Our approach

As a self-funded employer, you know how important it is to align with a third party administration partner that is committed to being a good steward of your organization’s health care dollars.  UCHealth Plan Administrators offers the most effective solution to mitigate your health care spend and improve the health care outcomes of your members.

How?

Technology.  UCHealth’s electronic medical record technology, used throughout our entire network of hospitals and providers, virtually connects our entire system to your health plan members and enables us to coordinate the health care they receive more efficiently. This is because all care delivered is electronically documented within each unique medical record and is then made available to your members online.  From the actual point of care to the moment the claim is adjudicated, our system and your members are firmly in sync – which translates to better care coordination, direct cost containment, quicker claims turnaround time, more accurate claims adjudication, and an enhanced member experience for your employees and their families.

Learn more about how our integrated service model provides value to your self-funded health plan.

Clinical resources.  Our system’s vast resources allow us to offer a wide range of evidence-based programs designed specifically for self-funded employers who wish promote a culture of health and reduce the prevalence of chronic disease, which is a known driver of escalating health care costs. Our programs are fully reportable and transparent and have been proven to improve outcomes and yield significant returns on investment.

Discounts.  As part of the UCHealth family, UCHealth Plan Administrators offers its clients the best discounts in the commercial market for services delivered received from UCHealth facilities and providers. Our ability to leverage the most competitive rates available from our family of providers converts to immediate savings for services received in the UCHealth facilities that many of your members may already use.

Collaboration and transparency.  We partner with you and your consultant to build your benefit plan design from the ground up, to include customized provider network arrangements that reflect your organization’s unique requirements. Our flexibility is limitless in our ability to administer plan designs that range from the very simple to the highly complex.  We have established relationships with national provider networks, PBMs and stop loss carriers, and we accept absolutely no commissions or overrides.  Our commitment to client transparency is one of our most fundamental objectives.

As the only claims administrator truly connected to Colorado’s only academic-based, community-focused health care institution, we bring together the health care delivered to your members and your self-funded health plan.  In doing so, we maximize efficiency, eliminate waste, improve your members’ clinical outcomes and patient experiences, and effectively contain your health care spend.

This is how UCHealth Plan Administrators is doing things differently for self-funded employers throughout Colorado and beyond.