Vitality is bringing its AI-driven health engagement platform to the US, pitching lower claims and stronger employee participation as employers grow less willing to keep health programs that cannot demonstrate value.
The company said engaged clients using its model recorded healthcare claims costs that were 4% lower on average, translating into a 180% return on investment. Members reaching higher levels of its Vitality Status program also had 15% lower risk-adjusted claims costs.
Those figures come as US employers expect healthcare costs to rise a median 9.2% in 2027 before plan changes, according to the latest employer healthcare survey from Business Group on Health. Seventy-one percent are using requests for proposals to secure lower pricing, while 58% are eliminating underperforming vendors.
Vitality AI combines Google's Gemini technology with a dataset spanning more than 2,800 health and behavioral dimensions to provide personalized recommendations, coaching and incentives based on a member's health profile and risk factors.
That approach is already being tested at scale in the US Since June 2025, more than 210,000 people have received an AI-driven personalized health action from Vitality, with 54% completing at least one recommended action, according to the company.
Vitality said that engagement has also translated into higher uptake across several health activities. Members receiving personalized recommendations were 3.3 times more likely to complete a mental wellbeing assessment, 2.7 times more likely to complete an online health review and 1.4 times more likely to undergo colorectal cancer screening.
Its personalized steps program increased average daily steps from about 4,900 before enrollment to 6,900 after completion, based on roughly 1,500 members who participated for at least five weeks.
The financial claims carry some external review, although the underlying data comes from Vitality.
The company said the 4% claims reduction and 180% ROI findings were independently reviewed by Arbital Health, while the 15% difference in risk-adjusted claims costs associated with higher Vitality Status levels was independently endorsed by the Validation Institute.
"Through our partnership with Google, we've shown that AI's impact on health care is no longer a promise—but a proven differentiator. We've seen members take screenings they would have skipped, build and sustain healthy habits, and reduce costs. Extending Vitality AI into the US brings that proof to millions more,” Vitality AI CEO Emile Stipp said:
Vitality is also targeting a persistent weakness in employer benefits: getting people to understand and use what is available to them.
An Opinium survey of 2,000 US workers commissioned by Vitality in August found that 41% struggled to navigate their health benefits and digital health tools. Forty-nine percent had difficulty navigating the wider healthcare and insurance system, while 53% said they had delayed or avoided preventive healthcare because of cost.
