Better Begins Now
Join 92% of members who reduced their symptoms in just 4 weeks.

Reduce High-Cost Specialty Medication Spend Today

Evidence-based root cause care for your autoimmune members, who drive 50% of your high-cost specialty medication spend.
Maya, 37
Rheumatoid Arthritis
Psoriasis
$53,329
Annual cost of
Humira medication
Person sitting at a desk with a laptop, holding a cup and looking thoughtful, with plants in the background.

As seen in

The Problem

Autoimmune Disease
Is A Top Area Of
Spend & On The Rise

The silent epidemic of autoimmune diseases is having a substantial impact on the health of your members and the health of your business.

Escalating prescription drug costs, coupled with expensive medical procedures and diagnostics, results in high-cost claimants.

While often overlooked, the numbers tell a compelling story on how to help your members and your bottom-line.

50% of specialty drug spend

Is driven by autoimmune disease and it has grown 459% over the past decade. (Source)
Common Rx:
Humira
STELARA
COSENTYX
ENBREL
OCREVUS
ENTYVIO
TREMFYA
Humira

15% of workers

Suffer from an autoimmune condition. Over the past 30 years, the prevalence has more than doubled. (Source)
Common conditions:
hashimoto’s thyroiditis
Ankylosing Spondylitis
Celiac
Crohn's Disease
Graves' Disease
Hashimoto's
Hidradenitis Suppurativa
Long COVID
Lupus
Multiple Sclerosis
Psoriasis
Psoriatic Arthritis
Rheumatoid Arthritis
Sjogren's Syndrome
Ulcerative Colitis
hashimoto’s thyroiditis

$34,000 Average Annual Cost

For members with Rheumatoid Arthritis, which is 1 of 100 autoimmune conditions. Autoimmune patients are 4x more expensive than your typical member. (Source)
the problem

The patient Journey is
long, Non-Linear & expensive

A visual example of how a typical patient journey looks like. Starting at the symptom onset at age 31, visiting the ER at age 32, after which follow an endless visit to various specialists, and getting a diagnosis takes on average 4.5 years. Years later, the patient has worsened symptoms and ends up 15 years later being overmedicated and not getting better.A visual example of how a typical patient journey looks like. Starting at the symptom onset at age 31, visiting the ER at age 32, after which follow an endless visit to various specialists, and getting a diagnosis takes on average 4.5 years. Years later, the patient has worsened symptoms and ends up 15 years later being overmedicated and not getting better.
Our solution

WellTheory’s Impact on Member Health

Since launching our solution, we’ve achieved transformative outcomes across thousands of members.
$9400+
Biologics Savings
Per member, per year
71%
Reduction in imaging
services and procedures costs
64%
Reduction in
emergency room visit costs
91%
Of members reported relief
from autoimmune symptoms after 12 weeks, including brain fog, GI symptoms, and improved sleep
61%
Of members reported improvements
in depression and anxiety after 12 weeks
55%
Of members reported improvements
in fatigue and pain after 12 weeks
How it works

A Root Cause Approach to Healing

WellTheory is a first-of-its-kind digital solution to address the underlying causes of autoimmunity. Through research-backed nutrition and lifestyle changes, we provide whole-body care that is a less-expensive, lower risk, and more effective way to manage autoimmune disease.
Month 01
Identify Root Cause
Complete proprietary root cause assessment to identify underlying factors contributing to symptoms
Get matched with dedicated multidisciplinary Care Team, led by a licensed registered dietitian, board-certified health coach and a care coordinator
Join 60 minute session walking through member’s personalized symptom data analysis and a customized 360 care plan to address root causes
Run advanced testing as needed
Month 02 — 06
Reduce Symptoms
Biweekly live calls with Care Team to support accountability and troubleshooting with personalized care plan
Adjust Care Plan as needed and reassess progress every 3 months
Access to unlimited messaging, asynchronous educational content and expert-led masterclasses, advanced testing, digital community forums and live events, and care coordination with broader Care Team external to WellTheory
Month 07 — 12
Maintain Progress
Monthly live calls with Care Team to maintain progress and troubleshoot as needed
Access to unlimited messaging, asynchronous educational content and expert-led masterclasses, advanced testing, digital community forums and live events, and care coordination with broader Care Team external to WellTheory

We’ve Made Partnering
Pain-Free

Let us handle the heavy lifting. We’ve streamlined the contracting, implementation, and management responsibilities so you can focus on what matters most — supporting your members.

