Health Plans, Inc. - 3x3x3 Challenge With Scott Revey
Health Plans, Inc. is the non-BUCA, non-Private Equity, innovative and fully transparent TPA you have been looking for. We offer stability, innovation, and transparency.
Transcription:
What is Health Plans, Inc.?
Chris, we are the third-party administrator for Harvard Pilgrim. Ultimately, we roll up to the Point32Health Family of Companies. It's important to note that as a TPA, we are non-BUCA and non-private equity, so our nonprofit ownership allows us to focus on the right things.
How is Health Plan, Inc. different?
Well, because we don't have a lot of the traditionally misaligned incentives inherent in our business model, I mentioned non-BUCA, non-private equity. The national solutions that we're able to provide have been tailored to the member experience and the financial performance of the plan. Whether that is our large national PPO relationships, our high performance network, EHN, or reference-based pricing with HST.
Who is a good fit for Health Plans, Inc.?
So across about 600,000 total members that we serve, 34% of those are from provider groups or hospital systems. We are particularly in tune with the needs of those types of clients and are accustomed to providing, you know, domestic tiered networks, leakage reports to see which employees are maybe falling out of network and how we can correct that. And then also adding a touch of discretion with the member concierge advocacy that we provide. So instead of employees of the health system going to HR to talk about their needs, they have an independent third party.
Transcription:
What is Health Plans, Inc.?
Chris, we are the third-party administrator for Harvard Pilgrim. Ultimately, we roll up to the Point32Health Family of Companies. It's important to note that as a TPA, we are non-BUCA and non-private equity, so our nonprofit ownership allows us to focus on the right things.
How is Health Plan, Inc. different?
Well, because we don't have a lot of the traditionally misaligned incentives inherent in our business model, I mentioned non-BUCA, non-private equity. The national solutions that we're able to provide have been tailored to the member experience and the financial performance of the plan. Whether that is our large national PPO relationships, our high performance network, EHN, or reference-based pricing with HST.
Who is a good fit for Health Plans, Inc.?
So across about 600,000 total members that we serve, 34% of those are from provider groups or hospital systems. We are particularly in tune with the needs of those types of clients and are accustomed to providing, you know, domestic tiered networks, leakage reports to see which employees are maybe falling out of network and how we can correct that. And then also adding a touch of discretion with the member concierge advocacy that we provide. So instead of employees of the health system going to HR to talk about their needs, they have an independent third party.