Build Your Client’s Health Plan Control Tower
Start with the plan’s agreements and historical claims. Establish the baseline, identify questions that need action, and determine the appropriate scope for ongoing monitoring. You remain the relationship owner and broker of record.
Establish the baseline
Review the administrative agreements and available historical claims to understand the plan’s starting position, data limitations and questions requiring further investigation.
Review what data the agreement entitles the plan to receive, how it can be provided, and what the agreement permits.
Review the agreement for defined pricing, reimbursement, and payment mechanisms that shape how the plan operates.
Review the plan’s contractual rights to examine, verify, and oversee performance.
Identify what can be changed, by whom, and under what conditions.
Only 14% strongly agree they have enough information to understand and compare in-network provider prices.
Among firms with 200 or more workers that offer health benefits, another 46% agree.
That does not mean 86% lack pricing information. It shows that relatively few large employers express strong confidence in the information available to them.
say detailed medical claims data is very or somewhat easy to obtain.
strongly agree they have sufficient information about manufacturer rebates and related prescription-drug payments. Another 34% agree.
The issue is account-specific visibility.
A client may finance the plan and still have uneven access to contracts, claims, pricing information and decision-ready data.
Source: KFF Employer Health Benefits Survey, 2026. Base: firms with 200 or more workers that offer health benefits.
An open agreement is one of the best moments to act
The baseline comes first. An open contract, placement, amendment or data-access decision gives the plan a practical window to act on what it finds.
How the Control Tower works
Three steps. Each one scoped on its own.
Review the administrative agreements and available historical claims to understand the plan’s starting position, data limitations and questions requiring further investigation.
Define the data feeds, review cadence and opportunities to be monitored. Historical analysis and recurring monitoring are separately scoped engagements.
Evaluate findings with the plan and its advisor. Any pathway deployment requires the appropriate authority, partner capacity and validated workflow.
The client stays yours
HealCo accepts no placement commissions, overrides, percentage-based fees, or compensation tied to claims outcomes or denials across any account, structure, or state. You remain the relationship owner and broker of record; HealCo works under your engagement or the plan’s, never around it.
Across a book, not just an account
HealCo helps brokers identify which self-funded accounts have the contract access, usable data, decision authority and timing needed to establish a Control Tower baseline.
Each account is assessed individually against these prerequisites.
What HealCo does not do
Claims
HealCo does not adjudicate claims.
Clinical
HealCo does not make clinical decisions.
It does not select treatment.
It does not override a treating provider.
Financial outcomes
HealCo does not guarantee savings.
It does not guarantee financial outcomes.
It does not guarantee clinical outcomes.
Member & network
HealCo does not remove a member's plan benefits.
It does not remove their existing network access.
Commercial
HealCo does not sell provider placement.
It does not operate a marketplace.
The initial engagement covers the baseline and scoped monitoring. Any routing or pathway deployment requires the appropriate authority, partner capacity and validated workflow.
Start with the plan’s baseline
Start with one self-funded account with shareable agreements and available historical data. We establish the baseline first.
Build Your Client’s Control TowerThe form asks about the plan structure, the contracts and what data exists. It does not accept claims files or member information. Secure transfer comes after qualification and the appropriate agreements.