Less waste in the plan, fewer problems for your people.
Employers do not connect to the network — your plans and TPAs do. But employers fund much of the waste the network removes: premiums and administrative fees carry the cost of the portals, phone calls, and rework, and employees carry the delays. A plan on shared rails means fewer coverage errors and avoidable denials reaching HR, faster authorizations for employees waiting on care, and less administrative cost inside the plan over time. There is nothing for you to buy or build — the savings surface inside the plan you already fund.
Your role is simple: ask whether your plan and TPA are on the network.
Five questions to ask your plan or TPA
Self-funded plan sponsors carry fiduciary duties over plan administrative costs.
- Have you signed Launch Participant terms in the states where our employees receive care? The rate lock is our plan’s money.
- Will our employees see prior-authorization status?
- Will eligibility and coverage-error denials be measured before and after launch?
- How will administrative savings show up in our plan economics?
- Will you support the January 2027 prior-auth release and the April 2027 claims/remittance release?
Employers don’t connect to the network; their questions move the plans that do.