Case Study: Geisinger Health Plan achieves significant cost savings and improved outcomes with Teladoc Health

How identifying and reviewing the most-complex cases is curbing costs, improving outcomes

Geisinger Health Plan, which serves about 555,000 members across Pennsylvania, faced rising costs driven by a small proportion of members with the most-complex conditions (roughly 1.2% of members accounting for 31% of medical costs). To better identify high‑cost, high‑risk cases and ensure members received the right care, Geisinger partnered with Teladoc Health and engaged Teladoc Health’s Expert Medical Services for expert review and second opinions.

Teladoc Health delivered Expert Medical Services — rapid second opinions, dedicated care-team support, specialist matching from a 50,000+ expert network, and proprietary risk‑scoring algorithms — to review and manage complex cases. The partnership yielded measurable results: a 2.07:1 ROI, more than 90% member satisfaction, a 400% increase in consulted case volume (2017–2018), roughly $9,500 average savings per consulted case (and about $46,000 average savings when surgery was avoided), plus expanded integration of behavioral health and specialty pharmacy services.

Geisinger Health Plan

John Bulger

Chief Medical Officer