As published in Digital IT News

By Leigh Porter

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Solera Health has released findings from an independently validated real-world study showing that its curated network of digital health partners reduces total cost of care while improving outcomes for members with chronic conditions. Analysis of a large U.S. health plan’s claims data found $1,241 in per-member savings, a $2.42 return on every dollar invested, and a significant reduction in high-cost healthcare utilization.

The study — an independently validated, matched-control claims analysis of 16,499 enrolled members conducted with a large U.S. health plan — found that Solera’s network of digital health interventions reduced total cost of care by $1,241 per member over six months, generating a $2.42 return for every dollar invested. At scale, that translates to an estimated 2% to 4% reduction in total plan claims costs.

Medical Facilities & Services

The results extend beyond cost. The analysis found 55 fewer emergency room visits and hospitalizations per 1,000 members — evidence that connecting people to the right care earlier drives measurable reductions in the high-cost utilization that strains health plan budgets most.

“The question was never whether digital health could work. It was whether anyone was willing to build it in a way that could be proven,” said Dr. Mohammed Saeed, chief medical officer at Solera Health. “This study answers that – and raises the bar for everyone in the space.”

Where the Savings Came From

‍The study analyzed medical and pharmacy claims across enrolled members and matched controls over a six-month period. Savings were distributed broadly across care settings, reflecting systemic improvement rather than isolated program wins:

• Lower outpatient spending, driven by more efficient, appropriate care utilization
• 55 fewer ER visits and hospitalizations per 1,000 members — the highest-cost interventions in any health plan’s claims spend
• Reduced pharmacy costs, pointing to improved medication adherence and chronic condition management

For health plans managing large populations, the implications are significant: a 2% to 4% reduction in total plan claims costs represents millions in realized savings — validated by real member data, not projections.

Why the Network Model Works

‍Chronic conditions drive the majority of U.S. healthcare costs, and most health plans address them with a growing stack of disconnected point solutions. The result is fragmented care, inconsistent engagement, and limited ability to connect digital health investment to actual outcomes.

Solera takes a different approach. A single integration connects members to more than 25 curated digital health partners spanning diabetes, hypertension, musculoskeletal care, weight management, and behavioral health — all delivered through the Solera HALO platform. Rather than layering more vendors into an already complex ecosystem, the solution acts as the connective tissue: intelligently guiding members to the right program, tracking engagement, and aligning payment to outcomes.

Health plans pay only when members engage and achieve clinically meaningful results. This study shows what that model delivers in practice.

“Results like these don’t happen by accident,” said John Santelli, CEO at Solera Health. “They happen when you stop adding vendors and start building a system. This is what it looks like when digital health is an integrated part of care delivery – and that needs to become the baseline expectation.”

Access the Full Report

‍“The Network Effect: Proving the Value of Curated Digital Health” details the full methodology, results, and implications for health plans ready to move from vendor complexity to measurable outcomes. Access the full report here.

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