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You have a strategy. So why are your healthcare costs rising?
Because healthcare costs don't start as claims.
They start as missed follow-ups, unmanaged conditions, poor medication adherence, unnecessary care, delayed primary care, and people trying to navigate a system that is hard to use.
Converging Health helps employers see those risks earlier, activate the people who need support, and measure whether the intervention is actually changing the cost trajectory.
1. IDENTIFY
We find the people whose risk is still movable
The Whole Person Risk Score™ (WPRS™) helps employers identify which members are most likely to become high-cost and why. It goes beyond claims history and demographics, looking at clinical complexity, care quality, care gaps, engagement, and navigation patterns.
Two people with the same diagnosis can be on very different trajectories. One is stable and connected to care. Another is unmanaged, disengaged, and heading toward an avoidable event.
2. ACTIVATE
We turn WPRS intelligence into action
Finding risk is only useful if someone acts on it. That's where the Personal Health Assistant comes in.
Each high-risk member is supported by a dedicated human guide who reaches out, builds trust, helps navigate care, coordinates with providers, supports medication adherence, closes care gaps, and keeps the member moving forward.
This is a proactive, relationship-based support for the people most likely to drive future cost. The goal is simple: help people take the right next step before their risk becomes a larger claim.
3. MEASURE
We measure how the trajectory is changing
Converging Health reporting is designed to show how risk is actually migrating. You can see how high-risk cohorts are changing over time, where care gaps are closing, how engagement is performing, how PMPM trends are shifting, and whether the program is producing defensible economic value.
This gives CFOs, HR leaders, benefits teams, brokers, and consultants a clearer way to evaluate what is working.
The question becomes: Are the people who were on a path toward higher cost migrating in the right direction?
What changes when employers intervene earlier?
When the right people are identified earlier and supported consistently, the impact shows up in measurable ways.
Fewer people migrate into high-cost tiers
Converging Health helps employers identify risk before it escalates, then engage members in ways that can slow or prevent avoidable movement into higher-cost categories.
More people use the care they already have available
Many employees need help using the benefits, providers, medications, and care pathways already available to them.
Better follow-through on primary care and prevention
The Personal Health Assistant helps members schedule, prepare, follow up, and stay connected to the care that can prevent avoidable escalation.
Clearer financial reporting
Employers can track risk movement, cost trends, engagement, and care gap closure in a way that connects intervention to outcomes.
results from employers using the model
At one industrial equipment supplier, 92% of high-risk members engaged with a Personal Health Assistant.
48%
reduction in migration to high-cost tiers
30%
increase in preventive primary care visits
$28,871
PMPY in savings, high-risk cohort
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