Power of Knowing: Health and Benefits Insights to Be Bold and Move Fast

Setting a Higher Bar for the Future of Health and Care

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Key Takeaways

2025 Year-in-Review: Transcarent Results Snapshot

  • ~90+ NPS (Net Promoter Score).

  • 93% CSAT (Customer Satisfaction Score) during open enrollment.

  • 27% reduction in ER visits.

  • 48% decrease in hospital readmissions.

  • 78% improved treatment plans via 2nd.MD.

  • 0.72% complication rate for Surgery Care.

  • Cancer treatment started 29 days earlier.

  • 43% of Members found lower prescription drug prices

All results reflect performance across the Transcarent book of business in 2025.

In 2025, employers and health plans working with Transcarent reduced healthcare complexity and improved employee outcomes with a seamless health, care, and benefits experience that made it easy for people to instantly find answers, take the next step, and get on-demand care.

More people got where they needed to be faster with measurable improvements, like fewer ER visits, reduced readmissions, enhanced treatment plans, and high Member satisfaction.

We’re excited to share what’s possible when friction is removed from healthcare for a connected experience, and how the stage is set for even more innovation in 2026!

All results reflect performance across the Transcarent book of business in 2025.

Member growth and satisfaction in 2025

This year, Transcarent earned a ~90+ NPS (Net Promoter Score) and achieved a 93% CSAT (Customer Satisfaction Score) during open enrollment, proof that when access to healthcare is easy and instant, people feel the difference.

Today, more than 1,700 employers and health plans trust Transcarent to deliver the information, guidance, and care that their employees need to make confident health decisions.

Connected care: getting the right care at the right time

Getting people the right care at the right time is only possible when experiences are connected, not fragmented. With our AI-powered WayFinding™ experience, people can instantly find answers, take the next step, and get on-demand care all in One Place™. It takes them from answers to action, giving them a whole new level of control in health and care.

We removed complexity and made it easier for Members to take action with confidence. More than 80% of our Members resolved their issues by using our AI-powered WayFinding experience, that means a lot less questions went to HR teams and more people got what they needed instantly.

WayFinding is the first and only health and care experience to use generative AI to improve people’s health directly and comprehensively. Our leadership in responsible healthcare AI innovation set the stage for what people expect from a healthcare experience, and it’s exciting to see others in the industry following the precedent we've established.

Clinical outcomes in 2025 (ER Visits, Readmissions, Cancer Care)

Our clinical programs are at the foundation of our experience, delivering high-quality, evidence-based care. This unique combination of clinical expertise and intelligent technology drives measurable impact across employers’ most costly conditions. In 2025, our Members had better experiences across the spectrum of care, including:

  • A 27% reduction in emergency room visits.

  • A 48% decrease in hospital readmissions.

  • Improved treatment plans 78% of the time with our 2nd.MD expert second opinions.

  • When surgery was required, complication rates were just 0.72% across our Surgery Care experience, well below industry averages.

  • Our Cancer Care program connected Members to treatment 29 days earlier.

These metrics not only reflect better outcomes, but demonstrate what’s possible when healthcare finally works for the people who need it.

Redefining pharmacy benefits to reduce costs

Pharmacy costs were top of mind for us and the industry as a whole in 2025. We met the challenge of rising spends by redefining pharmacy benefits, keeping them at the center of the healthcare experience. Fully connecting pharmacy and medical benefits in One Place helped 43% of Members find better prices, while receiving continuous, end-to-end support throughout their care journey.

With AI-powered guidance, our Pharmacy Care experience eliminated pharmacy counter surprises by delivering lower-cost alternatives, resolving benefit issues instantly, preventing prescription abandonment, and creating significant pharmacy benefit savings for employers.

What employers should expect in 2026

What we accomplished in 2025 isn’t incremental, it’s foundational. As we kick off 2026, we’re already setting new precedents for what employers should expect from their health and care with the launch of our Next-Era WayFinding platform.

With Transcarent, employers don’t just keep up with change, they know how to lead it, building a healthier workforce and a more sustainable future of health and care.

We’re excited for an even better 2026 for us all!

**All Transcarent stats are sourced from the Transcarent book of business in 2025.

Authored by
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Transcarent
January 14, 2026 - MIN READ
Member Experience
Care Experiences
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