Services

Proven results

The HealthComp team has 60+ years of experience in achieving better health outcomes for members and increased savings for employers.

To show the value of HealthComp’s clinical care management program and how employers can lower their costs and improve the quality of care, HealthComp published a report with an independent actuarial firm based on a review of 2019 financial outcomes.

100 %

lower utilization through inpatient, outpatient, and professional services

$ 0

in savings per employee per year, without changing benefits or network design

100 %

lower inpatient costs for HealthComp members

100 %

lower maternity spend for members in HealthComp’s Nurturing Together Program

HealthComp Core

HealthComp is a third-party administrator (TPA) offering innovative cost management solutions to reduce healthcare costs for our clients and members.

As a TPA, HealthComp acts as a liaison between the employer and the healthcare providers, managing and processing claims, providing medical management services for employee benefits plans, and offering data analytics to help employers make informed decisions about their healthcare spending to help manage costs.

Medical Administration

HealthComp serves as your partner to provide access to better, more cost-effective healthcare.

Cost Containment

We streamline healthcare spending through strategic waste reduction: automated claims adjudication, duplicate claim reviews, fraud and abuse audits, negotiation for high-dollar and out-of-network claims, and pursuing third-party liability.

Performance Guarantees

Performance guarantees are available for operational results.

Case Management

Enables cost savings through in-house nursing staff who intercept members during high-cost events, offering pre-admission counseling, second opinions, discharge planning, and care coordination.

HealthComp Elevate

HealthComp Elevate is an enhancement to the HealthComp Core experience, providing a greater member experience and includes operational, engagement, and outcomes-based guarantees. Elevate provides greater engagement for members by combining Disease Management, Population Health, Cancer Screening, and ER Management into a unified service model. Partners who utilize the full suite of services, including Elevate, see a 19% reduction in medical costs.

Nurturing Together

Provides expectant members with services and educational materials designed to help give them and their babies a healthy start.

Population Preventive Care

HealthComp is your partner to provide access to better, more cost-effective healthcare through Disease Management, Emergency Room Solutions, and Cancer Awareness.

Member Guidance

Benefits assistance, referrals to health, medical, and wellness-related benefits, and support through issue resolution. Over 15% increase in early interception and referrals into Care Management programs.

Single Digital Solution

Access all benefits through a single sign-on using the HealthComp portal.

Performance Guarantees

Performance guarantees are available for operational, clinical, and medical trend results.

HealthComplete

HealthComplete is a comprehensive digital wellness solution available 24/7 for members as an add-on to the HealthComp Core or HealthComp Elevate models. HealthComplete provides cognitive behavioral training interventions to improve health and productivity, as well as tracker integration and screening recommendations. Additionally, this program provides employers with valuable insight into employee stress, job and benefits satisfaction, and current and future medical risk.

Health Assessment
Individual and team challenges
Health and well-being courses
Activity tracker
Incentives and reward opportunities

As the nation’s largest privately-held TPA specializing in the administration of commercial self-funded health plans, HealthComp offers a full suite of administrative support with clinical and member services, an easy-to-use digital experience, and flexible network choices including national, regional, and narrow networks.

By partnering with HealthComp Plus, clients have the opportunity to offer quality solutions to employers regardless of geography and population risk. HealthComp’s mission is to provide innovative and affordable solutions that improve the quality of healthcare for members, clients, and providers. This partnership can bring value to group healthcare plan sponsors by providing a holistic healthcare program that eases administrative burdens, aligns access to care, and offers effective cost management strategies while sustaining quality healthcare benefits.

The Northwell Direct Network

Connecting your workplace to over 26,000 health care providers and the highest level of care in New York, New Jersey, and southern Connecticut.

Interested in HealthComp’s services?

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Services

Proven results