Business Details
Your Trusted Healthcare Network Partner for Employers and Health Systems
At Healthcare Highways, our mission is to transform managed healthcare by delivering seamless, affordable access that connects providers, patients, and employers while upholding the highest standards of quality, efficiency, and care. Founded on core values of candor, collaboration, integrity, ingenuity, and drive, we empower health systems, employers, and brokers with innovative solutions to optimize networks, reduce costs, and improve health outcomes. Our expertise in high-performance provider networks, coupled with a commitment to transparency and innovation, positions us as a trusted partner in navigating the complexities of modern healthcare. With four consecutive Great Place to Work certifications, we prioritize both client success and employee satisfaction.Our tailored solutions for self-funded and level-funded plans, alongside advanced claims management and data analytics, enable organizations to achieve financial health while ensuring access to quality care. We pride ourselves on fostering partnerships that drive measurable results, from employer cost savings to enhanced patient experiences. Our leadership in accountable care, provider engagement, and compliance ensures that our clients remain competitive in an evolving healthcare landscape. Through continuous improvement and a client-centric approach, we deliver solutions that align with the dynamic needs of todays healthcare ecosystem.
Services
High-Performance Networks
Provider Network Operations
Level-Funded Plans
Self-Funded Solutions
Claims Management
Health System Networks
Population Health Services
Payor & TPA Solutions
Employer Medical Benefits
Broker Network Solutions
Highlights and features
- Customized medical networks for 15-125 employee companies
- Proven 15-30% employer savings through optimized plans
- Transparent claims processing with advanced analytics
- Award-winning workplace certified four consecutive years
- Expert network management with nationwide provider access
Associations and certifications
- Great Place to Work Certification
Services
High-Performance Networks
Our high-performance provider networks deliver curated access to 12,000+ primary care physicians and 69,000+ specialists. These networks reduce healthcare costs while maintaining quality through value-based care models. Employers and health systems benefit from proven savings and improved patient outcomes through our nationwide coverage and strategic provider partnerships.
Level-Funded Plans
Level-funded plans combine cost predictability with potential premium reductions for mid-sized employers (15-125 employees). These plans offer transparent pricing structures and risk management tools while retaining employer control over healthcare spending. Our solutions include claims administration and compliance support tailored to small-to-midsize businesses.
Provider Network Operations
Our provider network operations focus on engagement, performance reporting, and data analytics. We ensure access to high-quality providers through continuous monitoring and peer review processes. This includes PDM configuration, pricing models, and claims adjudication to optimize provider-payer relationships.
Self-Funded Solutions
Self-funded solutions empower employers to control healthcare costs through customized plan designs. We provide claims management, risk assessment, and compliance tools while leveraging our provider networks for cost-effective care. These plans include employer reporting and analytics for budget predictability.
Population Health Services
Population health services use data analytics to identify trends in healthcare spending and outcomes. Our tools help employers and payors optimize plan designs and implement targeted interventions. This includes condition-specific networks and care coordination to improve chronic disease management and reduce overall costs.
Questions
What services does Healthcare Highways offer?
We provide high-performance provider networks, level-funded and self-funded health plans, claims management, population health analytics, and network optimization solutions for employers, health systems, and brokers.
How can employers reduce healthcare costs with your solutions?
Our curated networks and value-based models reduce costs by 15-30% through transparent pricing, efficient claims processing, and targeted provider partnerships while maintaining care quality.
Do you support health systems directly?
Yes, we help health systems build direct-to-market plans with network management, risk mitigation, and ACO support, enabling independence from traditional payors.
Are level-funded plans available for small businesses?
Level-funded plans are tailored for companies with 15-125 employees, offering cost predictability, potential premium savings, and administrative support for small-to-midsize employers.
How do you ensure provider network quality?
We maintain quality through performance monitoring, peer review, and engagement strategies that align with value-based care standards, ensuring access to high-quality providers nationwide.
Is your company certified for workplace excellence?
We hold the Great Place to Work Certification for four consecutive years, reflecting our commitment to employee satisfaction and a collaborative, innovative culture.
