Build Your Plan’s Control Tower
Bring your plan’s agreements, claims findings and decisions into a clearer view. Begin with a historical baseline, then assess where ongoing monitoring and opportunity review can support your plan.
Build Your Plan’s Control TowerThe plan needs a baseline before it can decide what to change
Agreements show what the plan can access and act on. Historical claims show what has already occurred. Together they surface what needs further review.
The Control Tower shows what needs attention next
HealCo helps the plan evaluate findings and determine the appropriate monitoring or decision process. Where a governed pathway is indicated, deployment is separately scoped and requires the appropriate authority, partner capacity and validated workflow.
The visibility gap is measurable
Large employers increasingly finance care directly, but many still lack strong visibility into prices, claims access and pharmacy economics.
Only 14% strongly agree they have sufficient information to understand and compare in-network provider prices.
Among firms with 200 or more workers that offer health benefits, another 46% agree they have sufficient information.
15% strongly agree they have sufficient information about manufacturer rebates and related prescription-drug payments. Another 34% agree.
52% say detailed medical claims data is very or somewhat easy to obtain.
Bring the plan’s agreements, claims and decisions into one operating view.
HealCo’s Control Tower connects contract terms, available medical and pharmacy claims, pricing, financial performance and accountable decisions.
The initial engagement establishes the baseline. Monitoring is scoped separately. Any governed pathway or routing deployment requires the appropriate authority, partner capacity and validated workflow.
Same problem, different rules
These sponsors face the same problem under different legal and governance frameworks. One approach does not fit all three.
Public Sector
Governmental employers operate within public accountability, procurement, budget cycles and negotiated obligations.
Taft-Hartley Funds
Multiemployer health and welfare funds are governed by joint boards of trustees and documented decision processes.
Commercial Self-Funded
Private employers carrying specialty volatility across a fragmented set of programs and contracts.
Where it starts
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.
Scope ongoing monitoring
Define the data feeds, review cadence and opportunities to be monitored. Historical analysis and recurring monitoring are separately scoped engagements.
Decide what can be acted on
Evaluate findings with the plan and its advisor. Any pathway deployment requires the appropriate authority, partner capacity and validated workflow.