Highlight Health is redefining cost containment for self-funded health plans, participants, and stop-loss carriers. We save money for plans and participants, while assisting plan sponsors in fulfilling their fiduciary duties. We are an independent, nationally recognized healthcare cost containment company that uses innovative technology and sound industry knowledge and experience, to drive success. Our combination of expertise and technology sets the industry standard for independent healthcare cost containment and guidance services.
A $100,000 claim can stress some self-funded plans, yet more and more claims exceed a million dollars. Even when a claim is covered by stop loss, the self-funded plan ultimately pays the price. Fraud, waste, abuse, overbilling, and overpricing make large claims bigger than they need to be.
We work for self-funded health plans and we don’t have conflicting contracts that prevent us sharing all the cost containment strategies appropriate to the specifics of each claim.
We have a people-first approach to technology. Our technology is powered by our subject matter experts. Our experts sign and defend our work.
Our clients save money and gain satisfaction from being responsible fiduciaries of plan funds. Through Highlight Health they gain the ability to identify fraud, waste, abuse, overbilling, and overpricing. Most of our fees are based upon a percentage of savings, guaranteeing alignment of interests and return on investment.
What is Highlight Health? Highlight Health is a mission-driven organization that works with self-funded health plans — including plan sponsors and members — to help all parties save money and avoid overpaying for health bills.
What is a Self-Funded Health Plan? Put simply, a self-funded health plan is one in which the employer (or union or other organization) takes on the financial risk of paying healthcare claims for members of the plan. Our self-funded plan clients include health plans sponsored by employers, unions, associations, and government entities in many different industries.
How Can Highlight Health Help Me? While we primarily work with your employer or union to ensure that their health bills have been appropriately priced, the goal is that both the health plan and its members benefit from cost savings driven by Highlight Health. As part of these efforts, Highlight Health may reach out to you for more information in order to maximize your savings.
For more information about how Highlight Health can help you, please visit the Plan Members page.
At Highlight Health we use multiple cost containment strategies. Our partners
have the flexibility to select the strategies that work best for them.
We bring healthcare billing expertise and a deep understanding of the governing laws, rules, and regulations.
We reduce costs before claims are paid. “Pay and chase” is never the best strategy.
We win when our partners win. Our payment model is based on success.
Our reports and work products are detailed, supported with citations, and defensible.
We serve and work side-by-side with:
We help members with their medical bills before and after payments are made by their health plan. Prior to a health plan payment, Highlight Health may assist a member with applying for financial assistance. After your bill is paid, Highlight Health remains available to assist with any unexpected balance bills or other issues which may arise.
Let us show you how our solutions will bring value to you.Our clients all share a commitment to reduce healthcare costs for the benefit of their plans, their participants, and the U.S. healthcare system. Individually and collectively, they are change agents.
Our clients include health plans sponsored by employers, unions, associations, and government entities. Plan participants live in every part of the United States and work a full range of jobs in many different industries.
