Case Study: Large Top National Company achieves over $9M in ROI and improved HEDIS/Stars quality measures with Personify Health

Top National Payer Generates over $9M in ROI with Targeted Quality Initiatives

A top national payer serving more than 30 million members partnered with Virgin Pulse to address a pressing challenge: improve HEDIS and Medicare Stars quality measures across a large, diverse population while reducing care gaps and costly outreach inefficiencies.

Virgin Pulse deployed Medication Adherence and Gap Closure solutions—at‑home screening kits, medication adherence support, appointment reminders and post‑discharge outreach—enriched member records with SDOH data and ran targeted IVR, live‑agent, direct mail, email and SMS campaigns. The initiative delivered over $9M in ROI, $96 average per‑member savings from in‑home test kits, a 57× ROI on automated refill communications, a 20% reduction in Rx call‑center volume and more than 500 million multi‑channel touchpoints.