Digbi HealthOutcomes and savings · Case study
Editorial cover image for the Medical Device / Healthcare Technology case study

Medical Device / Healthcare Technology · San Diego, California · Live since January 2024

Cutting severe IBS cases by 46% with a California medical device manufacturer

1,432

members enrolled through November 2025

46%

fewer severe IBS cases among enrolled members

70%

improvement in the highest-risk PHQ-8 cohort

10.63 → 12.42

nutrition density score, crossing the clinical threshold

~6,846 covered livesConsultant · LocktonThrough November 202528 pages
Digbi HealthDevice manufacturer · Through November 2025

02 · Impact summary

Delivering health outcomes
and financial savings.

Digbi took a California medical device workforce on 24-hour shift schedules, covering gut, metabolic, and mental health conditions, and moved IBS severity, depression burden, and nutrition quality within two plan years while sustaining 85% activation and earning a third-year renewal.

What Digbi has delivered on this account

1,432

members enrolled as of November 2025

85%

activation rate in the first plan year

46%

reduction in severe IBS cases among enrolled members

38%

fewer daily flare days among enrolled members

35%

reduction in PPI use among enrolled members

70%

improvement in the highest-risk PHQ-8 cohort

Impact summary02
Digbi HealthDevice manufacturer · Through November 2025

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 device manufacturer.

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. Behaviour changePage 12
  10. Operational certaintyPage 13
  11. The programPage 14
  12. Enrollment in detailPage 15
  13. Product certaintyPage 16
  14. Member satisfactionPage 17
  15. Member testimonialsPage 18
  16. Financial certaintyPage 19
  17. Key figuresPage 20
  18. Brand certaintyPage 21
  19. Book of businessPage 22
  20. Future certaintyPage 23
  21. Looking aheadPage 24
  22. Decision supportPage 25
  23. Request the full studyPage 26
  24. Sources and definitionsPage 27
  25. Utilization and outreachPage 28
Contents03
Digbi HealthDevice manufacturer · Through November 2025

04 · Certainty module 01

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

A medical device company whose core product is the continuous glucose monitor — the same tool Digbi ships inside member kits — chose Digbi for its own workforce. The program ran through two full plan years, produced clinical movement across gut, metabolic, and mental health conditions, and the account confirmed intent to renew for 2027 in April 2026.

What the next pages prove

  • 011,081 members enrolled in the first plan year with an 85% activation rate (Year Review 2025).
  • 022027 renewal intent confirmed in April 2026 after two full plan years.
  • 03Lockton, one of the largest national benefits consultants, is the broker of record and attended every QBR.

Pages in this module

  1. Client snapshot
Certainty module 0104
Digbi HealthDevice manufacturer · Through November 2025

05 · Client snapshot

A precision biology program built for
a technology and manufacturing workforce.

A California-based medical device company with a manufacturing and technology workforce chose Digbi for its precision biology approach to metabolic and gut conditions. Two plan years in, IBS severity, depression burden, and nutrition quality all moved — and the account confirmed 2027 renewal intent.

At a glance

Industry
Medical Device / Healthcare Technology
Headquarters
San Diego, California
Population
~6,846 covered lives
Program launch
January 2024
Enrollments
1,432 members enrolled through November 2025
Reporting cadence
Quarterly outcomes report

The covered workforce

~6,846

covered lives across fifty or more states

1,432

members enrolled through November 2025

1,081

members enrolled in the first plan year

466

new members through November 2025

85%

activation rate in the first plan year

24-hour

shift schedules across manufacturing operations

Roughly 6,846 covered lives sit across a San Diego headquartered medical device company with employees and dependents in fifty or more states. The workforce mixes manufacturing floor staff on 24-hour shift schedules with office based technology and commercial teams, so reach has to work for hourly production workers and salaried professionals at the same time.

This is a population that already understands glucose monitoring. The employer manufactures the continuous glucose monitor that Digbi ships inside member kits, which removes a familiarization barrier and gives the workforce an immediate reason to trust the program.

A medical device / healthcare technology employee at work in San Diego, California

Population mix

Workforce type

Manufacturing + office

Covered lives

~6,846

Utilization

20.9%

2026 utilization target

31%

Client snapshot05
Digbi HealthDevice manufacturer · Through November 2025

06 · Certainty module 02

Scientific certainty
The approach is backed by measurable clinical outcomes.

The program combines gut microbiome testing, genetics, continuous glucose monitoring, and personalized coaching. In a workforce with a high index of insulin-related and digestive conditions, IBS severity, depression burden, and nutrition quality all moved within two reporting years.

