Healthcare Strategy · Southeast US

Build a Health Plan That Performs Like a Business Asset

Most employers manage healthcare as a renewal event.

We design it as a governed financial system.

Built for employers with 25–250 employees across the Southeast.

  • Strategic funding models
  • Incentive-aligned design
  • Year-round performance oversight

10+ Years Southeast Experience

Mid-Market Specialist · 25–250 Employees

Strategy-First · No Carrier Pressure

Avg. $2,000/Employee Annual Savings

Joey Hall · Point of View

  • Risk transfer is not cost management.
  • Premium negotiation is not strategy.
  • Renewal shopping is not performance governance.

Joey Hall

If the architecture doesn't change, the result rarely does.

$2K

Average annual savings per employee

Following structural redesign from fully insured models.

15%

Typical annual renewal increase

What fully insured employers absorb without structural change.

#2

Largest employer expense after payroll

Yet healthcare rarely gets the governance model it deserves.

The Problem

Mid-Sized Employers Are Often Using the Wrong System

Fully insured models were designed to transfer risk — not to actively manage cost drivers. For employers with 25–250 people, this creates a predictable trap.

🔄

Carrier-Driven Renewals

Renewal is a process designed for the carrier — not the employer.

🔒

Opaque Vendor Economics

PBM rebates and network fees are rarely disclosed.

📉

Volume-Based Incentives

Traditional models benefit from your spend, not your savings.

📊

No Claims Visibility

Without your data, you can't manage what you can't see.

  • Traditional Fully Insured Model

Carrier Sets Terms

Annual Renewal

Rate Increase

Cost Shift to Employees

⚠ Repeat annually. No structural change.

vs

  • Remedy Governed Model

Carrier Sets Terms

Annual Renewal

Rate Increase

Cost Shift to Employees

✓ Transparent. Improving. Year-round.

How We're Different

A Structured Advisory Model — Not a Quoting Function

We operate as a strategic partner to your leadership team — focused on funding structure, incentive alignment, and performance governance, not carrier marketing cycles.

  • We evaluate structure before pricing
  • We benchmark performance before negotiating renewal
  • We align incentives before shifting cost to employees
  • We align incentives before shifting cost to employees

Joey Hall

Founder · Remedy Advisors · York, SC

Methodology

Remedy Performance Architecture Model™

Four integrated layers. When they align, cost volatility decreases and outcomes improve year over year.

💰01

Layer 1

Funding Strategy

Evaluate fully insured, level-funded, or self-funded structures against your risk profile.

🎯02

Layer 2

Incentive Alignment

Redesign incentives to guide employees toward high-quality, high-value providers.

🔍03

Layer 3

Vendor Transparency

Assess PBMs, networks, and vendors with objective cost and performance metrics.

📈04

Layer 4

Performance Governance

Implement reporting cadence, benchmarking, and accountability reviews year-round.


Healthcare is your second-largest expense. It deserves a governance model — not a renewal ritual.

Four integrated layers. When they align, cost volatility
decreases and outcomes improve year over year.

Common Questions

We Address These Concerns Before You Have to Ask

Structural change raises real questions. Here's how we think about each one before any recommendation.

Clarity first. Strategy second. Decision third.

No obligation. No carrier pressure. No unsolicited follow-up.

🛡️

Risk Exposure

Alternative models evaluated against your actual claims profile and risk tolerance before any recommendation.

🤝

Employee Disruption

Plan changes improve clarity and access. Employee communication is part of every transition.

⚙️

Administrative Burden

Operational complexity matched to your internal team's actual capacity.

☔

Bad Claims Years

Stop-loss structure and funding buffers modeled before implementation.

Measured Case Examples

Structural Change in Practice

Industry

banking

Regional Bank, Southeast

Employees: [##]

Condition: Fully insured renewal volatility

Change: Funding model evaluation and incentive redesign

✦ Result: [Insert quantifiable outcome]

Industry

banking

Professional Services Firm

Employees: [##]

Condition: Opaque vendor economics, limited data access

Change: PBM audit and vendor transparency review

✦ Result: [Insert quantifiable outcome]

Industry

Non-profit

Non-Profit Organization

Employees: [##]

Condition: Rising costs, limited strategic resources

Change: Level-funded transition with performance governance

✦ Result: [Insert quantifiable outcome]

Why Timing Matters

Structural Change Requires Runway

– Architectural adjustments can't be executed under renewal deadline pressure

– Meaningful evaluation requires data review and financial modeling

– Waiting until renewal season limits your strategic options

The strongest transitions begin months before renewal.

Now — Start Here

Plan Architecture Review

Objective assessment of your current structure — no obligation

1–2 Months Out

Strategic Roadmap

Financial modeling, recommendations, and implementation planning

Before Renewal Window

Structural Transition

Implementation and carrier coordination in place

Renewal Day

Governed Plan in Effect

Year-round oversight and performance reporting begins