Simple & Seamless Contracting and Billing

We manage billing through medical claims to streamline the integration experience and ensure that this falls under your medical budget.

Turnkey Implementation

Our goal is to ensure a “light lift” for your team during implementation. WellTheory will provide ready-made communications assets and reporting and own account/project management responsibilities at no additional cost to you.

Integration Into Your Ecosystem

Plugging into your existing ecosystem is paramount to support a seamless integration experience. We will partner closely with your carriers and other vendors in our commitment to provide your members a seamless, frictionless, high-value experience.

Participant-based Pricing

Only pay for members enrolled in our program. We’ll work with you to determine which performance guarantees might make sense for your population, and any engagement-based milestones we’ll hit along the way.

80%

Of individuals with autoimmune conditions are women (Source)

3x

Incidence of Lupus for black and hispanic women vs. non-Hispanic white women, with other conditions affecting POC more drastically as well (Source)

45%

Of women with autoimmunity are told “it’s all in their head” and are not taken seriously by their care providers (Source)

Women & People of Color Deserve A New Standard of Care

Finally being listened to, heard, and believed was one of the most critical parts of my own healing journey.
Ellen Rudolph, Founder & CEO
Ellen Rudolph, Founder & Ceo
Ellen Rudolph's signature
Partner with WellTheory

Let’s Shape the Future of Autoimmune Care

The first step is reviewing your claims data to see just how much WellTheory can save your organization in autoimmune-related healthcare costs. No commitment required.
Thank you! Your submission has been received — our team will be in touch shortly.
Oops! Something went wrong while submitting the form.
Close

Get in touch to learn how autoimmune disease may be impacting your population.

Thanks for reaching out
Your submission has been received — our team will be in touch shortly.
Something went wrong while submitting the form. Please try again.
for employers

Reduce High-Cost Autoimmune Medication Spend

Autoimmune disease is the invisible driver behind 50% of high-cost specialty medication spend. Lower Rx costs and improve employee care with the first-and-only digital solution that addresses the root causes.
Meet with our team
Explore what biologics are costing your plan
Prescribed for
Psoriatic arthritis, Psoriasis, Crohn's disease, Ulcerative colitis
Average annual Rx cost per employee
$0
1
Source
The autoimmune horizontal axis

The Cost You See. The Cost You Don't.

The autoimmune horizontal

The Cost You See. The Cause You Don't.

Autoimmune spend is distributed across six diagnostic categories — never surfacing as the cost driver it actually is.

Tap any condition to see cost and Rx data.

Digestive

K00-K95

Musculoskeletal

M00-M99

Neurological

G00-G99

Dermatological

L00-L99

Endocrinological

E00-E99

Condition name

Diagnostic categories

Endocrinological
Dermatological
Neurological
Musculoskeletal
Digestive

Common Rx Prescribed

in employee plans
$00,000
[[nutrition-science-2023|source]]

Annual Rx Cost

per employee
Name
data-detail-rx-desc
[[nutrition-science-2023|source]]

Member Impact

This is the member impact.
Source
Person lying curled on a mustard couch holding a smartphone with a tablet resting on their face.
1 in 6

1 in 6 employees are living with an autoimmune disease

Source
459%

Autoimmune specialty drug cost increase from 2011-2021

Various medicine bottles and a weekly pill organizer with capsules and cotton inside a jar.
Source
The Invisible Epidemic

Autoimmune Disease Is On The Rise — And It’s Costing Employers

Why costs pile up

The Patient Journey is
Long, Fragmented, & Expensive

80% of autoimmune patients are women. Most spend years being told it's all in their head — cycling through specialists and medications before anyone connects the dots.