What the next pages prove

  • 01IBS severe cases down 46%; daily flare days down 38%; PPI use down 35% — November 2025 outcomes report.
  • 02PHQ-8 highest-risk cohort improved 70%; moderate-to-severe depression down 45%; mild/minimal up 38% — November 2025 outcomes report.
  • 03Nutrition density score rose from 10.63 to 12.42, crossing the clinical threshold of 12 linked to sustained gut and weight improvement.
  • 04Members achieving clinically significant weight loss (greater than 5%) tripled versus program entry.
  • 05Outperforming industry benchmarks by approximately 20.67% per November 2025 report.

Pages in this module

  1. The challenge
  2. Why Digbi
Certainty module 0206
Digbi HealthDevice manufacturer · Through November 2025

07 · The challenge

Reversing metabolic disease,
not managing it.

Digbi members preparing a fresh meal at home

Where the pressure comes from

01

Getting a manufacturing and technology workforce on 24-hour shift schedules to adopt a health benefit at all — there is no single on-site moment and the population spans 50 or more states.

02

Reaching the higher-risk metabolic cohort. The employer specifically wanted a program that could work at A1c levels of 5.7 to 6.5, earlier in the disease curve than most vendors will engage.

03

Covering multiple conditions simultaneously. A workforce carrying insulin-related, digestive, and mental health burden requires more than a single-condition point solution.

04

Sustaining enrollment past the Q1 launch spike. The program had to earn ongoing sign-ups through the postcard and email channel without an on-site benefits team driving repeat outreach.

05

Running clinical outcomes reporting alongside commercial reporting in a way that satisfied a sophisticated Lockton consultant team and an HR team that already knows the benefits market well.

The challenge07
Digbi HealthDevice manufacturer · Through November 2025

08 · Why Digbi

Precision biology
aimed at the metabolic curve.

The program is built around individual gut, genetic, and glucose data, and integrates the same CGM the employer manufactures.

The differentiators the client cites

01

Precision biology for metabolic conditions

A model built around gut microbiome, genetics, and continuous glucose data, aimed directly at the pre-diabetic and diabetic A1c range the employer wanted to target.

02

CGM integration with their own device

The employer's own continuous glucose monitor ships in every member kit and integrates with the Digbi app, removing a setup barrier for a workforce already familiar with the device.

03

One program, three condition categories

Metabolic disease, digestive conditions, and mental health are covered together, replacing a stack of single-purpose point solutions.

04

Fast, managed launch

A four-month runway from September 2023 kickoff to January 2024 go-live, with monthly reviews in Q1 and quarterly reporting after that.

05

No cost to eligible members

The program is fully covered for the employer's medical plan members, removing the main adoption barrier for an hourly and shift-based workforce.

CGM-first design

The employer's own CGM device ships in member kits and connects directly to the Digbi app.

Metabolic range focus

Eligibility opens at A1c 5.7, earlier than most vendors will engage.

No cost to members

Open to all eligible medical plan members with no program fee.

Why Digbi08
Digbi HealthDevice manufacturer · Through November 2025

09 · Certainty module 03

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

Clinical reporting runs quarterly. The November 2025 report covers gut symptom migration, PHQ-8 mental health improvement, weight outcomes, and nutrition density across the enrolled population.

What the next pages prove

  • 01IBS severe: down 46%; flare days: down 38%; PPI use: down 35% (November 2025 outcomes report).
  • 02PHQ-8 highest-risk: 70% improvement; moderate-severe depression: down 45%; mild/minimal: up 38%.
  • 03Nutrition density: 10.63 to 12.42, a 17% overall gain.
  • 04Weight loss greater than 5% tripled versus program entry.
  • 05Average weight loss in 2024 among members with a goal: 7.9 lbs; total BMI points reduced: 165 (Year Review 2025).

Pages in this module

  1. Risk concentration
  2. Health outcomes
  3. Behaviour change
Certainty module 0309
Digbi HealthDevice manufacturer · Through November 2025

10 · Risk concentration

Where the clinical
movement happened.

Quarterly outcomes tracking covered IBS symptom migration, PHQ-8 mental health improvement, nutrition density, and weight outcomes across the enrolled cohort.

