Scott Roloff

Co-founder & President, IntegerHealth | CPA, JD | Patented analytics quantifying healthcare outcomes in dollars & cents | Board-level finance, risk & governance

[Scott Roloff @ScottRoloff]

Most boards can find a CPA. Most can find a lawyer.

Fewer can find both ‒ together with operating experience as a President, CFO and General Counsel.

A differentiated combination of financial, legal and enterprise leadership expertise, together with board-level judgment.

Co-Founder & President, IntegerHealth Technologies ‒ co-inventor on six issued U.S. patents in healthcare analytics, data visualization and predictive modeling.

Focused on board service involving audit, governance and risk oversight.

➡️ Board Profile on Google Drive: https://t.co/arhbEF4Kzi

For board-related inquiries, please DM or connect via LinkedIn: https://t.co/EUJjWB48Zi

IntegerHealth website: https://t.co/DJkS60X9T2

#BoardOfDirectors #AuditCommittee #CorporateGovernance #BoardLeadership #FinancialExpert

[Scott Roloff @ScottRoloff]

Health systems have spent decades optimizing for volume.

Reimbursement is shifting toward value.

That shift requires something most health systems do not yet have:

An economic way to measure whether care actually worked.

Not patient satisfaction. Not protocol adherence. Not readmission rates.

Whether the patient got better ‒ and what it cost to get there.

Systems that cannot answer that question will struggle to negotiate, to retain and to compete as the reimbursement landscape changes.

#HealthSystems #ValueBasedCare #HealthcareReimbursement #OutcomesMeasurement #HealthTech #HealthcareStrategy

[Scott Roloff @ScottRoloff]

@lindayaX Appreciate that, Linda. The boards that get there first won't just save money ‒ they will have a real advantage in network design, vendor negotiations and provider strategy. The ones who wait will be reacting to a standard everyone else already set.

[Scott Roloff @ScottRoloff]

💰GLP-1 drugs are reshaping employer healthcare budgets.

Boards and benefits committees are asked to approve significant spending on them.

The obvious question: Is it working?

Not ‒ are patients losing weight in the short term?

But ‒ are we getting better long-term health outcomes relative to the total cost?

That question cannot be answered with conventional healthcare metrics.

It requires outcome analytics ‒ and a board that knows how to demand them.

👉 How to Calculate the ROI on Your Wellness Program (Journal of Total Rewards):
https://t.co/ted35JwYkm

#GLP1 #BoardOfDirectors #EmployeeBenefits #CorporateGovernance #HealthcareCosts #BoardLeadership

[Scott Roloff @ScottRoloff]

Large employers spend heavily on point solutions ‒ diabetes management, mental health apps, musculoskeletal programs, weight loss drugs.

Most cannot tell you whether any of it worked.

Not because the data does not exist.

Because they have no standardized way to connect vendor spend to a measurable health outcome in dollar terms.

Every vendor claims ROI. Almost none can prove it against your population.

IntegerHealth gives employers the outcome framework to hold vendors accountable ‒ and to identify which programs are actually delivering.

👉 How to Calculate the ROI on Your Wellness Program (Journal of Total Rewards):
https://t.co/ted35JwYkm

#EmployeeBenefits #HealthcareROI #WellnessPrograms #HealthTech #OutcomesMeasurement #SelfInsured

[Scott Roloff @ScottRoloff]

Outcome analytics are not theoretical.

In a nationally published case study, outcome analytics drove down the City of Fort Worth's workers' compensation costs 23%.

Not by managing the claims process better.

By identifying which care actually produced better outcomes ‒ and anchoring decisions to that signal.

That is what happens when you stop measuring activity and start measuring results.

IntegerHealth One-Page Overview: https://t.co/ewVwaHTwxL

Fort Worth Case Study:
https://t.co/pcsWoWkosk

#WorkersComp #OutcomesMeasurement #HealthTech #RiskManagement #CaseStudy #PublicSector

[Scott Roloff @ScottRoloff]

Health insurers make enormous network and reimbursement decisions every year.

Almost none of those decisions are anchored to whether care actually worked.

🩺Two physicians on the same fee schedule, both with good quality scores and following the same clinical guidelines ‒ can produce materially different patient outcomes.

Conventional metrics cannot tell them apart.

Which means insurers may be rewarding low-value care ‒ and steering members toward it.

That is not a small inefficiency.

💲20-30% of all healthcare spending goes to care that does not produce better outcomes.

#HealthInsurance #NetworkStrategy #ValueBasedCare #HealthTech #OutcomesMeasurement #ProviderQuality

[Scott Roloff @ScottRoloff]

Board decisions rarely arrive in a single lane.

A vendor contract has legal terms, financial exposure and operational assumptions baked into the same document.

A reimbursement dispute with a health system is simultaneously a negotiation, a compliance matter and a P&L event.

An M&A target looks different to a CFO, a General Counsel and an operator ‒ and none of those views is wrong.

👉The director who has sat in all three chairs does not need the conversation explained.

They have already had it.

#BoardOfDirectors #CorporateGovernance #AuditCommittee #RiskManagement #BoardLeadership

[Scott Roloff @ScottRoloff]

📊 Healthcare has a measurement problem.

‒ Health plans choose providers
‒ Health systems choose care pathways
‒ Employers choose vendors

But conventional analytics still measure: cost, utilization, the process of delivering care and patient satisfaction.

