Custom Solutions  

HPI specializes in health benefit administration for self-funded employers with 50+ employees including custom benefit design and administration including medical, dental, vision, disability; sophisticated claims processing, integrated pharmacy benefit management, in-house population health management, quality network access, reporting and analysis and dedicated customer service. 

Custom Plan Designs - available in all 50 states

  • PPO/EPO plans incorporate employer’s preferred vendors or HPI’s
  • Consumer-driven health plans (CDHPs) with an HRA, HSA, and FSA
  • Value-based benefit designs incentivize utiliztion with high quality/efficient healthcare providers
  • Outcome-based plans tie premium reduction incentives to targeted health measures
  • 123 level funding plan for employers with 51-99 employees
  • Specializing in flexible plans for:
    • Hospitals and Healthcare Systems
    • Municipalities
    • Higher Education
    • Group Captive Options

Regional High-Performance Network Plans

Quality Provider Networks

For companies based in New England

  • Harvard Pilgrim and UnitedHealthcare alliance 50 state network (UHC Options PPO)
  • Havard Pilgrim and Private Healthcare Systems Healthy Directions
  • Guardian DentalGuard® Preferred Select Network

For companies based outside of New England

  • UnitedHealthcare Choice Plus
  • Cigna Choice Fund PPO network
  • PHCS/MultiPlan
  • Custom provider network administration
  • Domestic networks for hospitals and health systems
  • Most other top national and regional provider networks

Pharmacy Benefit Management (PBM)

  • Most major PBMs including Caremark, Express Scripts and MedImpact
  • Southern Scripts PBM offers 100% pass-through pricing with custom plan design options that lower drug costs on average by 25%

Preferred A-Rated Stop-Loss Carriers

A wide selection of contract and product options enable us to best meet the unique needs of your client’s company.