Payor Groups

A New Model

Plan Collaboration


  • WellHealth works with Payors to develop both short and long-term goals that incorporate your vision and values.

  • Plan design, administrative structure, utilization and loss history are all aspects that can be assessed and explored as part of the aggregate process.

  • WellHealth will also work together with a Payor’s existing broker consultants, TPA, and ancillary providers to ensure a smooth transition and proper collaboration.

  • Flexible levels of collaboration allow for Payors to adopt a partnership with WellHealth that is tailored to meet their individual needs.

CLIENT PARTNERSHIPS

WellHealth’s current partnerships with Payors include Cigna and the Teachers Health Trust. As a champion in innovation, WellHealth welcomes the opportunity for future client partnerships, including:

  • Large Employers
  • Unions and Trusts
  • Commercial Insurance and Reinsurance Carriers
  • Managed Care Organizations
  • PPO Provider Networks

For more information regarding partnering with WellHealth, please contact:

Steven Keltie, President of Business Development
Kristina Pool, Business Development Administrator

10100 W. Charleston Blvd., Suite 210 | Las Vegas, NV 89135
P: (702) 545-6116 | E: kpool@wellhealthqc.com

Cost Savings

WellHealth has redefined the way healthcare is delivered by focusing on the three largest elements of healthcare: Providers, Payors, and Patients.

  • Providers that participate in the WellHealth Network are held accountable to quality indicator benchmarks, and are equipped with tools that drive results and improve relationships with their patients.
  • Members experience simplified access to care, streamlined referral processes, and personalized assistance during their healthcare journey.
  • Through this collaborative approach, WellHealth is able to improve outcomes, refine utilization, and ultimately increase cost savings for Payors.

Risk Sharing

WellHealth is a true risk-sharing partner for payor groups. We support the use of various value-based, pay-for-performance pricing models to ensure you're able to accurately budget your healthcare expenses and get the most from our provider network.

We manage the transfer of risk by applying a unique set of competencies to ensure proper plan management:

  • Innovative program engineering and development
  • Actuarial and underwriting expertise
  • Experienced, multi-disciplinary medical management
  • Constant monitoring of the program's model and utilization patterns  

Stop-Loss Backed

WellHealth operates a dedicated medical stop-loss reinsurance division, allowing us to protect our programs against catastrophic claims. We manage the transfer of risk by applying a unique set of competencies to ensure proper program management.

  • Innovative program engineering and development
  • Actuarial and underwriting expertise
  • Experienced, multi-disciplinary medical management
  • Constant monitoring of the program's model and utilization patterns

Specialized Care Management

We understand the need for highly specialized clinical care and population health management programs. WellHealth is able to deliver focused programs to improve clinical outcomes and patient satisfaction by collaborating with top specialists and addressing some of the highest costing and highly utilized medical services. By practicing total population management, we are able to bring more value to our payor partners.

POPULATION HEALTH PROGRAMS

  • Control Is The Goal - Diabetes Management Program
  • Have a Heart - Hypertension and Congestive Heart Failure Management Program
  • Breathe Easy - Asthma and COPD Management Program
  • My Best Pregnancy - High-Risk Pregnancy Perinatal Management Program
  • Autism
  • Minimally Invasive Surgery – Women’s Health
  • Specialized Health Management Programs tailored to suit your population
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