Purpose-Built Benefit Solutions for Hospitals & Health Systems

Turn Employee Benefits into a Strategic Asset

Luminare Health partners with hospitals and health systems to strengthen domestic utilization, reduce total cost of care, and deliver a better experience for members and providers. 

More than an administrator, we are a strategic partner built to align with your system, your providers, and your long-term vision.

The Challenge

Rising costs, care leakage, and fragmented member experiences continue to challenge health systems. Traditional benefit models often operate outside the system, sending care, revenue, and data elsewhere.

The Solution

Luminare Health delivers cost-containment solutions designed to guide care back into the health system, without compromising access or the member experience. Complementing this approach, our operational excellence enables seamless integration with vendor partners while effectively managing complex, multi-tiered network structures.

Driving Domestic Utilization, Steerage & Repatriation

  • Domestic-first benefit and network strategies 
  • Plan design incentives aligned to in-system care 
  • Repatriation strategies that preserve member choice 

Flexible, Custom, & Multi-Tier Network Design

  • Tiered designs prioritizing system-owned providers
  • Utilization as “friendly” systems aligned in differentiated tiers, as applicable
  • National PPO access for dispersed populations
  • Custom EPO and domestic managed care models

Actionable Analytics & Leakage Insight

  • Clear visibility into utilization + nondomestic care 
  • Identification of where and why leakage occurs 
  • Data-backed strategies to improve domestic performance 
  • Direct data access with flexible reporting capabilities
  • Referral Tracking and Reporting

Vendor and Operations Integration Model

  • Seamless integration of current operations with minimal transition disruption
  • Scalable infrastructure designed to support future growth and evolving needs
  • Multi-vendor expertise

High-Touch Member & Provider Experience

  • Health system specific teams trained on each client’s providers, culture, and benefits 
  • Digital tools for navigation and insight
  • Scalable support through enrollment and acquisitions/transitions 


We partner to strengthen performance, simplify complexity, and deliver better outcomes.

The Outcome

a blue background with white text

Stronger Domestic Utilization1

a yellow sign with black text

Improved Financial Performance2

a pink background with white text

A Better Experience for the People Who Deliver Care1

Let's Connect

a woman smiling at camera

Ashley Pond

Executive Director National Partnerships

APond@LuminareHealth.com

(614) 203-4415

1 Luminare Health, Book of Business 2024–Present, 2024.
2 Medical Cost Trend: Behind the Numbers 2025 publication. Benchmarks and Our Medical Trend are not calculated on the same basis.  Based on $5M spend. Factor adjusted PEPM to account for changes in demographic and geographic distribution; excludes clients with Reference Based Pricing.