SELF-FUNDED
SOLUTIONS



Benefit Solutions for the Strategic Business

While most companies shift costs to keep employee benefits manageable, smart companies strategize their spend. A self-funded approach works by managing vendors to ensure value, controlling claims and creating financial clarity for every single transaction.

Custom Benefit Plan Design

Custom Benefit Plan Design

personal strategic support

personal strategic support

proactive plan management

proactive plan management

empathy

opportunity for big savings

See Why self-funding Works

Watch this video to learn more on how self-funding creates real change for employers ready to take charge.

Learn how much your company could save!
Request a no-cost, comprehensive consultation today.

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Our Solutions. Your Success.

Technology

Clarity

Humanity

As an independent TPA with over forty years of experience, we know what it takes to deliver standout self-funded benefits for employer-sponsored health plans. It takes cutting-edge technology, commitment to clarity and a compassionate approach that humanizes healthcare.


And every J.P. Farley solution is curated to deliver all of the above.

Custom Benefit Solutions

Provider Networks + Strategic Partnerships

Member Tools

Single-Platform Administration

Risk management

Cost containment

Compliance

Custom Benefit Solutions

Choose the components you need to create a comprehensive, competitive employee benefit package for the services members want and the savings employers require.

Medical

Minimum Essential Coverage (MEC) & Minimum Value Plan (MVP)

Dental & Vision

Voluntary Benefits

Reference Based Pricing (RBP)

Telemedicine

Population Health Management

Direct Primary Care

Remote Patient Monitoring

On-Site/Near Site Clinic

Provider Networks + STRATEGIC PARTNERSHIPS

Multi-level network options ensure members have access to high-quality care at high-value price points. Our network strategy benefits patients, providers and the plan. J.P. Farley has dedicated years of selective relationship building with organizations that share the same value strategy to keep high quality care at high value price points.

Local or Narrow

Out-of-Area

Specialty Networks

Physician-Only

Centers of Excellence

Cigna

Multi-Plan

Direct Contracts

Transparent Risk Strategies

Edison Health

Zero Card

Southern Scripts

Teladoc

BCS

Member Tools

One critical component of a health plan designed for savings is empowering members to spend smarter by equipping them with powerful tools and educational resources for real time results.

Online Pricing and Quality Tools

Easy-to-Use Member Portal

Member Compliance Coaching

Patient Advocacy Outreach Programs

J.P. Farley Mobile Member Self Service

Single-Platform Administration

Administration is simpler than ever with our fully-integrated cloud-based platform. Our industry-leading system delivers above-average results across a spectrum of functions.

Exceptional Financial Accuracy & Claims Administration and Planning

Unparalleled Data Reporting & Proactive Predictive Analytics

Real-Time Member Self-Service Eliminates HR Processes

Real-Time Open Member Enrollment Platform

24/7 Data Access Creates Efficiency for Providers & Employers

Function-Rich User Portals Empower Instant Communication

Single Source Billing Capabilities

Risk Management

Self-funding isn’t just for big businesses anymore. Advanced risk management strategies make self-funding just as accessible and powerful for small and mid-sized employers with custom benefit plan design solutions.

Stop-Loss Negotiation and Placement

Comprehensive Data Reporting

Proactive Predictive Analytics

Compliance

Large Claim Review

Subro Process

Plan Documentation Creation & Compliance

Mentor Outreach & Advocacy

Large Claim Mitigation

Stand of Compliance Audit (SOC)

HIPPA Audit

Cost Containment

One amazing features of self-funding is the power to contain cost at nearly every point of the healthcare experience. Our strategies deliver maximal care at minimal cost.

Utilization Management

Case Management

Care Coordination

Pharmacy Benefits Management

Quality-Based Incentive Programs

Predictive Modeling

Population Health Management

Telemedicine Options

Reference Based Pricing (RBP)

PHCS

Centers of Excellence

Direct Contracts

Compliance

An experienced TPA takes all the hassle out of compliance issues. We handle it all, so you can focus on what matters most to you – taking care of business.

