Episode 38 – Keith Lemer | WellNet Healthcare

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Topics:

  • Concierge Support
  • Cost Management
  • Price Transparency
  • Network Optimization
  • Medical Bill Review
  • Reference Based Pricing
  • Level Funding
  • Third Party Administrator (TPA)

In this episode, Michael introduces you to Keith Lemer, CEO of WellNet Healthcare. Join us as we discuss how WellNet Healthcare provides employers with an entrepreneurial approach to reducing health care costs and a platform to proactively manage their healthcare expense just like any other expense in their business.

Here’s a glance at what we discuss in this episode:

  • Keith’s entrepreneurial/healthcare experience and his career evolution that led to WellNet
  • Keith’s take on what is wrong with our healthcare delivery system and why cost continues to rise
  • How WellNet’s provides employers with a “crawl, walk & run” approach to drive the level of cost savings that an employer wants to achieve
  • WellNet’s ability to educate, incentivize and reward employees for accessing lower-cost health care services that provide network optimization
  • How WellNet drives 66% of employees to engage with their concierge team to shop for lower cost options in the network
  • WellNet’s method to determine quality of physician and facilities and how this compares to traditional TPA/carrier tools to measure cost and quality
  • How WellNet incorporates medical bill review to identify unreasonable charges and recover savings for employers
  • WellNet’s process for implementing reference-based pricing programs and how their concierge team plays a key role in minimizing disruption and balance billing
  • Why level funding products are advantageous for smaller employers or employers preparing to transition to a self-funded platform
  • What questions employers should be asking of their Broker/Consultant at renewal
  • WellNet is vendor agnostic and an open source platform with the ability to integrate with various point solutions
  • How WellNet simplifies the consumer experience and provides touch points throughout the patient journey
  • WellNet uniquely offers a stand-alone pharmacy benefit carve-outs and disease management plans direct to employers
  • WellNet’s fee structure and performance guarantees
  • An example where WellNet delivered over $4 million in savings for one employer
  • Who WellNet is a good fit for and who they are not a good fit for
  • New developments on the horizon for WellNet
  • WellNet’s website and contact information WellNet.com

About the Host, Michael Menerey

Michael Menerey is a Senior Vice President and Benefits Consultant with one of the largest Employee Benefits Brokerage & Consulting firms in the country. He is a partner in the Employee Benefits Practice and works in the Los Angeles office.

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