They tell us what happened. Not whether it worked.

⚠️ Organizations optimize activity hoping – but not knowing – that it translates into better results.

📈 Outcome analytics changes that.

👉 https://t.co/ewVwaHTwxL

#Healthcare #AI #HealthcareAnalytics

[Scott Roloff @ScottRoloff]

AI companies are building models to optimize healthcare decisions.

There is a problem they rarely talk about.

Every AI model is only as good as the signal it is trained on.

Most healthcare AI is trained on cost, utilization and process data ‒ proxies for outcomes, not outcomes themselves.

So the models get very good at predicting proxies.

Not results.

A standardized economic outcome signal is not a nice-to-have for healthcare AI.

It is the missing foundation.

👉 https://t.co/KqEXMLAuxg

#AIinHealthcare #HealthcareAI #MachineLearning #OutcomesMeasurement #HealthTech

[Scott Roloff @ScottRoloff]

We accept something in healthcare that we would never accept anywhere else:

Spending without a clear signal that it worked.

Imagine running a capital project, a marketing campaign or an R&D program with no outcome measurement tied to the spend.

No CFO would sign off on that. No board would approve it.

Yet that is exactly how healthcare works ‒ at enormous scale ‒ today.

#Healthcare #HealthcareSpending #OutcomesMeasurement #HealthTech #HealthPolicy #ValueBasedCare

[Scott Roloff @ScottRoloff]

Employers spend billions on wellness programs every year.

Most cannot tell you whether they worked.

Not because the data is missing ‒ but because no one has a standardized way to connect the program to a measurable health outcome in dollar terms.

IntegerHealth fixes that.

We calculate the true ROI on wellness and disease-management programs ‒ using the patented analytics described in:

👉 How to Calculate the ROI on Your Wellness Program, published in the peer-reviewed Journal of Total Rewards

View or download on Google Drive: https://t.co/ted35JwYkm

For the first time, you can see not just what you spent ‒ but what you got.

#EmployeeWellness #WellnessROI #HealthTech #OutcomesMeasurement #HealthcareAnalytics #BenefitsStrategy

[Scott Roloff @ScottRoloff]

Risk committees are very good at identifying risks.

The harder skill is quantifying them ‒ in dollar terms ‒ and connecting that number to a governance response.

Risk visibility without quantification is just a list of things to worry about.

#RiskManagement #BoardOfDirectors #CorporateGovernance #AuditCommittee #EnterpriseRisk

[Scott Roloff @ScottRoloff]

Posted this over Memorial Day weekend when no one was watching. 🤦

If you missed it 👇

This is the healthcare problem we solve ‒ and how we solve it. 🎯

[Scott Roloff @ScottRoloff]

You are making healthcare decisions based on the process ‒ not the results.

That's the gap. 🧵

[Scott Roloff @ScottRoloff]

💰 You are making critical healthcare decisions based on process metrics ‒ not actual patient results.

That is the expensive gap no one talks about.

We fix it by turning cost + quality into one clear dollar value ‒ so decisions finally align with real outcomes. ⚕️

What is the biggest disconnect you have seen between “what was measured” and “what actually worked”?

#HealthcareAnalytics #HealthTech

[Scott Roloff @ScottRoloff]

The whole picture, one page. 📄

Download IntegerHealth's overview ‒ what we measure, why it matters, and how it works: https://t.co/PkKRm6qtFQ

[Scott Roloff @ScottRoloff]

You are making healthcare decisions based on the process ‒ not the results.

That's the gap. 🧵

[Scott Roloff @ScottRoloff]

@IntegerHealth solves that gap ‒ merging cost and quality into a single, actionable dollar value.

Now your decisions are based on the results. 💡

#HealthcareAnalytics #HealthcareOutcomes

[Scott Roloff @ScottRoloff]

Everyone is adding AI to healthcare.

Almost no one can prove it worked.

That is not an AI failure. It is a measurement failure.

AI models predict, recommend and optimize. But without a standardized economic outcome signal anchoring the results, you cannot close the loop.

You end up with better-looking dashboards ‒ not better outcomes.

#AIinHealthcare #HealthcareAI #PredictiveAnalytics #OutcomesMeasurement #HealthTech

[Scott Roloff @ScottRoloff]

Two doctors. Same diagnosis. Same procedure.

One gets the patient better faster at a lower total cost. The other does not.

Conventional healthcare metrics cannot tell you which is which ‒ because they measure process, not outcome.

IntegerHealth's patented analytics can.

We identify the highest-outcome providers in any network ‒ so employers, insurers and health systems can steer patients toward care that actually works.

👉 https://t.co/DJkS60X9T2
#ProviderQuality #ValueBasedCare #HealthTech #OutcomesMeasurement #HealthcareAnalytics #NarrowNetworks

[Scott Roloff @ScottRoloff]

Behavioral health is one of the most expensive comorbidities in healthcare.

Here is what the data shows on Claims per Healthy Day:

✅ No behavioral health condition → $10/day
⚠️ Headaches, anxiety or depression → $20/day
❌ Drug or alcohol problem → $40/day

It is not just that behavioral health is expensive to treat.

It makes everything else more expensive too.

That is why it consistently delivers the highest ROI when addressed proactively.

#BehavioralHealth #MentalHealth #HealthcareCosts #HealthTech #ROI #WorkplaceWellness