Every health system employee benefits plan is unique. So why choose a traditional TPA or an off-the-shelf solution?

Breaking News

Contigo Health, a distinguished provider of health plan benefits solutions, proudly announces its achievement of a three-year accreditation from the National Committee for Quality Assurance (NCQA) for its Case Management program, which is a fundamental part of Contigo Health® Sync Health Plan TPA (Third-Party Administration). This notable accreditation underscores Contigo Health’s commitment to excellence, innovation, and superior care coordination in the healthcare industry.

NCQA Accreditation standards are developed with input from researchers in the field, the Case Management Expert Panel and standing committees, employers, both purchasers and operators of Case Management Programs, state and federal regulators and other experts.

Contigo Health® Sync Health Plan TPA: A benefits plan solution made for health systems.

Built for the most discerning healthcare consumers – health system health plan members – but beneficial to all businesses.

We know healthcare coverage is one of the most important benefits you provide to your employees. You need a plan that’s there for them when they need quality care while supporting the business and financial interests of your organization.

Sync Health Plan TPA is a health plan solution designed to help you boost domestic utilization, improve your network strategy, leverage in-house clinical resources, and manage escalating cost trends.

Download our TPA white paper to see how you could navigate more plan members to your own providers and find additional ways to save money.

Discover the advantages of Contigo Health® Sync Health Plan TPA

Seventy percent of our TPA clients are health systems. We have a strong heritage in healthcare, and we understand the intricacies and unique challenges faced by health systems. We put that experience to work for you, creating a solution tailored to your health system and health plan.

We’re focusing and delivering what matters most to you:

Network Optimization
Our objective is to help uncomplicate the complicated, developing comprehensive network architecture and strategies to help drive domestic utilization, fill care gaps, and enable national access to quality care at the right price.

Smart Benefit Design
Working with you, we develop a strategic approach to help drive the member behaviors you want and need.

Comprehensive Member Navigation and Medical Management
You have access to a fully-integrated ecosystem of solutions designed to work across the care—and risk—continuum in support of your health plan and membership.

Robust Reporting
Your team can leverage our industry-leading analytics platform designed to uncover opportunities for improvement and drive action.

Support Every Step of the Way
Sync Health Plan TPA onboarding includes detailed implementation plans, coupled with a dedicated implementation manager and a multi-disciplinary subject-matter expert (SME) team.

Exceptional Member Satisfaction
Our TPA solution has earned an enviable Net Promoter Score of 90 among health plan members.*

*Contigo Health, LLC study of TPA users (December 2023).

NCQA Accreditation for Case Management

Contigo Health has achieved a three-year accreditation from the National Committee for Quality Assurance (NCQA) for our Case Management offering, which is part of our Sync Health Plan TPA. Contigo Health’s Case Management has met the rigorous quality standards and adheres to evidence-based practices set forth by NCQA. These practices ensure efficient and cost-effective case management and service delivery.

NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make more-informed health care choices. NCQA can be found online at ncqa.org, on Twitter @ncqa, on Facebook at facebook.com/NCQA.org/ and on LinkedIn at linkedin.com/company/ncqa/.

Looking for greater growth potential?

Is your health system looking for top-line growth? The Contigo Health® Payvider Activation product can be a great way to expand your health system’s reach, improve domestic utilization, and secure valuable relationships with top employers. Payvider Activation is a comprehensive payvider solution designed to help you establish a rewarding payvider health plan of your own.

Introducing ConfigureNet™ Price Advantage

ConfigureNet™ Price Advantage is a flexible, plug-in solution designed to help contain high out-of-network claims costs for your health plan, delivering market-leading, pre-negotiated rates that could reduce your medical claims cost.

Take advantage of our complimentary savings analysis and see for yourself what value your health plan could gain from our solution.*

Together we’ll:

  1. Analyze your existing out-of-network claims data for the past year.
  2. Provide you with the savings opportunity and a quote.
  3. Create a proposal and contract to help make the switch as easy as possible.

*Terms and conditions apply.

Care Support

Meet our industry-leading right-fit partners who can provide additional specialized care support through our Sync Health Plan TPA product.

Sync Health Plan Intelligence

With Sync Health Plan Intelligence, you have enhanced data, analytics, and reporting power to help make better, more informed decisions.

Learn how health systems’ employee benefits plans can win with domestic utilization

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Learn how health systems can benefit from third-party administration (TPA)

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Contigo Health® Overview: A quick reference guide to Contigo Health.

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