Gita Vatave
President, Care Navigation, Wellnecity
For HR leaders and benefits advisors focused on controlling costs, missed care is a hidden threat. Skipped screenings. ER overuse. Delayed diagnoses. These aren't just health risks — they're cost drivers that often go unnoticed until it's too late.
The Problem
Up to 30% of U.S. healthcare spending is considered waste — much of it tied to missed care, unnecessary services, and poor coordination. (KFF Health System Tracker, 2025)
And with over 80% of employees confused about their benefits, timing and guidance matter more than ever.
What's Getting in the Way?
- Fragmented networks leading to poor care coordination across sites of care
- Difficulty understanding complex benefit plans and lack of awareness of more cost-effective treatment options
- Clinical teams lack timely, actionable data to guide patients
What Forward-Thinking Teams Are Doing Differently
Outbound navigation triggered by real-time signals
Proactive outreach based on data like ER visits or biopsies can redirect care when it still makes a difference.
Identifying the 5% driving 50% of spend
Predictive analytics surface rising-risk employees before claims spike.
Making data actionable — not just visible
Nurses need next steps, not just dashboards. A real-time alert can mean the difference between a $1,000 claim and a $100,000 one.
Building trust before the crisis
A well-timed call can guide employees toward better care and better outcomes.
Deliver Measurable Impact
One employer increased Center of Excellence use from 10% to nearly 50% after layering in data-triggered, nurse-led outreach. One intervention avoided a $131K claim. Another helped fast-track cancer care. These aren't anecdotes — they're outcomes.
Waiting for claims data = reacting too late.
Real-time signals + high-touch outreach = measurable impact.
The best time to act is before care is missed. Let's help your people — and your plan — stay ahead of the risk curve. Early intervention results in lower costs, better outcomes, and happier employees.
