Self-Funded plan designs are becoming more common with rising medical costs. The financial risk has shifted to the employer vs. the carrier under fully-insured plans. Both plans access medical care through a provider network with established prices for services.
Our medical and pharmacy transparency programs empower participants to become better healthcare consumers by showing them how to get the best medical care from proven high-performance providers.
MAP® Health Solutions | Carriers | TPAs |
Medical Advocate Program (MAP®) | ✓ | ✓ |
MAP® Rx | ✓ | ✓ |
MAP® UM/Precertification | ✓ | |
MAP® Case Management | ✓ | ✓ |
Reference-Based Pricing | ✓ |