Hospitals
With experience from more than 80 hospital clients, we help hospitals and health systems run high-performing, self-funded medical plans that direct members to client-owned facilities, manage total costs, and deliver rich benefits without the trade-offs.
Employee engagement rate with benefits decisions support tools
Same-day service call resolution
Claim accuracy
Avg. service call answer time
Eliminating the zero-sum game
Hospitals shouldn’t have to choose between the cost of benefits administration and the value of a plan that works for their workforce. Our approach has formed over the last 30 years of partnering with more than 80 hospitals, creating disciplined, partner-aligned strategies that improve adoption and outcomes.
This deep, repeatable expertise helps us create real value for our hospital clients by combining medical plan design strategy, digital and human care navigation, and pharmacy optimization, supported by a continuous improvement process that sustains results over the long term.
A simple plan for maximum flexibility
We specialize in benefits programs that support recruitment and retention while also improving utilization patterns, managing total cost, and sustaining results through continuous improvement.
Tiered, hospital-aligned plan design
We provide three-tier and custom-tier medical plans that direct members to facilities and providers, strengthen physician engagement, and use incentives to encourage in-network choices.
In-house pharmacy & 340B optimization
We drive usage through in-house pharmacies, capture manufacturer rebates, and identify 340B opportunities, turning pharmacy benefits into an extension of hospital operations.
Benefits administration without runaway cost
Hospital workforces expect generous benefits. Our proven record of administering rich plan designs, like high-cost GLP-1s and specialty drug coverage, shows how we protect plan cost.
Care navigation to preferred facilities
We offer self-service tools paired with concierge support to guide members to the right care at the right site, supporting clinical staff who need navigation that fits a 24/7 schedule.
Contracting & network administration
We offer direct provider contracts and proprietary networks so each plan reflects the strategies and relationships a hospital has already built, rather than using off-the-shelf networks.
Custom protocols & integration
We build custom clinical and administrative protocols and integrate with each system’s preferred vendors and partners, so the plan operates the way the hospital actually runs.
Detailed oriented service for an industry with little room for error
White-glove onboarding and implementation
Clear implementation plans, coordinated timelines, and guided setup with preferred vendor integration and custom clinical protocols help employers and benefits consultants feel confident from day one.
Open enrollment & tear-round education
In-person support for open enrollment and on-going “did-you-know” style education throughout the year give members many touchpoints to ask questions about their plan.
Care access and navigation support
Support staff and services help members find the right care, use preventive benefits, and avoid delays that can lead to higher-cost episodes.
Bilingual, bicultural support
Field-tested member engagement and education that is culturally aligned, not just translated, helps members understand and actually use their benefits.
Events & wellness activities
Health fairs, biometric screenings, and hands-on events connect members to care and reinforce employer investment in workforce wellbeing.
Broker & employer partnership facilitation
Regular check-ins, issue resolution, and a continuous-improvement mindset keep us improving our service and your experience.
