Health Plan Solutions Help Self-Funded Employers Control Costs

A broker-led partnership that reduces spend, improves care, and stays easy to run through renewal.

  • Defensible cost control through renewal

  • Low-disruption rollout

  • White-glove client and member support

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20-30%

Lower Spend

360+

Clients Served

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Overview

Healthcare costs are rising. Doing nothing costs every month.

Traditional plan tweaks won’t change the trend. You need cost control you can prove, defend, and sustain through renewal from a trusted partner.

Services

One partner for smarter, better-
coordinated cost control

Regain control with transparent, integrated healthcare solutions designed to make better outcomes easier to achieve. You don’t need another vendor. You need a partner who can connect the dots and guide a healthcare strategy forward with integrated, yet flexible services to reduce spend and improve clarity.

TPA support that keeps the plan running smoothly

OneVeracity delivers white-glove, concierge support, building custom benefits solutions around your goals—reducing spend, improving control, and delivering clarity. We offer the flexibility to choose transparent pricing or traditional networks.

  • Reference-based pricing

    Fair, data-driven reimbursements that eliminate inflated charges and deliver meaningful savings while making it easy for your members

  • Network or dual options

    PPO options with national carrier recognition or combine with RBP for member choice and greater plan cost savings

  • Integration with Care Solutions

    Combine with Care Solutions offerings for maximum results and highest member satisfaction

Stop-loss protection built for modern self-funded plans

OneVeracity simplifies stop-loss strategy so employers get the right protection, better pricing, and transparency across the renewal process.

  • Competitive stop-loss placement

    Integrated plan insights help secure stronger stop-loss pricing and renewal terms

  • Coverage strategy guidance

    Full evaluation and negotiation of individual and aggregate stop-loss

  • Ongoing optimization

    OneVeracity aligns coverage with plan performance and emerging risk

Insights that reduce costs and improve care

Giving employers a complete view of medical and pharmacy performance, helping them identify risk early, control costs, and act with confidence.

  • Clear visibility into total cost of care

    OneVeracity combines medical and pharmacy data to give employers a complete view of plan performance to help inform smart plan design

  • Advanced analytics that identify emerging risk

    Predictive models, drug utilization insights, and real-time monitoring help flag high-risk trends early so they can be acted on

  • Transparency that guides smarter decisions

    Episode-based reporting, site of care analysis, and population health insights help improve outcomes and reduce waste, especially when integrated with Care Solutions

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What is reference-based pricing?

Reference-based pricing (RBP) is a self-funded strategy that pays providers fair, transparent rates tied to Medicare benchmarks instead of inflated carrier contracts. This approach helps employers control healthcare costs with over 30% savings, preserve broad provider access, maintain quality care, and typically results in balance bill rates of less than 2%, with dedicated advocacy support to resolve balance bills if they occur.

Process

How OneVeracity operates

Each solution is supported by simple implementation, hands-on account management, responsive member support, and reporting that keeps progress visible.

  • Implementation

    Quick implementation that is seamless and reliable

  • Account management

    End-to-end support across billing, eligibility, claims, renewals, and open enrollment to ensure your benefits program runs smoothly

  • Member support

    Proactive, high-touch member support that resolves issues early, guides members to the right care, and manages escalations with fast, informed intervention

  • Reporting

    Actionable reporting and financial analysis that support informed decision-making and long-term cost management

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What is self-funded healthcare?

Self-funded healthcare is a model in which employers pay employee healthcare claims directly instead of purchasing a traditional insurance plan. Employers gain more control over plan design, costs, and reporting while OneVeracity helps support administration, risk protection, and cost control.

Differentiators

Clearer cost control. Stronger proof. Less friction.

Health Plan Solutions give brokers clearer ownership, more comprehensive reporting, proactive member support, and flexible plan options that make cost control easier to manage and defend.

