Find the funding strategy that fits your business

A flexible funding continuum built around your goals

Every organization has different priorities, comfort levels around risk and goals for managing health care costs. Some employers want absolute predictability. Others value greater transparency, added flexibility or more control over how their health care dollars are spent. There is no one-size-fits-all approach. What matters is having options and a clear understanding of how each funding model aligns with your organization's needs today—and as those needs evolve.

That's why Priority Health offers a flexible funding continuum designed to support a range of approaches, from traditional fully funded plans to highly customized self-funded solutions.

Download the funding continuum overview
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Funding Continuum Graphic

 

Find the right balance of risk,
flexibility & control

Fully funded

Your priority is predictability and simplicity

Ideal for employers who value stable costs, administrative simplicity and minimal financial risk.

  • Fixed monthly premiums for predictable budgeting
  • Priority Health manages plan administration and claims
  • Stable monthly costs
  • Minimal employer financial risk

Optimized Level Funded Option (OLFO)

Your priority is greater visibility without sacrificing predictability

OLFO or OLFO Lite is a great fit for employers looking to move beyond traditional coverage while maintaining stable costs.

  • Predictable monthly payments covering administration, stop-loss and claims funding
  • No risk of paying money back if claims exceed funding
  • Opportunity to receive year-end savings

Self-funded (ASO)

Your priority is flexibility and control

ASO provides greater insight into healthcare spending and more flexibility in plan design, allowing employers to align their strategy more closely with workforce needs while benefiting from a purpose-built administrative model

  • Greater flexibility in plan design and funding strategy
  • Increased visibility into claims and utilization
  • Plan governance and compliance support
  • Comprehensive cost-management resources

TPA with Healthcare Management Administrators (HMA)

Your priority is maximum customization in plan design

Our TPA solution combines Priority Health's network strength with HMA's administrative capabilities, giving employers even more flexibility in how their health plan is designed and managed.

  • Select and manage vendor partners and services
  • Design custom program around workforce needs
  • Access to additional stop-loss carriers and pharmacy benefit managers

Consistent value across every funding option:

Our four foundational strengths include award-winning customer service, local account management, network strength and stop-loss options.

A purpose-built model for self-funded plans

Download overview

Let’s find the right fit

Whether you're evaluating your current funding strategy or exploring new options, we're here to help you determine which model aligns with your organization's goals. Contact your agent or a Priority Health sales representative today.