Third Party Administration (TPA)
Hometown Health, the insurance division of Renown Health, offers Third Party Administrative (TPA) services to self-insured clients and brokers, emphasizing personalized experiences at competitive rates. With nearly 20 years of expertise, Hometown Health stands as a leading TPA provider in northern Nevada, serving municipalities, corporations, and non-profit organizations.
Key Benefits of choosing TPA services:
Customized Plan Design and Integration
- Expert collaboration with clients and benefit partners to create customized, compliant healthcare plans.
- Focus on initial investment in plan design to enhance member experience and reduce costs.
Extensive Provider Network
- Access to over 9,000 Nevada-based providers, including:
- 640+ primary care providers
- 1,560+ specialty care providers
- 1,150+ ancillary service providers
- Partnership with Cigna for national coverage and Optum Rx for pharmacy benefit management.
Advanced Technology with EPIC Tapestry Platform
- Utilizes EPIC’s Tapestry payer platform for seamless plan management.
- Features include accurate and timely claim adjudication, real-time information via MyChart, and efficient utilization management.
Exceptional Implementation Support and Customer Service
- On-site open enrollment support and tailored member communication plans.
- Dedicated customer service with a local, 5-star-rated team, performance guarantees for call response times, and low abandonment rates.
Comprehensive Data Reporting and Chronic Care Management
- Detailed reporting for better population health insights and cost control.
- Proactive chronic care management programs leading to significant reductions in emergency department visits and hospital admissions for conditions like diabetes and heart disease.
Community-Centric Approach
Hometown Health is a local, not-for-profit organization headquartered in Reno, Nevada, reinforcing its commitment to the community by reinvesting revenues locally. With over 200 employees in northern Nevada, the company delivers a personalized touch to service, truly embodying “neighbors helping neighbors.”
Proven Success and Client Trust
Hometown Health has a proven track record of improving satisfaction among members, providers, and employees through dedicated service and continuous improvement. Notable achievements include 5-star CMS ratings and interim NCQA accreditation.
