FOR EMPLOYERS

Take back control of your healthcare spending.

An Administrative Services partner that
has your back.

PioneerASO is northern New England’s newest administrative option for companies looking to self-fund employee healthcare coverage. Powered by Community Health Options, an innovative, Maine-based, nonprofit health plan, PioneerASO can help you make informed decisions that lower your long-term healthcare costs.

Some call it innovation. Others call it common sense.
We call it working together.

With PioneerASO, you will get:

Quality plan options

  • Thoughtfully designed plans that offer high-quality coverage focused on preventive care solutions that lower costs

A seamless transition

  • From census review to quoting to employee enrollment and onboarding, our paperless system makes it easy

A better approach to pharmacy

  • In-house pharmacists support the development of a cost-effective drug formulary in partnership with our PBM
  • Member pharmacy portal helps Members compare costs and suggests lower cost Rx options
  • All pharmacy pricing and rebates passed through transparently

Accurate claims management—designed by experts, refined by experience

  • Proven and accurate; turnaround ≤ 1 week
  • Sophisticated adjudication
  • In-house Medical Management review for complex claims
  • Detailed high-cost claims review process
  • Pre- and post-pay audit program

Exceptional Care Management services—reducing barriers to improve health

  • Support for Members from hospital to home, high cost monitoring and cancer care
  • Transition medication and infusions to preferred local sites of care, including the Member’s home
  • NCQA-accredited complex care programs offer personalized support
  • Telehealth option for primary care and behavioral health delivering convenient access to provider
  • Chronic Illness Support Program (CISP) offering Members reduced cost sharing for in-network provider visits, diagnostics and prescription drugs for select chronic conditions available

Lower costs

  • Direct contracting with specific providers guarantees competitively negotiated prices
  • Members leverage Community Health Options reference-based pricing models

How you are treated matters

A Maine-based approach to Member support.  Our local Member Services and Care Management teams redefine the meaning of responsive and caring service. When you and your employees need us most, you’ll find an in-house team that will bend over backwards to help navigate complex situations and get the answers you need.

How you are treated matters

A Maine-based approach to Member support.  Our local Member Services and Care Management teams redefine the meaning of responsive and caring service. When you and your employees need us most, you’ll find an in-house team that will bend over backwards to help navigate complex situations and get the answers you need.

86% of Brokers
rated us a score of 8 or higher (out of 10) for recommending our company to their colleagues

Oct. 2019, Broker Satisfaction Survey

86% of Brokers
rated us a score of 8 or higher (out of 10) for recommending our company to their colleagues

Oct. 2019, Broker Satisfaction Survey

93%
Employer Group Retention

2019 to 2020 Group Retention Rate

93%
Employer Group Retention

2019 to 2020 Group Retention Rate

Are you ready to take back control of healthcare costs?

Reach out to PioneerASO or your trusted broker today. If you aren't sure you're ready for self-funding, ask us about our PioneerASO Step-up Plan.

Get started

or call (207) 402-3353