HARMONY HEALTH
Areas of Focus
Behavioral Health
Behavioral Health is a rising cost. We offer a balanced approach focused intake triage, tailored services, drug review, provider, and inpatient networks.
Networks
Providers deliver care as our partners. We use select Clinically Integrated Networks, analyze markets to fill gaps, and manage all out-of-network care. Many networks offer Value-Based Care.
Reinsurance
Self-funded plans require reinsurance. We've chosen top-rated carriers who value our synergistic approach, offering lower rates to Harmony customers and assessing integration for holistic ratings.
Administration
The TPA is vital for component synergy, prioritizing tech, integration, and customer-centricity. The top-tier TPA must maintain excellence with rigorous criteria and SLAs.
Pharmacy
With nearly 20% of the plan spend, expert management is crucial. Our unique (not typical) PBM lowers drug costs with innovative processes, patented technology, and superior outcomes.
Muscular Skeletal (MSK)
Utilization and costs are increasing. We address this through three methods: prevention/avoidance, managed surgical intervention, and physical therapy. Our outcomes are unparalleled.
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Cost Management
Healthcare costs rise. Harmony prioritizes quality care cost-effectively. Clinical partners offer comprehensive services including pre-authorization, review, condition management, and monitoring.