There are many administrative options for employers in EmCap programs, ranging from local firms to national healthcare organizations. Employers Participating in an EmCap program often have the same Third Party Administrator (TPA). Potential TPAs are required to go through an extensive evaluation process.

In addition to offering excellent administration and client services, potential EmCap TPAs must demonstrate a history of working with employers to improve the health of their population and to lower their costs of providing health care benefits. This includes strong clinical and reporting capabilities, as well as the ability to lead discussions about plan construction and risk management tools.

TPAs and ASOs are typically evaluated upon:

• Breadth of networks
• Depth of network discounts
• Medical and population health management programs
• Integrated wellness programs
• Plan design evaluation and construction
• Claims adjudication
• Claims, analytical, and predictive modeling reporting capabilities
• PBM relationships and financial structures

If you would like additional program information, we require a Non-Disclosure Agreement.

If you would like to pursue either forming an EmCap program or providing administrative services for an EmCap program, please contact us.

 

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