This is what we can do to help you reclaim your healthcare.

Unlike other TPAs, we’re fully transparent and show you how we make money. We won’t take rebates or retention bonuses as compensation. And we offer many value-add services like our actionable data analytics platform at no extra charge.

We would rather focus on reducing costs and the complexity of the healthcare system with a benefits solution that offers:

1

Provider access and controlled costs – improving access to high quality care at a lower cost with a people-friendly reference-based pricing model

2

Pharmacy benefit management – providing transparent pricing, negotiation and claims adjudication

3

HEALTHY(me)™ care management – using a holistic approach of acute and chronic case management, wellness programs and health coaching across the continuum of care

4

Plan administration and services – supporting employers and employees with transparency tools and “we’ve got your back” service

Download our (me)SELF-FUNDED BENEFITS brochure to learn more about our solution to the current state of healthcare.

A benefits solution that meets you where you are.

We understand that not everyone will have the same comfort level. With our proven crawl, walk, run strategy, we consult with you to ensure that you start at one of our three health plan management levels to meet you where you are. And if you’re really not ready to go all-in, we offer a traditional self-funded approach as well.

Level 1
(The Basic Option)

For members.

  • In-network for all provider types
  • An experience similar to their former plan
  • Familiar plan design with copays, deductibles and networks
  • Familiar plan design with copays, deductibles and networks

For employers.

  • More control over plan design than fully insured
  • Little member disruption
  • Increased savings and access to an optional high-savings out-of-network reference-based pricing option

Level 2
(The Moderate Option)

For members.

  • Limited network of physicians and ancillary providers
  • Access to care resources
    like 24/7 telemedicine and a
    Maestro Health advocate
  • Access to navigational tools and education to assist in healthcare goals

For employers.

  • More flexible plan designs
  • Increased member education tools and incentives
  • More involvement in provider
    fee decisions
  • Increased savings and cost-
    control options like bundled
    services and reference-based
    pricing

Level 3
(The Ultimate Cost Saver)

For members.

  • No network – Ability to seek care from any receptive
    provider
  • Access to care resources like 24/7 telemedicine and a Maestro Health advocate
  • Access to more tools
    and education to assist in
    healthcare goals

For employers.

  • The highest level of savings and cost control measures
  • The most flexibility in plan design
  • Heavy emphasis on
    reference-based pricing and
    bundled services
  • More emphasis on member incentives and education
  • The most involvement in
    provider fee decisions
$
$$
$$$

Potential Savings

Maestro Health

We do things differently.

  • Mindful claims auditing (yes, that means we say “no” to auto-adjudication)
  • Custom employee engagement campaigns & solutions
  • People-friendly reference-based pricing
  • In-house care management team
  • Actionable data analytics & tools
  • “We’ve got your back” service
  • Transparent pricing

Here’s some more details on how we do things differently.

This what healthcare should look like.

Healthcare should be a simplified experience for everyone involved. Click below to see how we make this happen for brokers, consultants, employers and employees.

the
broker and consultant

experience.
1
Partner with Maestro Health.

Brokers and consultants partnered with more than a TPA. They've partnered with more than a health plan administrator. Their clients now have a health plan management approach to self-funded benefits.

2
Gain sales support.

We’ve got their back. We have all the resources they need to answer their clients’ questions – from cost analysis tools and co-branded sell sheets to meeting support.

3
Arm clients with the support they need.

We pair the best service with top-of-the-line technology to provide completely optimized solutions for their clients and their clients' employees.

4
Increase value to clients.

By providing clients a true way to reduce their healthcare spend, improve their health outcomes and simplify the employee experience, brokers and consultants become invaluable to their clients' organizations.

the
employer

experience.
1
Enroll and manage benefits online.

Goodbye, antiquated processes. Employers can begin open enrollment, manage their organization's benefits and receive real-time data analytics from their employer dashboard.

2
Reduce claim costs.

By pairing a people-friendly reference-based pricing model with things like employee education and engagement tools, their employees are empowered to make better decisions, decreasing healthcare spend.

3
Improve health outcomes.

The best type of claim is one that never happens. With a care management solution, like HEALTHY(me), that uses a holistic approach, employees feel supported and empowered in their healthcare journey.

4
Notice an uptick in productivity.

Absences drop. Employees are healthier and happier, leaving employers with a healthy bottom line.

the
employee

experience.
1
Enroll & manage benefits online.

No one wants to deal with paperwork. Employees can begin open enrollment and manage their benefits anytime, anywhere via the My Benefits™ online portal and Maestro Health mBENEFITS™ solution mobile app.

2
Have a health screening.

With onsite health screenings, it couldn’t be more convenient to get a quick check up from a nurse coach and ensure employees catch any health issues early.

3
Meet a nurse coach.

If an employee does get a new diagnosis, they’ll have the support from a HEALTHY(me) nurse coach to provide education and resources.

4
Get the support they need.

The healthcare system is complicated. That’s why we’ll never let employees battle it alone. We’re here to help guide them to the best quality care for the lowest price and answer questions they have along the way.

This what healthcare should look like.

Healthcare should be a simplified experience for everyone involved. Click below to see how we make this happen for brokers, consultants, employers and employees.

the
broker and consultant

experience.
1
Partner with Maestro Health.

Brokers and consultants partnered with more than a TPA. They've partnered with more than a health plan administrator. Their clients now have a health plan management approach to self-funded benefits.

2
Gain sales support.

We’ve got their back. We have all the resources they need to answer their clients’ questions – from cost analysis tools and co-branded sell sheets to meeting support.

3
Arm clients with the support they need.

We pair the best service with top-of-the-line technology to provide completely optimized solutions for their clients and their clients' employees.

4
Increase value to clients.

By providing clients a true way to reduce their healthcare spend, improve their health outcomes and simplify the employee experience, brokers and consultants become invaluable to their clients' organizations.

the
employer

experience.
1
Enroll and manage benefits online.

Goodbye, antiquated processes. Employers can begin open enrollment, manage their organization's benefits and receive real-time data analytics from their employer dashboard.

2
Reduce claim costs.

By pairing a people-friendly reference-based pricing model with things like employee education and engagement tools, their employees are empowered to make better decisions, decreasing healthcare spend.

3
Improve health outcomes.

The best type of claim is one that never happens. With a care management solution, like HEALTHY(me), that uses a holistic approach, employees feel supported and empowered in their healthcare journey.

4
Notice an uptick in productivity.

Absences drop. Employees are healthier and happier, leaving employers with a healthy bottom line.

the
employee

experience.
1
Enroll & manage benefits online.

No one wants to deal with paperwork. Employees can begin open enrollment and manage their benefits anytime, anywhere via the My Benefits™ online portal and Maestro Health mBENEFITS™ solution mobile app.

2
Have a health screening.

With onsite health screenings, it couldn’t be more convenient to get a quick check up from a nurse coach and ensure employees catch any health issues early.

3
Meet a nurse coach.

If an employee does get a new diagnosis, they’ll have the support from a HEALTHY(me) nurse coach to provide education and resources.

4
Get the support they need.

The healthcare system is complicated. That’s why we’ll never let employees battle it alone. We’re here to help guide them to the best quality care for the lowest price and answer questions they have along the way.