Choose a partner who
can elevate your mission and
grow your margin.

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We help health systems embrace innovation and declare independence from payers dominating the market.

 

The entire healthcare ecosystem has been unbalanced. Control of your future is key, but for a health system to build direct-to-market plans on its own is complex, confusing, and resource-intensive.

We empower health systems.

A partnership with Healthcare Highways reintroduces competition into your healthcare marketplace by proactively defining population and payer mix and shifting the premium dollar through evidence-based, market-tailored solutions that benefit patients, providers, and employers.

We empower health systems.

More independence = More of the premium dollar*

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We work collaboratively with health systems, to build distribution channels, align companies and products to them, and offer other 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:

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Build and Customize Networks
  • Customized, high-performance provider networks

  • Support alternate reimbursement methodologies for providers

  • Access to Pharmacy Benefits (PBM), specialty PBM, condition-specific networks, virtual care, etc.

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Health System Operational and Marketing Support
  • Maintain alignment within the network over time

  • ACO management functions

  • Pre-sales analytics

  • Marketing, sales and onboarding

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Service and Manage Networks
  • Network management and reporting

  • Provider engagement services

  • Configure and maintain Provider Data Management (PDM)

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Employer Plan Support
  • Plan design and tailoring

  • Plan administration

  • Enrollment support

  • Employer reporting and analytics

  • Population health services

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Set and Maintain Pricing
  • Captive and reinsurance options

  • Proprietary pricing models

  • Bundled pricing solutions

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"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

CASE STUDY / A HEALTH SYSTEM PERSPECTIVE

We helped a health system who wanted to gain market share by implementing a direct-to-employer strategy and a price guarantee.

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Tailored healthcare works.

If you’d like to know how it can work for you, please complete the short form below, and Dr. Peter Brawer, our EVP, Chief Strategy Officer of Hospital Partnerships, will get in touch with you. 
Learn More!

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