Clinical Review & Second Opinions
Helping validate recommended care and explore appropriate alternatives when needed.
TPAs
Specialized Surgical Support. More Value For Your Clients.
TPAs are increasingly expected to help employer clients manage healthcare costs while ensuring members have access to timely, appropriate care.
Hinkapin Health works alongside your existing teams to provide focused support for one of the most complex and variable areas of healthcare spend - surgery.
Our role is to strengthen your offering, not replace it.
We Work With Your Team. Not Around It.
Many TPAs already have experienced case managers, care coordinators and utilization teams.
Hinkapin complements those resources by adding specialized surgical support - from clinical review and second opinions to site-of-care guidance, bundled pricing and coordination through recovery.
Your team can remain at the center of the member and client relationship while Hinkapin provides additional surgical expertise behind the scenes.
Focused Support For High-Cost Surgical Care
When Hinkapin becomes involved in a surgical case, we can help coordinate the journey from referral through recovery. This can include:
Physician & Site-of-Care Guidance
Identifying suitable physicians, ambulatory surgery centers, Centers of Excellence and other appropriate facilities based on the patient's needs.
Transparent Bundled Pricing
Establishing clear pricing where possible to give the TPA and employer greater visibility into expected surgical costs.
Risk Optimization & Care Coordination
Supporting appropriate preoperative preparation, scheduling and coordination through postoperative follow-up.
Built Around The Needs Of Your Clients
Every employer group is different. Some may benefit from comprehensive surgical navigation, while others may need support only for selected procedures, high-cost cases, bundled pricing, second opinions or access to Centers of Excellence.
Hinkapin works under the TPA's direction and can adapt its involvement to the needs of individual employer groups.
The right level of support for each client, within the model you already manage.
Strengthening The TPA & Client Relationship
Hinkapin works behind the scenes to help TPAs deliver greater value to their employer clients.
Better navigation, appropriate site-of-care decisions and greater cost visibility can help TPAs demonstrate a more proactive approach to managing high-cost surgical episodes while maintaining ownership of the client relationship.
More Value Across The Relationship
For members:
Better guidance and a more coordinated surgical experience.
For employer clients:
Appropriate care with greater visibility and predictability over surgical costs.
For TPAs:
Specialized surgical capabilities that enhance existing services and strengthen the value delivered to clients.
Talk with Hinkapin Health about how we can work alongside your existing care-navigation and client-service teams.
Talk With Hinkapin Health