How The State of Connecticut Saved $1,600 per Procedure

See how the State of Connecticut partnered with Embold Health, a Quantum Health company, to make it easier for members to identify and choose high-performing providers. By combining granular provider quality data, financial incentives and an integrated navigation experience, the State helped drive member engagement while generating measurable cost savings.

Key takeaways

• Lower costs: Providers of Distinction averaged 25% lower costs than non-designated providers, including an average savings of $1,600 per upper gastrointestinal procedure
• Greater use of high-performing providers: Provider of Distinction utilization for colonoscopies increased from 21% to 32%, producing an average savings of $1,300 per procedure
• Strong member engagement: In the first year, nearly 237,000 provider searches were completed by 59,000 members, contributing to a 27% member engagement rate
• A scalable approach to quality navigation: The program combined individual-level quality data, seamless integration, member communications and incentives to help members navigate toward higher-performing providers