Results overview - TPA administrator - Meritain Health

Your health care benefits,
handled by the best.


We offer our strength, experience and key resources—for happy, healthy members and clients who stick around.

Results

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Over 1.5 million members nationwide

We’re the second largest TPA* in the nation

* Ranked by 2019 benefits claims revenue; Business Insurance, May 2020.

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93% client and member retention rate

Over the past decade, we’ve grown 130%

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Net Promoter Score (NPS®) of 54

Net Promoter ScoreSM (NPS®) of 54, which falls within the NPS range indicating excellence (50 or higher)

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Subsidiary of Aetna and CVS

Access to over 690,000 providers nationwide, unmatched network discounts and one of the largest pharmacies

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Cost Avoidance and Prevention

We give you the programs and tools your employees can use for health guidance and support. Population health management combines whole-health services that reach employees at every stop along their health care journey, from chronic condition support to wellness maintenance. And with employee solutions like our Healthy Merits Wellness Program, telemedicine options such as our Teladoc® program, and disease management tools, we’ll help you deliver real value to your members.

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Access

We’re a subsidiary of Aetna and CVS, meaning our customers gain the advantages these relationships bring. You’ll have access to Aetna networks and CVS pharmacies, plus comprehensive coverage, negotiated discounts and innovative programs and solutions. Meritain Health Pharmacy Solutions is our pharmacy strategy integrated with our medical plans. With it, you’ll see high-quality pharmacy benefits, plus savings.

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Payment Integrity

Through our claims review and negotiation services, we’ll zero in on your claims, especially high-dollar and out-of-network. We’ll ensure you’re being billed accurately and receiving the maximum possible discounts. You shouldn’t have to pay more on claims than you need to, and we’ll help you make sure that doesn’t happen.

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Actionable Data

Meritain Health will help you tackle managing your plan performance. We’ll review your plan to make sure you’re maximizing utilization. And our data-forward solutions like ATLAS reporting and Healthcare Bluebook will keep your savings on track, while enhancing your member experience.

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Compassionate Support

We can do more than answer your questions, though we’ll happily do that too. We’ll dive deeper with easy-to-access support to provide insights and meaningful, thoughtful resolutions to anything that may be concerning you, or your members. Meritain Health provides the support you need, right when you need it.

Looking to build a benefits plan? Learn how to partner with us.

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