Value

Solutions to help control costs and improve outcomes

How can you manage rising healthcare costs without compromising quality?

Employers face growing pressure to balance affordability with access to quality care for their employees. Our value-based solutions include flexible plan designs, integrated benefits, and trusted provider partnerships that deliver better patient outcomes at a low cost.

Strengthen population health with primary care
As the central pillar of value-based healthcare, primary care shifts focus from reactive to proactive, helping stabilize costs
Deliver outcomes-based, affordable programs
Put data-driven care into action to reduce costs and improve outcomes
Support each employee’s unique health journey
Empower employees with market-leading case management and personalized digital resources—backed by predictive tools to reduce rising risk

Our solutions

Premera is committed to advancing value-based strategies to improve outcomes and experiences.

MORE CONNECTION

Primary care provider focus

Invest in workforce health with strategies that emphasize primary care provider (PCP) relationships, encourage engagement, and leverage data-driven outreach to lower health risks and costs.

Choose from plans that remove barriers to care and encourage active PCP relationships
Guide members overdue for PCP visits to get checkups to promote early detection and lower costs
Achieve improved primary care outcomes from exclusive local clinics and Blue strategies nationally

$721

estimated per member savings annually with each primary care visit ¹

$721

estimated per member savings annually with each primary care visit ¹

MORE IMPACT

Value-based programs

Offer strategic benefit designs and programs using transparency and data to guide members toward higher-quality, more efficient care.

Facilitate access to Centers of Excellence across 10 high-cost specialties for superior outcomes
Leverage site-of-service benefit designs to align cost sharing with care quality
Boost outcomes and reduce long-term costs through proactive care gap outreach

45%

lower cost for surgeries performed at ambulatory surgical centers ²

45%

lower cost for surgeries performed at ambulatory surgical centers ²

MORE SUPPORT

Right-level care management

Integrated whole-person and mental health support across the spectrum of your employee’s unique health risks.

Offer market-leading case management and 24/7 cancer support for the most complex case
Contain future costs by engaging hidden-risk members with personalized digital resources
Secure better outcomes with integrated solution for heart and metabolic health

20%

of rising-risk patients transition to complex needs and high-risk category each year ³

20%

of rising-risk patients transition to complex needs and high-risk category each year ³

“Really, the biggest benefit we experience with Premera is the ability to provide an attractive and more affordable plan choice for our employees that saves them money.”

Current Premera customer, HR Manager

Learn more about how Premera offers solutions that deliver value.

Value-based benefit design

Diabetes management impact report

Enhanced Case Management

Give your employees a health plan they deserve that provides them with more value.

Sources

$721 estimated per member savings annually with each primary care visit Gao, Jian, et al. “The effect of primary care visits on total patient care cost: Evidence From the Veterans Health Administration.” Journal of Primary Care & Community Health, vol. 13, January 2022. Accessed August 21, 2025.
45%+ lower cost for surgeries performed at ambulatory surgical centers “Huge cost savings and other benefits boost ambulatory surgery center growth.” Provista, 6 Mar. 2023, www.provista.com/blog/blog-listing/huge-cost-savings-and-other-benefits-boost-ambulatory-surgery-center-growth. Accessed July 2, 2025.
20% of rising-risk patients transition to the high-risk category each year (2017). “Addressing the needs of your rising-risk patients,” www.advisory.com/topics/high-risk-patient-management/2018/02/addressing-the-needs-of-your-rising-risk-patients. Accessed 18 Sept. 2025.