Ellie’s Year
37 • teacher and new mother
  • Diagnosis
  • Specialist visits
    0
  • Root cause addressed
  • Unified care plan
Total annual cost
$0
Ellie’s Year
37 • teacher and new mother

Postpartum onset

After her daughter is born, her joints ache and she can't get out of bed without stiffness. Her OB says it's new motherhood.

First PCP visit

+$520

Three months later the stiffness is worse. Inflammation markers are elevated. She's referred to rheumatology — eight week wait.

Diagnosis

+$2,800

Rheumatoid arthritis. Prescribed methotrexate with a follow-up in three months. Finally an answer. She thinks the hard part is over.

ER visit

+$6,200

A sleepless week with a sick baby triggers a flare so severe she wakes up unable to move her hands. Four specialists, no shared records, no root cause addressed.

Stepped up to a biologic

+$1,400

After months of worsening symptoms, she’s approved for a biologic. The transition period is rough. She misses four days of work due to side effects and a bad flare.

Managed, not healed

+$30,228

The biologic manages inflammation, but it's a band-aid. The root causes driving her symptoms are still there. Nobody asks about those and Rx costs keep climbing.

$0
Total annual cost
  • Diagnosis
  • Specialist visits
    0
  • Root cause addressed
  • Unified care plan
Not just another point solution

Personalized Care,
Built For Complex Diseases

Most benefits aren’t built for the specialized, ongoing needs of autoimmune patients. WellTheory addresses the root causes of autoimmunity with whole-person care that doesn’t just suppress symptoms — it supports long-term healing.

$5,200

Annual savings per engaged member per year

Source
$9,400

Annual savings for members on biologics

Source
15%

Reduction in biologics utilization costs

Source
Without WellTheory
Conventional care
Siloed specialists

Rheumatology, gastroenterology, dermatology, neurology — each treating one system, rarely talking. The patient is left to connect the dots.

Symptom suppression only

Medications manage inflammation. They don't address the nutrition, lifestyle, and stress triggers driving it.

Costs that compound

Without a unified plan, flare ups keep happening. More ER visits, sick days, and specialist referrals each year.

WellTheory
Whole-person care
One expert team. One area of deep expertise.

Our coordinated team of providers is trained through an autoimmune-specific program built for the complexity of these diseases — going beyond conventional credentialing.

Whole body, root cause approach

Symptoms are treated as part of an underlying issue. Our Care Team digs deeper to identify the root causes and create a path to long-term healing.

Fewer flare ups. Lower costs.

With the root cause addressed, symptoms become less frequent — meaning less ER visits, specialist referrals, and biologics that drive up spend.

Real Members. Real Relief.

When people with autoimmune disease are able to manage their symptoms, they miss less work, stay at jobs longer, and are happier and more productive day-to-day.

“All of this has happened with incredible support you don't have to fight for from a care team who really knows what it's like to live with autoimmune disease.”

Joanne | Self-Insured Schools of California member
93%

of WellTheory members reduce their symptoms in 4 weeks

Source
61%

of members reported improvements in depression and anxiety (GAD-7, PHQ-8)

Source
55%

of members reported improvements in fatigue and pain (PROMIS QoL)

Source
Meet With Our Team
Partnering made easy
How It Works

WellTheory integrates with your self-funded health plan and benefits ecosystem.

PCP Care navigator Payer Specialty vendor Eligibility vendor PBM
Not a siloed point solution

WellTheory works closely with women's health, physical therapy, PBM vendors and more.

Engagement based billing milestones

Fees are billed via claims as clinically meaningful care milestones are completed. No fixed fees. 100% of fees at risk.

Tried and tested marketing materials

With our direct to consumer roots, our marketing materials are tried and tested to drive unparalleled engagement.

50 Million Americans Deserve a New Standard of Care

Meet with our team of experts to learn how WellTheory can help support your employees.
Find out how much of your medical and pharmacy spend is driven by autoimmune disease.
Explore the differences between conventional autoimmune care and WellTheory’s root cause approach.
Thank you! Your submission has been received — our team will be in touch shortly.
Oops! Something went wrong while submitting the form.
Citations