Paradigm Pathways Integrated Healthcare Plan
The Problem:
Healthcare doesn’t have to be complicated, expensive, or inefficient.
Employees face financial strain, and employers struggle to offer effective benefits within budget with today’s healthcare system.
What if there is a better way?
Spend less by participating in qualifying wellness activities through the Paradigm Pathways Integrated Healthcare Plan App, and invest more in your health.
Commitment to Health
- Promise to wear seat belt while driving.
- Promise to be fully present and engaged in all that I do.
Lifestyle Changes
- Connect a Fitness Device
- Engage With Our Health Videos
- Stay Active on the Platform
Proactive Care
- Complete Health Risk Assessment
- Download Personal Health Report
- Journal Medical Provider Visit
The Solution:
The Paradigm Plan
By combining predictive analytics with preventive care, Paradigm addresses these core issues head-on.
Our Platform:
- Improves health outcomes through early intervention.
- Reduces unnecessary healthcare costs for employees and employers.
- Leverages pre-tax funding to enhance access to personalized, voluntary benefits.
Results:
What You Can Expect
For Employers:
- Reduced absenteeism and increased productivity.
- Enhanced employee benefits without added costs.
- Lower healthcare-related expenses and higher workforce retention.
For Employees:
- Better health management and fewer preventable illnesses.
- Affordable access to essential wellness services.
- Higher morale and job satisfaction.
Note:
Tax benefits stem from the structure of the Self-Insured Medical Reimbursement Plan, which uses pre-tax funding. Employers benefit from reduced FICA taxes, while employees only realize tax advantages if they actively participate in the plan and earn the reimbursement after-tax. Without participation, any reimbursement becomes taxable, negating the financial benefit.
Discover how Paradigm benefits you.
- Participants Gain up to $1,800 in Annual Benefits
- Seamless Onboarding
- Foster Deeper Client Relationships
- Increase Premium Earnings
- Enhance Client Retention
- Save $900-$1,000 per employee annually in payroll tax
- Reduce payroll tax by up to 20%
- In-Depth Product Training for Your Team
- Guaranteed compliance with state and federal tax codes.
- Audit defense support up to $500,000.
Brokers & Carriers
- Participants Gain up to $1,800 in Annual Benefits
- Seamless Onboarding
- Foster Deeper Client Relationships
- Increase Premium Earnings
- Enhance Client Retention
Employers
- Save $900-$1,000 per employee annually in payroll tax
- Reduce payroll tax by up to 20%
- In-Depth Product Training for Your Team
- Guaranteed compliance with state and federal tax codes.
- Audit defense support up to $500,000.
Take Control of Your Health and Finances.
Paradigm helps you reduce out-of-pocket costs and enhance your well-being without affecting your take-home pay.
- Spend less and invest more in your health.
- Unlimited access to virtual ER telemedicine, mental health services, and health apps.
- Predict and prevent diseases with an 86–93% accurate Health Risk Assessment.
Meet the Founders
Prodigy Benefit Management was founded by a team of industry veterans who became tired of the status quo in healthcare.
Paradigm Pathways was developed through extensive review with specialized ERISA and tax counsel and is continuously monitored for regulatory developments. Our comprehensive and personalized approach to healthcare empowers individuals to proactively manage their well-being, predict and prevent diseases, and ultimately reduce healthcare costs.
Our Mission:
To empower individuals and businesses through proactive, preventive care and create a healthier future for all.
The Paradigm Pathways Integrated Healthcare Plan
The Paradigm Pathways Integrated Healthcare Plan is a transformative program that helps employers save money while enhancing the health and financial well-being of their employees. Participants create a benefit reserve that can be used for voluntary benefits, chosen through their employer’s brokers and carriers.
Frequently Asked Questions
Find answers to some of the most common questions about our program, including how to get started, what benefits are available, and how to make the most of the resources we offer.
Brokers & Carriers
What happens if there are legislative changes or future determinations by ruling changes?
Applicable law and agency guidance may change. Prodigy and its counsel monitor developments and will communicate required plan or administrative changes.
Who decides where the tax savings must be spent?
It is the sole discretion of the employee participant as to how the Wellness Reserve is spent.
Employers
Are there participation requirements under the program?
Yes. There are participation requirements. The participating employee must complete 100 points worth of activities annually. This can be accomplished in as little as 4 activities.
Who decides where the tax savings must be spent?
It is the sole discretion of the employee participant as to how the Wellness Reserve is spent.
Can I cancel this program at any time?
No. Because you are pre-taxing the wellness program under a Section “125” Cafeteria program, the IRS has certain rules that must be followed such as; you cannot make any changes to the program until “Open Enrollment” each year unless there is a qualifying event. An IRS approved qualifying event allows you to make changes during the plan year that are consistent with the event. Your Prodigy Wellness advisor will explain this upon enrollment.
Are my year-end taxes affected?
Most Plan Participants do not see a negative impact on their taxes.
Is this a legal program?
Yes. The plan is designed under current applicable guidance and must be adopted and operated according to its governing documents.
How does Prodigy proactively identify risk and communicate that to employers and participants?
The clinical platform identifies risk and communicates directly with the participant. Neither the employer nor Prodigy receives individual health-risk results, diagnoses, HRA responses or other participant PHI. Employers receive only the limited administrative information necessary to operate the plan.
Any population-level reporting is de-identified, sufficiently aggregated and structured so that individual participants cannot reasonably be identified.
Employees
Does this program affect my Social Security?
The program has a minimal effect on Social Security the closer one gets to retirement age.
Can a gym membership be purchased with the Wellness Reserve?
No. A gym membership is a taxable benefit under the rules of this program.
What happens if I miss a day’s pay? Will I have to pay for the benefits out of my take home pay?
Prodigy Benefit Management calculates your Wellness Reserve at 95% of your annual income. Therefore, if you should miss a couple of days during the year, there should be enough in reserve to pay the premium amounts without affecting your take home pay.
Can benefits be obtained on my spouse and dependents?
Yes.
What effect will this have on my take home pay?
Net take home pay will be the same, or slightly higher.