The Governance Layer for Employer Health Plans

HealCo is the routing infrastructure for employer-sponsored healthcare — governing specialty care before costs are created.
Not a health plan. Not navigation.
A control layer for how care enters your plan.

New Pathway
Auto-routed in 1.2s

A Governed Health System Without Walls

We replace passive plan administration with active governance.

Every referral, pathway, and site-of-service decision is controlled — not left to chance.

Tier 1

Core DPC

  • Entry point for governed care
  • Unlimited $0 visits with independent physicians.
  • Fully HSA-qualified under new 2026 regulations.
  • The Foundation of the Plan.

Tier 2

Specialty Bundles

  • Transparent, pre-negotiated pricing for imaging, surgery, and specialist care.
  • Dynamic routing ensures no surprise bills.
  • The Cost Control Engine.

Tier 3

Risk Pool Options

  • Employers choose the structure that fits their risk strategy:
  • Self-Funded (ASO)
  • Level-Funded (Surplus refunds)
  • Captive Layers
  • All supported by stop-loss protection.

Maestro: The Routing Engine Behind Plan Governance

Maestro executes governance in real time — routing members, enforcing pathways, and logging every decision back to Decision Desk.

Smart Routing: AI directs members to high-value "Nodes" based on quality and price.

Governed Routing

Real-Time Ledger: Track claims, pharmacy spend, and stop-loss signals instantly.

Governance Log (Fiduciary Record)

Auto-Onboarding: Syncs with payroll for seamless eligibility and compliance.

Employers Success Stories

COO, Restaurant Chain

We saved 28% in year one with HealCo — and our employees now get $0 visits with no surprise bills. It’s the first time I’ve felt in control of healthcare costs.

View Case Study

Physician Owner

~ Multispecialty Practice

I manage a 100+ employee practice and have never seen a greater win-win for docs and employers. We direct contract, have predictable revenue flow from community partners, while decreasing our own employee health premiums.

View Case Study

SVP, Total Rewards

~ Fortune 500 Retail Company

HealCo is the only model we’ve seen actually reduce ER utilization at scale — without compromising care. Their decentralized care nodes, omnichannel virtual access, and support of independent doctors let us meet employees where they are, not where the system is

View Case Study

COO, Restaurant Chain

We saved 28% in year one with HealCo — and our employees now get $0 visits with no surprise bills. It’s the first time I’ve felt in control of healthcare costs.

View Case Study

Physician Owner

~ Multispecialty Practice

I manage a 100+ employee practice and have never seen a greater win-win for docs and employers. We direct contract, have predictable revenue flow from community partners, while decreasing our own employee health premiums.

View Case Study

SVP, Total Rewards

~ Fortune 500 Retail Company

HealCo is the only model we’ve seen actually reduce ER utilization at scale — without compromising care. Their decentralized care nodes, omnichannel virtual access, and support of independent doctors let us meet employees where they are, not where the system is

View Case Study

COO, Restaurant Chain

We saved 28% in year one with HealCo — and our employees now get $0 visits with no surprise bills. It’s the first time I’ve felt in control of healthcare costs.

View Case Study

SVP, Total Rewards

~ Fortune 500 Retail Company

HealCo is the only model we’ve seen actually reduce ER utilization at scale — without compromising care. Their decentralized care nodes, omnichannel virtual access, and support of independent doctors let us meet employees where they are, not where the system is

View Case Study

Physician Owner

~ Multispecialty Practice

I manage a 100+ employee practice and have never seen a greater win-win for docs and employers. We direct contract, have predictable revenue flow from community partners, while decreasing our own employee health premiums.

View Case Study

~ Hospitalist, HealCo-Aligned Provider

Provider

“HealCo let me participate in direct care without forcing me into an all-or-nothing decision.”

View Case Study

~ Executive Director, Provider Association

Provider Association

“HealCo helped us turn an association plan into a care network — not just an insurance product.”

View Case Study

~ CFO, 150-Employee Company

Professional Services

“HealCo didn’t disrupt our plan — it made it smarter.”

View Case Study

~ Benefits Lead, Captive Member Employer

Captive Employer

“For the first time, being in a captive actually changed behavior — not just accounting.”

View Case Study

~ COO, Multi-Location Restaurant Chain

Hospitality Employer

“We saved 28% in year one with HealCo — and our employees now get $0 visits with no surprise bills. It’s the first time I’ve felt in control of healthcare costs.”

View Case Study

Frequently asked questions

Still have questions?

Can't find the answer to your question? Send us an email and we'll get back to you as soon as possible!

Contact Us
How is governance different from a PPO network?

HealCoHP is not a network-first product. Traditional PPOs rely on broad networks and post-claim cost control. HealCoHP is built around direct care, bundled pricing, and intelligent navigation that guides members to the right care before claims occur. PPO access may exist as a fallback, but it’s not the primary decision engine.

Is HealCoHP insurance?

No. HealCoHP is not an insurance carrier. It is a care and navigation layer that works alongside an employer’s underlying plan structure (self-funded, level-funded, or association-sponsored). HealCoHP focuses on how care is accessed, priced, and routed — not on underwriting risk.

How does governed routing work?

HealCo’s AI navigation guides members at key decision points — symptoms, referrals, procedures, and follow-up care — using plan context, pricing logic, and provider availability. The goal is to steer members toward high-quality, cost-effective care paths before unnecessary utilization or surprise costs occur. Human support remains available where appropriate.

Can small employers participate?

Yes. HealCoHP is designed to support small and mid-sized employers, including those that traditionally lack leverage in healthcare purchasing. Depending on structure, small employers may participate through association-sponsored plans, pooled models, or level-funded arrangements, while still accessing the same navigation and care infrastructure.

How does HealCo work with existing TPAs and PPOs?

The COHP model shifts healthcare from a carrier-owned system to a community-aligned care model. Instead of value being captured primarily by intermediaries, care decisions, pricing, and incentives are aligned around employers, providers, and members. HealCoHP operationalizes this by combining direct care, bundled services, and transparent navigation into a cohesive system.

Still have questions?

Can't find the answer to your question? Send us an email and we'll get back to you as soon as possible!

Contact Us
Decision Briefs
Concise market signals and analysis for faster, confident decisions.
View all briefs
April 28, 2026
Care Entry
Why Cost Variation Has Nothing to Do With Access
Cost variation within the same markets is extreme. Up to 3x for identical procedures, 164% gaps between gross and negotiated rates, and 84% variation across Arkansas counties.
2 min read
Read briefing
April 15, 2026
Employer Leverage
The Broker Model Built Around Renewal Is Breaking Down
The traditional broker model, focused on rates, renewals, and carrier switching, is losing effectiveness as pricing becomes an output, not the control point.
3 min read
Read briefing
April 7, 2026
Care Entry
The First Decision Is Driving Specialty Cost in NWA
Employees with coverage are delaying care due to high deductibles — access exists, but entry feels like a financial decision
2 min read
Read briefing