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The Hidden Cost of the ER: How Proximal Helps Members Avoid Unnecessary Visits

The Hidden Cost of the ER: How Proximal Helps Members Avoid Unnecessary Visits

Specialty care was driving most of the City of Appleton's plan spend. By guiding members to top-ranked specialists for their exact condition, Proximal returned 5x its cost in 2025, and members rated the care they got a perfect 10 out of 10.

Ariana Randall
Jan 30, 2022
4 min read
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Why members end up in the ER

It's rarely about wanting the ER. It's about not knowing where else to turn. Primary care doctors aren't always reachable after hours. Nurse lines can feel impersonal. And when someone is anxious or in pain, the ER feels like the only sure bet.

How Proximal changes the moment of decision

Proximal is a supplemental benefit that plugs into a health plan members already have — no new enrollment, no new network, no added cost. When a member faces an urgent question or a scary symptom, Proximal gives them a fast, trusted way to figure out what kind of care they actually need before they decide where to go.

That single point of guidance changes behavior. Members who might have gone straight to the ER instead get connected to the right level of care — sometimes that's still the ER, but often it's a same-day appointment, a telehealth visit, or simply reassurance that a symptom can wait until morning.

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The results

Health plans that have added Proximal have seen measurable drops in unnecessary ER utilization — along with higher member satisfaction, since people feel supported rather than left to guess. And because Proximal sits on top of an existing plan, none of this requires disrupting provider relationships or renegotiating coverage.

The results

  • Health plans that have added Proximal have seen measurable drops in unnecessary ER utilization — along with higher member satisfaction, since people feel supported rather than left to guess.
  • And because Proximal sits on top of an existing plan, none of this requires disrupting provider relationships or renegotiating coverage.

The results

  1. Health plans that have added Proximal have seen measurable drops in unnecessary ER utilization — along with higher member satisfaction, since people feel supported rather than left to guess.
  2. And because Proximal sits on top of an existing plan, none of this requires disrupting provider relationships or renegotiating coverage.

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