Break free from the payor-dominated model. We offer innovative solutions to optimize your network, enhance patient care, and achieve financial success.
The entire healthcare ecosystem has been unbalanced. Health systems have been disadvantaged by the dominant payors who have continued to expand into other lines of business, leading to lack of competition within the ecosystem triggering a cascade of adverse events unfavorable to the health system. Health systems need to build direct-to-market plans on their own to take control of their future, which is complex, confusing, and resource-intensive.
The Healthcare Highways’ Solution
We collaborate with health systems to build distribution channels, align companies and products with them, and offer solutions to overcome challenges like repricing, paying claims, funding and risk management, and peer review. We do this through a wide range of capabilities and services. By connecting health systems and payors, health systems take back the control and can become self-sufficient.
Build and Customize Networks
Customized, high-performance provider medical networks
Support alternate reimbursement methodologies for providers
Access to care coordination, disease management, condition specific networks, and virtual care
Service and Manage Networks
Network management and reporting
Provider engagement services
Configure and maintain Provider Data Management (PDM)
Set and Maintain Pricing
Captive and reinsurance options
Proprietary pricing models
Bundled pricing solutions
Employer Plan Support
Plan design and tailoring
Plan administration
Enrollment support
Employer reporting and analytics
Population health services
Health System Operational and
Marketing Support
Maintain alignment within the network over time
Accountable Care Organization (ACO) management functions
Pre-sales analytics
Marketing, sales, and onboarding
What Our Clients Say
Healthcare Highways has been a responsive, flexible, and trusted partner as we continue to map out our future growth and expansion with them.
Vice President
Regional Health Plan
★★★★★
Work With Us
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