Estimate the projected avoided cost and ROI of deploying RiskFlow across your book of business — for health plans, TPAs, employers, and brokers.
Book Profile
lives
%
%
USD
Utilization & Spend
/1000
USD
%
Intervention Assumptions
%
%
Net Annual Savings
$3,375,900
$281,325/month
Gross Savings
$3,704,100
Before intervention cost
Intervention Cost
$328,200
Care mgmt + pharmacy review
ROI Ratio
10.3:1
$135/life
Avoided Cost by Category
High-Cost Claimant Management
131 members in care mgmt
$1,179,000
ED Visit Reduction
333 ED visits avoided
$399,600
Specialty Pharmacy Review
Formulary & site-of-care optimization
$288,000
Network Leakage Retention
Care navigated to in-network
$771,750
Readmission Prevention
7 readmissions prevented
$112,000
Avoided Admissions
35 admissions avoided
$875,000
Stop-Loss Premium Impact
Reduced renewal pressure
$78,750
Savings Distribution
High-Cost Claimant Management31.8%
ED Visit Reduction10.8%
Specialty Pharmacy Review7.8%
Network Leakage Retention20.8%
Readmission Prevention3.0%
Avoided Admissions23.6%
Stop-Loss Premium Impact2.1%
Disclaimer: This ROI estimate is based on industry benchmark assumptions for population health management and stop-loss risk mitigation. Actual results will vary based on population health status, contract structure, intervention adherence, and data availability. This does not constitute a guarantee of savings.