07/05/2026
Third-Party Administrators face increasing pressure to control healthcare costs while delivering a seamless experience for employers and their members. Rising surgical expenses, preventable complications, and unnecessary hospital utilization continue to drive stop-loss claims higher each year.
At Hinkapin Health, we help TPAs reduce high-cost surgical claims through proactive clinical navigation, transparent pricing, and evidence-based site-of-care selection—all while making the process simple for everyone involved.
Common drivers of stop-loss claims include:
Unnecessary inpatient admissions
High-cost hospital pricing
Surgical complications
Readmissions
Poor care coordination
Delays in treatment
Inadequate preoperative optimization
Reduce Risk Before Surgery Happens
The greatest opportunity to reduce costs is before the patient enters the operating room.
Through early engagement, Hinkapin Health helps ensure patients receive the right procedure, from the right surgeon, at the right facility.
Our navigation process includes:
Clinical review and risk assessment
Surgeon and facility matching
Site-of-care optimization
Transparent bundled pricing
Patient education and support
Coordination from referral through recovery
Postoperative follow-up
Our model is designed to work alongside TPAs, employers, providers, and members to provide:
A single point of coordination
Clear communication
Faster scheduling
Real-time updates
Simplified referral management
Concierge-level patient support
The result is a smoother experience for everyone involved.
Benefits for TPAs
Reduce stop-loss exposure
Lower overall surgical costs
Improve care coordination
Increase member satisfaction
Support self-funded employer clients
Improve predictability of healthcare spending
Enhance clinical outcomes through proactive navigation
Employers benefit from lower healthcare costs and fewer catastrophic claims, while employees receive personalized guidance throughout their surgical journey.
Members gain:
Greater price transparency
Access to experienced physicians
High-quality outpatient surgical options when appropriate
Personalized support from referral through recovery
Reduced stress during a complex healthcare experience
Everyone wins when care is coordinated before surgery—not after complications occur.
Hinkapin Health combines clinical expertise, surgical navigation, transparent pricing, and concierge-level patient support to help TPAs manage surgical episodes more effectively.
Rather than adding another administrative layer, we become an extension of your team—helping identify opportunities to improve quality, reduce unnecessary spending, and minimize stop-loss risk.
Our mission is simple:
Deliver better outcomes, lower costs, and a better experience for TPAs, employers, providers, and patients alike.
Contact Hinkapin Health
Website: www.hinkapinhealth.com
Phone: 972-552-0215
Email: [email protected]
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