ROI Analysis and Implementation Brief
Sunny Network Navigator
ROI Analysis and Implementation Brief
✓ Straightforward 4-step implementation
Summary
We estimate that Sunny Health AI's Network Navigator unlocks $17M to $19M annual savings per 1M members from incremental medical steerage, equating to 21x–24x ROI based on $1 per utilization pricing and 10% member engagement. Implementation of Network Navigator is a straightforward 4-step process.
Out of scope for this ROI analysis
- —Dental steerage
- —Productivity gains (e.g., work time and mental workload saved during provider search and scheduling)
- —Downstream avoided sick care due to earlier access
Network Navigator estimated annual savings
The table below reflects estimated annual savings per 1M members at 10% member engagement, with each engaged member utilizing the Sunny platform an average 8 times annually (for self and dependents). Each steerage path captures a distinct category of cost reduction driven by directing members toward higher-value care settings and providers.
| Steerage path | Healthcare service | Navigator (N) | Control (N) | Incr. (N) | Savings / incid. | Total / 1M members |
|---|---|---|---|---|---|---|
| Out-of-network → in-network providers | In-person physician visits | 158,720 | 138,880 | 19,840 ↑ | $170 | $3.37M |
| Lower cost providers (same specialty) | Specialist + primary care visits | 46,592 | 29,120 | 17,472 ↑ | $95 | $1.66M |
| Specialist → primary care | All specialist visits | 14,080 | 9,600 | 4,480 ↑ | $190 | $0.85M |
| In-person visit → virtual care | All ambulatory visits (office + virtual) | 46,080 | 13,824 | 32,256 ↑ | $135 | $4.35M |
| PBM → discount card / self-pay prescriptions | Prescription fills (retail + mail order) | 37,440 | 14,400 | 23,040 ↑ | $40 | $0.92M |
| Hospital → free-standing radiology | Outpatient radiology services | 6,640 | 4,800 | 1,840 ↑ | $325 | $0.60M |
| Hospital → ASC surgeries | Outpatient surgeries (all settings) | 4,080 | 2,944 | 1,136 ↑ | $1,650 | $1.87M |
| In-network pharmacies | Pharmacy transactions (retail network) | 87,040 | 71,680 | 15,360 ↑ | $55 | $0.85M |
| ER → urgent care | Acute lower-acuity episodes (ER + urgent care) | 4,224 | 2,560 | 1,664 ↑ | $600 | $1.00M |
| In-network labs | Outpatient / office-based lab tests | 44,928 | 34,560 | 10,368 ↑ | $240 | $2.49M |
| Total Estimated Annual Savings — 10% Engagement, per 1M members | $17.96M | |||||
Implementation — high level
Network Navigator is designed for rapid deployment. The following four steps outline everything required to go live.
Allow Sunny Health to access your provider directory API
Grant Sunny Health AI access to your provider directory API so the concierge can query real-time, accurate in-network provider data on behalf of your members.
Setup authentication using OAuth 2.0 and get your API keys from Sunny Central
Configure secure OAuth 2.0 authentication and retrieve your partner API keys directly from the Sunny Central dashboard.
Download our npm package and add the Sunny agent code snippet to your website frontend
No backend work necessary. Simply install the npm package and drop the snippet into your existing frontend.
import { createSunnyChat } from '@sunnyhealthai/agents-sdk';
const chat = await createSunnyChat({
container: document.getElementById('chat'),
partnerIdentifier: 'example-carrier',
publicKey: 'YOUR_PUBLIC_KEY', // from API Keys section below
authType: 'tokenExchange',
idTokenProvider: async () => {
// Return your user's current ID token
return localStorage.getItem('id_token');
},
});
// Clean up when unmounting
// chat.destroy(); Try it out!
Once deployed, the Sunny concierge is embedded directly in your member-facing experience. Members can search for in-network providers, get instant recommendations, and schedule appointments — all within your existing site. The concierge supports multiple configurations including branded prompt chips, layout, palette, and tone.
SDK showcase
Once deployed, the Sunny concierge is embedded directly in your member-facing experience. Each configuration below is the same SDK with a different concierge setup — branded prompt chips, layout, palette, and tone.
Find a network doctor near you
From primary to specialty care, you'll save an average of 43%* when you see a provider in Meridian Health's network.
SDK showcase
Embedded concierge states
Each tab below is the same SDK with a different concierge configuration.
Soft brand match
A clean embedded concierge panel for provider discovery with branded prompt chips and a calm support tone.
I'm your Care Concierge. I can help you book visits with any Meridian Health network doctor. Give it a try.
SDK showcase — live chat response
For a knee evaluation, the right specialist is usually an orthopedic surgeon. I found these nearby in-network options on your Meridian Health PPO CareSelect Preferred plan:
- 1. Dr. Kelly Leong — Orthopedic Surgeon
Gough Street Orthopedic Associates
90 Gough St, San Francisco, CA 94102
(415) 706-7687 - 2. Dr. Dustin Wirig — Orthopedic Surgeon
Bay Area Orthopedic Group
2001 Union St Ste 420, San Francisco, CA 94123
(415) 921-4090 - 3. Dr. William On — Orthopedic Surgeon
Union Square Bone & Joint Center
2001 Union St Ste 420, San Francisco, CA 94123
(415) 921-4090 - 4. Dr. Kelly Leong — Orthopedic Surgeon
Van Ness Sports Medicine & Orthopedics
1810 Van Ness Ave, San Francisco, CA 94109
(415) 706-7687 - 5. Dr. Karishma Shah — Orthopedic Surgeon
Valencia Orthopedic Center
3532 20th St, San Francisco, CA 94110
(415) 643-6424
If you'd like, I can also show more options.
Please select a provider or ask me to schedule with the earliest available one.
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