Outcomes and savings · Case study
Natural gas pipeline · Kentucky · Live since December 2022
Reaching 17.25% cumulative utilization
with a Kentucky gas pipeline leader
216 members enrolled across four plan years, 17.25% of the 1,252 covered lives.
216
members enrolled across four plan years
17.25%
cumulative utilization of covered lives
1,252
covered lives, employees and dependents
66%
of influenceable claims in four clusters
Gas pipeline operator · Plan years 2023 through 2026 to date02 · Impact summary
Delivering health outcomes
and financial savings.
What Digbi built with gas pipeline leader from kentucky, from the population it started with to the outcomes and savings it has produced since.
Gas pipeline operator · Plan years 2023 through 2026 to date03 · 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 gas pipeline operator.
Pages
- Client snapshotPage 04
- The populationPage 05
- The challengePage 06
- Risk concentrationPage 07
- Why DigbiPage 08
- The programPage 09
- Participation curvePage 10
- Utilization by plan yearPage 11
- Key figuresPage 12
- Health outcomesPage 13
- Client voicePage 14
- Book of businessPage 15
- Request the full studyPage 16
- Sources and definitionsPage 17
Gas pipeline operator · Plan years 2023 through 2026 to date04 · Client snapshot
The longest running program
on the book.
The longest running client on the book, live since December 2022 across a distributed workforce of 1,252 covered lives in eight states.
At a glance
- Industry
- Natural gas pipeline
- Headquarters
- Kentucky
- Population
- 1,252 covered lives
- Program launch
- December 2022
- Time live
- Over three years
- States covered
- Eight
Gas pipeline operator · Plan years 2023 through 2026 to date05 · The population
A workforce spread across
eight states.
1,252 covered lives, headquartered in Kentucky, with field crews and offices across the midcontinent. Any benefit here has to work without a clinic on site.
Geographic footprint
01
Kentucky (HQ)
02
Oklahoma
03
Wyoming
04
Kansas
05
Missouri
06
Indiana
07
Colorado
08
Florida
Population mix
Employee to dependent
168:48
Enrolled employees to enrolled dependents, plan years 2023 to 2026
Employee utilization
19.97%
Peak employee utilization, 2023 plan year
Covered lives
1,252
Employees and dependents on the plan, utilization file
States covered
8
Distributed field and office workforce
Gas pipeline operator · Plan years 2023 through 2026 to date06 · The challenge
Lifestyle driven conditions,
treated reactively.
Where the pressure comes from
01
The workforce is distributed across eight states, with headquarters in Kentucky and field crews well away from any clinic.
02
A claims analysis showed GI disorders, hypertension, heart and cholesterol issues, and diabetes together account for 66% of all influenceable claims value.
03
Spend is concentrated in a small cohort. 25 members, 2% of claimants, drive $3.4M, which is 37% of the $9.2M in influenceable claims.
04
These are lifestyle driven chronic conditions, historically addressed reactively rather than through a preventive model.
Gas pipeline operator · Plan years 2023 through 2026 to date07 · Risk concentration
2% of claimants.
37% of the spend.
25 members drive $3.4M of the $9.2M in influenceable claims. Four condition clusters account for 66% of that influenceable value.
Condition clusters in scope
GI disorders
Inside the 66% cluster
Hypertension
Inside the 66% cluster
Heart and cholesterol
Inside the 66% cluster
Diabetes
Inside the 66% cluster
$9.2M
Influenceable claims
$3.4M
Driven by 25 members
66%
In four clusters
Source · Client claims analysis sheet, internal, all time
Gas pipeline operator · Plan years 2023 through 2026 to date08 · Why Digbi
One program where four point
solutions used to sit.
A holistic care program covering GI, metabolic and lifestyle care, with self pay GLP-1 clinical support layered on from January 2026.
The differentiators the client cites
01
The client runs a holistic care program covering GI, metabolic and lifestyle coaching, with self pay GLP-1 clinical support layered on from January 2026.
02
GLP-1 medication is fully member paid and is not covered by the health plan. The program itself stays at no cost to eligible members and dependents.
03
The benefits team cites preventive positioning and a bench of specialised support roles across communications and integrations as the differentiators against prior vendors.
Precision biology
Gut and genetic testing drives the plan, not a generic weight program.
Human coaching
A coach is attached from enrollment, reachable in the app between milestones.
No cost to members
Open to eligible employees and dependents with no program fee.
Gas pipeline operator · Plan years 2023 through 2026 to date09 · The program
What members
actually receive.
Members move through an app based journey with a human coach attached from the start.
Member journey
- 01App based enrollment, then coaching engagement, then milestone tracking
- 02Condition specific tracks for GI, metabolic and cardiometabolic conditions
- 03GLP-1 lifestyle support for members on medication
- 04Open to eligible employees and dependents at no program cost
Every member begins with a gut and genetic test, shipped to the door
Gas pipeline operator · Plan years 2023 through 2026 to date10 · Participation curve
Enrollment by plan year,
employees and dependents.
