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We understand that some groups have unique health plan requirements that demand specialized solutions. HPI has years of experience creating and administering plans customized to meet the needs of healthcare and municipal employers and captive group plans for smaller businesses.

Plans for healthcare systems

Our flexible solutions for hospitals and health systems let you have your plan your way. Multiple benefit tiers, unlimited network hierarchy, reference-based pricing—whatever your preference. We can support domestic steerage and PCP “gatekeeper” policies. Plus, we can carve out your existing medical management partner, pharmacy benefits, and networks. 

Plans for municipalities

State and local governments need health plan solutions that control costs and increase predictability, while offering flexible carve-outs that preserve existing service relationships. HPI delivers customized solutions that meet the needs of municipalities for both unionized and non-unionized employees.

Captive group plans 

We can help employers with 50 to 150 employees gain the advantages of self-funding usually reserved for large employers through a group captive plan. As part of a larger group with other employers, business owners enjoy the cost transparency, control and stability of a self-funded plan, while managing volatility by pooling claims with the larger captive group. Gain the advantages usually reserved for large employers.

Actionable reporting

HPI provides detailed reports to help you evaluate your health benefit spend. Our advanced analytics provide risk-adjusted, predictive modeling that supports informed decisions to optimize your plan. Reports are tailored to your needs—whether you are health system, a municipality or a captive group.

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