Regain Control
Regain Control
With a high-touch service model & without vested interests, companies improve the employee experience & lower healthcare costs.
Know What You Pay For
Our plans offer 100 percent visibility into each & every cost, enabling companies to project, plan for & manage their healthcare spend.
Pay For What You Use
Unlike other health plans, with WellNet, employers only pay for the healthcare their group consumes. No more lining insurance carrier pockets.
Get Real-Time Insight
Access to all plan data, & more importantly insightful analysis, in real-time via our easy-to-use management dashboard. Isn't it time that your health plan worked seamlessly for you & your members?
WellNet offers affordable & innovative level & self-funded health plans to companies with 100-5,000 employees. Delivering transparency of costs, we provide access to reference based pricing plans, premier national PPO networks, 65,000+ pharmacies, claims auditing, telemedicine, population health management, incentive management, & white-glove member & account management services.
WellNet offers affordable & innovative level & self-funded health plans to companies with 100-5,000 employees. Delivering transparency of costs, we provide access to reference based pricing plans, premier national PPO networks, 65,000+ pharmacies, claims auditing, telemedicine, population health management, incentive management, & white-glove member & account management services.
Health Insurance Uncovered
Fully insured plans, where you pay a monthly premium for your health insurance coverage, offer no incentive for either the employer, the insurance carrier, or the traditional insurance advisor to lower claim costs.
When employers are part of a much larger insurance pool, lowering claims costs has little to no effect on their premium increases.
To make an impact, companies must arm employees with the education & information they need to incentivize action.
This shift drives lower healthcare costs, lower employee contributions & increased profitability for employers.
Bottom Line: When you reduce healthcare costs, you reduce health insurance costs.
To make an impact, companies must arm employees with the education & information they need to incentivize action.
This shift drives lower healthcare costs, lower employee contributions & increased profitability for employers.
Bottom Line: When you reduce healthcare costs, you reduce health insurance costs.
Eliminate Vested Interests
- If the fully insured carrier lowers their claim costs (due to the medical loss ratio requirement that is part of the Affordable Care Act), the carrier would have to lower their premiums next year or offer premium rebates - upsetting the shareholders & upper management tasked with premium growth.
- The other side of the coin: Since most health insurance advisors get paid a commission based on a percentage of the premium paid, the advisor has a financial incentive to allow the premium to go up & therefore the underlying claims.
- Generally, there is a financial disincentive for traditional advisors to control premium costs or recommend alternative solutions.
All Roads Lead to Claims
- By keeping employers focused on the destination, it’s much easier to overcome the perceived challenges of the journey.
- Every C-suite needs to know: There is one major piece to the puzzle. Healthcare costs are a simple function of frequency of claims multiplied by the unit cost of those claims.
- When you focus on the frequency & per unit cost, you successfully manage the healthcare supply chain.
- This paradigm shift occurs for employers who choose a self-funded or level-funded arrangement & only pay for the claims they consume.
- The result: By managing the supply chain (the actual cost of the items utilized, like office visits, surgeries, imaging, hospitals & drugs) buyers can pay attention to the cost & quality of each healthcare unit - collectively lowering costs & improving the predictability of outcomes.
WellNet Plans
WellNet Plans
- Steerage Incentives
- Billing Errors
- International Rx Sourcing
- Medicare Eligible
- Pre-Pay Cash Services
- Imaging Carve-Out
- Dialysis Carve-Out PPO
- Direct Primary Care
- Direct Contracting
- Transplant Carve-Out PPO
WellNet+
Self-Funded
Level Funded
WellNet+
Self-Funded
Level Funded
- Steerage Incentives
- Billing Errors
- International Rx Sourcing
- Medicare Eligible
- Pre-Pay Cash Services
- Imaging Carve-Out
- Dialysis Carve-Out PPO
- Direct Primary Care
- Direct Contracting
- Transplant Carve-Out PPO
Connect with a WellNet strategist to learn more about transparent
& flexible health plans for
your company.
“As a TPA, WellNet offers a comprehensive solution set. I value their flexibility and cost containment strategies.”
David Costa-Arthur J. Gallagher
