Independent Strategic Advisor to Employer Health Plan Fiduciaries

High Stakes Healthcare acts as an independent strategic advisor exclusively for the Plan's named fiduciary. The firm evaluates reimbursement demands, oversees vendor performance, and investigates claims to protect plan assets. Christine Price, the founder, operates without commissions or carrier incentives, ensuring loyalty solely to the employer responsible for the plan.

The company charges a transparent flat fee agreed upon in advance, avoiding carrier commissions, PBM spreads, or override bonuses. Every engagement begins with a strategy review to determine the scope based on plan size, current architecture, and fiduciary exposure areas before a final project fee is set.

Clients can start by booking a complimentary virtual Fiduciary Briefing to learn their ERISA responsibilities and current lawsuit risks. After the briefing, they may proceed with a one-time, flat-fee Fiduciary Risk & Compliance Assessment that reviews governance documents and delegation structures.

The firm provides independent oversight for TPA, PBM, and carrier performance with the Plan's interests first. Specific services include evaluating provider payment compliance under the SCA, investigating suspect billing errors, and offering fiduciary oversight support for governance.

Christine Price brings over 30 years of experience inside the healthcare system, including 22 years owning and operating her own Third Party Administrator (TPA). Her background includes working with hospital chargemasters, insurance carriers, brokers, and PBMs to negotiate stop-loss coverage and PPO networks.

The contact form allows users to select specific needs such as Provider Payment & SCA Review or Claims Investigation. The team responds personally to inquiries within one business day after receiving a short note about the plan.

The firm explicitly states that 'The broker handled it' is not a defense for fiduciary liability. They also note that 'I didn't know' and 'The broker recommended it' are not valid defenses for failing to protect the Plan.

The assessment covers areas where the Plan may be overpaying or lacking independent oversight, such as hidden broker compensation and excessive PBM spreads. It also addresses the risk of Class-Action Exposure from participants suing Plan Sponsors directly for unreasonable fees.

The firm operates with no commissions, carrier incentives, or hidden revenue streams, ensuring their only objective is helping the Plan's fiduciary protect Plan assets. This independent design prevents divided loyalties that often occur when advisors are paid by the vendors they recommend.

The assessment evaluates whether the current oversight structure is already sound and will tell the client if no risks or opportunities exist. If the firm believes they cannot materially improve the Plan's position, they will decline the engagement entirely.

The firm's philosophy is summarized by the tagline 'Keep The Odds In Your Favor,' reflecting their mission to give Plan fiduciaries the independent counsel they need. They aim to help sponsors protect plan assets and govern the Plan with confidence against breaches of ERISA fiduciary duty.

The firm focuses on protecting plan assets from excessive fees, hidden broker compensation, and breaches of ERISA fiduciary duty. They provide guidance on personal liability, Department of Labor investigations, and litigation exposure to prevent reputation and career damage.

The firm offers a free entry point through the Fiduciary Briefing, which walks through exactly who the Plan's fiduciary is and what ERISA requires. This session helps executives understand their personal financial liability and the potential for loss of board confidence.

The official website of Independent Strategic Advisor to Employer Health Plan Fiduciaries is highstakeshc.com.

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