Point C designs flexible solutions around the demands of self-funded health plans. We make it easy to match the right solution to each employer's priorities and build a strategy that can evolve over time.
Whether you are reviewing your current TPA approach or looking for a more coordinated self-funded strategy, Point C's in-house solutions will enhance your health plan's cost savings, member experience, and more.
Medical spend can shift plan performance quickly, especially when claim accuracy, reimbursement, and specialty expenses are not being reviewed closely enough.
Our approach focuses on the claims that carry the most financial weight, supported by:
Pharmacy decisions affect overall plan cost, but the drivers behind that spending are not always easy to see in standard reporting.
We conduct an in-depth review of:
When members are navigating a serious diagnosis, a complex treatment plan, or an ongoing condition, better support can improve both the care experience and the way the plan performs.
We provide clinical guidance across:
Account-based benefits and continuation coverage need to work cleanly for the employer administering them and the member relying on them.
Our support is structured around:
