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Self-Funding 101

When it comes to the healthcare industry, self-funded plans are emerging as a beacon of hope for employers seeking cost savings and enhanced control over their benefits. At Health In Tech, we stand at the forefront of the revolution, leveraging cutting-edge technology to reimagine how self-funded healthcare is designed, implemented, and managed. We’ve compiled a self-funding 101 guide for your reference, so keep reading to learn expert tips and tricks. 

Understanding Self-Funding

Self-funding, an alternative to traditional health insurance, allows employers to assume direct financial responsibility for their employees’ healthcare costs. This approach offers significant advantages, including flexibility in plan design, improved cash flow, and access to detailed health data, enabling more informed decisions. 

Empowering Brokers and TPAs with Cutting-Edge Technology

At Health In Tech, technology is critical to unlocking the true potential of self-funded plans. Our suite of innovative solutions, including eDIYBS, the HI Card, Stone Mountain Risk, and the HI Performance Network, streamlines the quoting and binding process, making self-funding accessible to small and medium-sized businesses like never before. 

eDIYBS

Health In Tech has helped revolutionize the healthcare industry with our Enhanced Do It Yourself Benefit Systems (eDIYBS), which allows you to save time when creating healthcare quotes. Our system has revamped the quoting, binding, and administration processes for small group-level-funded health plans. First, you set the plan return options, select the network, and develop the plans you want. Our system will then provide 12 plans with 4-tier rates in as little as 2 minutes. Streamline your service and provide your clients with enhanced options with Health In Tech. 

HI Performance Network

Our HI Performance Network is a curated network of quality service providers that provides high-quality care at a lower cost, incentivizes outcomes rather than output, and aims to strengthen the patient-to-physician relationship. The HI Performance Network also makes immediate issues easier to treat, which helps individuals avoid long-term treatment. 

Our HI Performance Network also utilizes data sharing and abides by stricter qualifications for in-network providers than PPOs. Keep reading to learn more about our HI Card, which powers our HI Performance Network, or click here to learn more about the benefits of a HI Performance Network and why our clients love ours. 

HI Card

Our HI Card offers secure, proprietary technology that leverages systems to create a standardized transaction platform within the healthcare industry. The HI Card provides lower costs for patients, streamlined claims for processing for payers, and faster payment turnaround for providers. 

We have contacts in every state in the U.S. for a total of 4,727 hospitals and 1,595,049 locations. 

Ancillary Products

Employee benefits have become one of the most important aspects of a job for people in recent years. In fact, 80% of employees would like benefits that are customized to their unique situations and needs. At Health In Tech, we proudly provide ancillary products that brokers and TPAs can include in their self-funded proposals to clients to ensure their healthcare is as unique as they are. Those benefits include: 

  • Critical Illness and Cancer Voluntary Coverage: Ensure members receive benefits after a critical illness or cancer diagnosis. 
  • Accident Indemnity Plus Coverage: Provide individuals and their families with financial assistance to help offset additional medical costs. 
  • Dental Coverage: Allow members to easily receive the dental care they need without the stress of figuring out what is and isn’t covered. To learn more about how to sell dental insurance successfully, click here
  • Vision Coverage: Allow members to visit any vision provider without worrying about the cost of exams, refraction, frames, lenses, contacts, and more. 
  • Term Life Coverage: Provide a plan for those in specific life stages, such as starting a family or buying their first home. Click here to learn more about Term Life Coverage and how Health In Tech can help. 
  • GAP Coverage: Provide a plan that seamlessly integrates with a client’s existing coverage but fills any gaps. However, GAP coverage and a GAP waiver are not the same, so it’s best to ensure that you understand their differences

To learn more about our ancillary products and how to diversify your coverage options, click here

The Competitive Edge to Self-Funding 101

Our technology-first approach provides a competitive edge, enabling brokers and TPAs to:

  • Offer quick and accurate quotes, facilitating faster decision-making and implementation.
  • Design tailored health plans that meet the specific needs of each client, with the flexibility to adjust as those needs evolve.
  • Utilize data analytics for better risk management and strategic planning, ensuring your clients’ investments are optimized for both cost savings and quality care.

To learn more, check out our blog on the topic! 

Streamlining Operations

By integrating Health In Tech’s solutions into your operations, you’ll experience a transformation in how self-funded plans are managed. Our platforms are designed for ease of use, ensuring you can focus on what you do best: providing exceptional service to your clients.

Navigating the Self-Funding Journey

Health In Tech is more than just a service provider; we’re a partner in your success. We understand the unique challenges faced by brokers and TPAs in today’s healthcare market and are committed to delivering solutions that not only meet but exceed those needs. 

The Future of Self-Funding

The future of self-funding is bright, with technological innovation continuing to play a pivotal role. At Health In Tech, we’re committed to staying at the cutting edge, developing new solutions that further simplify and enhance the self-funded healthcare experience. To stay in the know with the latest trends and updates from our team, subscribe to our HIT Off The Press newsletter!

Get Started on the Self-Funding 101 Journey with Health In Tech

As the healthcare industry continues to evolve, staying ahead means embracing innovation. With Health In Tech, brokers and TPAs have a partner in the journey towards a more efficient, transparent, and customizable self-funding ecosystem. Join us in leading the charge toward a better future for healthcare.

To experience our reimagined healthcare platform, save time in your quoting, and provide enhanced options to your clients, contact us

Learn More About What Health In Tech Can Do for You