The Financial Case for Preventive Care, Backed by Verified Data
When EHE Health’s outcomes are analyzed and measured, the findings are consistent: lower medical costs, lower trend, fewer hospitalizations, and significantly fewer high-cost claimants, compared to both conventional primary care and those with no prevention at all.
We Reduce the Claims Most Detrimental to Your Healthcare Costs by 44%1
Did you know 5% of workers account for 50% of all healthcare costs?*
Each of these high-cost claimants incurs an average of $235,000* in annual paid claims, stemming primarily from lifestyle-related diseases, late-stage diagnoses, and avoidable acute events.
The conditions driving these costs—hypertension, pre-diabetes, hyperlipidemia, early-stage cancers—are often treatable or manageable when caught early. But as many as 80% of patients we see for the first time are unaware they have them.*
By identifying these hidden risks, EHE Health reduces high-cost claimants from 9 per 1,000 workers to 5, saving potential millions in future high-cost claims.
Verified Outcomes Across 35,000+ Lives
EHE Health commissioned a multi-employer, multi-year claims study designed to answer the question benefits leaders and CFOs have to ask: Does a comprehensive preventive care program lower healthcare costs?
The study compared three groups across two 12-month periods: EHE Health users (10,500+), traditional primary care users (10,500+), and employees receiving no preventive care at all. Data was processed by a third-party data warehouse and adjusted for age and sex differences across cohorts.³
For the full methodology, cohort definitions, and statistical adjustments behind these findings download the white paper Can Increasing Adult Preventive Care Reduce Costs and Lower Medical Trend?
–1.3%
medical cost trend
14%
lower medical costs
26%
fewer ER visits
44%
fewer high-cost claimants
Fewer Hospitalizations. Lower Severity. Better Trend Predictability.
Non-maternity inpatient admissions among EHE Health users were 35% lower than the employer adult average. Inpatient days were 47% lower. For the employers in the study, the average cost per non-maternity admission ranged from $7,212 (mental health and substance use) to $70,841 (surgical), with a weighted mean of $33,919 per admission.³
For self-insured employers, inpatient cost avoidance at this scale affects your health plan budget directly—and, at the tail end of the distribution, your stop-loss exposure and renewal terms.
Pay-Per-Use: No Implementation Fees, No Minimum Commitments
EHE Health operates on a bundled, pay-per-use fee structure. There are no implementation fees, no PEPM costs, and no minimum utilization thresholds. Program cost is incurred only when an employee completes an exam.
What does this mean for your organization?
- Financial risk is minimized from day one. You pay for demonstrated utilization, not projected enrollment. There is no upfront investment to recover.
- EHE’s economics are aligned with program performance. Our operational investment is directed toward activating the unengaged members of your workforce, not just serving those who would have sought care regardless.
With 400+ board-certified physicians across hundreds of locations, we provide access for distributed workforces that no conventional primary care model can cost-effectively serve.
Pay-Per-Use: No Implementation Fees, No Minimum Commitments
EHE Health operates on a bundled, pay-per-use fee structure. There are no implementation fees, no PEPM costs, and no minimum utilization thresholds. Program cost is incurred only when an employee completes an exam.
What does this mean for your organization?
- Financial risk is minimized from day one. You pay for demonstrated utilization, not projected enrollment. There is no upfront investment to recover.
- EHE’s economics are aligned with program performance. Our operational investment is directed toward activating the unengaged members of your workforce, not just serving those who would have sought care regardless.
With 400+ board-certified physicians across hundreds of locations, we provide access for distributed workforces that no conventional primary care model can cost-effectively serve.
100% Screening Completion, Consistently – Including for High-Risk Members
A common criticism of wellness programs is that they only attract already-healthy employees. EHE Health’s outcomes data tells a different story.
In a cohort that was older, majority male, with meaningful prevalence of diabetes, hyperlipidemia, and hypertension—demographics that typically underutilize preventive care—EHE Health achieved 100% completion on recommended chronic disease testing, compared to 54–90% completion in the traditional primary care cohort.³
On cancer screening and vaccination, EHE Health exceeded national benchmarks across all measured categories. These are the screenings that convert a late-stage diagnosis into an early-stage finding—and a six-figure claim into a manageable one.³
| Measure | Benchmark | EHE Health |
| Colorectal cancer screening (age 45–75) | 34% | 100% |
| Mammogram (women 50–75, last 24 months) | 58% | 99% |
| Cervical cancer screening (women 21–65) | 61% | 88% |
| Annual flu vaccination | 31% | 86% |
Your Point Solution Investments Perform Better with EHE Preventive Exams
Employees who complete an EHE exam subsequently engage with employer-sponsored well-being programs at substantially higher rates, showing the following increases in point-solution enrollment, compared to the employer adult average:³
- +35% in musculoskeletal (MSK) programs
- +31% in chronic condition management programs (targeting hypertension and diabetes)
- +3% in virtual mental health programs
EHE Health’s post-exam health navigation and referral process increases utilization of programs you’re already paying for.
For Benefits Consultants & Brokers
EHE Health works with benefits consultants and brokers at every stage of the client evaluation process. We provide:
Predictive Savings Modeler
Estimate expected cost savings and forecast ROI for your client’s unique population before they commit to the program with a few key data points.
No-Fee Program Entry
National Network Reach
Ready to Model the Impact for Your Organization?
Our benefits strategists work with HR and finance leadership to develop program proposals tailored to your workforce size, geography, and benefits strategy. To connect with a member of our team, complete the short form at the link below.