Plan Optimization

The foundation of sustainable healthcare costs

Strategic plan design, funding structures, and data analytics that create the framework for long-term cost control

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What is Plan Optimization?

Plan Optimization is the first pillar of Weltrio's Three Pillars Framework. It encompasses all the structural decisions that determine how your health benefits are funded, designed, and managed.

This pillar includes funding structure analysis, benefit design optimization, network strategy, risk management, compliance support, data analytics, and employer partnership services.

Plan Optimization creates the foundation. Without the right structure, even the best engagement efforts are fighting an uphill battle. With the right structure, cost control becomes achievable and sustainable.

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When Should You Focus on Plan Optimization?

Plan Optimization is relevant:

• Before renewal when structural changes can be implemented
• When costs are rising faster than acceptable
• When considering funding structure changes
• When current design creates problems
• Periodically to ensure continued optimization
• Anytime you want to strengthen your foundation

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How Plan Optimization Works

We optimize your plan structure through systematic analysis and improvement.

1. ASSESSMENT
Comprehensive analysis of current structure to identify opportunities.

2. STRATEGY DEVELOPMENT
Developing optimization strategy based on your situation and goals.

3. IMPLEMENTATION
Implementing changes through coordination with brokers and carriers.

4. ONGOING OPTIMIZATION
Continuous monitoring and adjustment as circumstances change.

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Structure shapes everything:

• Funding mechanism determines risk exposure and savings potential
• Benefit design creates incentives that drive behavior
• Network strategy affects both costs and access
• Risk management protects against catastrophic exposure
• Data visibility enables informed decision-making

Many employers skip straight to wellness programs or care management without optimizing their foundation. That's like building a house on sand. Plan Optimization ensures you're building on solid ground.

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Why Does Plan Optimization Come First?