Solutions

Payer

For Payers, Opus^one offers a wide range of comprehensive, customizable services, including Underwriting, Plan Design, Marketing Support and Network Development.

With Opus^one, you’ll enjoy consistently high-quality results, every time.

Consultation & Analytics

Hines’ Consultation & Analytics, built on continuous analysis and predictive modeling, is designed to embrace your members’ needs while optimizing your costs, through:

Support for clients and stop-loss carriers with predictive modeling
Analytics showing the impact of Opus^one on your business and for your members

Hines Business Intelligence team provides ongoing analysis, cost modeling and optimization strategies
Extensive assistance with analytics with Stop-Loss Carriers during renewals

Plan Design

Hines’ comprehensive, robust and flexible Plan Design services are crafted so your members get the best care, at the right cost:

Recommendations on plan language to support Opus^one‘s suite of products
Consultative support on medical trends, alternatives and regulations

Regular reviews of claims experience to deliver a concise summary of opportunities and potential SPD improvements
The objective: reducing costs and Population Management through better healthcare utilization, claims management and member engagement

Marketing

When it comes to successful sales campaigns and customer relationships, Hines’ Marketing Support provides you with a strategic and creative advantage, including:

Client support during the sale and implementation for your new business opportunities

Customized analytical support, member communication, education materials available on demand

Network Development

Because Network Development is key in adding value to competitive contracting, Hines offers:

In-house network management and direct provider contracting teams
Qualified development of custom EPOs and Narrow Networks
Access and utilization of over 110 PPOs and specialized networks including telemedicine, visiting physicians, oncology, transplants, cardiac, etc.

Specialized programs for in and out-of-network claims
Through our parent company, Global Excel Management Inc., worldwide coverage for any out-of-country assistance and claims

Hines & Associates, Inc. is a nationwide, independent leader in personalized managed health care, focusing on what's important to you—comprehensive services with the program excellence and cost containment that you demand.

CORPORATE OFFICE

115 East Highland Avenue
Elgin, IL 60120
T 800.735.1200
F 847.741.1306

SALES & MARKETING

14 North Riverside Avenue
St. Charles, IL 60174
T 800.735.1200