Predict drives 5x ROI with proactive AI detection of high-risk members

Many care programs show ROI in aggregate, but fail to engage the members most likely to drive near-term MSK costs.

Musculoskeletal care is one of the largest healthcare expenses for employers and health plans alike.¹ ² A significant share of that spend is driven by avoidable escalation into costly imaging, injections, and surgery.³ ⁴ Sword Health’s AI-powered solution, Predict, identifies members at elevated risk of near-term high-cost MSK events and prioritizes them for early, conservative care. The result is measurable savings, better outcomes, and a more disciplined approach to MSK cost control.

Validated through a matched control study, this whitepaper reveals how Sword Predict reduces low-value MSK care and delivers a claims-validated 5x return on investment.

What this whitepaper helps you evaluate

Learn how AI-driven early risk identification can reduce avoidable MSK surgeries and deliver defensible, near-term ROI. By using Predict's proactive engagement to help high-risk members recover faster, health plans and employers can expect sustained savings without increasing clinical, financial, or operational risk.

If you are under pressure to generate measurable MSK savings within plan-year, this analysis provides the validated evidence you need to confidently invest in Sword Predict for your member population.

Key learnings inside the whitepaper

• Why reduced surgical utilization is the primary driver of MSK savings³
• How changes in downstream utilization contribute to predictable, within plan-year ROI⁵
• What member engagement and adherence data indicate about durability of results⁵
• How to interpret matched-control study findings through a financial and actuarial lens
• Why targeted engagement of high-risk members unlocks greater savings than broad, undifferentiated MSK programs⁵