Digbi Health
← LibraryA4 · 29 pages
02 Impact summary03 Contents04 Market certainty05 Client snapshot06 Scientific certainty07 The challenge08 Why Digbi09 Clinical certainty10 Risk concentration11 Health outcomes12 Operational certainty13 The program14 Participation curve15 Utilization by plan year16 Product certainty17 Member testimonials18 Financial certainty19 Claims and cost concentration20 Claims trend by plan year21 Claim spend by condition22 Key figures23 Brand certainty24 Book of business25 Future certainty26 Looking ahead27 Decision support28 Request the full study29 Sources and definitions
Digbi HealthOutcomes and savings · Case study
Editorial cover image for the Natural gas pipeline case study

Natural gas pipeline · Kentucky · Live since December 2022

Reaching 17.3% cumulative utilization with a Blue Collar Population at a Kentucky gas pipeline leader

216

members enrolled across four plan years

17.3%

cumulative utilization of covered lives

1,252

covered lives, employees and dependents

66%

of influenceable claims in four clusters

1,252 covered livesConsultant · AlliantPlan years 2023 through 2026 to date29 pages
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

02 · Impact summary

Delivering health outcomes
and financial savings.

Population, claims concentration, utilization by plan year, program design and the benefits team view for the longest running program on the book.

What Digbi has delivered on this account

216

members enrolled across four plan years

17.3%

cumulative utilization of 1,252 covered lives

19.97%

employee utilization in the 2023 launch year

8

states covered by a single program

66%

of influenceable claims inside four condition clusters

Jan 2026

self pay GLP-1 clinical support added

Impact summary02
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

03 · 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

  1. Market certaintyPage 04
  2. Client snapshotPage 05
  3. Scientific certaintyPage 06
  4. The challengePage 07
  5. Why DigbiPage 08
  6. Clinical certaintyPage 09
  7. Risk concentrationPage 10
  8. Health outcomesPage 11
  9. Operational certaintyPage 12
  10. The programPage 13
  11. Participation curvePage 14
  12. Utilization by plan yearPage 15
  13. Product certaintyPage 16
  14. Member testimonialsPage 17
  15. Financial certaintyPage 18
  16. Claims and cost concentrationPage 19
  17. Claims trend by plan yearPage 20
  18. Claim spend by conditionPage 21
  19. Key figuresPage 22
  20. Brand certaintyPage 23
  21. Book of businessPage 24
  22. Future certaintyPage 25
  23. Looking aheadPage 26
  24. Decision supportPage 27
  25. Request the full studyPage 28
  26. Sources and definitionsPage 29
Contents03
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

04 · Certainty module 01

Market certainty
Organizations like this one have already validated Digbi at scale

A pipeline operator with 1,252 covered lives has run Digbi since December 2022, the longest tenured program on the book, placed by Alliant.

What the next pages prove

  • 01Three full plan years live with the same employer
  • 02Consultant of record: Alliant
  • 03Eight states covered under one program

Pages in this module

  1. Client snapshot
Certainty module 0104
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

05 · 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

The covered workforce

1,252

covered lives, employees and dependents

216

members enrolled, 17.3% cumulative utilization

168 / 48

employees to dependents among enrolled members

8

states across the field and office workforce

3+ yrs

live, the longest running program on the book

0

on site clinics, so enrollment happens on a phone

1,252 covered lives sit behind a pipeline operator headquartered in Kentucky, with crews and offices running across Oklahoma, Wyoming, Kansas, Missouri, Indiana, Colorado and Florida. The population is a family group rather than a headcount, since coverage extends to dependents.

Most members work in the field, away from any clinic and often away from home. There is no shared building where a benefit can be explained in person, so enrollment happens on a personal phone and outreach has to travel with the crew.

A natural gas pipeline employee at work in Kentucky

Population mix

Employee to dependent

168:48

Employee utilization

19.97%

Covered lives

1,252

States covered

8

Client snapshot05
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

06 · Certainty module 02

Scientific certainty
The approach is backed by measurable clinical outcomes

Precision biology, gut and genetic testing, applied to the metabolic and inflammatory conditions carrying the majority of influenceable spend in this population.

