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Cost savings
$17.6M
Avoided costs across activated high-risk members, compared with similar high-risk members who were not activated.
Cost per member
39%
Lower annual cost among activated members, $7,691 compared with $12,538
Members activated
3,632
High-risk members who engaged with a Personal Health Assistant.
Risk concentration
20%
Of the population had already reached high-risk status, averaging over $32,000 per member per year.
Proof in practice
How one manufacturer achieved >7:1 ROI
Medical spend was climbing and leadership wanted to know where it was actually coming from. In 2024, 880 high-risk members averaged $14,509 a year, which worked out to $205.51 for every point of member risk. That ratio became the test for what human support could change.
ROI
>7:1
Return on investment across the high-risk population engaged through MyPHA.
Savings
$1.03M
Savings after adjusting for the risk profile of the engaged cohort.
Cost per risk point
10%
Decline in annual cost per point of member risk, from $205.51 to $185.30.
Members engaged
731
High-risk members working with a Personal Health Assistant, up from 615.
Proof in practice
How a public agency realized $16M in annualized savings
A large public transit agency was losing ground to risk migration. In the year before engaging Converging Health, 1 in 4 members moved upward in risk, at an average cost of $30,803 per person. The following year, 1,332 high-risk members were identified and engaged directly.
Savings
$16M
Annualized across the engaged high-risk cohort, based on the change in monthly medical spend per member.
Medical spend
33%
Reduction in monthly medical spend per member, from $3,048 to $2,044.
Risk score
25%
Decline in average Whole Person Risk Score across the cohort.
Members engaged
1,332
High-risk members working with a Personal Health Assistant, 83% with at least one chronic condition.
Proof in practice
How one employer saved $28,871 per high-risk member
A national services company had already invested in programs and benefits its employees were not using. Chronic conditions kept escalating into emergency visits and expensive procedures, and nothing in the plan data showed which members were heading there next.
Savings per member
$28,871
Annual savings per high-risk member engaged with a Personal Health Assistant.
Engagement
92%
Of high-risk members engaged with a Personal Health Assistant.
Risk migration
48%
Reduction in members migrating from low-cost to high-cost tiers.
Preventive care
30%
Increase in preventive primary care visits among engaged members.
Total savings
$14M
Total cost savings reported across a population of 37,318 members.
ED utilization
⬇15%
Emergency department visits declined from 671 to 571 per 1,000 people.
PMPY cost
⬇6.8%
Average annual cost went down 6.8%, from $5,102 → $4,749
Speed of change
3 mo.
Cost and utilization trends began moving down earlier than anticipated.
Proof in practice
How one employer saved $1.5M in six months
A regional financial services employer watched a small high-risk population drive a growing share of total claims. In 2024, 802 high-risk members averaged $13,084 a year, or $221.76 for every point of member risk. Six months of dedicated human support moved that ratio.
ROI
5:1
Return on investment across the high-risk population engaged through MyPHA.
Savings
$1.5M
Savings in the first six months, adjusted for the risk profile of the engaged cohort.
Cost per risk point
12%
Decline in annual cost per point of member risk, from $221.76 to $195.67.
Engagement pace
150
New high-risk members engaged with a Personal Health Assistant each month.
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