Measuring the ROI of advanced primary care

Organizations are in a tough spot as healthcare costs rise. Many leaders are forced to trim benefits or shift costs to their people. Now, more are turning to advanced primary care (APC)—a model shown to yield measurable return on investment (ROI).

 

This eBook unpacks key findings from Marathon Health’s ROI analysis, exploring how APC pays off. It is based on over 3 million claim records and a rigorous methodology independently assessed by Milliman.

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Organizations save with APC

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Near and long-term returns

In year one, APC paid for itself. By year five the ROI jump to 3.7x thanks to a proactive care approach that impacts long-term health outcomes and total costs.

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Less overall spend

Engaged members had 21% lower claims costs and lower spend on chronic conditions, in part due to reducing costly downstream care episodes.

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Stronger cost control

42.5% fewer members crossed the high-cost claim threshold when engaged with APC, helping employers keep people healthy and control costs.

For more than 50 years, research has shown that strong primary care leads to better clinical outcomes, less unnecessary utilization, and lower costs.
— Dr. Nirav Vakharia, Chief Operating Officer, Marathon Health

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