Employers

We help employers provide excellent healthcare benefits at a competitive cost. We do this by facilitating an environment that allows them to make thoughtful, informed decisions on how best to structure programs for the benefit of their plan participants.

As healthcare costs continue to account for a greater portion of employer budgets, employers are in need of a new and closer relationship with healthcare service providers that better manages costs while promoting high-quality care.

EHN provides employers with an objective and fully transparent view of the market. Our delivery teams ensure our solutions include all the necessary components to support our employer customer’s decision to be self-funded, and do so with clinical orientation that ensures both quality and cost containment are continual priorities. We help structure programs and operating environments that fully support a direct working relationship between our employer customers and their healthcare provider community.

By shifting the relationship between employers and their healthcare providers to a communicative partnership, EHN helps empower employers to take a more active role in managing their healthcare program. Through data transparency and direct dialog, our employer customers work together with their healthcare providers to establish positive change.

To learn more about how EHN helps our employer customers, contact us at Employers@employershealthnetwork.com.


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 Retail Federation

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.

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.

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.

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 & Strategic Partners

By interlinking the employer communities’ desire for affordable quality healthcare benefits with the medical communities’ goal to manage and enhance the health of employees, EHN has engaged leading strategic partners for plan management. These partners include:
  • South Carolina Business Coalition on Health
  • Florida Retail Federation

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.

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.

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.

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.