One accountable
 operating owner

One team owns coordination and escalation across partners and decisions

Broker-led plan
 governance

Defined decision rights and change control keep brokers steering plan changes

Coordinated vendor execution

Shared workflows and clean handoffs reduce delays and cross-vendor blame

Reporting and attribution

Clear reporting and attribution make results easier to validate in finance reviews

Low-disruption 
rollout support

Data integration with PBM and TPA, plus pre-launch communications

Proactive, high-touch member support

Resolve issues early, guide members to the right care, and manage escalations

Competitive
 stop-loss

Integrated solutions help secure more competitive stop-loss terms at renewal

Varied network
 offerings

Reference-based pricing, PPO, and dual option offerings for what works best for your client

One accountable
 operating owner

One team owns coordination and escalation across partners and decisions

Broker-led plan
 governance

Defined decision rights and change control keep brokers steering plan changes

Coordinated vendor execution

Shared workflows and clean handoffs reduce delays and cross-vendor blame

Reporting and attribution

Clear reporting and attribution make results easier to validate in finance reviews

Low-disruption 
rollout support

Data integration with PBM and TPA, plus pre-launch communications

Proactive, high-touch member support

Resolve issues early, guide members to the right care, and manage escalations

Competitive
 stop-loss

Integrated solutions help secure more competitive stop-loss terms at renewal

Varied network
 offerings

Reference-based pricing, PPO, and dual option offerings for what works best for your client

FAQs

Questions? Answers.

Your most frequently asked questions, all in one place. If you don’t see what you need, book a call here.

01

How do Health Plan Solutions reduce healthcare costs for self-funded employers?

Health Plan Solutions focus on controlling total healthcare spend in self-funded health plans. OneVeracity works through brokers to align the biggest cost drivers across medical, pharmacy, care support, and administration so improvements show up in claims and renewal. Instead of isolated plan changes, clients get coordinated performance and clear ownership. Health Plan Solutions use defined savings levers across plan design, pricing, risk protection, and member advocacy so cost control is measurable and easier to sustain over time. Clients also get continuous performance reporting and actionable insights that connect actions to cost drivers, helping brokers support HR and finance with a clear, defensible story.

02

What’s included in Health Plan Solutions for self-funded health plans?

Health Plan Solutions can include referenced-based pricing and network options as well as risk solutions such as stop-loss evaluation and negotiation, supported by member advocacy. The value is not just the components; it’s how they work together in practice for self-funded plans. Clients also get account management, member support, and reporting and insights that keep decisions consistent and outcomes measurable over time. For example, referenced-based pricing is designed around true cost transparency, with prices tied to Medicare benchmarks and savings often around 30% lower than traditional PPO plans, without cutting care. The structure is built so brokers can explain what is changing, why it matters, and how results will be tracked.

03

How are Health Plan Solutions different from a traditional TPA approach?

Traditional TPA setups can leave accountability split across multiple parties, which makes cost control harder to manage and harder to explain in renewal conversations. OneVeracity’s Health Plan Solutions offer a broker-led partnership designed to align plan decisions and execution across the work that drives spend. Clients get clearer ownership, coordinated rollout support, account management, and reporting that connects actions to cost drivers. That matters because self-funded employers need cost control they can validate, not just activity. Health Plan Solutions also support member advocacy and communications so changes land cleanly, and they include ongoing performance reporting and insights so brokers and employers can adjust based on what the data shows. The goal is practical cost control that holds up over time.

04

How do Health Plan Solutions support clients and members without added complexity?

Health Plan Solutions are structured to reduce friction for clients and members while giving clearer visibility into what is driving spend. OneVeracity works through brokers to coordinate the work, align timelines, and keep responsibilities clear, so the plan does not become harder to operate day-to-day. Members benefit from clearer communications and coordinated advocacy, so they know how to use the plan and where to go for help. HR benefits from fewer handoffs and fewer loose ends across vendors. Finance benefits from reporting and insights that connect decisions to cost drivers and make progress easier to track. The focus is measurable savings with support that is designed to fit into normal plan operations.

05

How do Health Plan Solutions support renewal readiness and client buy-in?

Health Plan Solutions support renewal readiness by giving clients a clear cost story tied to actions and measurable results. OneVeracity works through brokers to keep decisions consistent across the year, so renewal is not a scramble to explain what happened. Reporting and insights are designed to connect plan changes to cost drivers, making progress easier to validate with HR and finance. This matters because self-funded clients need savings they can defend, not claims that feel subjective. With defined savings levers, clearer ownership, and continuous performance reporting, brokers can show what changed, what it delivered, and what the next priorities are. The result is fewer surprises at renewal and stronger confidence in the plan direction.

Schedule a strategy review today

Tell us what’s driving your clients’ renewal increases. We’ll show where spend is leaking, which levers will move it fastest, and how to roll out change with minimal disruption.

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