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Long-term thinking, immediate results

Traditional insurance has failed midsize employers. ParetoHealth is leading the right side of the fight, making self-insurance possible for employers with 50–1,000 employees by eliminating risk volatility and reducing healthcare costs.

 

Let’s show you how.

How ParetoHealth works

ParetoHealth provides midsize employers with everything they need to spend less and get more from their health benefits.

Community and Scale

1. Eliminate volatility

Risk Shield

Aligned captive structure

Predictable year-over-year costs and upside for employer-owners​

Strongest stop-loss contract

Protection from large claims

2. Lower healthcare cost

Savings Engine

Medical solutions

Made easy by Integrated Cost Management (ICM)

Pharmacy solutions

Made easy by ParetoHealth Pharmacy Consortium (PRxC)

The power of community & scale

In healthcare, scale matters. Covering more lives gives you better negotiating power, stabilizes your risk pool, and unlocks access to cost-saving and benefit-enhancing solutions.

ParetoHealth’s community, representing over 1 million lives and $6.6 billion in healthcare spend, makes scale possible for midsize employers.

Eliminate volatility with our Risk Shield

Our ParetoHealth Risk Shield protects employers from the volatility of large unexpected claims for more predictable year over year costs​. With the strongest stop-loss contract on the market, only ParetoHealth guarantees no new lasers and caps stop-loss increases, so you can confidently plan for the future.

Lower healthcare costs with our Savings Engine

Powered by data, analytics, and clinical expertise, our ParetoHealth Savings Engine addresses the underlying drivers of claims, while providing access to a trusted partner ecosystem and a clear long-term strategy to improved financial outcomes and enhanced employee experience.

Proven long-term savings

Employers saved 7.5% in year 1 with Pareto compared to staying fully insured. Savings grew an incremental 16.5% by year 3.

Source: ParetoHealth Claims-based Savings Study 2024

ParetoHealth outperforms traditional insurance with greater total healthcare cost savings

7.5%
Year 1
13.2%
Year 2
16.5%
Year 3

What our members are saying