Case Studies

Male doctor reassuringly places arm on older woman's shoulder.

Utilization Management

Lower-cost procedures through better navigation

Utilization Management

Lower-cost procedures through better navigation

61% savings achieved on colonoscopy services
55% savings achieved on MRI imaging services
$2,872 savings generated on outpatient colonoscopy procedures

Read Case Study

Doctor places stethoscope over older woman's sweater.

Health Management

Increased preventive wellness engagement. Powered by biometric screenings and health risk assessments.

Health Management

Increased preventive wellness engagement. Powered by biometric screenings and health risk assessments.

1,056 members completed both biometric screenings and HRAs
Approximately 65% of eligible members completed both biometric screenings and HRAs
39 members completed biometrics without HRA completion

Read Case Study

$2.27M in savings in 7 months

Using Reference-Based Pricing and enhanced cost containment strategies.

Male patient in waiting room fills out a clipboard.

Utilization Management

Lower-cost preventive care. Better clinic access.

Utilization Management

Lower-cost preventive care. Better clinic access.

49% of preventive-service members utilized Cedar Health Centers
22.6% lower preventive visit costs at Cedar Health Centers compared to other providers
$38.92 savings per preventive visit

Read Case Study

Couple embraces with man kissing woman's head.

HRA/FSA/HSA

Better coverage access. Lower benefits costs.

HRA/FSA/HSA

Better coverage access. Lower benefits costs.

1,850 total members impacted (employees + dependents)
68% employee engagement with benefits decision support tools
~$412,500 estimated annualized employer savings generated

Read Case Study

Group of employees engage around a desk, brainstorming with sticky notes.

Cost Containment

Reducing out-of-network healthcare spend by ~91%

Cost Containment

Reducing out-of-network healthcare spend by ~91%

Approximately 91% savings achieved on eligible reviewed claims
$1,147,033 net savings after fees
Significant reduction in unnecessary out-of-network spend

Read Case Study

91% savings on reviewed claims

Thanks to enhanced out-of-network negotiation and cost containment strategy.

Bearded man in blue hat sits in drivers seat of large truck.

Cost Containment

Smarter cost strategies. Lower healthcare spend.

Cost Containment

Smarter cost strategies. Lower healthcare spend.

84.0% savings off billed charges
128.4% average effective Medicare reimbursement
$2.27M total savings generated

Read Case Study

Man wearing security badge in modern office smiles at woman

Cost Containment

Reducing healthcare costs. Expanding access to cross-border care.

Cost Containment

Reducing healthcare costs. Expanding access to cross-border care.

Office visits averaged ~87% lower cost through the Mexico Cross-Border Program
Vision services averaged ~87% lower cost
Dental services averaged ~75% lower cost

Read Case Study

Young child at doctors office holding teddy bear, using stethoscope on doctor while mom looks on.

Wellness Program Solutions

Proactive health management programs. Improved population health

Wellness Program Solutions

Proactive health management programs. Improved population health

$49,200 in estimated savings
246 members actively participating in health management programs
4.61x return on investment

Read Case Study

woman gives child a piggy back with man supporting from behind.

Cost Containment

Smarter care navigation. Lowers ER use.

Cost Containment

Smarter care navigation. Lowers ER use.

43 members identified with non-emergent ER utilization patterns
Identified more than $215,000 in avoidable ER savings opportunity
Reduced avoidable ER visits by 20% within 6 months

Read Case Study

Man in hard hat and safety goggles smiles at coworker.

Health Management

Better health outcomes. Lower claim risk.

Health Management

Better health outcomes. Lower claim risk.

~$30K estimated oncology savings opportunity tied to CancerCARE navigation and lower-cost care steerage
91% employee satisfaction benchmark associated with behavioral health support programs
8 out of 10 behavioral health users demonstrated clinical improvement benchmark

Read Case Study

246 members actively participating in health management programs

Proactively improving employee health for $49,200 in estimated savings.

Lower-cost procedures through better navigation

Increased preventive wellness engagement. Powered by biometric screenings and health risk assessments.

Lower-cost preventive care. Better clinic access.

Better coverage access. Lower benefits costs.

Reducing out-of-network healthcare spend by ~91%

Smarter cost strategies. Lower healthcare spend.

Reducing healthcare costs. Expanding access to cross-border care.

Proactive health management programs. Improved population health

Smarter care navigation. Lowers ER use.

Better health outcomes. Lower claim risk.

246 members actively participating in health management programs

Need guidance on your self-funded benefits plans?