Network Strategy
Optimizing provider access
Designing network structures that balance cost, quality, and access
Why does network strategy matter?
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Networks determine which providers are accessible at what cost. Narrow networks reduce costs but limit choice. Broad networks offer flexibility but less cost control. Strategic network design optimizes the tradeoff for your specific workforce.
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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
Network Width Analysis
Evaluating the right network size—narrow, broad, or tiered—based on workforce distribution and provider quality.
Quality Integration
Incorporating provider quality into network design. Not all in-network providers deliver equal value.
Geographic Adequacy
Ensuring network coverage matches where employees live and work. Adequacy requirements vary by region.
Tiered Network Design
Creating tiers that give employees choice while incentivizing high-value providers through cost-sharing differences.
What is Network Strategy?
Network Strategy determines which healthcare providers are included in a health plan network and how access is structured.
Networks aren't just lists of doctors. They're strategic tools for cost control and quality management. Network structure affects what employees pay, which providers they can see, and ultimately what care they receive.
Strategy aligns network design with organizational objectives—balancing cost, quality, access, and employee satisfaction.
Why Has Network Strategy Become More Important?
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
Network strategy optimizes provider access structure.
Access Assessment
Understanding where employees live and work, what providers they use, and what access concerns exist.
Cost/Quality Analysis
Analyzing cost and quality variation among available providers to identify high-value options.
Strategy Development
Developing network strategy: width, tiers, quality criteria, and adequacy requirements.
Implementation Support
Supporting implementation through carrier negotiation and employee communication.
When Should Network Strategy Be Evaluated?
Evaluation is valuable:
• At renewal when network changes can be implemented
• When access complaints arise
• When cost analysis reveals network-related issues
• When workforce geography changes
• When carrier options change
• When considering reference-based pricing or other alternatives
Where Does Network Strategy Apply?
Strategy applies to all network decisions:
• Primary care network design
• Specialist access
• Hospital and facility networks
• Ancillary provider networks
• Pharmacy networks
• Mental health provider access
Who Is Affected by Network Decisions?
All plan participants:
• Employees accessing care
• Dependents using network providers
• Employers managing costs
• HR teams handling questions and complaints
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.
