Restoring Financial Integrity in Wellness and Care Management
The PRO Model is a state-of-the-art projection tool that replaces unreliable estimates with grounded, data-driven savings forecasts. It doesn't just show what you might save; it shows where, when, and why savings occur.
Today's Challenge
Many employers manage 20 to 50 health and wellness vendors, yet each program is evaluated in isolation— ignoring how solutions overlap, how treating one condition reduces the need for another, and how members with multiple conditions simply cannot participate in every available program. The result: forecasts that miss the mark, conflicting vendor proposals, and performance risk built on projections that don't reflect real-world program interactions.
The Answer — The PRO Model
The PRO Model integrates realistic participation patterns and adjusts for program overlap to project five years of cost savings with unmatched transparency, precision, and speed. It supports both prospective and retrospective analyses, so projected savings can be compared with actual results.
What Makes PRO Different
Eliminates double counting by grouping solutions into categories and adjusting for program overlap.
Applies realistic participation limits for members who qualify for multiple programs, especially those with comorbidities.
Calibrates to your population by age, gender, condition prevalence, turnover, utilization trends, and unit costs.
Projects year-by-year savings and financial return for up to five years, reflecting how programs deliver value over time.
Supports both prospective and retrospective analyses, comparing projected savings with actual results.
Fast and actionable: delivers results in weeks using readily available summary data, not claims-heavy setups that take months.
High resolution: analyzes 14,400 unique member/service cohorts, producing over 300,000 model outputs for full transparency.
Easy to interpret: breaks down savings by condition, demographic, and medical service category, then rolls up into simple cost and return metrics.
Captures value chronology: condition management may yield near-term results, while wellness programs build value over years.
The Payoff
The PRO Model gives each stakeholder something they've been missing: a credible, defensible foundation for healthcare financial decisions and a path to program and cost optimization.
Employers
Attain credible, predictable forecasts that hold up. Stabilize healthcare spend and optimize your vendor portfolio.
Consultants & Brokers
Compare competing solutions on a consistent, defensible basis. Eliminate the frustration of untangling conflicting vendor assumptions and differentiate your practice by dealing in reality, not wishful thinking.
Health Plans & Payers
Build performance guarantees on a foundation that holds up. Provide clients and consultants with greater transparency into how savings are generated, strengthening long-term trust.
Fewer surprises. More credibility. A more disciplined path to healthcare savings.
Want to Learn More?
Reach out today to see how RestoringROI can help your organization make informed, impactful decisions.