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

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*


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:

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.

Health System Operational and Marketing Support
Maintain alignment within the network over time
ACO management functions
Pre-sales analytics
Marketing, sales and onboarding

Service and Manage Networks
Network management and reporting
Provider engagement services
Configure and maintain Provider Data Management (PDM)

Employer Plan Support
Plan design and tailoring
Plan administration
Enrollment support
Employer reporting and analytics
Population health services

Set and Maintain Pricing
Captive and reinsurance options
Proprietary pricing models
Bundled pricing solutions

"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.