Highlight Health works with self-funded health plans and their members. We are hired and contracted directly by each plan sponsor, therefore our first and foremost priority will always be the health plan. Since we gauge our success by the success of the plan, we take an active part in our client’s savings.
Plan Members
- We help plan members reduce and save on healthcare costs.
- We advocate for plan members and work on their behalf.
- We provide complete services for plan members—everything from contacting hospitals to submitting paperwork and addressing unexpected bills.
Self-Funded Health Plans & Sponsors
- We make sure plan sponsors pay the correct costs for healthcare expenses—and not a dollar more.
- We review claims that will hit the health plan fund the hardest so that our work will have the greatest impact.
- We ensure claims fit the coverage as laid out in each sponsor’s plan documents.
Ultimately, no matter who we are working with, our goal remains the same. We work endlessly to ensure healthcare costs are fair and affordable. We are experts at understanding how the healthcare industry operates. So put our experience to work for you.
We are a fiduciary partner
Health plan sponsors have a fiduciary duty to run the plan solely in the interest of participants and beneficiaries, and for the exclusive purpose of providing benefits and paying plan expenses. Yet, few fiduciaries have adequate training in the complexities of healthcare payments. Furthermore, for decades, plans did not have access to healthcare prices and detailed payment data. Therefore, even zealous fiduciaries could not fully perform their duties.
New regulations, greater transparency
New regulations, greater transparency
Recently passed laws and regulations have brought transparency to network negotiated prices and given plans access to their own data. Fiduciaries are now able to fully perform their responsibilities but need knowledgeable and experienced advisors. There is also an increasing legal expectation that fiduciaries must perform their responsibilities, as evidenced by recent court cases against health plan fiduciaries.
High healthcare costs
High healthcare costs
Healthcare billing and payment issues are complex, and the stakes are high. Healthcare costs are the second largest line-item for almost every company in America. Highlight Health can help, by providing Plan fiduciaries with independent, expert advice, and defensible healthcare cost containment solutions.
Filling the knowledge gap
Filling the knowledge gap
Highlight Health can be your go-to source of knowledge and experience for cost containment. Partner now with Highlight Health to see how we can become a long-term trusted advisor, guard your health plan, protect your company, and demonstrate a positive return on investment.
Partner with Highlight Health today to protect your health plan, safeguard your company’s finances, and demonstrate a strong return on investment.