What the next pages prove

  • 01Four condition clusters carry 66% of influenceable claims
  • 02Care is directed by gut and DNA test results, not generic coaching

Pages in this module

  1. The challenge
  2. Why Digbi
Certainty module 0206
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

07 · The challenge

Lifestyle driven conditions,
treated reactively.

Digbi members preparing a fresh meal at home

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.

The challenge07
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

08 · 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

One holistic care program

GI, metabolic and lifestyle coaching run together, with self pay GLP-1 clinical support layered on from January 2026.

02

Medication stays member paid

GLP-1 medication is not covered by the health plan, while the program itself stays at no cost to eligible members and dependents.

03

Preventive positioning and support bench

The benefits team cites prevention and 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.

Why Digbi08
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

09 · Certainty module 03

Clinical certainty
Members are supported by a safe, accountable clinical model

Risk is identified member by member, tracked quarterly, and reported against the same clinical measures the plan already uses.

What the next pages prove

  • 01Risk concentration measured against the full claims file
  • 02Outcomes tracked per member, not by survey

Pages in this module

  1. Risk concentration
  2. Health outcomes
Certainty module 0309
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

10 · 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

A Digbi member at home reviewing program results over a meal
Risk concentration10
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

11 · Health outcomes

What the program has
delivered so far.

Weight class movement, risk factor reduction and sustained participation across more than three years on the plan. Every item is tracked member by member in the quarterly outcomes sheet.

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.

Health outcomes11
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

12 · Certainty module 04

Operational certainty
The program has been implemented successfully across a dispersed workforce

A distributed blue collar workforce with no on site clinic still reached 17.3% cumulative utilization, with enrollment running on a personal phone.

What the next pages prove

  • 01216 members enrolled across four plan years
  • 0219.97% employee utilization in the launch year
  • 03Enrollment sustained through every plan year since 2023

Pages in this module

  1. The program
  2. Participation curve
  3. Utilization by plan year
Certainty module 0412
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

13 · 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
A Digbi member opening her DNA and gut test kit at home

Every member begins with a gut and genetic test, shipped to the door

The program13
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

14 · 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

Participation curve14
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

15 · Utilization by plan year

Utilization by plan year,
and how the roster was built.

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 still filling.

Utilization headlines across plan years

17.3%

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.

Cumulative utilization of the 1,252 covered lives climbed from 10.9% in 2023 to 12.7% in 2024, 15.8% in 2025 and 17.3% in 2026 to date.

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.

New enrollments by plan year

131

2023

21

2024

54

2025

34

2026 ytd

Roster at a glance

241

member records matched on the covered roster

212

members currently on enrolled status

107

new members in January 2023, the launch month

147 / 45

employees to dependents among classified records

34

new members added in the current plan year

3+ yrs

live, the longest tenured program on the book

Source · Client utilization file, 2026 partial year to date

Utilization by plan year15
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

16 · Certainty module 05

Product certainty
Members engage and sustain participation over time

Engagement shows up as sustained participation and in what members say once the program has been part of their year.

What the next pages prove

  • 01Members stay enrolled across plan years, not weeks
  • 02Recorded member stories from this workforce

Pages in this module

  1. Member testimonials
Certainty module 0516
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

17 · Member testimonials

Stories from the
Humans of Digbi.

Timothy Towne, a program participant

Timothy Towne

Retired government contractor, age 63 · Member since July 2024

Watch the video

“A physical told me my A1c was above the acceptable range. What I liked about Digbi is that they use science rather than hit and miss, a continuous glucose monitor plus the gut microbiome test.”

They identified a specific bacteria linked to insulin resistance, triggered by certain foods. Once I tweaked that, I could see and feel the difference, less brain fog and better sleep.

I am looking at the food that is recommended as my medication. So far that has been more effective than taking a prescription.

30 lb

lost, from 194 lb to 164 lb, with prediabetes reversed

Prediabetes reversedChronic pain improvedSleep improvedInsulin resistance trigger identified
Carida Berry, a program participant

Carida Berry

Program member, age 54 · Four months in program

Watch the video

“I had been dealing with high blood pressure for about ten years, along with prediabetes and slightly elevated cholesterol, and I wanted to lose weight and become healthier.”

