Maestro Health Offers New Approach for Self-Funded Health Benefits

Maestro Health announced the launch of an innovative health plan management approach to its (me)SELF-FUNDED BENEFITS.

By redefining the traditional self-funded benefits model, the new solution puts employers back in control and reduces costs and complexity by making health care transparent and people-friendly, the company says.

“Our team has a deep background in self-funded benefits, and we understand the pain that employers and brokers experience as they attempt to mitigate skyrocketing premiums and a dizzying health care landscape. Our new approach consolidates all of the critical components of health care into a single integrated solution designed to reduce complexity and save money,” says Ray West, chief growth officer, Maestro Health. “We understand that every company is unique, which is why we created a highly personalized solution that can meet employers where they are on their benefits journey. Our tiered strategy is designed to help employers of all types and sizes seamlessly transition to our self-funded model.”

The all-in health plan management approach focuses on:

• Provider access and controlled costs eliminating the use of networks with a people-friendly reference-based pricing model;
• Pharmacy benefit management providing transparent pricing, negotiation and claims adjudication;
• HEALTHY(me) care management utilizing a holistic approach of wellness programs, nurse coaching and engagement strategies across the continuum of care; and
• Plan administration and services supporting employers and employees with transparency tools and “we’ve got your back” service.

Maestro offers a “crawl, walk, run strategy” to ensure employers start with the plan management level they are most comfortable with. Level one offers traditional networks, aggressive out-of-network contracting, in-house case management and an extensive pharmacy network. Level two offers a national physician network, people-friendly reference-based pricing for facilities, integrated telemedicine, chronic care and a higher-performing pharmacy network. Level three offers a full breadth of in-house clinical services, freedom to see any provider, integrated telemedicine and a narrow, high-value pharmacy network.