90% of your lifetime healthcare
can be provided by your
Primary Care Provider.
That’s why we care about restoring the doctor-patient relationship
and giving you direct access to your PCP.
We simplify healthcare by partnering with employers to reduce healthcare costs for them and their employees. We advocate for employees and help them navigate the complex healthcare industry. We provide convenient and direct access to care. We provide a cash-pay network with pre-negotiated rates for labs, imaging, prescriptions, and more.
Can handle 80% lifetime needs
No wait times, no co-pays, no deductibles
Custom brick and mortar locations
Dedicated primary care provider (PCP)
Unlimited access to your PCP
1,000 prescription included with Frontier Rx
E: $75
E+S: $150
E+C: $150
E+F: $225
Reduced Cost: Lower expenses for both employer & employee
Improved Outcomes: Improved employee & family health
Reduced administrative burden for HR
Enhanced Experience: High employee & employer satisfaction & utilization of benefits
Restored customer experience
Can handle 15% of lifetime healthcare needs
100% transparent pricing on all referrals
Concierge navigation & negotiation for all referrals
Nationwide network with direct contracts with specialists & hospitals
All specialty, ancillary, outpatient, & inpatient needs
Live support team
Contracted cancer solutions
Tiered per case fee schedule
Reference Price
$0 - $500
$500 - $3k
$3k - $7k
$7k - $25k
$25k+
Tiered per case fee schedule
Case Fee
$0 $300
$900
$2,700
$5,000
50% reduction in specialty spend
Guidance through every step of healthcare journey
Transparent pricing with live referral tracking
Admin Reduction: Benefits calls significantly reduced
Full fiduciary partner
Fully integrated TPA that is optimized for Frontier Health
PPO claims processing
Integrated medical management & case management capabilities
Full access to all claims & payment data through live reporting
Regulatory compliance
TPA: $9
PBM: $5
TPA & medical management functions optimized for Frontier Health
No need for member or employer to interact with TPA once streamlined implementation is completed
Guaranteed claims payment accuracy
Full compliance with your fiduciary obligations under the Consolidated Appropriations Act
DPC centric Insurance program for self insured employers
Aligned incentives means Frontier shares in the risk with you
Underwritten & sponsored by Stealth/Amwins
Can underwrite any group of any size
Direct data access
Fully integrated into Frontier Admin
Custom tailored for each group
Average 15% decrease on stop loss premium
Mutually aligned incentives > mutually beneficial goals = saving money
Frontier shares in the risk > When you win, Frontier wins. When you lose, Frontier loses
Custom tailored underwriting specific to your group
Full compliance with your fiduciary obligations under the Consolidated Appropriations Act
Proprietary platform with real time data, ROI reporting, referral tracking & live dashboards
Easy to use mobile app and portals for employer, employees, & health plan administrators
All data is tracked & reportable to all parties & vendors in real-time
Powerful Data analytics:
• Population health & risk factor analysis
• Utilization reporting
• Patient demographic reporting & eligibility management
• Chronic disease management reporting
• Referral tracking/prior authorization
• Billing reporting
• Customer service ticketing
• Member satisfaction reporting (NPS)
Included
Transparency into cost and performance - everything is available to & nothing is hidden from health plan administrators
Industry leading patient satisfaction, resulting in a 94 NPS
Patients engage with their provider & get healthier which drives down overall health plan costs