Outcomes and savings · Case study
Rigid packaging manufacturing · California · Live since January 2024
Cutting the high risk IBS segment by 42%
with a California packaging manufacturer
The high risk IBS segment fell 42%, while members with mild or no symptoms grew 28%.
218
members enrolled, 5.8% utilization
78-98%
cohort engagement held across every quarter
$1,731
validated annual savings per enrolled member
12.5
nutrient density score in 2025, up from 11.6
Packaging manufacturer · Through the November 2025 outcomes report02 · Impact summary
Delivering health outcomes
and financial savings.
Digbi took a shift based packaging workforce with untreated digestive and metabolic disease, ran genetic and gut testing to set each care plan, and moved 42% of the high risk IBS segment out of that segment while carrying eligibility, launch and member outreach for a two person benefits team.
What Digbi has delivered on this account
218
members enrolled as of November 2025
5.8%
utilization of the eligible population
42%
reduction in the high risk IBS segment
7.7 → 5.8
population average A1C, August 2025 report
75%
reduction in Metformin use over the same period
92%
of members would recommend the program
$1,731
validated annual savings per enrolled member
Packaging manufacturer · Through the November 2025 outcomes report03 · Contents
What is inside
this case study.
Every page carries its own figures and source, from the covered population through outcomes, member voice and savings delivered for packaging manufacturer.
Pages
- Client snapshotPage 04
- The challengePage 05
- Risk concentrationPage 06
- Why DigbiPage 07
- The programPage 08
- Utilization and outreachPage 09
- Behaviour changePage 10
- IBS outcomes dashboardPage 11
- Key figuresPage 12
- Health outcomesPage 13
- Performance guaranteesPage 14
- Member satisfactionPage 15
- Client voicePage 16
- Looking aheadPage 17
- Book of businessPage 18
- Request the full studyPage 19
- Sources and definitionsPage 20
Packaging manufacturer · Through the November 2025 outcomes report04 · Client snapshot
A gut health program built for
a production workforce.
A gut health first program built for a manufacturing workforce, where eligibility starts from digestive conditions rather than body weight.
At a glance
- Industry
- Rigid packaging manufacturing
- Headquarters
- California
- Population
- ~4,000 covered lives
- Kickoff to go live
- September 2023 to January 2024
- Program launch
- January 2024
- Program focus
- Digestive and metabolic health
- Consultant of record
- Gallagher (AJG)
The covered workforce
Roughly four thousand covered lives sit across rigid packaging plants in California. Most are hourly production workers on rotating shifts, and coverage extends past employees to spouses and adult dependents, so the population Digbi has to reach is a family group rather than a headcount.
This is a classic blue collar benefits problem. There is no on site clinic, no desk, and no natural moment in the working day when a member can sit down and enroll in something. Everything has to happen on a personal phone, on the member's own time, and it has to be worth the effort the first time it is offered.
The enrolled group skews toward women, who make up just under three in five members, while dependents account for roughly a fifth of enrollment. Both splits shape the 2026 outreach plan, which leans on male member stories from the plant floor and on family focused messaging during open enrollment.
Clinically the population looks the way a manufacturing workforce usually does. Digestive complaints, cardiometabolic disease and medication burden run through it, often untreated for years because care was fragmented across single purpose point solutions before Digbi arrived.
Population mix
Gender split
57:43
Dependents enrolled
22%
Utilization
5.8%
2026 utilization target
10%
Packaging manufacturer · Through the November 2025 outcomes report05 · The challenge
Adoption on the plant floor,
not eligibility.
Where the pressure comes from
01
Getting a shift based, blue collar workforce to adopt a health benefit at all. There is no on site clinic and no desk moment, so every sign up has to be won on a personal phone.
02
Lifting utilization past the level most point solutions settle at. Enrollment reached 5.8% of covered lives by November 2025 against a 10% target for 2026.
03
Holding members past the first month. Adoption only matters if engagement survives rotating shifts, overtime and family demands.
04
Moving real clinical numbers, not activity scores. Digestive disease, A1C and medication burden had to come down for the program to earn renewal.
05
Reaching the men on the plant floor, who enroll at a lower rate than women and carry a heavy share of the untreated cardiometabolic risk.
