GlobalHealth and VitreosHealth Case Study Results Demonstrate $10 Million Annual Savings Using Predictive Analytics

Share Article

Executives share success of leveraging big data with predictive and prescriptive health insights for successful medical loss ratio reductions

High Res GlobalHealth Logo

“Today, we are able to predict 70 percent of all hospital admissions."

Health insurance industry leader, GlobalHealth, publishes a case study analyzing the results of their proactive outreach program. The program, built on big data with predictive analytics, finds members whose health was most likely to change for the worse and implements changes to prevent catastrophic health events. Since implementation, GlobalHealth realizes an 18 percent reduction in emergency room encounters and emergent hospital admissions, a 22 percent reduction in readmissions and a 16 percent per-member, per-month reduction in medical costs.

“GlobalHealth uses VitreosHealth’s insights to fuel our care management programs to help provide better health outcomes for our members,” says GlobalHealth President and CEO Scott Vaughn. “Today, we are able to predict 70 percent of all hospital admissions. We have changed and expanded our outreach programs to work with our members to get better access to care.”

Over time, as GlobalHealth expands its proactive outreach efforts, VitreosHealth is able to ensure that its solution meets GlobalHealth’s needs. VitreosHealth offers this through an Insights-as-a-Service (IaaS) delivery model for population risk models for predictive and prescriptive health insights that provide a complete view into the healthcare continuum. Each “insights-view” achieves a patient-centric focus from every stakeholder’s perspective within the healthcare organization that will contribute to quality health outcomes and improve financial performance.

“We are very proud to partner with GlobalHealth to share the results they have achieved,” says VitreosHealth CEO, Jay Reddy. “As healthcare begins to use predictive analytics in their population health strategies, it’s important to demonstrate their effectiveness and the impact to population health efforts. GlobalHealth has shown how they are positively impacting their members’ health.”

The case study highlights the details of GlobalHealth’s initial steps, growth of their outreach efforts, and the results achieved. It reveals experiences of some of the members through these programs and how GlobalHealth has expanded them over time. Using VitreosHealth’s predictive analytics as IaaS, GlobalHealth is able to proactively reduce patient populations’ health complications by anticipating their actions, rather than reacting to them. VitreosHealth’s solution integrates electronic health records, as well as socio-economic and claims data to generate a specific risk analysis that aids care management strategies. Because of this unique approach, VitreosHealth’s advanced predictive analytics solution was recently awarded Frost & Sullivan’s 2016 North America Award for New Product Innovation for Advanced Population Health Analytics Solutions.

About GlobalHealth
GlobalHealth is changing health insurance in Oklahoma. As an industry leader, GlobalHealth is an Oklahoma-based health maintenance organization covering more than 45,000 individuals in all 77 Oklahoma counties. Working proactively with each member, GlobalHealth engages a personalized management plan to address their specific needs and ensure the best possible health outcomes. GlobalHealth utilizes cutting edge, predictive data technology as a foundation to deliver improved healthcare as part of its commitment to making health insurance more affordable. Its membership includes state and education employees, federal employees, municipal employees, Medicare Advantage members and private employers. GlobalHealth employs more than 250 associates throughout Oklahoma. To learn more, visit

About VitreosHealth
VitreosHealth offers the first Insights-as-a-Service delivery model for advanced population health analytics. They leverage Big Data and predictive and prescriptive health insights for population risk models that provide a complete view into the healthcare continuum. Their adaptive insights achieve a patient-centric focus for each perspective within a healthcare organization that leads to quality health outcomes and improves financial performance for measurable return on investment.

VitreosHealth’s solution, using the broadest sources of Big Data available, supplies easily accessible Insights for predictive risk and prescriptive care management with a focus on both critical and hidden risk populations to close gaps in care and achieve significant financial improvement.

VitreosHealth’s goal is to help transform health care economics with advanced population insights by partnering with their clients for success in this changing marketplace. VitreosHealth was recently awarded Frost & Sullivan’s 2016 North America Award for New Product Innovation for Advanced Population Health Analytics Solutions. Learn more at


Share article on social media or email:

View article via:

Pdf Print

Contact Author

Cynthia Townsend

Yemil Martinez
since: 01/2014
Follow >
Like >

Visit website