Visana Health Reports $3,429 Per-Member Savings for Health Plan and Employer Partners

The independent analysis shows that Visana’s comprehensive whole-person care model for women delivers measurable ROI in just six months

MINNEAPOLIS--(BUSINESS WIRE)--Visana Health, a virtual medical home for women delivering whole-person care across all life stages, today announced the results of a landmark total cost of care study achieving statistically significant savings for commercially insured women. Independently validated by Optum Advisory, the study shows Visana’s comprehensive whole-person care model delivers a $3,429 reduction in total costs per member within six months. This is also the first study to show that comprehensive care for women can shape medical expenditures and serve as a strategic cost-management lever for employers and health plans, rather than a supplemental benefit.

Women’s health is one of the largest cost categories for employers, health plans, and third-party benefit administrators, on par with cardiometabolic and musculoskeletal conditions when viewed from a broad lens. Yet most of the care women receive today is fragmented, episodic, and focused on short-term reproductive needs, leading to delayed treatment and escalating to high-cost, invasive interventions. Costly surgeries are often used as first-line treatment for complex gynecologic conditions such as endometriosis and uterine fibroids, while women with chronic hormonal and metabolic conditions – such as polycystic ovary syndrome (PCOS), menopause, thyroid disorders and weight-related conditions – are managed intermittently and often see multiple specialists despite requiring comprehensive, longitudinal care.

Against the backdrop of rising costs and fragmented care, there is an urgent need for scalable care models that improve women’s health outcomes while bending the rapidly growing cost curve.

“These findings validate what Visana clinicians see every day: when women receive coordinated, longitudinal intervention for complex conditions, outcomes improve and avoidable utilization declines,” said Chevon Rariy, MD, Chief Clinical Innovation Officer at Visana Health. “By organizing care around the whole person, rather than isolated symptoms, we’re reducing unnecessary specialist visits and procedures while navigating patients toward higher-quality, more appropriate care. That’s what drives both meaningful clinical improvement for women and measurable cost savings for health plans, employers and third-party benefits administrators.”

The savings were driven primarily by fewer high-cost facility visits, reduced specialty visits, lower total gynecologic spend, and better coordination of care across complex conditions.

The retrospective study analyzed de-identified commercial claims data using a propensity score-matched cohort design and a difference-in-differences framework to compare costs six months before and after initiation of the Visana Health intervention. Patients receiving care through Visana Health were matched to similar individuals receiving care from other providers, allowing the study to isolate the impact of Visana’s clinical model on the total cost of care. The analysis controlled for baseline risk and utilization patterns, enabling attribution of savings to Visana’s care model rather than population differences.

"This landmark study demonstrates that Visana's value-based care model delivers world-class clinical outcomes for women while generating measurable ROI for our health plan and employer partners in just six months, a timeline that is virtually unprecedented in healthcare," said Joe Connolly, Co-Founder and CEO of Visana Health. “For employers and health plans looking to broaden women’s health support, it also proves that investment in evidence-based women’s health is a clinically sound and fiscally responsible strategy for managing utilization and spending both short-term and long-term.”

Visana Health supports women with complex conditions by delivering comprehensive, whole-person care across life stages—from menstruation through midlife—rather than focusing only on maternity, fertility, or menopause. By addressing interconnected hormonal, metabolic, reproductive, and lifestyle needs in a coordinated way, Visana helps women better manage complex disease, achieve more sustainable health outcomes, and reduce costs. Visana’s unique mix of complex patients reflects the full spectrum of women’s health needs, in contrast to women’s health organizations that focus on narrower, niche condition areas.

The full report and survey methodology are available here. For more information about Visana Health, please visit: https://www.visanahealth.com/.

About the Study

The analysis was conducted by Optum Advisory using de-identified commercial claims data from May 30, 2023, through May 30, 2025. The retrospective study used a propensity score-matched cohort design and a difference-in-differences framework to compare the total cost of care six months before and after program initiation. Over six months, Visana Health participants experienced a $3,429 reduction in total allowed costs per member compared with controls, driven primarily by lower facility, professional, and gynecologic spending.

About Visana Health

Visana Health is a comprehensive virtual women’s health clinic delivering whole-person care across the full spectrum of women’s health—far beyond the narrow scope of family building. Visana’s 50-state medical clinic can diagnose and treat women’s health conditions from menstruation through menopause, with deep expertise in high-cost, complex needs, including perimenopause, menopause, endometriosis, and PCOS. Built on a value-based care model, Visana improves clinical outcomes and access while reducing the total cost of care for health plan and employer partners. Learn more at www.visanahealth.com.