How one at-risk provider achieved a 400% ROI with personalized prevention
An at-risk provider’s analysis of its 1-year Bold usage showed a nearly 400% ROI.
A leading West Coast at-risk provider needed to engage some of its costliest, highest risk members with a preventative program to drive clinical outcomes and tangible cost savings.
This provider was intent on selecting a clinically validated solution that engaged members to increase physical activity and reduce risk of falling. They were committed to reducing all-cause utilization with a solution that met members where they were outside of traditional clinical settings.
The cost curve catch-22
Older adults with multiple chronic conditions present a value-based-care paradox: they have higher utilization rates and are the hardest to engage. They represent the greatest opportunity to benefit from proactive, preventive solutions.
Physical inactivity is associated with a 46% higher mortality risk. Increasing activity levels is proven to reduce falls, emergency department visits, hospitalizations, and functional decline – but most exercise options fail this population for a multitude of reasons:
Gyms lack scalability and often alienate older adults with mobility or confidence barriers, while physical therapy is episodic, costly, and often out of reach. Neither option provides the personalized, sustained support required to spark lasting change.
Ready to see how personalized prevention can move the needle for your members and your bottom line? Learn how Bold partners with plans like yours ›
Outcomes that move the needle
The provider selected Bold because of the company’s expertise and track record of engaging older, hard-to-reach older adults, ease of implementation, and dynamic, personalized programming.
A difference-in-differences analysis determined 1-year cost savings for patients enrolled in Bold. The results were striking:
✅ 400% ROI driven by reductions in utilization across care settings\ ✅ $1,400 average annual savings per enrolled member\ ✅ 35% decrease in injurious falls from baseline\ ✅ 60% of members reported significant pain reduction\ ✅ 55% said Bold made them more likely to stay with their provider
Beyond the numbers, Bold delivered something harder to quantify but just as valuable: confidence, connection, and renewed trust in members’ ability to live independently.
“Bold has been life changing for me physically, cognitively, and emotionally. The trainers are outstanding in their ability to connect with an aging population from varied backgrounds.” - Sarah M., 67, Bold member
Why Providers & Payers choose Bold
Personalization is in Bold’s DNA
Medicare members increasing prioritize choice and flexibility, and consumers expect personalization. Bold members receive a custom movement plan tailored to their health history, functional status, and health goals. For members with mobility limitations or functional concerns, Bold offers short-form instructional content to demonstrate safe movement patterns and reinforce proper form.
Habit-forming engagement
Nearly 40% of members arrive at Bold without a regular exercise habit. This ability to engage previously inactive members is what allows Bold to drive significant cost savings and outcomes for partners.
Bold meets older adults where they are and reinforces engagement with streaks, reminders, and new content. No equipment necessary. No complicated technology. All you need is a device, a sturdy chair, and room to move.
Clinical rigor
Programming is designed by clinical experts and aligned with recommendations from the USPSTF and the CDC — which advise that older adults engage in multicomponent physical activity at least three times per week. Programming includes a combination of strength training, balance work, and aerobic activity, all of which have been shown to reduce fall risk, improve functional ability, and support chronic disease management.
Why Bold works
Bold’s team of experts worked with the provider to identify members most likely to engage with and benefit from Bold. This included members who typically face barriers to movement — seniors who are at high risk of falls or have chronic pain — and who tend not to engage in traditional fitness or fall prevention activities.
By targeting members with the most to gain from preventive movement, the program achieved meaningful engagement where other interventions had fallen short.
1. Alignment with plan priorities
Every engagement touchpoint maps to cost, quality, and Star Ratings goals, making it easy for plan leaders to see the value.
2. Experience that members love
With an NPS over 80, members reported improved strength, balance, a sense of empowerment, trust, and confidence in their ability to maintain their independence. That emotional connection fueled sustained engagement with many members reporting they were more likely to stay with their provider because it offered access to Bold.
3. Low barrier to entry
No travel, no wearables, no intimidating gym floor. Bold’s digital-first delivery eliminates friction for home-bound or hesitant members. Bold makes clinically grounded, personalized exercise accessible to everyone no matter their location, mobility status, or comfort with traditional fitness environments.
4. Easy onboarding and ongoing engagement
To get off the ground, Bold ran co-branded, omnichannel enrollment and marketing campaigns. Once enrolled, members completed an onboarding process that set the stage for personalized experience from day one, incorporating behavioral nudges and cues to establish healthy routines early.
Movement that delivers
Personalized movement isn’t a “nice-to-have” supplemental benefit. It’s a clinical strategy, a retention lever, and a proven cost-savings engine. When the right program reaches the right members, the gains are transformative.
These results are replicable. Bold is already delivering similar outcomes to other Medicare Advantage plans and providers.
Let’s discuss how Bold can drive cost savings and quality gains for your plan — starting today. Connect with us.