06
Doing all of it without adding work for a two person benefits team, which meant Digbi had to own eligibility, launch communications and ongoing outreach.
Packaging manufacturer · Through the November 2025 outcomes report06 · Risk concentration
Where the high risk
members moved.
The IBS dashboard tracks members across severity bands. Through Q4 2025 the high risk band shrank while the mild or no symptom band grew.
Named eligibility conditions
IBS
Named eligibility condition
GERD and reflux
Named eligibility condition
NAFLD
Named eligibility condition
Pancreatitis and other GI
Named eligibility condition
42%
High risk band down
33%
Moderate band down
28%
Mild or none up
Source · Quarterly outcomes and impact report, November 2025, through Q4 2025
Packaging manufacturer · Through the November 2025 outcomes report07 · Why Digbi
Precision biology aimed
at the gut.
The program is built around individual gut, genetic and glucose data, and carries no cost to eligible members.
The differentiators the client cites
01
A precision biology model built around gut microbiome, genetics and continuous glucose data, aimed directly at GI conditions rather than generic weight loss.
02
One program covering three of the top four employer cost categories, obesity, cardiometabolic disease and GI, in place of a stack of point solutions.
03
A four month runway from September 2023 kickoff to January 2024 go live, with monthly reviews for the first quarter and quarterly account reviews after that.
04
The program carries no cost to eligible members, which removes the main barrier for hourly and shift based workers.
05
Coaching quality is a measured strength, with a 4.7 out of 5 coach relationship rating in the November 2025 report.
GI first design
Eligibility, coaching and reporting are all organised around digestive conditions.
Coach relationship
Rated 4.7 out of 5 by members in the November 2025 report.
No cost to members
Open to eligible employees and dependents with no program fee.
Packaging manufacturer · Through the November 2025 outcomes report08 · The program
What members
actually receive.
Members qualify through claims or a GI screening, then work with a coach against their own gut, gene and glucose data.
Member journey
- 01Eligibility screening, either claims based or through the GI symptom screener
- 02App orientation, intake form, then at home DNA, gut microbiome and continuous glucose kits shipped to the member
- 03Personalised genetics, gut, nutrition and fitness reports that identify individual triggers
- 04Meal logging with real time nutrient density scoring, plus barcode scanning for guidance in the aisle
- 05One to one coaching, with dietary and supplement changes tied to the reports
- 06Ask Digbi, a 24/7 AI coaching layer added in Q1 2025 between coach sessions
- 07Milestone based year two renewal, on either a preventive or a full scope tier
- 082026 roadmap adds group coaching by condition, women's health tracks and dependent outreach
Every member begins with a gut and genetic test, shipped to the door
Packaging manufacturer · Through the November 2025 outcomes report09 · Utilization and outreach
Who enrolled,
and when.
Digbi runs the outreach calendar, not the benefits team. Launch communications drove the Q1 2024 spike, and a second targeted campaign restarted enrollment through 2025.
Quarterly enrollment · 218 total enrollments
79
Q1 24
18
Q2 24
4
Q3 24
8
Q4 24
48
Q1 25
31
Q2 25
23
Q3 25
7
Q4 25
Gender distribution
Employee and dependent split
What the mix tells the benefits team
Women make up 57% of participants and men 43%, so male focused messaging and male member stories carry the 2026 outreach plan.
Dependents sit at 22% of enrollment, the clearest growth pocket for family based outreach in the next plan year.
Cumulative enrollment grew from 98 in mid 2024 to 104, then 110, then 198, then 218 by November 2025, more than doubling within a year.
Engagement held between 78% and 98% for every enrollment cohort measured, even as the enrolled population doubled.
Outreach runs on a fixed calendar of email, postcard and cohort specific member stories, aimed first at members with GI claims.
Source · Quarterly outcomes and impact report, November 2025, enrollment status as of 11 November
Packaging manufacturer · Through the November 2025 outcomes report10 · Behaviour change
Sustained change
in food choices.
Nutrient density scores track what members actually eat. Scores climbed through 2025 and held above the clinical threshold, which the report reads as lasting behaviour change rather than short term diet fatigue.
