Protecting Employers by Combining Stop-Loss Coverage & Integrated Care

The Challenge

A public sector employer faced unsustainable premium increases, including a 29% rate hike under their fully insured plan. Looking for long-term stability, the employer moved to a self-funded model and partnered with OneVeracity.

Our Solution

OneVeracity implemented a comprehensive strategy that combined stop-loss coverage with integrated care and other cost controls including:

• Reference-based pricing
• Integrated pharmacy management
• Proactive care coordination
• Stop-loss coverage

Real Impact

OneVeracity’s approach helped the employer reduce risk while creating a more predictable, sustainable plan.

• ~32% lower costs compared to 5% annual premium increases with their previous carrier
• 19% reduction in stop-loss rates
• Greater transparency across claims, pharmacy, and care delivery
• Improved member navigation, support, and clinical outcomes