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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
$53,329
Annual cost of
Humira medication
Humira medication
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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.
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)
15% of workers
Suffer from an autoimmune condition. Over the past 30 years, the prevalence has more than doubled. (Source)
$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
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
44 Peer-Reviewed Published Papers Show Our Approach Works
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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.
In-network
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.
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Ellen rudolph, founder & ceo
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.
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