Benchmark Comparisons
How do you compare?
Comparing your healthcare metrics to similar employers to identify opportunities
Why do benchmarks matter?
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Numbers without context are meaningless. Is 6% cost growth good or bad? Benchmarks provide context—comparing your performance to similar employers reveals whether you're ahead, behind, or on par with market.
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See where your benefit plan is leaking
Find out what gaps exist — and what you can do without changing your plan.
We'll show you where money is leaking, risks are growing, and what you can fix within your current structure. No pressure to change brokers, carriers, or benefit design. Just clarity.
- Gap analysis based on your actual plan structure
- Clear findings you can share with your broker
- Recommendations that layer on — no disruption required
Cost Benchmarking
Comparing per-employee costs, trend rates, and cost components to similar employers.
Utilization Benchmarking
Comparing utilization patterns: emergency room use, preventive care, specialty visits, and other metrics.
Engagement Benchmarking
Comparing program engagement rates to industry norms and best-in-class performers.
Outcome Benchmarking
Comparing health outcomes and quality metrics where data allows.
What Are Benchmark Comparisons?
Benchmark Comparisons evaluate your healthcare metrics against comparable employers to provide context and identify opportunities.
Raw metrics need interpretation. Is $650 PEPM high or low? Is 8% emergency room utilization concerning? Benchmarks answer these questions by showing how similar employers perform.
Comparisons identify where you're performing well (maintain), where you're lagging (improve), and where you're leading (leverage).
Why Are Benchmarks Essential for Decision-Making?
Most employers renew their health plans year after year without questioning the underlying assumptions. Brokers present options, carriers set rates, and leadership approves budgets based on incomplete information.
The result? Companies overpay for benefits employees don't use while missing coverage gaps that create real risk. They accept premium increases as inevitable rather than addressable. They lack visibility into where their money actually goes.
A Healthcare Risk Assessment changes that. It gives you the data and insight to make informed decisions, negotiate from a position of strength, and take control of one of your largest operating expenses.
How It Works
Benchmarking compares your metrics to relevant peer groups.
Metric Selection
Identifying which metrics to benchmark based on your priorities and available data.
Peer Group Definition
Defining appropriate comparison groups: similar size, industry, region, or other relevant factors.
Comparison Analysis
Comparing your metrics to peer group distributions—median, quartiles, and ranges.
Insight Development
Translating comparisons into insights about where you're performing well and where opportunities exist.
When Should Benchmarking Be Performed?
Benchmarking is valuable at key decision points:
• Annual planning and budgeting
• Renewal preparation
• Program evaluation
• Strategic planning
• When evaluating new initiatives
Where Do Benchmark Data Come From?
Benchmark data sources include:
• Industry surveys and studies
• Aggregated client data (anonymized)
• Published healthcare databases
• Carrier and TPA benchmarks
• Consulting firm research
Who Uses Benchmark Information?
Multiple stakeholders benefit:
• Employers understanding their position
• HR teams justifying programs
• Finance teams setting budgets
• Consultants advising clients
• Executives making strategic decisions
See What Our Customers Are Saying
"What could have been data driven, was soon a conversation. Over 3 years with the best coaches, listeners, advisors you could ask for. If Monique didn't have an answer readily, she would note it, research it, and then update you on the answer. Always a positive meeting. Highly recommend!"
— Sue D.
“Our Medical Insurance Premiums were Out of Control! Thanks to Weltrio and their amazing team of healthcare experts, Weltrio is my single most-profitable cost center!”
— Cayuse CEO
Everything You Need to Know
At Weltrio, we are a medically trained team that works with HR and benefits partners at companies of all sizes to improve healthcare quality, reduce risk exposure, and optimize costs. We work within your existing plan structure—providing employers with clarity, trust, and transparency at every step. Whether you're upgrading your benefits plan or building from scratch, we've got you covered.
Is this the same as telemedicine?
No. Clinical support provides guidance and triage, not diagnosis or treatment. We help employees decide when and where to seek care.How many nurses will be assigned to our company?
Assignment depends on your company size and typical utilization. Smaller companies may share a primary nurse with backup coverage. Larger organizations get dedicated teams. Either way, employees experience consistent relationships with clinical professionals who know them.Who answers calls in the middle of the night?
Board-certified nurses from your Weltrio clinical team. We staff night shifts with experienced nurses who have full access to your company's benefits information and employee interaction history. It's not an outsourced answering service.What protocols do nurses use for triage?
Our nurses use evidence-based clinical decision support protocols developed from emergency medicine and primary care best practices. These protocols are regularly updated based on current medical guidelines and are customized for telephone/virtual assessment settings.How much does an unnecessary ER visit actually cost?
Average ER visits cost $2,200 or more—even for minor issues. Add lab work, imaging, or specialist consultation and costs climb quickly. The same conditions treated at urgent care typically cost $150-300, and telehealth visits run $50-75.
