In April of 2026, three healthcare giants, ReForm Health Alliance, Avergent Health, and Prominence Health, announced the first collaborative high-performing health plan initiative in Nevada to address a “broken” commercial insurance system by reducing waste, lowering costs, and promoting better care for all its members. This systemic realignment seeks to replace traditional models that profit from rising premiums with a system built on transparency, accountability, and aligned incentives between providers and members.
A Strategic Partnership Targeting Healthcare Waste
Each of the three providers working on the high-performing health plan (HPHP) initiative bring a unique benefit to the collaboration. The initiative combines ReForm’s employer-led non-profit advocacy, Avergent’s integrated health plan management, and Prominence’s established value-based care infrastructure together to create healthcare coverage that both reduces costs and improves patient care, with the main goal to cut healthcare waste — which is a major cause of the ever-rising cost of care.
The high-performing health plan initiative in Nevada aims to eliminate an estimated $3.5 billion in annual wasted healthcare spending by shifting the focus from volume-based care to value-based outcomes. In other words, by working together, they don’t need to worry about growing volume to cover the bottom line, allowing them to focus on providing better care for all their members.
Collaborative Care Model
The core principle of the high-performing health plan initiative in Nevada is Avergent Health’s “Collaborative Care” program. It provides members, what they call, “hand on the shoulder” clinical support to navigate complex care and remove financial barriers based on three main points:
- Human first, not portal first – You’ll work with a real, human clinician who knows the system and your needs. No chatbots or self-service mazes.
- The right care, not the available care – Members are guided toward treatments and clinicians matched to their diagnosis, not whichever provider shows up first in the referral network.
- Eliminate financial barriers – When members follow the curated collaborative care paths, out-of-pocket costs are waived. You can focus on care, rather than affordability.
With the collaborative care model in mind, CEOs of the involved organizations emphasize that the high-performing health plan initiative in Nevada aims to ensure that what is affordable for the employer is also affordable for the employee, helping everyone save money while promoting better care at the same time.
High Community Engagement
The organizations involved in the high-performing health plan initiative in Nevada hosted a community engagement meeting to discuss the initiative at the Reno-Sparks Chamber of Commerce Biggest Business Expo on May 7, 2026, to gauge interest in the plan.
According to early reports, there seems to be a strong interest from the workforce, with the Collaborative Care program reporting a 70%+ member enrollment rate within the first two weeks of implementation. The alliance is also formally inviting political candidates, including gubernatorial and congressional, to adopt the HPHP framework as a core part of their healthcare platforms.
Currently, HPHP strategies are already being deployed across Prominence Health’s customer base of more than 1,600 Nevada employers, with numbers increasing all the time.
Take Advantage of the High-Performing Health Plan Initiative in Nevada for Your Organization
Are you looking to lower costs and provide better benefits for your employees? Perhaps the high-performing health plan initiative in Nevada is right for you. Contact us at Health Benefits Associates to be connected to a local agent who can walk you through the options to find a group health plan that’s right for your organization’s unique needs. Schedule an appointment by calling 775-828-1216 today.