Keep your network private
Load executed agreements into a private network for authorized groups. Your contracted providers and rates remain connected to your agreements.
Activate direct contracts
The agreement is signed.
Now make it work for people.
Put your direct provider relationships into everyday use. HealthMe connects contracted services and prices with the referral, scheduling, and payment processes that move a member through care.
Built for this moment
Close the gap between the contract and the appointment.
A negotiated rate becomes useful when members can access it and teams know how to administer it. HealthMe helps turn your agreement into an operating process.
Align the people doing the work
Define the handoffs among your employer, TPA, navigation team, and practice. Connect eligibility, referral intake, scheduling, and financial responsibilities.
Coordinate the whole bundle
Support the professional, facility, and anesthesia components of a surgical episode where included. Bring the payment arrangements into the same program design.
How it works
A practical path from contract to care.
Build on existing relationships while making the operational details explicit.
Review the agreements
Identify participating groups, services, rates, and provider responsibilities.
Configure the private network
Make the contracted offerings available to the appropriate groups and teams.
Train and introduce the workflow
Align navigators, practice staff, and benefits partners on how members enter the program.
Support care and settlement
Coordinate referrals and scheduling, then connect completed services to claims and payment.
Putting it into practice
Combine your relationships with broader specialty access.
Your private contracts can sit alongside available options in HealthMe’s national network. That gives navigation teams a way to consider existing local relationships and additional participating providers in the same program. Network and specialty availability are reviewed for each group.
What comes together
- Your existing provider contracts and rates
- A private network for authorized employer groups
- A coordinated eligibility and referral process
- TPA connectivity and provider payment coordination
Employer
“HealthMe built a direct contract network for our employees and has saved us hundreds of thousands of dollars. Just as important, when our people need care, someone actually helps them find the right specialist, book the visit, and walk in knowing they won’t have any out-of-pocket costs.”
Kristina EwingDirector of Health & Wellbeing, Shoestring Valley HoldingsA few more details
Your questions, answered.
Will we have to renegotiate our existing contracts?
HealthMe can operationalize executed agreements in a private network. Implementation reviews the terms and workflows needed to support those agreements.
Can providers use HealthMe for more than one employer relationship?
CareNav Connect supports employer-direct workflows across participating groups, with contracts and payment arrangements configured for the relevant relationships.
What information helps us get started?
Bring the executed agreements, eligible groups, provider contacts, TPA relationships, and a description of your current referral and payment processes.
A better way forward
Turn your next contract into an active care program.
Let’s connect your agreements with the people and processes that will use them.