Is a self-funded health plan right for my business?
With a self-funded health plan, the employer pays for members’ healthcare coverage directly instead of using an insurance carrier. This includes paying claims, defining networks and repricing strategies and taking on the risk of the claims associated with their plan design.
Self-funded benefits give employers the power to build health plans around their people’s needs. We design solutions that help lower costs and drive better health outcomes—without slashing benefits.
At Maestro Health, we believe that employee health and benefits should be easy.
Lower Healthcare Costs
Rein in costs with a partner that finds the best rates.
Streamline operations and reduce complexity with a health plan administrator that won’t drown you or your people in paperwork.
Access aggregate member health data to help improve health outcomes.
Integrate Technology & Analytics
Take a data-driven approach and receive real-time data analytics within the employer dashboard.
Put People First
Healthcare isn’t about profits. It’s about improving health outcomes for members. Our self-funded solution does just that.
We’re building a better self-funded solution.
By blending cost management, clinical care management and administrative services, we help employers and their benefits advisors optimize their benefit plans to drive better outcomes at a lower cost.
We offer support and guidance on behalf of employers. Focus on the people and the business—we’ve got the rest.
- Plan, claims & eligibility management
- Member education & support
- Web portal & mobile app
- Analytics & reporting
Clinical Care Management
Costs decrease when members are healthier. That’s why we focus on helping people be healthier before something goes wrong.
- Overall wellbeing
- Utilization review & pre-certification
- Chronic & complex condition management
- Acute case management
Our team works with advisors and employers to lower costs by finding optimized solutions that do not compromise quality of care.
- Provider network access options
- Out-of-network repricing management
- PBM maintenance
- Alternative reimbursement & access strategies
AXA + Maestro Health.
In 2018, Maestro Health joined forces with AXA to continue our mission to simplify and personalize healthcare. What does that mean for you? Maestro Health has the bandwidth and resources of a large carrier without the restrictions.
We make better health & benefits solutions possible.
Improving health outcomes and overall wellbeing for members is at the core of our mission. We accomplish it by helping our partners manage costs and their health data. Our self-funded benefits solution helps employers and their advisors build tailored benefits plans that work.
We give our partners:
- More control
- More information
- More flexibility
We make the healthcare system work the way it should.
We’ve humanized communications to make healthcare accessible and understandable.
Customized Member Engagement Materials
Healthcare works when people know how to use it. We create custom resources so members can get the most of their health plans.
Trusted Network of Experts
We have decades of industry expertise and use it to build relationships with health networks to improve health and wellbeing outcomes.
Mindful Customer Support
Decisions are made by people, not machines. There’s always a real person on the other end of the line who is familiar with your plan. We believe in people helping people.
We don’t do status quo.
We are more than a TPA.
Because you deserve more from your healthcare. By blending administrative services, clinical care management and cost management into one solution, we can help employers save money on employee healthcare and focus on what really matters—people.