Full Compliance Review

COBRA/HIPAA

Notice Compliance

Affordable Care Act (ACA)

Department of Labor Audit (DOL)

Plan Document Review

Standard of Compliance Audit (SOC)

HIPPA Audit

CUSTOM BENEFIT SOLUTIONS

Choose the components you need to create a comprehensive, competitive employee benefit package for the services members want and the savings employers require.

  • Medical
  • MEC & MVP
  • Dental & Vision
  • Voluntary Benefits
  • RBP
  • Telemedicine
  • Population Health Management
  • Direct Primary Care
  • Remote Patient Monitoring
  • On-Site/Near Site Clinic

PROVIDER NETWORKS + STRATEGIC PARTNERSHIPS

Multi-level network options ensure members have access to high-quality care at high-value price points. Our network strategy benefits patients, providers and the plan. J.P. Farley has dedicated years of selective relationship building with organizations that share the same value strategy to keep high quality care at high value price points.

  • Local or Narrow
  • Out-of-Area
  • Specialty Networks
  • Physician-Only
  • Centers of Excellence
  • Cigna
  • PHCS
  • Multi-Plan
  • Direct Contracts
  • Transparent Risk Strategies
  • Edison Health
  • Zero Card
  • Southern Scripts
  • Teladoc
  • BCS

MEMBER TOOLS

One critical component of a health plan designed for savings is empowering members to spend smarter by equipping them with powerful tools and educational resources for real time results.

  • Online Pricing and Quality Tools
  • Easy-to-Use Member Portal
  • Member Compliance Coaching
  • Patient Advocacy Outreach Programs
  • J.P. Farley Mobile Member Self Service

SINGLE-PLATFORM ADMINISTRATION

Administration is simpler than ever with our fully-integrated cloud-based platform. Our industry-leading system delivers above-average results across a spectrum of functions.

  • Exceptional Financial Accuracy & Claims Administration
  • Unparalleled Data Reporting & Proactive Predictive Analytics
  • Real-Time Member Self-Service Eliminates HR Processes
  • ANP Planning
  • Real-Time Open Member Enrollment Platform
  • 24/7 Data Access Creates Efficiency for Providers & Employers
  • Function-Rich User Portals Empower Instant Communication
  • ANP Planning
  • Real-Time Open Member Enrollment Platform
  • Single Source Billing Capabilities

RISK MANAGEMENT

Self-funding isn’t just for big businesses anymore. Advanced risk management strategies make self-funding just as accessible and powerful for small and mid-sized employers with custom benefit plan design solutions.

  • Stop-Loss Negotiation and Placement
  • Comprehensive Data Reporting
  • Proactive Predictive Analytics
  • Compliance
  • Large Claim Review
  • Subro Process
  • Plan Documentation Creation & Compliance
  • Mentor Outreach & Advocacy
  • Large Claim Mitigation
  • SOC Audit
  • HIPPA Audit

COST CONTAINMENT

Cost Containment

One amazing features of self-funding is the power to contain cost at nearly every point of the healthcare experience. Our strategies deliver maximal care at minimal cost.

  • Utilization Management
  • Case Management
  • Care Coordination
  • Pharmacy Benefits Management
  • Quality-Based Incentive Programs
  • Predictive Modeling
  • Population Health Management
  • Telemedicine Options
  • RBP
  • PHCS
  • Centers of Excellence
  • Direct Contracts

COMPLIANCE

Compliance

An experienced TPA takes all the hassle out of compliance issues. We handle it all, so you can focus on what matters most to you – taking care of business.

  • Full Compliance Review
  • COBRA/HIPAA
  • Notice Compliance
  • Affordable Care Act (ACA)
  • Department of Labor Audit (DOL)
  • Plan Document Review
  • Standard of Compliance Audit (SOC)
  • HIPPA Audit

Traditional plan costs will keep rising, but sustainability and savings are in reach.
Are you ready to take control of your plan’s costs?