Blackwell Captive Solutions has teamed up with WellRithms to provide advanced medical bill review and payment integrity services for stop-loss captives.
According to the firms, this innovative approach aims to reduce risk and enhance the management of high-cost medical claims for complex and chronic conditions such as cancer, cardiovascular diseases, and neonatal care. These claims can quickly escalate into millions of dollars, posing a significant threat to the sustainability of self-insured health plans.
In a joint statement, Anna Quarum, president at WellRithms, and Kari Niblack, president at Blackwell, say: "Our partnership is focused on delivering concrete results for self-insured employers. By integrating Blackwell’s 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 companies state that the partnership combines Blackwell’s three-layered stop-loss model, offering US$250,000 of floating protection above a client’s deductible, with WellRithms' advanced repricing algorithms and medical expertise to cut illegitimate charges by 72 per cent, lowering healthcare costs.
