Get in touch
877-585-8480
services@myperformancehlth.com
877-585-8480
services@myperformancehlth.com
What We Offer
Our practice areas developed to meet the changing healthcare landscape.
Plan Funding Options
Performance Health brings unique specialization in Level Funded and traditional partially Self-Funded health plans. A significant cost driver in both Level Funded and Self-Funded health plans is Reinsurance (Stop Loss); and, Performance Health brings unique expertise and value to this critical component.
- Unique Reinsurance relationships
- Unique Reinsurance contract provisions
- Unique underwriting flexibility – we understand that an employer transitioning from Fully-Insured has limited access to claims information.
Unlike the Fully Insured or insurance carrier driven Level Funded products, the Performance Health Model is designed to maximize plan surpluses which are 100% retained by the Client.
Plan Administration
Performance Health’s Technology platform allows for the flexibility of various plan design approaches.
- Level Funded – diverse plan designs to select from based on actuarially efficient modeling
- Traditionally Partially Self-Funded – ability to match current plans and customize plans to unique design specifications
- Medical and Prescription benefits directly integrated with Health and Wellness initiatives
- Numerous plan formats – PPO, EPO, HMO look alike, QHDHP, MEC
- Private Exchange Solutions
Provider Networks
- National Carrier Networks
- Regional PPO Networks
- Direct Contracted Networks
- Reference Based Pricing Models
Prescription Benefits
Elimination of egregious “spread pricing” as a profit center – common among insurance carriers and TPAs
- Proactive formulary management to combat increasing specialty and brand name drug costs
- Engaged Health Management for medication adherence
- Preventive Care and Over The Counter drug lists
- Specialty prescription management
Wellness Management
We offer programs to meet your specific wellness goals.
- Plan Incentives Integrated with Medical and Prescription Plans
- Rewards Achievement Rather than Participation
- Participant Condition Specific Digital Monitors
- Proactive Large Case Management, Utilization Review and Precertifications
- 24/7 Nurse Line
- Wellness Lifestyle Coaching
