BJC HealthSolutions

A better health plan solution for your employees

BJC HealthSolutions serves employers in the greater St. Louis region.

As part of a full replacement health plan, employers can offer access to the BJC Health and WashU Medicine sponsored network, complemented by the Premier Network Tier, providing members with access to the region's most advanced health system and a comprehensive range of health care services.

Health care expertise

Built on the knowledge and experience of a leading health system

Shared goals

Aligned around better health, better experiences, and better outcomes

Connected ecosystem

Bringing employers, employees, and providers together to improve health and manage costs

Community impact

Supporting stronger communities through healthier people and workplaces

Local investment

Keeping care, resources, and health care dollars invested in the communities we serve

Long-term value

Focused on sustainable results that benefit organizations and their workforce

Innovating together for your employees

For most companies, providing health benefits for employees is a major consideration. Health benefits are one of your largest investments and a key driver of recruitment and retention. Rather than chasing short-term savings through frequent plan changes, BJC HealthSolutions helps employers build a sustainable benefits strategy.

With flexible solutions tailored to your workforce and a client retention rate of over 90%, we're a trusted partner focused on better health, better experiences, and long-term value.

Our design

Plan design

Meaningful benefit incentives that encourage use of the Premier Network of providers, resulting in lower out-of-pocket costs for members and lower overall costs for employers while offering access to other health care networks.

Pharmacy Benefits Manager (PBM)

Partnership with PBMs that have 100% rebate pass-through and transparent data solutions, member-centric cost containment programs, lowest cost versatile supply chain options, and advanced formularies.

Wellbeing program

The Eight Dimensions of Wellness promotes small behavior changes to achieve improvement in general wellness and access to care.

Population health management

Data-driven (personal health survey, biometric screening, medical, and Rx claims) programs use employer-specific information to close care gaps, make referrals, and provide dedicated care management resources to those in need.

Stop loss

We work with insurance carriers who understand the value of our care. Our transparent pricing, quality outcomes, well-being programs, and population health programs help them set insurance premiums more effectively.

Three-tier plan includes:

Premier network options

BJC HealthSolutions (BJC HealthCare, WashU Medicine physicians, and independent providers)

Standard/broad network options

Ask to learn more about available options.

Out-of-network

Emergent services are available exclusively with a higher cost-sharing option for members.

BJC HealthSolutions Well-Being and Population Health Management Program

Personal health survey
On-site biometric screening
Secure personal health portal
Wellness coaching
Nurse care management
Dedicated personalized program management support
Population trends and analysis reports
Predictive analytics

Quality of care and outcomes

BJC HealthSolutions Well-Being and Population Health Management Program is aimed at improving the overall quality of care and outcomes, while creating a healthier, more productive workforce. The program implements a patient-centered approach to behavior change, which is central to achieving positive health outcomes.

Those enrolled with a nurse care manager are 25% more likely to complete recommended screenings.

Enrolled patients have a 15% decrease in Emergency Department visits and inpatient admission from year one to year two.

Employers with 90% or higher participation in the well-being and screening program experience:

13% fewer admissions
42% fewer Emergency Department visits
38% lower total per member per month
72% lower pharmacy per member per month