Scope note: The AI & digital-health interventions shown here are illustrative “low-hanging fruit” — a small, high-feasibility/high-impact sample chosen to demonstrate planning-grade ROI. They are not an exhaustive or prescriptive list; many other interventions may apply.
🚨High-Priority County. Clare County is a Medically Underserved Area (MUA). Opioid overdose mortality ~47/100,000 — ROI analysis leads with MAT Telehealth as the highest-priority intervention. All estimates ±30–50%; planning grade only.
Return on Investment — AI & Digital Health · Clare County
Evidence-based ROI estimates for Clare County, Michigan (pop. 30,013) · Based on peer-reviewed meta-analyses · Soshnikov · 2026
Societal perspective includes healthcare costs, lost productivity, and criminal justice savings. Clare County baseline: 5,943 DALYs/yr (MI LE 78.6 yrs). Adjust reach sliders below.
$3.68
Return per $1 invested (portfolio)
▲ Net benefit per year
$2.6M
Total annual investment required
All 6 programs combined
$9.5M
Estimated annual savings
5-yr net benefit: $29.5M
~117
Estimated DALYs averted/year
~2.0% of 5,943 MI LE baseline
Methodology (Clare County · v1.0 · June 2026). ROI ratios use the same Cochrane and peer-reviewed meta-analyses as the Isabella County ROI analysis. Formula: DALYs averted = target DALYs × programme reach × meta-analysis effect fraction; savings = DALYs averted × $62,000 (Michigan human capital rate, GDP per capita 2024). ROI = savings ÷ annualised investment. Intervention reach numbers are scaled proportionally to Clare County's population (30,013 = ~46.5% of Isabella's 64,565). Priority ordering differs from Isabella — MAT Telehealth for OUD is #1 given Clare's severe opioid crisis (~47/100k overdose mortality). COPD remote monitoring added as a sixth intervention not present in the Isabella analysis (12.7% prevalence, standout condition). DALY baseline: 5,943 (Michigan LE 78.6 yrs planning standard). All figures ±30–50% uncertainty — directional planning estimates only.
Population base: 30,013 total / ~24,310 adults · Burden: 5,943 DALYs (MI LE) / 8,198 DALYs (frontier LE primary) · Full methods →
Investment vs. Savings by Intervention
$ thousands/year at current reach settings
ROI Ratio by Intervention
$ saved per $1 invested · error bars show literature range
ROI Summary Table
All interventions · 5-year cumulative · Current reach settings
Intervention
Target pop.
Reach
Patients
Investment/yr
Savings/yr
ROI ratio
Net benefit/yr
Relative impact
💡 Grant Application Framing — Clare County
How to use this ROI analysis in funding applications for MUA-designated rural county