The core problem
Every year, a portion of the population shifts from manageable to expensive
Without earlier intervention, those risks continue to escalate. And far too often, the full cost impact isn't seen until the claim has already happened.
Converging Health identifies who is on that trajectory early and actively engages them to close care gaps, improve follow-through, and prevent avoidable cost escalation.
Kaitlyn
HIDDEN RISK
Likely high-cost soon
Kaitlyn has Type 2 diabetes and has not seen her provider in over 12 months.
Built for the organizations responsible for healthcare cost and outcomes
Employers
For organizations responsible for employee health plans, healthcare cost trend, and workforce outcomes.
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Brokers & Consultants
For brokers and consultants helping their clients on cost, employee activation, and measurable value.
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Health Systems
For clinical organizations moving from value-based contracts to proactive, risk-based care operations.
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How we work
A complete model for identifying, activating, and measuring health risk
Converging Health combines predictive intelligence, human guidance, and outcomes driven reporting to change the trajectory of cost and health across the population.
Predict earlier by understanding the Whole Person
Whole Person Risk Score identifies people at high risk using a broader view than diagnoses alone.
Activate people through human guidance
MyPHA provides proactive outreach, advocacy, navigation, coaching, and care coordination through a dedicated human guide.
Measure change through reporting and governance
VisionHawk shows how risk, engagement, outcomes, and cost trajectory are actually changing.
Earlier engagement, lower claims, defensible numbers
A few results from clients who put the system to work
01
$17.6M in cost savings at a national convenience store chain
Activation reduced PMPY spend among 3,632 high-risk members from $12,538 to $7,691 by engaging them before risk turned into claims.
02
$16M in annualized savings at a large public transit agency
1,332 high-risk members engaged with a Personal Health Assistant. PMPM medical spend dropped from $3,048 to $2,044 over the year, a 33% reduction in a population where 83% had at least one chronic condition.
03
$14M in year-one savings at a safety-net health system
Embedding the Whole Person Risk Score into clinical workflows reduced PMPY cost from $5,102 to $4,749 across 37,318 Medicaid members and cut ED visits by 15%, with results appearing within three months of implementation.
04
A 92% engagement rate at an industrial equipment supplier
When real people own the relationship, members show up. The high-risk cohort saw a 48% reduction in migration to high-cost tiers, a 30% increase in preventive primary care visits, and $28,871 PMPY in savings.
05
An NPS of 76 among members working with a Personal Health Assistant
Healthcare programs are not known for member satisfaction. This is the prerequisite for sustained engagement, and sustained engagement is the prerequisite for sustained savings.
Calculate your savings potential
See how earlier identification and engagement can reduce costs and help prevent serious, life-changing health events.
We’ll build a tailored projection showing how much cost can be avoided by identifying and engaging rising-risk employees earlier. After submitting the form, we’ll walk you through the results so you can see exactly where the savings come from and what drives them.
Info sheets and case studies
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Whole Person Risk Score
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Info Sheet
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Case Study
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Case Study
Your future healthcare cost is already taking shape.
Converging Health helps employers identify rising-risk employees, activate them with dedicated human guidance, and measure whether risk is moving in the right direction.
Start with a savings projection, or send us a message to learn more about how the model would apply to your population.