Most people don’t know that Wisconsin is one of the most expensive healthcare markets in the U.S. Or that different parts of the State have uniquely different healthcare costs and the broker community has developed different strategies for each. The Madison market is dominated by HMOs. North and Central WI are driven by two large health systems with little competition. Western WI costs are driven up by the Mayo Clinic cost structure, but a few independents in that area and in Minnesota are keeping some procedure costs competitive. And along the Illinois border, employees can simply cross the State line and receive high quality care for 30% or more below what they would pay in WI.
Alithias understands that all healthcare is local. And employees won’t change their healthcare decisions without significant incentives to do so.
Alithias was born from a simple yet profound frustration: the labyrinthine U.S. healthcare system that leaves even the savviest leaders stumped. Founded in 2012 by Ross Bjella, a seasoned healthcare executive who once led a major pharmaceutical services company, Alithias emerged from Ross's personal encounters with bewildered employees seeking clarity on medical bills, coverage gaps, and procedure costs. "I realized the system wasn't just comples—it was designed to be confusing and opaque so that few could follow the money," Ross recalls. His passion for slashing unnecessary expenses ignited a mission to demystify benefits, ensuring every employee squeezes maximum value from their plan. Today, Alithias stands as a beacon for self-insured employers, transforming opaque bureaucracy into actionable empowerment and delivering hard- dollar savings that make a real difference.
At Alithias, we know healthcare isn't one-size-fits-all—it's profoundly local. That's why we go beyond generic advice, meticulously mapping each client's regional landscape to pinpoint the closest, highest-value, highest-quality in-network providers. Whether it's a bustling urban hospital or a rural specialist, we immerse ourselves in the nuances of every market our clients serve—from innovative health systems to the community clinics. No matter where an employee lives, our advocates guide them to optimal care, balancing cost, convenience, and excellence with a personalized touch that turns potential headaches into seamless solutions.
What sets Alithias apart isn't just our empathy—it's the powerhouse technology fueling it. Our state-of-the-art platform, unmatched even by giants in the space, harnesses vast healthcare data analytics, rigorous physician quality evaluations, and AI-driven insights to illuminate paths forward. Yet, we keep the human element front and center: AI sifts through millions of claims and outcomes behind the scenes, but a dedicated advocate always delivers the final, compassionate recommendation. Pioneers in the field, we were among the first to architect support for consumer-driven health plans, incentive-based models, tiered benefits, and bespoke custom solutions—adapting seamlessly to whatever innovative structure our clients envision.
Our clients span a diverse ecosystem of forward-thinking partners: self-insured and level-funded employers battling rising premiums, brokers elevating service for their portfolios, and health plans plus TPAs craving one-call resolution for complex queries. As the trusted single point of contact, Alithias becomes the go-to hub where employees start their journey—unraveling benefit intricacies with speed and precision. From custom advocacy dashboards to tailored cost-control strategies, we craft solutions as unique as the challenges they solve. At our core, we're fueled by an unyielding passion for the healthcare warriors—HR leaders, benefits managers, and families alike—fighting to rein in costs without compromising care.
Alithia means “truth” in Greek. When you work with Alithias, you will get proven ROI, factual reporting, validated savings estimates, actionable data and a team committed to your success. With Alithias, the truth isn't just our name; it's the promise we deliver every day.
Founder & CEO
Enterprise Architect
Analytics Lead
CTO
Care Navigator & Benefit Support Specialist
Director of Care Navigation & Benefit Support
Care Navigator & Benefit Support Specialist
Care Navigator & Benefit Support Specialist
Medical Director
