For Payers

Better Outcomes,
Lower Costs

Reduce episode costs, improve quality metrics, and increase member satisfaction—all while delivering better care experiences for your covered populations.

6.2x
Average ROI
29%
Cost Reduction
45+
Payer Partners
Calculate Your ROI

Population Analytics

The Payer Value Proposition

PathwayRx delivers measurable impact across the metrics that matter most.

Reduce Episode Costs

Lower total cost of care by preventing complications, reducing readmissions, and shortening recovery times.

29%Average cost reduction per episode

Improve Quality Metrics

Drive improvements in HEDIS measures, Star ratings, and other quality metrics that matter to your business.

34%Average quality score improvement

Increase Member Satisfaction

Members love the personalized support. Higher satisfaction drives retention and reduces churn.

4.7/5.0Member satisfaction rating

Population Analytics

Aggregate insights across your covered population. Identify high-risk members and target interventions.

100+Metrics and dimensions

Clear, Measurable ROI

Our customers see an average of 6.2x return on investment within the first year. Here's how the savings break down:

Readmission Prevention$2,400 / member
Complication Avoidance$1,800 / member
Reduced ER Visits$650 / member
Shorter Recovery Time$400 / member
Average Total Savings$5,250 / member
Calculate Your ROI
6.2x

Average ROI

First year of implementation

Impact on Quality Metrics

Drive improvements across the metrics that affect your Star ratings and value-based contracts.

42%

All-Cause Readmission

28%

Patient Satisfaction (CAHPS)

51%

Medication Adherence

38%

Follow-up Appointment Compliance

23%

ER Utilization

18%

Length of Recovery

Flexible Implementation Options

Deploy PathwayRx in the way that works best for your organization.

  • Provider-Deployed

    Health systems in your network deploy PathwayRx at discharge

  • Payer-Initiated

    Proactively reach out to members post-discharge with recovery support

  • White-Label

    Deploy under your brand for seamless member experience

  • Value-Based Contracts

    Include PathwayRx in VBC arrangements with provider partners

Quick Implementation

Go live in weeks, not months

Ready to See the ROI?

Join 45+ payers already improving outcomes and reducing costs with PathwayRx.