With healthcare costs predicted to rise by 8% in 2025, the pressure is on to find innovative solutions that drive meaningful cost savings while still engaging employees in their health. Because when people get healthier, costs go down.
What would it mean for your business if you could keep health up and healthcare expenses down?
Imagine being able to reduce healthcare costs by 14%, 23%, or even 30%, all while improving care quality and employee satisfaction.
Personify Health shared compelling findings from two independent studies in a recent webinar, Insights to Impact: How Personify Health Keeps Health Up and Costs Down, demonstrating how our cutting-edge approach delivers real results. Our platform helps you improve engagement, reduce complexity, and manage costs—all in one place.
These third-party studies from Merative Health Insights and Wakely Consulting Group demonstrated key cost savings achieved through Personify Health’s wellbeing platform and health plan administration (HPA) services:
- The Merative study revealed that engaged participants in our wellbeing program experienced a 14% reduction in healthcare costs year-over-year compared to industry benchmarks
- Similarly, the Wakely study unveiled that members enrolled in elected Personify Health programs experienced a 23% average decrease in allowed healthcare costs compared to the ASO market average
The webinar featured the following industry leaders:
- Kristen Larson, Senior Vice President of Client Growth at Personify Health
- Dr. Jeff Jacques, Chief Medical Officer at Personify Health
- Justin Tran, Chief Strategy Officer at Personify Health
- Taylor Godbey, Population Health Analytics Expert and Former CEO of Advanced Plan for Health
These experts discussed transformative approaches that empower you to make informed decisions, leading to significant cost reductions without compromising care quality.
The Burden of Rising Healthcare Costs
Rising healthcare costs are a growing concern for employers and employees alike. The complexity of healthcare systems only adds to the financial strain, impacting care quality.
Kristen Larson emphasized Personify Health’s focus on addressing these challenges by delivering better outcomes and lowering costs when integrating Virgin Pulse and HealthComp.
Kristen noted, “What you’re going to see is this brought to life, [we’re] turning all of our great data and insight into ROI for our clients. When we say, ‘All in one place,’ we’re covering wellbeing, navigation, advocacy, and health plan administration.”
Personify Health’s personalized health platform unites these core services to deliver proactive, personalized care strategies that enhance member engagement and drive significant savings.
Here are our top takeaways from the session:
1. Proactive case management and population health drive savings
Personify Health’s healthcare administration solutions have reduced monthly medical costs per employee by 23% through proactive case management, population health management strategies, payment integrity, and strategic negotiations.
Justin Tran shared that Wakely’s independent analysis, a continuation study over three years, confirmed these savings. By engaging members early and addressing chronic risks, Personify Health effectively prevents costly hospitalizations and acute interventions.
Additional savings are achieved through diligent payment integrity and fraud prevention efforts. Reviewing the results of the Wakely healthcare ROI study, Justin emphasized, “What’s the impact of our programs? Case management, population health management, fraud, waste and abuse, and payment integrity services… it’s really through those levers that you see substantial savings.”
2. Verified results across diverse populations
An independent analysis by Merative, involving 61,000 members, demonstrated a 14% reduction in healthcare costs attributed to Personify Health’s wellbeing platform and targeted interventions.
Dr. Jacques highlighted that sustained member engagement and personalized health programs were key factors in the cost savings. Over two years, the study revealed significant decreases in inpatient, outpatient, and prescription costs among engaged members compared to a control group. When defining engagement, we are referring to individuals who actively interact with our platform at varying levels. This can range from monthly engagement (not including activity trackers) to more committed involvement, such as participating in digital journeys, coaching sessions, and enjoying the rewards of our gamified system 19 or more times per month.
“We can demonstrate that when you engage individuals, make it a personal experience, and help them achieve goals they are setting, you can track and demonstrate an impact on total healthcare cost savings,” stated Dr. Jacques. This analysis validates the impact of Personify Health’s platform in driving measurable savings and improving outcomes.
3. Balance human expertise with scalable technology
Personify Health’s approach combines human expertise—nurses, doctors, and health coaches—with scalable technology like AI and digital tools. This unique blend personalizes experiences and empowers members to make better health decisions.
Through proactive case management and data-driven insights, members receive targeted interventions when needed, whether managing chronic conditions or promoting preventive care. At Personify Health, our commitment is to the “right ratio of human expertise to…scalable technology to deliver a cohesive and engaging experience that supports individuals in making better decisions,” noted Dr. Jacques.
Uniting empathetic human support with advanced digital capabilities proves crucial to improving outcomes and reducing costs by fostering healthier behaviors and preventing costly medical interventions.
4. Data and analytics power personalized health experiences
Personify Health leverages data and analytics to customize interventions, addressing preventive care and complex clinical conditions for each member.
Taylor Godbey emphasized the importance of risk profiling to guide targeted efforts, whether for light-touch engagement or more intensive support. “Our [healthcare data] analytics and informatics system is taking that step to understand how engagement changes someone’s behavior. We’re not asking, ‘How did the program do as a whole?’ We’re asking, ‘How did the individual’s interaction and engagement with the program change how they use it, their services, their behavior, and their future risk,” Taylor explained.
Our data and AI-backed technology makes it easy to see the full picture—securely. Our database pools thousands of lifestyle and social determinants of health to inform predictive models that teach you more about your people. Like how likely they are to make frequent trips to the ER or have a higher risk for prediabetes, so you can provide the benefits and support that will be most meaningful.
Connecting to Personify Health’s four pillars
Personify Health’s integrated platform is grounded in four pillars
- Connecting the disconnected
- Rejecting one-size-fits-all solutions
- Designing for engagement
- Translating insights into ROI
As the first and only platform company to bring health, wellbeing, and navigation solutions together, we deliver powerful outcomes—helping businesses optimize investments in their members while empowering people to more deeply engage in their health.
By merging employee wellness programs, healthcare navigation, advocacy, and healthcare administration services, Personify Health offers a personalized health experience that drives engagement and maximizes value.
When you see the full picture of your people, you can plan for what they actually need: creating personalized health experiences. Design better benefit options. And manage costs along the way.
In a discussion of how Personify Health’s data-driven approach translates into savings, Dr. Jacques stated the overall combined experience for employers comes “to what we believe is a 30% cost savings that we’re able to drive for individuals who have access to everything that we do.” These savings reflect an ongoing commitment to deliver value-based healthcare.
Justin Tran added, “Our savings are achieved by reducing utilization and improving therapeutic alternative selection… Those aspects have much more potential for savings than a traditional network discount.”
A unified platform for sustainable healthcare savings
Managing health benefits doesn’t have to be a painstaking process. Personify Health’s personalized health platform provides members with a seamless experience, from preventive care to complex management, and you get improved engagement, reduced complexity, and managed costs.
By dismantling silos and connecting solutions, Personify Health brings benefits design and delivery, holistic wellbeing, and comprehensive health navigation together, helping you create a member-centric experience with sustainable savings and optimized care management.
Understand your options. Decide your priorities. Make progress. Smart savings begins with the right partner.
For deeper insights, catch the replay of the webinar here.
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