HealCo overlays the stack. Everyone in it keeps their role.
HealCo adds governance around your existing benefits stack. Every partner keeps their role, with agreed workflows guiding how deployment activity informs governance.
Roles, not a customer list.
Different partners intersect with HealCo differently. Not every partner is a buyer.
TPAs and administrators
Continue to administer the plan and adjudicate claims. HealCo acts before the claim exists.
Stop-loss and risk partners
Participate in the existing stack where relevant. HealCo does not underwrite risk.
Actuarial and audit firms
Advisors identify problems without owning the implementation. HealCo does not compete for those engagements.
Point solutions and specialty programs
A governed rule can route eligible members to a plan-approved program.
Procurement primes
HealCo can participate alongside an incumbent broker, consultant, administrator or procurement prime where the engagement structure permits it.
Provider and near-site capacity partners
Providers remain the clinical delivery layer. HealCo coordinates routing around the governed pathway without replacing their systems or workflows.
No competition
A governance layer only works if it does not compete with the parties executing the plan.
Non-exclusive
No partner receives preferred volume, placement or exclusivity, because the moment one does the governance is no longer neutral.
Configured, not replaced
Existing roles stay in place.
HealCo does not underwrite risk. Nothing on this page is a claim about underwriting terms, premium or claims experience.
What stays. What HealCo does.
Stop-loss and risk partners
Participate in the existing stack where relevant to the plan's governance design. HealCo does not underwrite risk.
Nothing here should be read as a claim about underwriting terms, premium or claims experience. The evidence that would support that conversation does not exist yet.
See the evidenceActuarial and audit firms
Independent advisors identify problems without owning the implementation. HealCo does not perform payment integrity, claims audit or recovery work, and does not compete for those engagements.
An entry-point finding, rather than a post-service payment finding, can inform a governance rule or pathway configuration when deployment is indicated.
Procurement primes
Public procurement frequently requires a prime. HealCo can participate alongside an incumbent broker, consultant, administrator or procurement prime where the engagement structure permits it.
How brokers fit inProvider and near-site capacity partners
Providers remain the clinical delivery layer within an approved pathway. HealCo provides governance and routing around that pathway without replacing the provider's clinical role or selling placement.
TPAs and administrators
The TPA continues to administer the plan and adjudicate claims. HealCo acts before the claim exists, at the point a member is deciding where care begins, and needs a data relationship rather than a systems replacement.
A governed entry point creates a decision record upstream of the claim, context that is typically not contained in the adjudicated claim itself.
How brokers fit inPoint solutions and specialty programs
A program the plan bought and members rarely reach is an ungoverned pathway, not a failed vendor. HealCo does not name vendors, rank them or characterize their performance.
Where a plan has approved a program, a governed rule can route eligible members to it rather than depending on the member remembering it exists. Relationships are non-exclusive: no partner receives preferred volume, placement or exclusivity.
See the evidenceEveryone in the stack keeps their role.
See how HealCo works with plan sponsors and brokers, and what the evidence shows.