Employers

Go Beyond Traditional Plan Administration

Point C gives employers a more connected way to manage their self-funded health plan. By bringing key administrative functions together, it creates better control and stronger support for employees.
Explore Point C's Approach
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A Funding Model That Supports Strategy and Performance

Self-funding gives employers more visibility into how their health plan is performing and more control over how it evolves over time.
Explore a Self-Funding Model
Compare Fully Insured vs Self-Funded
1. Cost Control

See and manage what's driving spend.

Claims insight, trend visibility, and earlier action on high-cost drivers.
2. Plan Visibility

Understand how your plan is performing.

Clear reporting across utilization, spend, and member activity.
3. Plan Flexibility

Adjust strategy as your needs evolve.

Plan design, vendors, and solutions shaped around your population.
4. Employee Support

Make the plan easier to use.

Guidance, advocacy, and support throughout the care journey.
Solutions

Solutions that Support Self-Funded Plan Performance

Instead of treating separate functions as disconnected workstreams, Point C offers a complete view of how the plan is operating and where improvement is possible.

Pharmacy Benefit Management

Insight into trends, specialty utilization, and overall spend helps employers evaluate this category more effectively.
Optimize Pharmacy
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Medical Cost Containment

Better visibility into reimbursement patterns, large claims activity, utilization shifts, and high-cost conditions supports earlier action and more informed cost decisions.
Manage Costs

Care Management

Access to experienced clinical guidance can improve continuity, reduce disruption, and avoid confusion that often leads to unnecessary utilization.
Support Care

Consumer-Driven Products

Consumer-driven products such as HSAs, HRAs, FSAs, COBRA administration, and leave-related support give employers more structure while helping employees make more informed decisions.
View Consumer-Driven Products

A Structured Approach to Improving Plan Performance

Through a disciplined approach to self-funded plan strategy, Point C positions employers to manage their health plans with greater clarity and control.

1. Customize

Plans are shaped around your population, priorities, workforce needs, and risk profile, rather than forced into a standard model.

2. Integrate

Administration, reporting, cost strategy, and support solutions are aligned so decisions reflect the full structure of the plan.

3. Communicate

Employees receive clearer communication and more practical guidance on how to use the plan day to day.

4. Analyze

Performance is monitored over time, with ongoing review informed by claims data, utilization patterns, and plan activity.
Deliver Results

Proof Points and Outcomes

Designed to deliver results that can be measured and improved over time.
Our model reflects a broader approach to plan management that supports more stable utilization and a plan experience that is easier for both employers and employees to navigate.
1.4
Days Avg. Outpatient Authorizations for Care Management
98.2%
Customer Service Call Accuracy
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Resources

Want to Go Beyond?

Take a closer look at how a more connected approach can strengthen plan oversight and improve the member experience. Explore our case studies, insights, and resources to see it in action.
Browse the Resources

Frequently Asked Questions

What should employers look for in a TPA?
Employers should look for a TPA that offers clear reporting, dependable claims administration, practical compliance support, and the ability to coordinate effectively across vendors and benefit partners. Just as important, the TPA should help employers understand how the plan is performing over time rather than simply processing transactions.
How does Point C help improve the employee experience?
Point C supports the employee experience through responsive service, advocacy, care navigation, and clearer communication around benefits and claims. When employees can access support more easily and better understand how to use their plan, employers often see stronger engagement and a more consistent day-to-day experience.
What are the advantages of self-funded health plans for employers?
Self-funded health plans can give employers more visibility into claims and utilization, more flexibility in plan design, and more control over vendor strategy and long-term cost management. With the right administrative support, employers can make more informed decisions about how the plan evolves.