Health Plans
Smarter Surgical Pathways. More Responsible Use of Healthcare Dollars.
Hinkapin Health works alongside health plans to help manage selected surgical cases through clinical guidance, appropriate site-of-care decisions, transparent bundled pricing and coordinated navigation.
Our role is not to replace your network, medical directors, utilization teams or case managers. We work within your existing structure to add specialized surgical support where it can make a difference.
The Right Care. In the Right Setting.
Not every surgical procedure requires a high-cost tertiary hospital setting.
For appropriate patients and procedures, Hinkapin helps identify qualified physicians, ambulatory surgery centers and other suitable facilities that can provide the required care at a more responsible cost.
When a patient's clinical needs require tertiary hospital care, that remains the appropriate pathway.
The objective is not simply lower cost - it is appropriate care in the appropriate setting.
Greater Cost Visibility Through Bundled Pricing
Where possible, Hinkapin establishes a clear bundled price before surgery.
Depending on the procedure, the bundle can bring together agreed-upon surgeon, facility, anesthesia and other procedure related costs - giving the health plan greater visibility and predictability before care takes place.
Flexible Surgical Carve-Out Solutions
Hinkapin can work with health plans to develop focused surgical pathways for selected procedures, specialties, employer groups or geographic markets.
These can be particularly relevant for:
The program can begin with a defined area of need and expand based on the health plan's priorities.
Working With Your Existing Team
Every health plan operates differently. Hinkapin works alongside existing medical directors, utilization teams, case managers and care coordinators rather than creating another layer around them.
The health plan determines where Hinkapin becomes involved — whether that means comprehensive surgical navigation, support for selected high-cost cases, specific geographic markets or access to alternative sites of care.
Your structure. Your priorities. Specialized surgical support where you need it.
Support From Referral To Recovery
When Hinkapin becomes involved in a case, our team can coordinate the surgical journey - from clinical review and second opinions when appropriate, through physician and facility selection, preoperative preparation, scheduling, bundled pricing and postoperative follow-up.
This gives members greater support while helping the health plan maintain visibility across the surgical episode.
Better Value For The Plan. Better Support For Members.
For members:
Timely access to appropriate care with guidance throughout the surgical journey.
For health plans:
Greater cost visibility, flexible surgical pathways and more effective use of healthcare resources.
For existing care teams:
Specialized surgical support that works alongside established processes and relationships.
Let's Build The Right Surgical Pathway
Tell us where your health plan sees challenges in surgical access, site of care or cost. We'll explore where Hinkapin can provide focused support within your existing model.
Talk With Hinkapin Health