Faros Health for

TPAs & Health Plans

Faros partners with Health Plans and TPAs to help their clients maximize ROI by fully optimizing networks and improving navigation for members. Access ENLIGHT, our intuitive self-service platform that guides members to the highest-quality, lowest-cost providers, or leverage INSIGHTS, our powerful claims analytics solution, to assess plan performance and uncover opportunities for improvement.

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About Faros Health

Win and retain clients

Offer your clients a premium, affordable solution that integrates seamlessly - supporting members across their entire healthcare journey with minimal disruption.

Capture the entire plan design

We work with your team and clients to configure alternative payment models, point solutions, and cost containment initiatives to ensure member awareness and participation.

Maximize member engagement

Our team provides high-touch support, co-branded materials, and education to reduce care-avoidance and increase utilization of all strategies in place.

Improve health outcomes and experience

Equip your navigation and concierge teams to guide members to the best care available. High-quality care supports optimal health outcomes, allowing members to avoid costly complications and unnecessary time away from work.

Make data-driven rate negotiations

Build a network of high-quality, affordable providers and make informed business decisions based on the self-pay, Medicare, and commercial fair-market-value rates for a given market.

Leverage data-driven insights

Monitor member engagement with the Admin Portal or explore in depth claims analytics with the INSIGHTS platform to inform cost containment initiatives and benefit optimization.

The EVIDENT Data Platform

Put actionable information in the hands of your team.

The EVIDENT platform combines your claims with market, Medicare and cash price benchmarks and provider quality data, so you can see where every dollar goes and what it should cost. Find network gaps, negotiate rates or set reference-based pricing using real market data. In the same platform, empower your customer success team with comprehensive provider data to find high-quality, affordable options for your members and improve their healthcare experience.

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How it works

ENLIGHT Patient Navigation

Faros makes smart high-value healthcare decisions easy.

We aggregate billions of medical claims, dozens of clinical outcome measures, real-time price transparency data, and patient ratings into an intuitive, self-service platform. Members are empowered to confidently utilize their health benefits and network to find the most effective, highest quality, and lowest cost healthcare options.

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How it works

Meaningful insights and impactful initiatives.

Make data-driven decisions a reality with in depth claims analytics for evaluating network performance, cost drivers, effective health benefit initiatives, market trends, and opportunities for cost-containment. See how Faros can help inform your strategic planning and improve your members’ experience!

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How it works

Faros Health partners driving high-value healthcare

Hear from employers, HR leaders, benefits consultants, TPAs, PEOs, and Care Navigation partners as we help transform how their members choose their healthcare providers. If you do not save at least as much as you invest, Faros will guarantee the difference.

“Faros helped me find a great doctor, and save over $9,000!

I saw a specialist for my back, who recommended surgery. When I looked it up on Faros, I saw it was going to be over $15,000 and that provider did not have a good quality score. I ended up finding an excellent quality doctor and the cost was only around $6,000!"

Client Member

Spinal Care Patient

"What sets Faros apart and distinguishes it in the market is that this tool is actionable.

It's great that other data and analytics platforms can produce information. Now, what do you do with it? With Faros, we can not only gather the data, but we can now use this tool to effectively manage those issues."

Senior Vice President

National Stop Loss Carrier

“The relationships Faros has developed with our staff has been phenomenal and they’re so easy to work with - it’s been a real joy and we’re very pleased.

Other school districts should give Faros a try because the potential ROI is incredible; we’ve definitely seen that ROI and think it would be applicable to every organization!”

Superintendent

Texas School District

Faros Health partners driving high-value healthcare

“Faros helped me find a great doctor, and save over $9,000!

Client Member

Spinal Care Patient

"What sets Faros apart and distinguishes it in the market is that this tool is actionable.

Senior Vice President

National Stop Loss Carrier

“The relationships Faros has developed with our staff has been phenomenal and they’re so easy to work with - it’s been a real joy and we’re very pleased.

Other school districts should give Faros a try because the potential ROI is incredible; we’ve definitely seen that ROI and think it would be applicable to every organization!”

Superintendent

Texas School District

Bring clarity to healthcare.

Informed decisions drive better healthcare outcomes. At Faros Health, we make price transparency and provider performance data actionable, improving results while reducing costs for members and the teams who serve them.

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