Pioneering Healthcare Financial Risk Management Solutions

Aegle’s suite of credit-based risk management solutions provides employers, at-risk providers, and health insurers with a robust alternative to traditional re/insurance. The focus? Maximum financial flexibility and efficiency.

Whether you’re looking to tackle lengthy reimbursement timelines and enhance cash flow, or seeking monthly budget predictability with flexible and capped funding options, our solutions are at the ready. And for those eyeing the horizon, our offerings serve as a foundation to set up a tax-efficient captive — all by leveraging risk-based capital to help build your reserves.

Whatever your immediate or long-term health risk management needs, Aegle is here to maximize your success.

We make it easy to boost cash flow

The unpredictability of claims can place a strain on the cash flow of all self-insured entities. To brace against unforeseen scenarios, many earmark substantial budgets that could be better utilized elsewhere. With Aegle, there’s a smarter approach. By harnessing the power of credit, our clients craft strategies that not only make healthcare risk mitigation more predictable but also cost-efficient.

On-demand financing provides short- and long-term benefits to your bottom line

Our portfolio of flexible solutions is tailored to meet your financial aspirations for both today and the future. Offered through our select distribution partners, Aegle brings innovative strategies once reserved for large enterprises, empowering companies with enhanced control over their financial journey.

Pay as You Go

Some capital efficiency but not predictable

Advanced Funding

Predictable but not capital efficient

Aegle Risk Financing

Predictable, capital efficient, and 15%+ savings

Greater Savings

Aegle provides a more efficient avenue to fund risk exposure versus traditional stop-loss insurance.

  • 15% average savings in the first year
  • 97.6% chance of less spend in a 5-year period
  • Only use what you need with no prepayment fees

Fast and Flexible Protection

Aegle addresses many of the challenges associated with stop-loss insurance.

  • Hassle-free funding in as fast as 72 hours
  • Ground up coverage of challenging populations or individuals tailored to client needs
  • On-demand run-out support
  • Applicable to cell-gene therapies, including mid-year occurances

Growth Ready

Aegle addresses short-term challenges and provides for future growth

  • Reap the benefits of a captive without the cost
  • When the time is right, automatically migrate into a tax-efficient captive
  • Avoid tying up precious capital

Experience the Aegle difference

Aegle credit-based solutions can replace or layer on to existing stop-loss – helping groups save money with equivalent cash flow protection.

Traditional Stop Loss


  • Catastrophic Claim Protection
  • Premium Hikes to Recoup Losses



  • Catastrophic Claim Protection
  • Budget Protection
  • Rapid Reimbursement
  • Cash Flow Flexibility
  • Reduced Fixed Costs
  • Off-cycle Gap and Runout TLO Coverage

Derek Vest - CMO

Derek is the Chief Marketing Officer and has for more than 30 years successfully guided the growth stories of diverse array of established and startup brands including Wells Fargo, Experian, Fiserv, and Centene. His ability to navigate complex, compliance-driven environments while infusing them with deft branding has been a catalyst for innovation and growth.

Barry Carlson - CGO

Barry, serving as the Chief Growth Officer, brings a wealth of experience in the insurance, healthcare, and employee benefits domains, with a career spanning more than 30 years. His background is rooted in sales leadership and business development. Barry has had the privilege of working with respected companies including Aon, Nexben, Allina Health/Aetna, Medica and ING.

Drew Holm - COO

Drew, the Chief Operating Officer, brings almost 20 years of experience in healthcare where he has led finance, mergers and acquisitions, strategic partnerships, strategy, HR, and corporate development. Drew was most recently the CFO of Recuro Health and additionally held leadership roles at Constellation, Inc., Stella, the parent company of Blue Cross Blue Shield of Minnesota, and United Health Group.

Steve Pachella - CFO

Steve is Chief Financial Officer & Treasurer of Aegle Health Partners, Inc. and brings over 20 years of capital markets expertise to Aegle having structured, and originated over $45 billion in equity and debt transactions across corporate and consumer credit sectors during his career. Steve has an extensive background growing early-stage companies and is particularly adept at developing innovative capital markets distribution for non-bank lending institutions.

Gerardo Zapaglione - Founder

Gerardo is the Founder of Aegle. He was a Population Health lead for Epic Systems, the EMR vendor, where he advised health systems and provider-owned health plans on innovative methods for handling downside risk following the passing of the Affordable Care Act. Prior to joining Aegle, Gerardo was a Principal at Kaiser Associates and Leonessa Life Sciences.

Kyle Rolfing – CEO

Kyle is a serial healthcare entrepreneur with particular experience in next-generation tools for employers to manage health benefits. Kyle was a founder at Definity Health (acquired by United Health for $300m in 2004), Redbrick Health (acquired by Marlin Equity Partners in 2018), and Bright Health (IPO 2021, NYSE:BHG).