Employers Health Network provides comprehensive healthcare plans, which allow employers to provide exceptional quality healthcare benefits at the lowest possible cost. Our plans connect employees directly with the best quality healthcare providers and our fully transparent pricing allows customers to see, understand and control their healthcare benefit spending.

The EHN Model

By linking the employer communities’ need to provide affordable quality healthcare benefits with the medical communities’ goal to manage and enhance the health of employees, our EHN experts bring alignment to the employer and healthcare provider relationship. EHN has developed a new approach to healthcare plans – a real partnership between these communities.

Strategic Partners

EHN has engaged a number of strategic partners to help familiarize both employers and providers with our unique approach. These partners include:

  • South Carolina Business Coalition on Health
  • Florida Healthcare Coalition
  • Florida Retail Federation
  • Florida Sheriff’s Association

Market & Product Distribution
  • Collaborate with local business coalitions and associations.
  • Available through local, regional and national brokers and consultants.
  • Full transparency for all producer financial incentives.
  • All strategic partners are accessible through a consolidated contract.

Provider Network
  • Partner with high quality providers throughout service regions.
  • Focus on quality of care, ease of administration and pay for performance.
  • Ongoing evaluation of service cost and quality.
  • Strategic relationships for national and out-of-network services.
  • Continually improve services and increase communication through the ongoing EHN employer/provider advisory board.

Pharmacy Benefit & Risk Management
  • Fully cost-transparent, allowing employers to understand and control prescription spending.
  • 100 percent pass through of rebates to our employer customers.
  • Pharmacist-driven clinical management.
  • Unique specialty pharmacy strategies.

Care Management
  • Focus on improving member health and managing benefit plan costs.
  • Strategic management of all phases of care, from wellness through emerging
  • conditions to chronic and catastrophic conditions.
  • Comprehensive analysis of member gaps in care to identify members in need.
  • Consistent and effective health improvement programs and coaching.
  • Target social determinants of health and disparities through integration of community and clinical systems of care.
  • Apply care management programs as close to physician and patient as possible.
  • Encourage use of on-site health coaching to create motivation for change and support team-based care.

Stop-Loss Insurance
  • Preferred relationships with highly rated stop loss carriers.
  • Financial security for self-funded plans.
  • Favorable rates reflective of the EHN healthcare benefit management model.
  • Fully integrated with administration strategic partners for prompt reimbursement.

Third Party Administration (TPAs)
  • Partner with Health Plans Inc. and WebTPA, national leaders in healthcare benefit administration.
  • Exceptional record of claims adjudication integrity.
  • Fully integrated technology and compliance.
  • Innovative self-funded health plan programs, serving employers with as few as 50 employees.

Integrated Data Analytics & Reporting
  • Full access to integrated data for the plan sponsor.
  • Data analytics that focus on achieving optimal healthcare and financial outcomes.
  • Clinically integrated electronic medical record data.
  • Analytics team who focuses on plan improvement strategies.
  • User-friendly employer and member portals for online access to benefit information.

The EHN Model

By linking the employer communities’ need to provide affordable quality healthcare benefits with the medical communities’ goal to manage and enhance employee health, our experts align employers and healthcare providers through a new approach – a real partnership between these communities.

Strategic Partners

EHN has engaged with strategic partners to help familiarize employers and providers with our unique approach, including:

  • South Carolina Business Coalition on Health
  • Florida Healthcare Coalition
  • Florida Retail Federation
  • Florida Sheriff’s Association

Market & Product Distribution:

  • Collaborate with local business coalitions and associations.
  • Available through local, regional and national brokers and consultants.
  • Full transparency for all producer financial incentives.
  • All strategic partners are accessible through a consolidated contract.

High Performance Healthcare Provider Network:

  • Partner with high quality providers throughout service regions.
  • Focus on quality of care, ease of administration and pay for performance.
  • Ongoing evaluation of service cost and quality.
  • Strategic relationships for national and out-of-network services.
  • Continually improve services and increase communication through the ongoing EHN employer/provider advisory board.

Pharmacy Benefit & Risk Management:

  • Fully cost-transparent, allowing employers to understand and control prescription spending.
  • 100 percent pass through of rebates to our employer customers.
  • Pharmacist-driven clinical management.
  • Unique specialty pharmacy strategies.

Care Management:

  • Focus on improving member health and managing benefit plan costs.
  • Strategic management of all phases of care, from wellness through emerging
  • conditions to chronic and catastrophic conditions.
  • Comprehensive analysis of member gaps in care to identify members in need.
  • Consistent and effective health improvement programs and coaching.
  • Target social determinants of health and disparities through integration of community and clinical systems of care.
  • Apply care management programs as close to physician and patient as possible.
  • Encourage use of on-site health coaching to create motivation for change and support team-based care.

Stop-Loss Insurance:

  • Preferred relationships with highly rated stop loss carriers.
  • Financial security for self-funded plans.
  • Favorable rates reflective of the EHN healthcare benefit management model.
  • Fully integrated with administration strategic partners for prompt reimbursement.

Third Party Administration (TPAs):

  • Partner with Health Plans Inc. and WebTPA, national leaders in healthcare benefit administration.
  • Exceptional record of claims adjudication integrity.
  • Fully integrated technology and compliance.
  • Innovative self-funded health plan programs, serving employers with as few as 50 employees.

Integrated Data Analytics & Reporting:

  • Full access to integrated data for the plan sponsor.
  • Data analytics that focus on achieving optimal healthcare and financial outcomes.
  • Clinically integrated electronic medical record data.
  • Analytics team who focuses on plan improvement strategies.
  • User-friendly employer and member portals for online access to benefit information.
The EHN
Difference

When you engage with EHN, we become your strategic health plan partner, providing a single source for your healthcare benefit management.

Our experts evaluate and understand your healthcare delivery network needs, and then create direct service arrangements with key hospitals, clinics and physicians in your area. We start with our EHN High Performance Network, the leading providers in our southeastern U.S. service region. We then create service relationships with additional healthcare providers to complete the service coverage needed for each of our employer customers.

We complement the EHN High Performance Network with our EHN Prescription Benefit Management service, Southern Scripts. This service is fully price-transparent and allows you to guide your employees to the best values in retail pharmacy dispensing while effectively managing your prescription and specialty drug spending.

In designing and managing your healthcare plan, we provide a choice of exceptional administrative and care management options, carefully selected to operate seamlessly with the EHN High Performance Network and EHN Prescription Benefit Management services. The result is a comprehensive healthcare benefit plan that uniquely fits each business.