Provider Network Management

Unrivaled experience

We created one of the nation’s first PPOs, so we are uniquely skilled at designing network solutions that reduce cost, increase access to quality care and exceed expectations.

With over 40 years of experience in managing, selecting and customizing provider
networks, HealthEZ is well positioned to create network strategies that form the
backbone of high-performing self-funded benefit plans.

Insider knowledge

HealthEZ understands the PPO business model and how to bring members, employers and providers together for a better health care experience.

Expertise

We can balance savings needs with disruption, access and custom requirements.

Great care

We believe every member deserves the highest quality care.

Flexibility

We administer custom and multi-tier networks.

Access to the best

As an independent TPA, we work with 20+ national, regional and local networks—including our own, America’s PPO.

Expert network selection and management

As the PPO network innovator, we at HealthEZ know how to maximize savings, access and custom needs—even with the national networks.

20+ national, regional, local networks*

Community
health plans

Multi-tier
benefits

National, multistate and local network solutions

Custom network and provider contract options

*Including Aetna and Cigna.

Managing claims costs

According to AZCentral.com, employee benefits are a top-five expenditure for many mid-sized companies. We deploy extensive cost containment strategies to reduce claims cost while providing access to high quality care.

Quoting and plan design	Management and administration
Disruption reports	High dollar claim review
Discount analysis	Professional code edits
Geo access reports	Benchmarking data for discounts
Benefit Design	Negotiate overpriced claims

Learn more about our approach to cost containment

HealthEZ created the PPO model

In 1982, we introduced America’s PPO as the nation’s first PPO, and it remains the only truly independent network in Minnesota. HealthEZ’s proprietary network consists of world-class providers and health systems, and is designed to deliver high quality, accessible and cost-effective health care services to our members.

APPO offers the most competitive provider
discounts in the Twin Cities and Duluth areas.

47%

member
growth in 2022

50,000+

credentialed and
contracted providers

2,700

providers under
management

1,000+

hospitals, clinics
and other healthcare
facilities

4 States

Coverage in Minnesota,
North Dakota, South Dakota
and Wisconsin

The America’s PPO network emcompasses nearly all Twin Cities
health systems and independent practices, including:

APPO Elite Network

Offering better benefits at a lower total cost of care, our narrow network option delivers even greater savings and the quality care of the M Health Fairview, UofM and l-Health Collaborative. This network can be offered as a stand-alone plan or part of a tiered network strategy.

15%+

average plan savings
(vs. other common networks)

570

clinics and urgent care units

20

ambulatory surgery centers

13

hospitals

97

imaging centers