Case Study: GlobalHealth achieves a 10% MLR reduction and improved member care with VitreosHealth

GlobalHealth's Comprehensive 10% MLR Reduction Program

GlobalHealth, an Oklahoma-based HMO serving Medicare Advantage and government employees, confronted rising preventable catastrophic events after a 2013 diabetic coma highlighted gaps in data and outreach. Seeking a faster route than an in-house build, GlobalHealth partnered with VitreosHealth and adopted its predictive and prescriptive analytics offering (Population Health Predictive Analyzer / “insights as-a-service”) to centralize data, identify high‑risk members, and move from reactive to proactive care.

VitreosHealth’s analytics platform and ongoing insights service powered a prioritized outreach program, a scheduler/priority app, and tighter coordination of pharmacy and medical care teams; GlobalHealth also added a liaison role to refine models and workflows. The program enabled GlobalHealth to predict nearly 70% of hospital admissions and drove measurable outcomes: an 18% reduction in ER encounters/emergent admissions, a 22% drop in readmissions, a 6–8% PMPM medical cost reduction across the population, a reported 10x ROI, and a projected $25M (≈10%) cost savings for 2016.

GlobalHealth

Scott Vaughn

President and CEO