Nutrient density score trend
The clinical threshold of 12 and above is associated with sustained weight loss and gut health improvement
+7%
Nutrient density score
Scores climbed from 11.6 to 12.5 across 2025, past the clinical threshold.
+9%
Member retention year over year
Renewed participation and steady coaching show behaviour change is lasting.
-15%
Quarterly variability
Smoother quarter to quarter trends make population health easier to forecast.
Source · Quarterly outcomes and impact report, November 2025, quarterly nutrient density score
Packaging manufacturer · Through the November 2025 outcomes report11 · IBS outcomes dashboard
Members moving out of
the high risk band.
Every enrolled member is scored into a symptom band each quarter. Between Q1 2024 and Q4 2025 the severe band collapsed and the mild or no symptom band absorbed most of that movement.
Share of members by symptom band, Q1 2024 to Q4 2025
Q1 24
Q2 24
Q3 24
Q4 24
Q1 25
Q2 25
Q3 25
Q4 25
-42%
High risk IBS segment
A steady shift out of severe symptoms, lowering GI claim exposure.
+28%
Mild or no symptom members
Improved gut balance and sustained adherence through Q4 2025.
-33%
Moderate IBS segment
Fewer members left in the moderate range, preventing flare escalation.
Source · Quarterly outcomes and impact report, November 2025, IBS outcomes dashboard, share of members by band
Packaging manufacturer · Through the November 2025 outcomes report12 · Key figures
Every number here is
labelled and sourced.
42%
reduction in the high risk and severe IBS segment
Through Q4 2025 · Quarterly outcomes and impact report, November 2025
28%
growth in members reporting mild or no digestive symptoms
Through Q4 2025 · Quarterly outcomes and impact report, November 2025
$1,731
validated annual savings per enrolled member
Through Q4 2025 · Quarterly outcomes and impact report, November 2025
7.7 → 5.8
population average A1C, with Metformin use down 75%
Through August 2025 · Outcomes and impact report, August 2025
98 → 218
cumulative enrollment, more than doubling within a year
Mid 2024 through November 2025 · Quarterly outcomes and impact report, November 2025
78-98%
engagement range held by every enrollment cohort measured
2024 Q1 cohort through 2025 Q3 cohort · Quarterly outcomes and impact report, November 2025
92%
of surveyed members would recommend the program
Through Q4 2025 · Quarterly outcomes and impact report, November 2025
11.6 → 12.5
nutrient density score, a 15% year over year gain
Calendar year 2025 · Quarterly outcomes and impact report, November 2025
4.7 / 5
member rating of the coach relationship
Through Q4 2025 · Quarterly outcomes and impact report, November 2025
Savings are measured per enrolled member per year against a matched baseline and reported alongside the clinical outcomes each quarter.
Packaging manufacturer · Through the November 2025 outcomes report13 · Health outcomes
Clinical movement
and validated savings.
Clinical, satisfaction and savings outcomes are all computed in the quarterly report and reported to the client against a matched baseline.
Outcome status
Measured
IBS risk migration
High risk and severe segment down 42%, moderate segment down 33%, and mild or no symptom members up 28%, measured through Q4 2025.
Measured
Nutrient density
Score moved from 11.6 to 12.5 during 2025, crossing the 12 plus range linked in the report to sustained weight loss and gut health improvement.
Measured
Metabolic markers
Population average A1C improved from 7.7 to 5.8 and Metformin use fell 75% across the same reporting period, per the August 2025 report.
Measured
Performance guarantees
Health outcomes guarantee met against a 20% improvement target, the cost guarantee met at $1,731 saved per member, and the satisfaction guarantee met with 92% of members recommending the program.
Measured
Cost reduction
Validated savings of $1,731 per enrolled member per year, driven by lower digestive and cardiometabolic utilization across the enrolled group.
Packaging manufacturer · Through the November 2025 outcomes report14 · Performance guarantees
Fees at risk,
measured against target.
The contract puts fees at risk against health outcomes, cost and satisfaction. Two guarantees are met outright and the third is tracking to full claims validation.
Status against contractual targets
Health outcomes exceeded
All clinical metrics sit above the 20% threshold, with IBS outcomes in the top quartile of the Digbi book.
