Value-Based Care Case Studies: How Employers Are Achieving ROI
Why are employers rethinking healthcare benefits?
For today’s employers, providing healthcare coverage has become one of the largest and fastest-growing expenses. Rising premiums, inconsistent care quality, and unpredictable claims have put HR leaders and benefits teams under pressure to deliver better outcomes without ballooning costs.
Traditional fee-for-service models only make matters worse. By rewarding the volume of services instead of outcomes, fee-for-service drives unnecessary tests, surgeries, and hospital visits. The result? Employees struggle to navigate fragmented care, while employers shoulder higher costs with limited visibility into value.
Value-based care flips this model on its head. Instead of paying for more services, value-based care pays for results—focusing on patient outcomes, cost predictability, and high-quality care delivered at the right place and time. For employers, that means a healthier, more productive workforce and financial strategies that finally align with business priorities.
The proof lies in real-world employer experiences. Let’s explore how leading companies are using Carrum Health’s value-based programs to tackle some of their biggest healthcare challenges.
Case studies: Value-based care in action
Sana: Reducing MSK costs for small businesses
By 2021, musculoskeletal conditions had become one of Sana’s highest cost categories, affecting nearly one in five members. Their previous MSK program had low engagement, limited provider access, and little impact on outcomes.
Sana partnered with Carrum Health to build a data-driven MSK solution. The program included streamlined access to high-quality musculoskeletal care, a benefit design targeting overused procedures like spinal fusion, integration with Sword Health for virtual physical therapy, and tools for member engagement such as webinars.
Download the case study to see the full result. You can read more here.
Peraton: Lower costs and better outcomes across service lines
Peraton’s 24,000+ employees faced care delivery gaps. Prior to partnering with Carrum, their members often chose convenience over quality, leading to unnecessary surgeries, inconsistent outcomes, and high costs.
Peraton adopted a comprehensive centers of excellence program with Carrum Health, integrating MSK, cardiac, bariatric, and oncology. Features included bundled payments, integration with Accolade and Hinge Health, high-touch Carrum Care Navigators, and robust engagement strategies.
Download the case study to see the full result. You can read more here.
Prudential: Tackling rising cancer care costs
Cancer accounted for 15% of Prudential’s healthcare spend by 2021. Preventive screening declines during the pandemic led to more late-stage diagnoses, while existing programs had limited utilization and unpredictable costs.
As a result, Prudential expanded its Carrum Health partnership to include oncology. Program features included partnerships with top cancer centers like Memorial Sloan Kettering, bundled pricing for treatment, comprehensive virtual expert reviews, and oncology care navigators.
Download the case study to see the full result. You can read more here
US Foods: Scaling COE programs nationwide
With 20,000+ associates across 70+ sites, US Foods struggled with inconsistent surgical costs and variable outcomes. The benefits team needed a fast, scalable solution.
Carrum Health delivered them a nationwide COE program in just six weeks, with bundled pricing for surgeries, access to the top 10% of surgeons, strong care warranties, and concierge-level support.
Download the case study to see the full result. You can read more here
Key takeaways for employers and HR leaders
These case studies highlight consistent themes:
- Measurable savings by avoiding unnecessary procedures and using bundled pricing.
- Improved employee experience with high-quality, coordinated care.
- Fast implementation timelines, such as US Foods’ six-week rollout.
- Scalability across both small and large workforces.
- High member satisfaction scores that exceeded national benchmarks.
For HR leaders and consultants, the message is clear: Value-based care isn’t a future trend—it’s happening now, and it delivers results.Why now is the time for value-based care
Why now is the time for value-based care
Healthcare is at a tipping point. Employers can no longer afford unpredictable costs, inconsistent outcomes, and disengaged employees. As these case studies demonstrate, value-based care gives employers the tools to align incentives with outcomes, reduce unnecessary procedures, provide better care experiences, and create financial predictability in benefits design.
Companies that embrace value-based care today aren’t just cutting costs—they’re building healthier, more engaged, and more productive workforces for the future.