Enrollments by plan year across employees and dependents. The 2023 launch year carried the largest cohort, and 2026 is a partial year still open to new members.
Members enrolled by plan year
137
2023
22
2024
39
2025
18
2026
Source · Client utilization file, employees and dependents by plan year
Gas pipeline operator · Plan years 2023 through 2026 to date11 · Utilization by plan year
Utilization by plan year,
line by line.
Employees and dependents are tracked separately every plan year. Employee utilization has run well ahead of dependent utilization since launch, and 2026 is a partial year.
Covered lives against enrolled members, by member type and plan year
| Member type | Total covered | Enrolled | Utilization |
|---|---|---|---|
| Employee 2023 | 596 | 119 | 19.97% |
| Dependent 2023 | 557 | 18 | 3.23% |
| Employee 2024 | 514 | 15 | 2.92% |
| Dependent 2024 | 574 | 7 | 1.22% |
| Employee 2025 | 487 | 24 | 4.93% |
| Dependent 2025 | 587 | 15 | 2.56% |
| Employee 2026 | 151 | 10 | 6.62% |
| Dependent 2026 | 34 | 8 | 1.64% |
| Total | 1,252 | 216 | 17.25% |
17.25%
Cumulative utilization across all plan years
19.97%
Employee utilization in the 2023 launch year
6.62%
Employee utilization in 2026 to date
Employee enrollment has outpaced dependent enrollment in every plan year, so dependents remain the clearest growth pocket.
Employee utilization has climbed each year since 2024, from 2.92% to 4.93% to 6.62% in the partial 2026 year.
The 2026 covered counts are partial year figures and will rise as the plan year fills.
Source · Client utilization file, 2026 partial year to date
Gas pipeline operator · Plan years 2023 through 2026 to date12 · Key figures
Every number here is
labelled and sourced.
216
members enrolled across employees and dependents
Plan years 2023 through 2026 to date · Client utilization file
17.25%
cumulative utilization of the 1,252 covered lives
Plan years 2023 through 2026 to date · Client utilization file
19.97%
employee utilization in the launch plan year
Plan year 2023 · Client utilization file
66%
of influenceable claims value sits in GI, hypertension, heart and cholesterol, and diabetes
All time through the most recent pull · Client claims analysis sheet, internal
37%
of $9.2M influenceable claims driven by 25 members, 2% of claimants
All time through the most recent pull · Client claims analysis sheet, internal
2.92% → 6.62%
employee utilization climbing across 2024, 2025 and 2026 to date
Plan years 2024 through 2026 to date · Client utilization file
No cost savings or ROI figure exists for this client yet. Every number here is sourced from internal data and carries its own time horizon.
Gas pipeline operator · Plan years 2023 through 2026 to date13 · Health outcomes
What we can claim today,
and what we cannot.
Member level weight change exists in the source data but has not been rolled up to a program figure. Nothing on this page is estimated.
Outcome status
Measured
Weight class movement
The benefits team reports enrolled members moving into lower weight classes, tracked member by member in the quarterly outcomes sheet.
Measured
Risk factor reduction
The client describes a visible reduction in the risk factors that prompted the program, led by cardiometabolic and digestive conditions.
Measured
GLP-1 clinical support
Self pay GLP-1 clinical support was layered on from January 2026, with medication fully member paid and clinical supervision included in the program.
Measured
Sustained participation
The program has run continuously since December 2022, with enrollment still opening to new members.
Gas pipeline operator · Plan years 2023 through 2026 to date14 · Client voice
In the words of
the benefits team.
HR Analyst
Human resources, Gas pipeline operator, Kentucky
Recorded video testimonial, approximately 2023. Early program reflection.
Recorded testimonial
“We had tried a lot in this space to help our folks and get our plan healthier, and we saw this as a futuristic preventive health care solution.”
Many folks who engaged have already moved to a lower weight class. They have lost a decent amount of weight, and we have seen some reduction in the risk factors we were concerned about.
Treat it like a partnership. They have a very strong core, and a lot of what sits around that core is flexible enough to fit your culture and your strategy.
Gas pipeline operator · Plan years 2023 through 2026 to date15 · 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.
Gas pipeline operator · Plan years 2023 through 2026 to date16 · 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
Gas pipeline operator · Plan years 2023 through 2026 to date17 · Sources and definitions
Where each figure
comes from.
01
Claims figures: client claims analysis sheet, internal, most recent pull. Scope is claims the program can influence, all time.
02
Enrollment, covered lives and utilization: client utilization file, employees and dependents by plan year, 2023 through 2026 to date.
03
Testimonial: recorded video testimonial, approximately 2023, transcript on file.
04
Clinical outcomes: member level weight change exists in the source sheet but has not been aggregated to a program level figure, so none is stated here.
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