Success Story

Case Study Spotlight: How Embold Health is Helping the State of Connecticut Redefine Quality Care

Embold’s analytics platform powers better navigation, smarter plan design, and quality-first networks — giving your plan an edge across cost, experience, and access.

What happens when an entire state sets out to raise the bar on healthcare quality and cost for their employees and families?

For the State of Connecticut, it meant rethinking incentives, choosing a partner that could deliver trusted data, and launching a program that is already changing outcomes for thousands of members.

Embold Health’s Provider Guide was incorporated into the State of Connecticut’s member digital experience through their healthcare navigation partner, Quantum Health. Provider Guide is now helping members find top-performing doctors for their healthcare needs. The State’s Providers of Distinction program, highlighted within Provider Guide, is a cornerstone of the partnership, spotlighting high-performing providers and empowering members with confidence in their choices.

The results speak for themselves: average savings of more than $1,300 - $1,600 per procedure in certain care categories, reduced unnecessary hip and knee joint replacement surgeries, and lower rates of opioid prescribing.  Just as importantly, members are using the tool in record numbers—tens of thousands of provider searches in the first year alone yielding engagement in 27% of the State’s covered members.

But the real story isn’t just about the numbers. It’s about how state leaders, provider groups, and Embold Health, now a Quantum Health company, worked together to build a system grounded in trust, transparency, and clinical rigor.  

From seamless integration into existing tools, to one-on-one conversations with providers, to proactive member engagement campaigns, the State of Connecticut shows what’s possible when quality is front and center.

This is more than a case study in cost savings; it’s proof that health care navigation can be both powerful and impactful.

Read the full case study to see how the State of Connecticut made it happen.

This is more than a case study in cost savings; it’s proof that health care navigation can be both powerful and impactful.

Tackling healthcare waste and inefficiencies at the source

Our customers have experienced:

5%

Decrease in annual medical spend

10%

Savings in healthcare out-of-pocket spend for members

90%

Average member satisfaction rate

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