Case Study-
Provider Association

How an Association Plan Turned into a Care Network

Persona:
Association Leadership / Plan Sponsor
Organization:
Statewide Provider Association
“HealCo helped us turn an association plan into a care network — not just an insurance product.”
~ Executive Director, Provider Association
Challenge
The association wanted to offer a differentiated health plan that kept care within member practices — without becoming a carrier or TPA.
Healco’s Approach
HealCo served as the routing and care layer for the association plan:
• Direct primary care and specialty bundles from member practices
• AI navigation to keep utilization in-network
• PPO access retained only as fallback
Results
• Increased utilization of member practices
• Reduced out-of-network leakage
• Lower PMPMs for participating employers
See how HealCo guides smarter care decisions