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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.
for employers
Reduce High-Cost Autoimmune Medication Spend
Autoimmune disease drives an estimated 50% of high cost specialty medication spend. WellTheory is the first digital solution built to treat the root cause — lowering Rx costs and improving employee care.
Meet with our team
Explore how much these Rx are costing your plan
Prescribed for
Psoriatic arthritis, Psoriasis, Crohn's disease, Ulcerative colitis
Average annual Rx cost per employee
$0
Source
The autoimmune horizontal
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
Cardiovascular
I00–I99
Endocrinological
E00–E99
Condition name
Diagnostic categories
Cardiovascular
Endocrinological
Dermatological
Neurological
Musculoskeletal
Digestive
Common Rx
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
1 in 6
employees are living with an autoimmune disease
Source
459%
autoimmune specialty drug cost increase from 2011-2021
Source
The Invisible Epidemic
Autoimmune Disease Is On The Rise — And It’s Costing Employers
Why costs pile up
80% of autoimmune patients are women — and 45% are told it's "all in their head." Most spend years cycling through specialists and medications before anyone connects the dots.
Ellie’s Year
37 • teacher and new mother
- Diagnosis
- Specialist visits0
- Root cause addressed
- Unified care plan
Total annual cost
$0
Ellie’s Year
37 • teacher and new mother
First PCP visit
+$520
Three months later the pain is worse. Inflammation markers are elevated. She's referred to rheumatology with a two month 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.
First month on a biologic
+$6,200
After months of worsening symptoms, she's approved for a biologic. But the new medication takes weeks to reach full effect, and in the meantime a bad flare costs her four days of work.
ER visit
+$1,400
A sleepless week with a sick baby coincides with a severe flare that leaves her hands immobile. Four specialists across disconnected systems see her; none can access her rheumatology records or a shared care plan.
Managed, not healed
+$30,228
The biologic targets the immune process driving her disease. But no one has talked with her about diet, exercise, or stress — the lifestyle factors guidelines say belong in her treatment plan. The focus stays on the Rx, costs climb, and she's still not in remission.
$0
Total annual cost
- Diagnosis
- Specialist visits0
- Root cause addressed
- Unified care plan
Not just another point solution
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.
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.
Whole-person care
One expert Care Team
Our coordinated team of providers is trained through an autoimmune-specific program built for the complexity of these diseases.
Whole body, root cause approach
Our Care Team digs deeper to identify the root causes and create a path to long-term healing. Symptoms are treated as part of an underlying issue.
Fewer flare ups. Lower costs.
With the root cause addressed, symptoms become less frequent — meaning fewer ER visits, procedures, and high cost medications.
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
91%
of members reported autoimmune symptom relief within 12 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
Partnering made easy
How It Works
WellTheory integrates with your self-funded health plan and benefits ecosystem.
Not a siloed point solution
We integrate into your existing benefits ecosystem, working alongside specialty care providers, PBM vendors, and other key partners.
Engagement based billing via claims
Fees are billed via claims as clinically meaningful care milestones are completed. No fixed fees. 100% of fees at risk.
Proven and effective marketing
Our marketing materials are informed by our direct-to-consumer roots — designed to stand out and drive employee 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.
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Citations