The Challenge
A Regional Health Plan wishes to compete in the Consumer-Directed Healthcare space, but they do not have the human or financial resources to compete with the national carriers in the emerging CDH market.

This regional health plan is a leader in its geographic location. It’s recognized as having best-in-class service and a quality network that is well respected. However, because the health plan is a regional carrier, it does not have the resources or money to build their own healthcare financial services products. National carriers that have built or acquired healthcare account administration are cutting into their business, and the regional health plan is having trouble competing.

The HealthEquity Solution
HealthEquity worked with this health plan to offer to their membership a complete suite of CDH tools and 24 / 7 access to healthcare account specialists. Here’s what the solution looks like:

• Integrated healthcare account administration (HSAs, FSAs, and HRAs)
• 24-hour access to HealthEquity Specialists
• Personal Healthcare Financial Services Desktop (online member portal)
• PayChoice™ Bill Pay (online payment options)
• Free investment options
• Health encyclopedia and care guides
• Healthcare cost estimators
• Employer portal access

HealthEquity integrated our personal health care financial services desktop with the health plan’s claims data, allowing for integrated enrollment and claims. Discounted claims are automatically populated into the member’s personal desktop, allowing for easy payment with HealthEquity’s online bill pay tool, PayChoice.

The Results
This integrated solution allows the health plan to compete with national carriers, delivering a world-class member experience at a fraction of the cost of their competitors. In fact, it has been so successful this regional health plan now offers the program to their own employees. Combining 24 / 7 access to healthcare account specialists, local discounts healthcare discounts, a leading-edge CDH platform with built in payment and investment conveniences, this regional health plan now commands 25% of the CDH business in the regions they serve.