Coalition Services, LLC
Coalition Services, based in Brookfield, Wisconsin, provides management services, education and information to help self-funded NEHA members improve employee health and lower health care costs. They play a lead role in developing collaborative partnerships and contractual relationships with our regional health care providers; and work collaboratively with brokers and consultants to ensure NEHA is the right fit for the employers they represent. Coalition Services also provides and manages the NEHA provider directories that allow members to identify who is participating in the NEHA networks. The staff at Coalition Services assists employees at member companies resolve provider- specific contractual pricing issues that arise. Find out more at www.coalitionservices.com
GHE, Inc. is a leading developer and provider of SaaS based employee, employer and buying group decision support and network management technologies and services that help organizations choose, improve and save on their health care.
GHE's NEHA services include network strategy, benefit planning, and medical and pharmacy data integration. Additionally, GHE, Inc. provides the alliance and its members access to its HAE® Health Analyzer applications suite which includes comparison, benchmarking, executive dashboard, profiling, plan modeling and risk adjustment tools. Find out more at www.ghe-inc.com.
Third Party Claims Administrators (TPA)
We have preferred partnerships with two TPAs: UMR (a United Healthcare Company) and Auxiant. NEHA member companies must select one of these TPAs to administer their medical claims. NEHA is not a third-party administrator.
Pharmacy Benefit Managers (PBM)
NEHA has preferred partnerships with two pharmacy benefit managers: OptumRx (a UnitedHealthcare Company) and Serve You. These pharmacy benefit managers (PBMs)efficiently interface with the two medical TPAs on eligibility and claims to streamline administration. NEHA member companies must select one of these PBMs to administer their pharmacy claims.