Over 20 Years of Experience.
Apex has been providing healthcare solutions to large employers, including health systems, since 1990 with a proven track record of success. Today, we have expanded our capabilities to offer customized, flexible healthcare solutions to employers, health plans, third party administrators and integrated health delivery systems.
Apex Health Solutions’ roots trace back to Akron City Health System, a physician hospital organization (PHO) established in 1987 by 10 physicians and Akron City Hospital. Soon after, hundreds of physicians and several hospitals joined the PHO that contracted with major, self-funded employers. Among the first of these employers was The Goodyear Tire and Rubber Company, which remains a client today.
Over time, employees were so satisfied with the benefits and services they received that word spread throughout the community. In the early 1990s, the PHO established SummaCare, Inc. to begin selling fully-insured HMO products as a complement to self-funded products and to meet the needs of local employers. Over the next several years, SummaCare Inc. developed a series of Point of Service (POS) managed care products to meet the changing needs of its fully-insured clients. In 1995, Summa Insurance Company was formed so that Preferred Provider Organization (PPO) products could be developed and sold. SummaCare has managed Medicaid programs since 1995 and has managed Medicare plans since 1996.
In 2001, Apex Benefits Services was created to further grow the administrative services business throughout Ohio and nationally. And in 2013, Apex Benefits Services began doing business as Apex Health Solutions because Apex has evolved into a company that provides a greater breadth of services beyond just benefits services, including administrative services, business process outsourcing and healthcare initiative support.
Administrative Services Only (ASO)
Our experience and long-standing relationships with employers based both locally and across the country has given us the expertise to administer basic medical, dental and vision plans, as well as highly complex, customized plans unique to your business needs. We can also tailor plan designs that seamlessly integrate medical and pharmacy benefits with medical management.
Business Process Outsourcing (BPO)
Our BPO services provide both fully-integrated support, as well as stand-alone solutions as needed to support TPAs and provider-owned health plans. Our technical, regulatory and compliance proficiency allows us to process transactions both effectively and efficiently.
Healthcare Initiative Support
A key part of our mission is to provide support to organizations, such as integrated health delivery systems or multi-specialty medical groups, that desire to improve the delivery of care in their market. The expertise and technology that we have developed over the years, in combination with our appreciation of provider-led initiatives, position us to provide the support needed to successfully implement a wide variety of initiatives.
We Provide Development & Support of:
- Government programs (Medicare & Medicaid)
- Health plans and/or insurance offerings
- Accountable Care Organizations (ACO)
- Patient Centered Medical Homes (PCMH)
- Demonstration products