"Success is a science; if you have the conditions, you get the result.”

- Oscar Wilde

HEALTHone80 offers a unique blend of services designed to address the problem of how we purchase healthcare in a local marketplace. In each community we serve, our objective is to remove the Firewall that exists between the consumer and healthcare provider, and then structure the use of insurance in an appropriate and efficient manner.

The ingredients of a best-in-class purchasing model include the following:

Cash Accounts - where the individual spends and takes ownership of funds

Choice - where a Health Plan is selected based on fitting an individual's need and ability to choose care

Medical Quality / Value - best-of-breed medical providers are organized and offer proven value directly with consumers

            Population Health - we measure and monitor the provision of quality medical care 

 Local Employers

 Employee Benefit Solutions

  •  Medical Plan Performance Analysis
  • Medical Plan Renewal Evaluation
  • Negotiate Fully-Insured Rates with Carriers
  • Medical Plan Re-Design Solutions
  • Build New Plan Strategy and Design (B2C)
  • Employee Engagement and Education Process
  • Routine Management Meetings and Reporting
  • Self-Insurance Evaluation
  • Population Health Evaluation
  • Build Dedicated Local Provider Networks

Healthcare Providers

B2C Strategy and Implementation

  • B2C Business Plan, including Provider Agreements
  • Build the Provider Network and Contracting Vehicle
  • Population Health Analytics

Physician Analytics

Employer Analytics

  • Network (PHO/IPA) Management Services
  • Clinical Integration Development
  • B2C Employer Collaboration Plan

Establish Governance and Participation Forum

Establish Reimbursement Plan

Marketing Plan

  • Manage Data Integration Platform (HIE)

Other Services

Healthcare Providers

  • Develop a "Network" Group Health Program for Affiliated provider members
  • Develop a Medical Liability Program for Affiliated provider members
  • Create an appropriate environment for physician-hospital alignment
  • Design the investment & ownership structure
  • Build the organizational structure & budgets
  • Establish physician working committees
  • Build Practice and Network IT infrastructure
  • Create the physician business assistance program
  • Practice Management Services

NEXT STEPS

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HEALTHone80 designs solutions tailored specifically for local employers and healthcare providers