Third-Party Administrators
Supercharge your offerings—and growth—with benefit savings employers will love
As fiduciary advisors, trusted guides and strategic thinkers, you play a key role in helping employers design and administer high-impact benefit plans that their employees, and bottom line, will appreciate. But pharmacy costs are often overlooked, meanwhile, 72% of employers rank them as a top concern. Be the TPA that changes that. We can help.
Solutions For Third-Party Administrators
The healthcare solutions you and your groups have been waiting for.
Our custom reprice tool, styled with your logo and brand colors, brings your PBM portfolio to life. We measure the metrics that matter. You show and deliver the savings. Clients and brokers keep coming back—year-after-year.
- Effectively market stronger PBM deals to groups
- One easily digestible view of PBM proposals
- White-labeled for you
With aggressive and innovative PBM contracts and targeted specialty savings solutions we help lower employer Rx spend up to 30%.
- Robust network of strong PBM contracts
- Unlocks negotiating power for groups of all sizes
- Pharmacy savings analysis
- Streamlined RFP process
- We negotiate and define Rx contract terms on your behalf
Best-in-class pharmacy benefit resources, clinical insights and savings through specialized Rx services that deliver the lowest possible pharmacy prices year after year.
- PBM Procurement
- Market Support
- Medical Rebates
- Injectables
- Pharmacy Data & Analytics
- Trend & Clinical Management
- PBM Pharmacy Audits
- Medical Variable Copay
We lower employer benefit spend by making it simple to save. Our one-stop-shop for seamless, human-to-human benefit-cost navigation helps groups and their people:
- Understand their benefits
- Choose high-quality, lower-cost treatment
- Reduce prescription costs
- Resolve billing issues
- Lower high-cost bills
- Easily access hospital financial assistance
We transform complex self-funded plans into intuitive healthcare experiences, delivering powerful savings and benefit enhancing solutions through one streamlined platform, seamlessly connecting members to the right benefits at the right time.
Regardless of the type of health coverage you offer, people often face cost barriers to care. Our solutions help members quickly determine eligibility for hospital financial assistance and connect them with a navigator who can review bills for accuracy and negotiate lower out-of-pocket costs.
- Financially beneficial for self-funded employers
- Optimizes the value of MEC plans, Associations
- Lower out-of-pocket costs for members
Safeguard your members with our streamlined approach to hospital expense management. We facilitate hospital financial assistance (FA) for qualifying members, shifting costs back to hospitals. For those that are ineligible for FA, we offer bill review and negotiation to lower charges. Plus, an easily accessible reimbursement bank is available to cover any remaining out-of-pocket hospital expenses.
Medical rebates exist for drugs administered by providers under the medical benefit but are frequently overlooked. With the soaring rates of specialty pharmacy costs and utilization, we identify, secure and manage the medical rebates you’re owed.
Ensuring compliance and maintaining a Life and Health Administrator License is crucial for TPAs to operate legally and competitively across various states. We offer comprehensive solutions to manage your licensure needs, whether you’re entering new states or renewing existing licenses.
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
- Targeted savings solutions for Rx & specialty medications
- Dozens of ways for employees to save on healthcare
- Enhanced member benefits & experience
- Average 25% less cost than comparable plans
- Dedicated benefits experts/health advocates
- Streamlined access to financial assistance
With aggressive and innovative PBM contracts and targeted specialty savings solutions we help lower employer Rx spend up to 30%.
- Robust network of strong PBM contracts
- Unlocks negotiating power for groups of all sizes
- Pharmacy savings analysis
- Streamlined RFP process
- We negotiate and define Rx contract terms on your behalf
Best-in-class pharmacy benefit resources, clinical insights and savings through specialized Rx services that deliver the lowest possible pharmacy prices year after year.
- PBM Procurement
- Market Support
- Medical Rebates
- Injectables
- Pharmacy Data & Analytics
- Trend & Clinical Management
- PBM Pharmacy Audits
- Medical Variable Copay
We lower employer benefit spend by making it simple to save. Our one-stop-shop for seamless, human-to-human benefit-cost navigation helps groups and their people:
- Understand their benefits
- Choose high-quality, lower-cost treatment
- Reduce prescription costs
- Resolve billing issues
- Lower high-cost bills
- Easily access hospital financial assistance
While employers look to you for counsel on their benefits—look to us to cut through the noise.
We build, customize and deliver broker solutions that lower health and Rx costs, elevate employee and employer experiences—and keep your clients coming back year after year.
And we’ll take care of all the heavy lifting for you.
Featured
we’re building a better health plan
We’re raising the bar for benefits in the workplace. We’re freeing employers and their people from unaffordable healthcare—delivering refreshing experiences and rewarding self-funded plans at a lower cost.
Let’s reinvent healthcare, together
We help employers save significantly on healthcare, while helping TPAs grow their business and expand their product portfolio.
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Understanding your needsWe start by understanding your unique challenges
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Customized strategy developmentOur team recommends tailored solutions that address your specific goals
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Seamless integrationWe work closely with you and your groups to ensure smooth implementation and growth
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Ongoing collaborationAs your partner, we maintain regular communication and provide timely updates and insights, ensuring we continue to align with your evolving needs
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Performance tracking & optimizationWe monitor, measure and analyze the impact of our solutions, while keeping an eye on the market for new innovations that deliver the best possible results for your business
Let’s do it.
Ready to expand and grow your business?
Break up with the status quo
We’re igniting real change. From building and accelerating revolutionary healthcare businesses to delivering transformative tech and services to our clients, we’re raising the bar of what healthcare can be.
Ready to join us?
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