Strategic methodology
High Performance Health Plan Framework™
The High Performance Health Plan provides the strategic methodology, proprietary Framework™, Health Plan Score™, Roadmap™, and book. Employer Benefits IQ provides the practical education, tools, data, and decision support employers can use to apply that methodology.
HPHP defines the methodology. EBIQ helps apply it.
TheHighPerformanceHealthPlan.com is the primary home of the High Performance Health Plan Framework™, Health Plan Score™, Roadmap™, Maturity Model, research, case studies, and supporting methodology. Employer Benefits IQ is the education, tools, data, and decision-support platform that helps employers apply the HPHP methodology. BHC Insurance is the advisory and implementation path for organizations seeking support applying the methodology.
The canonical ten components
A practical architecture for better plan decisions
01
Plan Financing & Risk Strategy
Define the financing and risk approach that fits the organization’s goals, cash flow, exposure, and long-term strategy.
02
Data, Analytics & Transparency
Establish the reliable information, analytic discipline, and transparency needed for accountable decisions.
03
Medical Network & Provider Economics
Evaluate network access, provider economics, and purchasing choices through a value-focused lens.
04
Pharmacy & Specialty Drug Management
Manage pharmacy and specialty drug spending through transparent contracts, accountable economics, and clinical strategy.
05
Stop-Loss & Catastrophic Risk
Align stop-loss and catastrophic risk protections with the plan’s true exposure and financing strategy.
06
Primary Care & Early Intervention
Make high-value primary care and early intervention more accessible before avoidable complexity and cost escalate.
07
High-Cost Care & Clinical Strategy
Create an intentional approach to high-cost care, clinical decision support, and the conditions with outsized plan impact.
08
Navigation & Employee Experience
Help employees understand, access, and use the right care with less friction and more confidence.
09
Fiduciary Governance & Accountability
Use clear governance, documented decision-making, and accountable oversight to steward the plan responsibly.
10
Employee Engagement, Communication & Measurement
Connect employee communication and engagement to meaningful measurement and continuous improvement.
The Employer Benefits IQ system
How Employer Benefits IQ supports application of the methodology
01
Learn the methodology
HPHP provides the strategic framework and supporting research.
02
Analyze the current state
EBIQ education, tools, and data help employers identify questions and gaps.
03
Compare options
EBIQ intelligence supports evidence-led evaluation and practical decision support.
04
Apply with support when needed
BHC Insurance is the advisory and implementation path for organizations seeking support applying the methodology.
The connection
A clear connection between methodology, application, and implementation.
TheHighPerformanceHealthPlan.com is the primary home of the High Performance Health Plan Framework™, Health Plan Score™, Roadmap™, Maturity Model, research, and case studies. Employer Benefits IQ is the practical platform for tools, intelligence, data, education, and decision support.
Explore the HPHP Framework on The High Performance Health Plan
Start with the methodology. Apply it with confidence.
Explore the HPHP Framework, then use Employer Benefits IQ to support your next benefits decision.