Blackwell joins with WellRithms for medical claims partnership
Blackwell Captive Solutions and WellRithms, a payment integrity firm, have unveiled a strategic relationship that integrates Blackwell’s stop-loss captive solutions with WellRithms’ medical bill review and payment integrity services to support stakeholders throughout the self-insurance industry with a comprehensive solution.
According to the companies this is designed to diminish risk and better manage high-cost medical claims for complex and chronic conditions like cancer, cardiovascular diseases and neonatal care that quickly escalate into millions of dollars and pose a substantial threat to the sustainability of self-insured health plans.
In a joint statement, Anna Quarum, president of WellRithms and Kari Niblack, president of Blackwell, said: “Our partnership is focused on delivering concrete results for self-insured employers. By integrating Blackwell’s state-of-the-art captive solution with WellRithms’ precise bill review, defensible repricing, and claim indemnification, we are setting new standards in risk management. This collaboration empowers employers to protect their health plans from high-cost claims and reduce the financial pressures that drive up premiums.”
The partnership leverages Blackwell’s innovative three-layered stop-loss coverage model which provides a floating $250,000 layer of protection above a self-insured client’s specific deductible. WellRithms applies repricing algorithms, alongside the expertise of its experienced team of physicians and surgeons, to review medical bills and reprice claims. According to the companies this combination reduces illegitimate facility and physician charges by an average of 72%, significantly lowering healthcare costs and ensuring more affordable self-insurance options.
“Collectively, our companies not only enhance the services that each provides, but also, set the stage for upcoming marketing opportunities that support brokers, TPAs, consultants and other participants in the self-insured industry,” says Bill Mattecheck, chief sales officer and national director of broker relations, WellRithms. “The WellRithms’ relationship with Blackwell exemplifies our spirit for forging innovative partnerships in the marketplace, offering unmatched protection against balance billing and legal risks for clients. It creates a double-win by potentially returning premium surplus to clients at the end of the plan year—an unprecedented value proposition in the industry.”
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