Blog Posts

For over 60 years, Boon-Chapman has been a leading third-party administrator (TPA), offering innovative, member-centered solutions that go beyond traditional health plan administration. As an independent TPA, we are dedicated to helping self-funded employers, brokers, and their clients achieve better health outcomes, enhanced member experiences, and optimized plan performance. Here’s a look at how our tailored approach sets us apart in the industry.

1. Personalized Health Plan Solutions

At Boon-Chapman, we understand that no two health plans are alike. Our customized solutions allow clients to build health plans that reflect their unique needs and goals. We combine our advanced billing technology, medical management expertise, and flexible integration capabilities to create health plan solutions that adapt to changing needs. This approach empowers our clients to achieve not only cost savings but also improved health outcomes, which are essential in today’s evolving healthcare landscape.

Key Benefits:

• Flexible Integration: Clients can choose from our wide range of health plan solutions or integrate their preferred vendor solutions, ensuring a seamless experience across networks, providers, and services.
• Customized Health Strategies: Our strategies are designed to prioritize members’ well-being through personalized care, effective cost management, and proactive health interventions.

2. Elevating the Member Experience

The member experience is at the heart of Boon-Chapman’s approach to plan administration. Our Boon Champions, a team of dedicated case and nurse managers, provide one-on-one support to members, guiding them through every stage of their healthcare journey. This hands-on approach ensures that every member feels supported, informed, and empowered to make the best decisions for their health.

Features of Our Member-Centric Approach:

• Proactive Care Navigation: Members are steered to quality providers and services, enhancing health outcomes while reducing out-of-pocket costs.
• 24/7 Member Support: Through our secure, HIPAA-compliant member portal and mobile app, members can easily access plan information, track claims, and communicate with our support team.
• Surprise Bill Support: Our Boon Champions work proactively to protect members from unexpected bills, addressing potential issues before they arise.

3. Advanced Medical Management and Billing Technology

Our approach to medical management goes beyond the basics to include comprehensive services like disease management, utilization review, and care navigation. Boon-Chapman’s Prime Dx program is designed to enhance member health and mitigate high-cost claims through proactive management of chronic conditions and high-dollar claims. With our integrated technology, we ensure that our clients’ plans run smoothly, accurately, and efficiently.

Advantages of Boon-Chapman’s Technology-Driven Solutions:

• Predictive Analytics: We leverage predictive modeling and data analytics to identify risks and opportunities for savings, helping clients manage costs proactively.
• High Accuracy in Claims Processing: With an impressive accuracy rate of over 99%, our claims processing system minimizes errors and ensures prompt, reliable payments.
• Real-Time Data Access: Both members and employers have access to comprehensive plan data, providing transparency and empowering informed decision-making.

4. Independent and Flexible by Design

As an independent TPA, Boon-Chapman offers unparalleled flexibility. We prioritize the needs of our clients and their members, allowing us to craft health plans that are truly aligned with their goals. Unlike many TPAs tied to large networks or carriers, our independence ensures that our clients have the freedom to choose the best services and solutions for their needs.

Why Independence Matters:

• Tailored Health Plans: We are not restricted by outside influences, which means our clients can select the services and providers that best align with their priorities.
• Client-First Approach: Boon-Chapman’s client-first philosophy enables us to focus on what matters most—serving clients and members without compromise.

Experience the Boon-Chapman Advantage

From our innovative health plan solutions to our member-first philosophy, Boon-Chapman stands out as a leader in plan administration. Our commitment to quality, transparency, and personalized service makes us the TPA of choice for self-funded health plans. Contact us today to learn how we can tailor a plan administration solution that fits your unique needs and enhances the health and well-being of your members.

For more information, contact Jennifer Henry, VP of Sales at 713-614-4008 or [email protected].