The program let me learn my food sensitivities and what spikes my glucose, in real time. I have more energy, it helped my joints, and my sleep has been impacted immensely.

Thank you for allowing me to find a better path of enriching my health.

30 lb

lost in four months, with blood pressure and prediabetes reversed

Blood pressure reversedPrediabetes reversedCholesterol risk loweredSleep improved
Member testimonials17
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

18 · Certainty module 06

Financial certainty
The program delivers measurable business value

Spend is read straight from the claims file, including where it concentrates, how it trends and which conditions carry it.

What the next pages prove

  • 01Lifetime claims spend read from the client file
  • 02High cost claimant concentration reported per plan year
  • 03Condition level spend mapped to the program's clinical focus

Pages in this module

  1. Claims and cost concentration
  2. Claims trend by plan year
  3. Claim spend by condition
  4. Key figures
Certainty module 0618
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

19 · Claims and cost concentration

Where the claim dollars
actually sit.

Claims records were pulled member by member across the covered population and summed by plan year. This population carries the most concentrated high cost pattern in the book, which is precisely why a preventive program was bought.

$7.10M

total claim cost across all plan years on file

963

members with claim cost recorded

332

high cost claimants at the $2,000 threshold

95.1%

of all claim spend sits with those 332 members

Members by lifetime claim cost

Under $2,000631 · 66%
$2,000 to $10,000197 · 20%
$10,000 to $50,000112 · 12%
$50,000 and above23 · 2%

Lifetime claim cost per member, all plan years summed. Two thirds of claimants stay under the high cost threshold, while the 135 members above $10,000 carry the exposure a preventive program is bought to reduce.

34.5%

of claimants are high cost

95.1%

of dollars they account for

2.8x

spend concentration versus their share of members

Source · Digbi claims pull, covered population, plan years 2021 through 2025. High cost claimant defined as $2,000 or more in claims, the Digbi standard threshold.

Claims and cost concentration19
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

20 · Claims trend by plan year

Cost per member,
before and after launch.

Claim cost per member per year for the whole claims population, shown next to the same population with high cost claimants removed.

Cost per member per year

2025 against the 2023 baseline

45.0%

2705

2022

2660

2023

4575

2024

2516

2025

Cost per member per year across all claimants held near $2,700 through 2022 and 2023, spiked to $4,575 in 2024 and reverted to $2,516 in 2025. The swing tracks the high cost cohort rather than any broad movement across the covered population.

High cost claimants, share of members against share of spend

16%

92.9%

16%

88.6%

18.5%

87.9%

18.4%

93.3%

17.1%

87%

2021

2022

2023

2024

2025

Share of claimantsShare of claim spend

The share of claimants crossing the $2,000 threshold has held between 16% and 18.5% for five straight years, and their share of spend has stayed in the high eighties to low nineties every single year. This is the steadiest concentration pattern in the book.

Source · Digbi claims pull, covered population, plan years 2021 through 2025. High cost claimant defined as $2,000 or more in claims, the Digbi standard threshold.

Claims trend by plan year20
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

21 · Claim spend by condition

Which conditions carry
the cost.

Claim cost ranked by the conditions carried by the members generating it, with the number of members behind each line.

Claim cost by condition, all plan years

Metabolic disorders$3.85M
Gastrointestinal disorders$3.49M
Hypertension$3.33M
Hyperlipidemia$3.21M
Gastrointestinal$3.08M
Mental health$2.00M
Gastroesophageal$1.94M
Diabetes$1.86M

Claim cost · members

Each member's full claim cost is counted against every condition they carry, so these totals overlap rather than add up. Read them as a ranking of which conditions sit inside the highest cost members. Metabolic, digestive and cardiometabolic disease lead, the three categories this program treats together.

Source · Digbi claims pull, covered population, plan years 2021 through 2025. High cost claimant defined as $2,000 or more in claims, the Digbi standard threshold.

Claim spend by condition21
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

22 · Key figures

GI outcomes, savings,
and population health.

216

members enrolled across employees and dependents

Plan years 2023 through 2026 to date · Client utilization file

17.3%

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

Every figure on this page comes from the client utilization file and the claims analysis, each with its own time horizon. Savings for this account are reported through the claims concentration view rather than a single headline multiple.

