Specialized Integration Partner for Health Systems

Direct-to-Employer Experience and Expertise

Our experience and expertise administering custom networks and various funding arrangements makes us the ideal partner to support your health system’s employee benefit plan and any direct-to-employer community health benefit plan initiatives.

Partnering with Luminare Health can help you:
  • Enhance your brand and trusted reputation
  • Diversify revenue via steerage to your expert physicians and facilities
  • Enjoy the benefits of flexibility, expert strategies, and time-tested processes

Bringing Your Vision to Life

Luminare Health doesn’t take a one-size-fits all approach because we know each health system’s needs are as unique as the patients and communities you serve. We work with you to bring your vision to life.

You bring your expert physicians, facilities, and trusted community reputation.

Luminare Health brings our flexibility, expert strategies, and pressure-tested processes.

Together we can work to meet your goals.
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50+ Years of Admin Experience

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15+ Years supporting health systems with direct to employer and community health plan arrangements

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275+ (and growing) Client Partner Integrations

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~50 Hospital and health system clients

Expert Guidance and Support

Leverage the knowledge and experience of our industry experts to make your direct to employer and community health plan goals a reality. By using a compassionate and consultative approach, our skilled teams are here to support your solution from concept to execution. Click each topic below to learn how you and your members can benefit from our support capabilities.

Count on Luminare Health's content, email, and design specialists to carefully craft private labeled marketing materials that reflect the value that your health plan brings to your community, including: 
 
  • Customized print materials to engage and guide members
  • Comprehensive sales materials and leave-behinds for employers and brokers
  • Private labeled email welcome journey for a seamless onboarding experience
  • Digital marketing toolkit to house your branded materials, forms, and more
Our team can also create custom solutions to fit your needs.
Increase utilization with digial tools that help members access their benefits whenever, wherever, including: 
 
  • Experienced call center available to meet member needs, answer questions and make referrals
  • Private labeled, user friendly member portal and mobile app
  • Easy-to-use Provider Search and Directory, customized to steer members to tier 1 domestic providers
  • Single sign on to vended solutions directly from your branded member portal
Our skilled teams can help you achieve your health plan objectives and serve your community with:
 
  • Benefit plan design & system build support from experienced experts
  • Ability to create and maintain benefit plans with multiple tiers
  • Capabilities to support varying funding strategies (including fully insured, ACA, etc.)
  • Domestic network design and administration capabilities
With our comprehensive selection of products and solutions, you can deliver a fully custom offering that includes: 
 
  • Unique ability to integrate with health system in house products and vendors (including Healthcare Management, Member Advocacy, PBM solutions, and more)
  • Extensive partnerships with best-in-class point solutions 
  • Promotion of solutions through personalized member journeys, leveraging member-preferred communication channels
  • Managed care, value-based care and wellbeing management expertise
Luminare Health offers unique billing and funding advantages, including: 
 
  • Flexibility to support various funding arrangements with clients (including but not limited to fully insured, ACA, ASO, etc.)
  • Custom, private labeled client premium billing, payments and reconciliation
Manage your offering with confidence using our interactive reporting tool, Beyond Insights, including:
 
  • Key insights and recommendations to support your plan objectives
  • Individual client-level dashboards and analytics
  • Aggregate reporting for the DTE block as a whole
  • Customized, self-serve reporting capabilities including metrics by line of business/funding arrangement
We'll support you through the sales and onboarding process with:
 
  • Customizable, private labeled sales materials
  • RFP response support as applicable
  • Welcome packets & ID cards
  • Member email welcome journey for a seamless transition

Funding Arrangement Flexibility

Our Specialized Integration Partner line of solutions can help support health systems with their go-to-market strategies for direct-to-employer arrangements by offering many different funding options. This flexibility allows health systems to bring their product vision to life with target prospects in their market.

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Self-Funded Plans

For employers with over 100 enrolled employees, our self-funded solutions are an excellent fit.

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Level Funded Plans

Small to mid-size employers, or those with 5–99 enrolled employees, may select a level funded plan option.

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Fully Insured Plans

Not all employers like to take on risk, and Luminare Health understands that. Employers that prefer a traditional fully insured benefit plan can have that option.

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Affordable Care Act (ACA) Plans

Small employer and individual offerings also include fully insured ACA plans.

Are These Your Goals?

We’ll work closely with you to create customized solutions to help you achieve these common goals:

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Diversify revenue streams

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Increase steerage to system physicians and facilities

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Manage and improve member and community health

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Leverage community relationship to drive unique network partnerships

Connect with a Luminare Health sales executive to learn more.

And take a look at our white labeled back office administration capabilities.













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