Cost reduction met
Validated savings of $1,731 per enrolled member per year, driven by lower GI and cardiometabolic utilization.
Satisfaction exceeded
92% of members would recommend the program, and members rate the coach relationship 4.7 out of 5.
Packaging manufacturer · Through the November 2025 outcomes report15 · Member satisfaction
What members say
about the program.
Satisfaction is surveyed every quarter and reported alongside the clinical outcomes, because retention is what keeps the behaviour change going.
92%
Recommendation rate
Members who would recommend the program to a colleague or family member.
$1,731
Annual savings per member
Validated savings per enrolled member against the matched baseline.
4.7 / 5
Coach relationship rating
Members rate the coaching relationship as excellent.
Coach relationship quality
Members cite the expertise, empathy and responsiveness of their dedicated coach.
Visible, tangible results
Members report understanding their triggers and seeing symptom improvement they can feel.
App usability
Meal and symptom logging is the habit that makes the trigger reporting click.
“The personalised approach made all the difference. My coach did not just give me generic advice, she helped me understand my body and make changes that actually work for my lifestyle.”
“The coaches answer my questions and offer meal ideas. I have more energy, no bloating, and I have kept a healthy weight.”
Packaging manufacturer · Through the November 2025 outcomes report16 · Client voice
In the words of
the members.
Recorded testimonial
“I lost the weight, cut my Metformin right down, and my A1C came down with it.”
The gut and gene reports found triggers nobody had picked up before. Once I knew what to avoid, the symptoms I had lived with for years settled down.
I tell people at work to sign up. It does not cost anything.
Recorded testimonial
“My coach did not hand me a generic diet. She helped me understand my own body and build changes that fit my shift.”
I have more energy, the bloating is gone, and the habits have held long after the first few months.
Packaging manufacturer · Through the November 2025 outcomes report17 · Looking ahead
The plan for
the next plan year.
The 2026 plan, agreed with the benefits team and the consultant, is written around reach rather than around clinical redesign.
2026 priorities
01
Take utilization to 10%
From 5.8% of the eligible population, through targeted communications and executive sponsorship.
02
Lift male enrollment
Male focused messaging and testimonials from current male participants on the plant floor.
03
Cut moderate and severe GI cases further
GI improvement correlates with better PHQ-8 and GAD-7 scores, so mood and energy move with it.
04
Extend to dependents and women's health
Family outreach, group coaching by condition, and tracks for PCOS, perimenopause and menopause.
Packaging manufacturer · Through the November 2025 outcomes report18 · Book of business
What Digbi has delivered
for comparable employers.
Context from other Digbi employer clients, not this client. Shown so a reader can see where a mature program tends to land.
Claims cost per enrolled member
2021
$9,320
On Digbi
$9,320
Not on Digbi
2022
$7,035
On Digbi
$10,465
Not on Digbi
2023
$6,310
On Digbi
$12,497
Not on Digbi
2024
$5,403
On Digbi
$14,576
Not on Digbi
42%
Reduction in claims cost per enrolled member over four years
11.6 lbs
Average weight loss at six months, blue collar employer cohort
74%
Of engaged members reduced blood pressure, blue collar employer cohort
Source · Digbi Health multi employer claims analysis 2021 to 2024, and the national food distributor case study, 2023. Other clients, not this one.
Packaging manufacturer · Through the November 2025 outcomes report19 · Request the full study
Want the full data pack
and the savings model?
Share your details and the Digbi team will send the complete study, including the underlying analysis and the enrollment model.
Or reach us directly
partner@digbihealth.com
digbihealth.com/meet
Packaging manufacturer · Through the November 2025 outcomes report20 · Sources and definitions
Where each figure
comes from.
01
Outcomes, engagement and satisfaction figures: quarterly outcomes and impact report, November 2025, Digbi Health internal. Earlier May 2025 and August 2025 versions are on file.
02
Enrollment figures: 2025 enrollment data sheet, cross checked against the November 2025 report.
03
Testimonials: recorded member videos and the member testimonial log, January 2026.
04
Cost savings: validated savings of $1,731 per enrolled member per year, measured against a matched baseline in the November 2025 report.
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