Physicians win.
Fast, fair payment. Direct patient relationships. Less time spent on billing and collections.
For self-funded employers, advisors & TPAs
Great specialty care.
A more predictable cost.
Give members a direct path to independent specialists, upfront bundled prices, and a nurse-led team that helps them get the care they need.
Explore your network fitThe HealthMe triple win
When incentives align,
everyone wins.
HealthMe connects your members with independent specialists through transparently priced, bundled care. Your plan gains more control over costs, members get a clearer path to care, and physicians can focus on their patients.
Members win.
Clear upfront prices, help finding care, and reduced or waived cost-sharing when offered by their plan.
Employers win.
Greater control over specialty spend. Independent providers. Appropriate care at a known price.
Value
Better value for the people
delivering, receiving, and paying for care.
Employer
“HealthMe built a direct contract network for our employees and has saved us hundreds of thousands of dollars. Just as important, when our people need care, someone actually helps them find the right specialist, book the visit, and walk in knowing they won’t have any out-of-pocket costs.”
Kristina EwingDirector of Health & Wellbeing, Shoestring Valley HoldingsTransparent bundled pricesIndependent specialty providersHands-on care navigation
From the first visit forward
The best surgery is the one you didn't need.
Most specialty spend is decided at the first visit. HealthMe routes members to the right specialist early — evaluations, imaging, therapy, and non-surgical care first, with bundled surgery when it's truly the right call.
See how it works- 01
Find the right starting point
Specialist evaluations and office visits
- 02
Understand the options
Imaging, therapy, and non-surgical treatment
- 03
Coordinate the next step
Bundled surgery and follow-up when appropriate
One approach. Different roles.
A place for every benefits partner.
Self-funded employers
Give members access to transparent specialty care prices and a team that helps them use the benefit. Start with your population, locations, and program goals.
Brokers & benefits advisors
Build direct specialty care into your client strategy. HealthMe can help assess network fit and put existing provider contracts to work for your groups.
Third-party administrators
Work with HealthMe on the eligibility, claims, and payment processes behind a direct specialty care program.
For care navigation teams
Care navigators
Connect your members with available providers and contracted prices, with workflows to support referrals and coordination.
“HealthMe has been instrumental as we've scaled our care navigation team. Our navigators can find independent specialists, see the price upfront, and get members scheduled without the usual back-and-forth. When we bring on a new employer group, we're not starting from scratch. The network, the pricing, and the workflow are already there. That makes us a stronger partner to every employer we serve.”
From access to action
A network only matters when members use it.
CareNav Connect equips navigators with a national network map, local search, AI-assisted results, and a direct path to refer members to a practice.
Reach members earlier
Coordinate with your TPA and benefits partners to identify opportunities before a high-cost procedure takes place.
Guide the whole journey
Nurses and navigators help members understand their options, connect with specialists, and coordinate appointments and follow-up.
Make direct contracts work
HealthMe coordinates the referral and payment details, including payments across the providers in a surgical bundle.
Your benefits. Better connected.
Built to work with
your existing plan.
Bring HealthMe’s specialty network into your benefits program, or put your existing direct provider contracts to work through a private network.
We work with your team and TPA on eligibility, referrals, and member communication. Program design and availability are tailored to your groups.
One place for members to start.
A dedicated navigation team helps members find an appropriate provider, understand the next step, and keep care moving.
Your contracts stay yours.
A private network can make your contracted providers and rates available to your own groups, with HealthMe supporting the work behind each episode.
TPA connectivity, handled.
At the time of service, HealthMe translates each bundle into an EDI claim and sends it directly to the TPA. The care, claim, and payment stay connected to your plan’s workflow.
Explore claims and payments →Strong in MSK. Growing beyond it.
Care across the
specialty journey.
Office visits, diagnostics, therapy, procedures, and surgery when appropriate. Start with your population’s needs and the providers available in your markets.
OrthopedicsRadiologyPhysical therapyGastroenterologyGeneral surgeryWomen’s healthMental health
Specialty and provider availability varies by geography.
The HealthMe platform
One connected experience.
From care to payment.
CareNav Connect
Find local care.
Connect the next step.
A national network, local search, and AI-assisted results help navigators review options and refer members to the practice.
Employer questions
How HealthMe fits your program.
Can we keep our current TPA?
HealthMe works with TPAs to support direct care programs. Implementation includes reviewing the required eligibility, claims, payment, and plan workflows with your existing partners.
Can HealthMe support our own provider contracts?
Yes. HealthMe can load your direct agreements into a private network for your groups and support referrals and payment coordination around those contracts.
Do members have to travel for care?
HealthMe seeks appropriate local care where available. When travel is needed, the navigation team can help coordinate it, subject to the group’s program and benefit terms.
What will our members pay?
Member costs depend on the health plan’s benefit design, covered services, and program terms. HealthMe works with the plan to communicate the applicable benefit and price before care.
How do we assess the opportunity?
Start with your group’s locations, population, current provider relationships, and TPA. HealthMe can discuss a claims analysis and network review to identify potential opportunities.
Meet Agent Dora
More care moving.
Less time coordinating.
Agent Dora is HealthMe’s care navigation AI assistant. She drafts referrals, schedules visits, and coordinates pre-op clearance—so navigators close cases in hours, not weeks.
Watch Agent Dora in action
“HealthMe is designed to remove middlemen and restore the direct doctor to patient relationship.”
A better way forward
Put your healthcare dollars closer to care.
Let’s review your groups, provider coverage, and opportunities for direct specialty care.