MADISON, Wis.—Sept. 19, 2023—WPS Health Insurance, powered by Auxiant, is partnering with Health Payment Systems (HPS) to create an integrated network of health care providers for employers choosing its self-funded, or Administrative Services Only, group health plans. Group members’ claims will access the HPS network of providers first and, if not in-network, will then go to the WPS Statewide Network, creating a statewide broad network solution.
The HPS Network includes 96 hospitals and 27,000 individual providers while the WPS Statewide Network has 165 hospitals and more than 63,000 individual practitioners. These networks will work together to give employers across Wisconsin even more health care provider choices for their employees.
The new partnership includes HPS’ consumer financing tool, the PayMedix SuperEOB®. Members who visit an in-network PayMedix provider get credit up to their out-of-pocket (OOP) maximum, regardless of credit history, with the option to pay over time without any interest charges or fees.
“This new network choice gives our self-funded group health customers a better way to meet the needs of their employees and their families,” WPS Vice President of Health Insurance Economics and Business Development Jeremy Ott said. “Our customers will have access to a broad network of health care providers and to the patient financing PayMedix brings. Adding HPS/PayMedix to our network makes getting health care easier for our customers.”
“We look forward to working with WPS to bring a more cost-effective, statewide health plan that can save employers and their employees money,” HPS/PayMedix CEO Tom Policelli said. “In addition, including the PayMedix consumer engagement and patient financing solution for HPS providers ensures patients aren’t avoiding care due to cost.”
The new HPS Network paired with the WPS Statewide Network will be available to select self-funded group health plan customers for the 2024 plan year.
As one of the largest health benefits providers in the state, Wisconsin Physicians Service Insurance Corporation (WPS Health Insurance) offers a variety of services and coverage with Preferred Provider Organization health plans for individuals, fully insured and self-funded group health plans for employers, and Medicare supplement insurance plans. Headquartered in Madison, Wisconsin, and with employees throughout the state, WPS Health Insurance is deeply committed to Wisconsin and its residents. Visit wpshealth.com for more information.
Auxiant is an independent third-party administrator with more than 200 full-time employees and offices in Cedar Rapids, Iowa, Madison, Wis., and Milwaukee, Wis. Auxiant has been in business since 1982 and is dedicated to providing its clients with the best possible service. Auxiant specializes in customization, cost control, health management, and technological tools for self-funded clients and members. Auxiant is known for its innovation and technology, constantly evolving to meet the needs of its clients.
Health Payment Systems (HPS) is a privately held PPO network in the state of Wisconsin. HPS is the parent company to PayMedix, an EOB consolidation tool that serves all contracted providers and enrolled members. The PayMedix single-statement billing helps families combat confusing and unaffordable medical bills, while its guaranteed payment model eliminates provider collection costs and risk. HPS is headquartered in Milwaukee, Wisconsin. To learn more, visit Health Payment Systems.