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Total Cost of Care Approach

We’re relentlessly focused on developing solutions that change the way health care is delivered while maintaining affordability for employers and members. Our strategy to manage total cost of care is centered on innovative benefit design, integrated clinical programs, member engagement and cost protection. This approach is saving groups seven percent, on average, over our competitors (Milliman, 2025).

Network and benefit design

From value-based care strategies to specialty care centers, our solutions focus on driving better quality, cost efficiencies, prevention and better coordinated care to keep your employees healthier and out of the hospital to help control costs for you.

Learn about value-based care

Clinical programs

By integrating physical and mental health care as well as medical and pharmacy benefits, Wellmark offers programs to help members not only manage their conditions but get the most appropriate care for their needs, leading to fewer ER visits, lower hospitalization rates, etc.

Learn about mental health solutions

Member engagement

We can help you build advocacy programs that will connect employees with the right care when and where they need it, offering virtual care, coaching solutions and well-being programs.

Read a well-being case study

Cost protection

We’re committed to payment integrity processes found consistently across the Blues through prospective claims review, clinical chart validation services and cross-claim reviews.

Learn about payment accuracy