
Hinge Health clinical studies show significant claims reduction for self-insured, fully insured, & Medicare populations
Musculoskeletal (MSK) conditions are among the top drivers of healthcare costs for employers and health plans across the board. About half of all U.S. adults are affected by them — costing payers and patients approximately $661 billion¹ annually. But the good news is, there’s a way to drive down the cost of claims and help people get back to their lives with less pain.
Real-world savings, independently validated
Over the past four years, we conducted three ROI studies independently validated by third-parties including more than 18,700 participants. Each study was reviewed by respected analytical experts and examined self-insured, fully insured, and Medicare populations. The verdict: the right MSK care model can unlock meaningful savings and guide people to lead healthier lives.
At least 2.4x ROI across the board
Here’s how those results break down for 3 different groups:
Self-funded employers: Consistent results with real impact
For self-funded employers, every healthcare dollar counts. In a large study covering 136 employers across 46 industries, Hinge Health delivered:
✅ 2.4x ROI for employers
✅ $2,387 reduction in MSK medical claims per participant (in just the first year)
✅ 39% fewer surgery-related medical claims for Hinge Health participants


This isn’t a fluke or a one-off. Employers of all sizes across diverse industries see repeatable results. Investing in evidence-based digital MSK care helps cut high-cost procedures while keeping employees happier, healthier, and more productive.
Fully insured: Managing risk & supporting talent
Fully insured health plans and their employer partners face their own unique set of pressures. Plans must control runaway claims while employers look for strong benefits to attract talent and keep future premiums in check. Our independently validated study for fully insured plans found:
✅ 2.4x ROI for fully insured health plans
✅ $2,343 saved per participant—with nearly half driven by fewer surgeries
✅ 44% lower surgery-related costs versus the control group after one year


But it’s about more than monetary savings. With Hinge Health, employers strengthen their benefits offerings and defend against premium hikes while employees get the proven MSK care they need — without compromising on quality, access, or affordability.
Medicare: Meeting complex needs through digital care
Older adults face the steepest MSK costs due to their complex and multifaceted needs. But they also stand to benefit the most from innovation and new ways of delivering care.
Our 2024 study with OptumInsight showed what’s possible for Medicare participants with an MSK care model dedicated to achieving tangible results:
✅ 3.3x ROI for Medicare populations
✅ $3,289 in claims savings per participant per year
✅ 6.3x fewer surgeries and 123 fewer inpatient hospital days per 1,000 members
✅ $132 less spend per member per month for osteoarthritis versus the control group


Fewer hospitalizations, outpatient visits, and specialist or therapy appointments means more hard dollar savings. With digital MSK care, both the frequency and total cost of medical events dropped — so older adults get the expert care they need at a fraction of the cost.
Results you—and your people—can count on
The results speak for themselves: organizations can take control of MSK spending without sacrificing quality of care—whether it’s for working adults, older adults, and everyone in between.
Want to see how these results could play out for you? Let’s connect. We’re here to answer your questions, share our experience, and help you craft a smarter path forward.
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- 1Hinge Health total addressable market analysis commissioned from Health Advances LLC
- 2136 Employer Medical Claims ROI Study, 2022 https://assets.ctfassets.net/hjcv6wdwxsdz/tIiA0bnxK4m3nVpP6oBsn/6fa8db7b0f751df727ef4f8bc895cceb/136_Employer_Study.pdf
- 33 Fully Insured Medical Claims ROI Study, 2025 https://assets.ctfassets.net/hjcv6wdwxsdz/6MCmhEfv0mN5SgfIstZa47/c656da3ef7840b160ce2a7e1b31707a0/Fully_Insured_ROI_Executive_Summary.pdf
- 42024 Hinge Health Medicare Cost and Utilization Study https://assets.ctfassets.net/hjcv6wdwxsdz/1s04tfrNkXEQJTVA4p7YZo/17552aaacc80a18c2172f1d239fbb303/Medicare_Cost_and_Utilization_Report_2024.pdf


