For trust

Lower claims. Healthier members. All within one care system.

Onsera for Taft-Hartley
and Multiemployer Health Funds
Cardiometabolic care for the participants and families your plan covers.
Worker in blue uniform putting on orange and gray protective gloves in an industrial setting.
Medical trend running into 2026
~8.5%
Pharmacy spend is
up to 11%
Catastrophic claims (>$100K) are
up to ~13%
GLP-1 utilization p/year is climbing
30–50%

Obesity and cardiometabolic disease drive most of it. A healthy 45-year-old participant today becomes a six-figure claim at 55 and the fund pays for what no one managed in between.

GLP-1 medications changed what’s clinically possible, but without a system around them they introduce volatility, not value.

Cardiometabolic costs are running ahead of every other.

The solution:  
Intervene before Stage 5.

Cardiometabolic disease moves through stages — overweight, obesity, pre-diabetes, type 2 diabetes, cardiovascular disease. Most plans only feel the cost at Stage 4 or 5, when claims are largest and the damage is hardest to undo.

Onsera works upstream. One continuous program — predictive risk modeling, integrated clinical care, behavior change, and disciplined medication management — that catches participants earlier in the progression, and keeps them there.

STAGE 1
Overweight
Fat cells expand and release inflammatory signals, starting to block insulin, the hormone that controls blood sugar.
BMI 25-29.9
STAGE 2
Obesity
Fat fills the liver and muscles. The pancreas floods the body with insulin to compensate.
BMI 30+
STAGE 3
Pre-Diabetes
The pancreas falters. Blood sugar climbs. The window to reverse course is closing.
A1C 5.7-6.4%
STAGE 4
Type 2 Diabetes
The pancreas burns out. Blood sugar silently damages nerves, kidneys, and the heart.
A1C 6.5%+
STAGE 5
Cardiovascular
The toll of unmanaged weight and sugar — mostly avoidable with earlier action.
A1C 6.5%+

Onsera delivers results through three integrated layers:

Logic · Triage · Personalization
Closed Loop System
01
Intelligence
Anticipates who will need care, what it will cost, and what to do about it.
AI system that predicts and reshapes  your healthcare spend.
Models the financial impact of action vs. inaction before you commit
Gets smarter with every outcome, continuously improving precision and ROI
Monitors program delivery and proactively supports outcomes
02
Engage
A 24-month clinical relationship designed to keep people in care.
24-month structured care model designed for sustained, measurable results
Integrated team: physician or NP, registered dietician, health coach
Outreach built for shift work, trades schedules, and family caregivers
Connected devices (smart scale and BP cuff) + labs (ApoB, Lp(a), hs-CRP, insulin resistance) at no cost to the participant
03
Source
Manufacturer access. Transparent pricing. Predictable spend.
Precision sourcing strategy across GLP-1 and related therapies
Tight cost governance to control utilization at scale
Population-wide access designed for both equity and ROI
Direct contracting with manufacturers including Eli Lilly & Novo Nordisk

Onsera is a closed-loop system that turns cardiometabolic spend from a liability into a managed outcome.

Two construction workers in helmets and vests smiling and sharing coffee in a warehouse.
Without Onsera
ⓧ Disconnected vendors, separate dashboards
ⓧ GLP-1 spend with no floor or ceiling
ⓧ Care that drops off after the first script
ⓧ Retrospective claims review at renewal
ⓧ Lagging reports
With Onsera
One care system, one source of truth ✓
Direct sourcing, predictable spend ✓
24-month structured journey ✓
Risk modeled every plan year, prospectively ✓
Continuous, board-ready outcomes data ✓
Measurable impact
10–40% projected reduction in obesity-attributable claims
Strongest returns in the highest-risk cohorts
1–6× ROI over 24 months
Auditable, continuous reporting between meetings, not just at renewal
Backed by Performance Guarantees

Built for speed, access, and measurable outcomes—our guarantees ensure your population gets the care they need, when they need it, with results you can track.

01

Implementation

Live in 5 business days from contract signed. We move fast so your members don’t have to wait. Our streamlined onboarding process ensures rapid deployment and immediate access to clinical support.
Go live in as little as 5 days
02

Access to Care

We prioritize timely, meaningful access. Members are quickly connected to obesity-certified clinicians, reducing delays and accelerating the path to care and outcomes.
80% of members scheduled within 30 days
03

Risk Reduction

We don’t just deliver care—we prove impact. Through consistent clinical and financial benchmarking, we track progress, validate outcomes, and ensure long-term value for your population.
Measured and validated every 6 months
Easy to start.
Easy to stay on.

Built so every participant and every covered family member actually uses what the plan pays for. No coordinating between vendors. No surprise bills. No falling through the cracks between visits.

Week 1
Enrolled A few minutes online. Connected devices ship to the home. First clinical visit scheduled within days.
ENROLLED
Month 1
Engaged Care team in place physician or NP, dietitian, health coach. Advanced labs run. A personalized plan, started.
ENGAGED
Month 3
In motion Weight, labs, and key markers moving. Medication titrated if appropriate. Weekly touchpoints keep momentum.
IN MOTION
Month 12
On track Measurable improvement in cardiometabolic risk. Habits established. Care continues, not concludes.
ON TRACK
Person holding an insulin pen with needle cap removed, wearing blue jeans and a white shirt.
GLP-1s, sourced direct

Onsera goes straight to the manufacturers, so the fund gets the best market price on the medications driving its biggest spend. The result is a GLP-1 line item that behaves like a managed program.

Eligibility follows your plan design and applies to participants and dependents meeting clinical criteria: BMI ≥ 30, BMI ≥ 27 with comorbidity, or early cardiometabolic risk.

01
Overweight
Direct manufacturer access to the full GLP-1 portfolio including both injectable and oral medications
BMI 25-29.9
02
Overweight
Transparent unit pricing no spread, no rebate games, no PBM markup
BMI 25-29.9
03
Overweight
Predictable, defensible cost per fill the board can plan around
BMI 25-29.9
04
Overweight
Clinical guardrails on initiation, dosing, and continuation so utilization stays appropriate
BMI 25-29.9
05
Overweight
Population-wide access designed for equity, not just affordability
BMI 25-29.9
— START THE CONVERSATION
A benefit worth keeping
Your participants and their families count on this plan. Onsera is built to make sure it keeps delivering better health for the people it covers, and stronger economics for the fund that covers them.