
“Stay patient-centered,” he said. “Ensure that you are helping people get the care they need at a fair price. Focus on making that interaction between patient and provider as seamless as possible.”

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