Savings & ROI

Healthcare savings are generated by program success. We measure success by establishing a baseline of your company’s health status after  reviewing claims data, biometric screening results, and health risk assessment data. We then re-assess the population at regular intervals and document how many at-risk individuals have made progress on key measures such as blood pressure, cholesterol, weight, blood sugar, and tobacco use. We also measure how many individuals with chronic diseases are now receiving the standard of care for their condition (e.g. diabetes, asthma, heart disease). After 12 months, we verify savings and provide detailed metrics showing exactly where the savings come from.

ROI: Actual vs. Projected Paid Claims

Total ROI comes from a combination of factors:

Hard-dollar savings

• The value of redirected primary/acute care delivered but not submitted as a claim for the purpose of third-party reimbursement
• Reduction in utilization of specialty care, prescriptions, and hospital services
• Reduction in work loss days due to illness

Soft-dollar savings

• Reduced presenteeism
• Reduced turnover
• Reduced time away from work

Our experience shows a 3:1 return on investment for hard-dollar savings alone, and up to a 6:1 return on investment when including soft dollar measures.