Key figures22
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

23 · Certainty module 07

Brand certainty
Digbi is built for long-term partnership

The same model runs across manufacturing, public sector and professional services books of business.

What the next pages prove

  • 01A book of business, not a single account

Pages in this module

  1. Book of business
Certainty module 0723
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

24 · 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

Savings over four years

$18,500/member

$9,320

$9,320

$7,035

$10,465

$6,310

$12,497

$5,403

$14,576

2021

2022

2023

2024

On DigbiNot on Digbi

Over four years the claims cost per enrolled member fell from $9,320 to $5,403, while the matched group that never enrolled rose to $14,576. The gap covers diabetes, metabolic syndrome, digestive conditions and GLP-1 medication spend.

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.

Book of business24
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

25 · Certainty module 08

Future certainty
Digbi continues to expand value for the population

What the next plan year adds for this account, including the medication support layered on at the start of 2026.

What the next pages prove

  • 01Self pay GLP-1 clinical support added January 2026

Pages in this module

  1. Looking ahead
Certainty module 0825
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

26 · Looking ahead

The plan for
the next plan year.

The plan for the current year is written around reach and around the medication support layered on at the start of 2026.

2026 priorities

01

Lift dependent enrollment

Dependents trail employees in every plan year, so family outreach carries the next cohort.

02

Keep employee utilization climbing

Employee utilization moved from 2.92% to 4.93% to 6.62%, and 2026 is still open.

03

Target the concentrated cohort

25 members drive $3.4M of influenceable claims, so outreach starts with those conditions.

04

Support self pay GLP-1 members

Clinical supervision sits inside the program while medication stays fully member paid.

Looking ahead26
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

27 · Certainty module 09

Decision support
The internal team has everything needed to build a clear, defensible case for Digbi

Everything needed to carry this internally: the underlying figures, their sources and a route to the full study.

What the next pages prove

  • 01Every figure carries a named source

Pages in this module

  1. Request the full study
  2. Sources and definitions
Certainty module 0927
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

28 · 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

Request the full study28
Digbi HealthGas pipeline operator · Plan years 2023 through 2026 to date

29 · Sources and definitions

Where each figure
comes from.

  1. 01

    Claims figures: client claims analysis sheet, internal, most recent pull. Scope is claims the program can influence, all time.

  2. 02

    Enrollment, covered lives and utilization: client utilization file, employees and dependents by plan year, 2023 through 2026 to date.

  3. 03

    Testimonial: recorded video testimonial, approximately 2023, transcript on file.

  4. 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.

Sources and definitions29

More case studies

Keep reading

Rigid packaging manufacturing case study cover
Rigid packaging manufacturing · California

Cutting the High Risk IBS Segment by 42% with a California Packaging Manufacturer

Consultant · Gallagher (AJG)

A 4,000 life packaging manufacturer, covering employees, spouses and adult dependents, used a GI first eligibility model to move members out of the high risk IBS segment, lift nutrient density scores past the clinical threshold and hit both contractual performance guarantees.

Open case study
Medical Device / Healthcare Technology case study cover
Medical Device / Healthcare Technology · San Diego, California

Cutting Severe IBS Cases by 46% with a California Medical Device Manufacturer

Consultant · Lockton

A medical device manufacturer in San Diego put the program in front of a 24-hour shift workforce carrying a high burden of insulin-related and digestive conditions. Two years in, IBS severe cases fell 46%, the highest-risk PHQ-8 cohort improved 70%, and the share of members hitting clinically significant weight loss tripled.

Open case study
Insurance brokerage and consulting case study cover
Insurance brokerage and consulting · New York

Driving weight loss for 77% of members with a New York insurance brokerage firm

Consultant · CorpSyn

A 5,000 employee brokerage put the program in front of its own workforce. Two years in, 77% of members lost weight, moderate to severe IBS fell by more than a third, and 92% of members would recommend the program.

Open case study

Talk to the team

Have questions? Our Enterprise team wants to hear from you.

Whether you are evaluating a precision nutrition program for a covered population or want to understand the methodology behind these case studies, we are happy to walk through it.

Schedule a meetingEmail us · partner@digbihealth.com