Report

Employers unlock ROI with advanced primary care

Discover how advanced primary care delivers measurable cost savings and better health outcomes for organizations—backed by analysis of more than 3M claims.

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Healthcare costs continue to rise, but shifting costs to employees is unsustainable. Benefits leaders need a strategy that delivers real financial and clinical results. Advanced primary care is that strategy. This analysis examines 3M+ medical claims to show what is possible when organizations invest in proactive, continuous, and personalized care.

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ROI ANALYSIS

APC improves costs and outcomes at scale

What we studied

This analysis draws on two Marathon Health cohorts: approximately 89,000 members across 29 plan sponsors, and approximately 224,000 members across 60 sponsors. An independent firm assessed the methodology to ensure rigor and credibility across findings.

What we found

Advanced primary care pays for itself. Sponsors saw a 1.2x ROI in year one, growing to 3.7x by year five. Engaged members experienced 21% lower costs—saving $93 per member per month.

THE CHALLENGE FOR EMPLOYERS

From rising costs to better outcomes: what the research reveals

Healthcare costs are rising with no relief in sight

Employers and labor groups face relentless cost pressure. With 51% of employers expecting to shift costs to employees in 2026, the need for a smarter, more sustainable benefits strategy is urgent.

Engaged members use care differently—and more wisely

When members engage with advanced primary care, they rely less on costly emergency and specialty care. Many organizations still struggle to understand what drives engagement.

High-cost claimants drive outsized spend—and risk

A small group of high-cost claimants drives a disproportionate share of spend. Preventing members from crossing that threshold—and reducing costs among those who do—is vital for long-term financial sustainability.

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fewer members crossed the high-cost claim threshold with APC engagement

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per member per month in savings overall for engaged members

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ROI in year one, growing to 3.7x by year five among sponsors in the analysis

For more than 50 years, research has shown that strong primary care leads to better clinical outcomes, less unnecessary utilization, and lower costs.

NIRAV VAKHARIA, MD

Chief Operating Officer, Marathon Health

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See the data behind advanced primary care's ROI

This analysis of more than 3 million claims makes the case for advanced primary care as a proven, financially sound benefits strategy. Download the full report to explore year-over-year ROI trends, engagement-driven savings, outcomes by condition, and what the data means for your organization's benefits decisions.

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