Who Owns the Outcome?

Why strong vendor reports can still leave gaps in health plan performance By Paul Richmond, Chief Commercial Officer, Wellnecity   A PBM can meet its guarantees. A TPA can meet its service standards. Other vendors can report strong engagement and savings. The...

Self-Reported ROI Is Not Governance for Health Plans

By Paul Richmond, Chief Commercial Officer, Wellnecity For most employers who self-fund their health plan, the assessment of the plan’s return on investment (“ROI”) comes from vendor reports. A vendor administrator (TPA or PBM) outlines savings, point solutions...

The Limits of the Health Plan Renewal Process

By Paul Richmond, Chief Commercial Officer, Wellnecity   Employers who self-fund their health plan — here’s the question worth asking before your next Plan renewal:  What do I know about our plan performance today that I didn’t know at this...