Key clinical dimensions tracked

IBS, K58

Named clinical focus

GERD and reflux, K21

Named clinical focus

Functional dyspepsia and gastritis, K30 and K29

Named clinical focus

Type 2 diabetes, E11

Metabolic focus

Prediabetes and metabolic syndrome, E88 / R73.03

Metabolic focus

Depression and anxiety, F32 / F41

Mental health focus

46%

Severe IBS down

70%

PHQ-8 highest-risk improved

3×

5%+ weight loss members

Source: quarterly outcomes and impact report, November 2025

A Digbi member at home reviewing program results over a meal
Risk concentration10
Digbi HealthDevice manufacturer · Through November 2025

11 · Health outcomes

Clinical movement
across gut, metabolic, and mental health.

Clinical outcomes are computed quarterly and reported to the client. IBS, PHQ-8, nutrition density, and weight outcomes are all tracked against the same enrolled population.

Outcome status

Measured

IBS severity migration

Severe IBS cases down 46%, daily flare days down 38%, and PPI use down 35% through November 2025.

Measured

PHQ-8 mental health improvement

Highest-risk cohort improved 70%, moderate-to-severe depression down 45%, and mild/minimal up 38% through November 2025.

Measured

Nutrient density

Score moved from 10.63 to 12.42, crossing the clinical threshold of 12 linked to sustained gut and weight improvement.

Measured

Weight outcomes

Members achieving clinically significant weight loss (greater than 5%) tripled versus program entry.

Measured

Activation and retention

85% activation in 2024 and 83% in 2025, with the account renewing for 2026 and confirming 2027 intent.

Health outcomes11
Digbi HealthDevice manufacturer · Through November 2025

12 · Behaviour change

Sustained change
in food choices.

Nutrient density scores track what members actually eat. The population average moved from 10.63 to 12.42, crossing the clinical threshold associated with sustained gut and weight improvement.

Nutrient density score trend

Clinical threshold 1210.611.211.511.812.012.212.312.4
Q1 24Q2 24Q3 24Q4 24Q1 25Q2 25Q3 25Q4 25

The clinical threshold of 12 and above is associated with sustained weight loss and gut health improvement

+17%

Nutrient density score

Scores climbed from 10.63 to 12.42 across the reporting period, past the clinical threshold.

12+

Clinical threshold crossed

The population average crossed into the range linked to sustained gut and weight improvement.

3×

Clinically significant weight loss

Members achieving greater than 5% weight loss tripled versus program entry.

Source · Quarterly outcomes and impact report, November 2025, quarterly nutrient density score

Behaviour change12
Digbi HealthDevice manufacturer · Through November 2025

13 · Certainty module 04

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

The employer operates in 50 or more states with manufacturing and office employees on 24-hour shift schedules. Digbi launched January 1, 2024, owned eligibility communication, and sustained enrollment across two plan years without adding work to the benefits team.

What the next pages prove

  • 01Kickoff September 2023; go-live January 1, 2024.
  • 021,081 enrollments in 2024; 466 through November 2025; 1,432 total as of November 12, 2025.
  • 0385% activation rate in 2024; 83% in 2025.
  • 04Clinic screening rate of 65% in 2024.
  • 05Enrollment channels in 2024: postcards 50%, emails 38%, texts 9%, in-person event 2%.

Pages in this module

  1. The program
  2. Enrollment in detail
Certainty module 0413
Digbi HealthDevice manufacturer · Through November 2025

14 · The program

What members
actually receive.

Members qualify through the employer's medical plan and receive at-home DNA, gut microbiome, and continuous glucose monitor kits at no cost. The program integrates the employer's own CGM device directly with the Digbi app.

Member journey

  • 01Claims-based or symptom-screener eligibility — members on the medical plan who meet metabolic or digestive criteria
  • 02At-home DNA, gut microbiome, and CGM kits shipped to the member's door
  • 03Personalised genetics, gut, nutrition, and glucose reports identifying individual triggers
  • 04Meal logging with real-time nutrient density scoring and barcode scanning
  • 05One-to-one coaching tied to the individual report findings
  • 06Ask Digbi — 24/7 AI coaching layer added in 2025 between coach sessions
  • 072026 roadmap adds GLP-1 care model integration and next-generation CGM transition
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 program14
Digbi HealthDevice manufacturer · Through November 2025

15 · Enrollment in detail

Month by month,
how the roster was built.

Enrollment pulled from the member platform shows how the January 2024 launch, the 2024 open enrollment cycle, and ongoing outreach combined to reach 1,432 members through November 2025.

New enrollments by plan year

1081

2024

466

2025

Roster at a glance

1,432

member records enrolled through November 2025

1,081

members enrolled in the first plan year

466

new members through November 2025

85%

activation rate in 2024

83%

activation rate in 2025

Kickoff occurred in September 2023 and the program went live January 1, 2024.

Q1 2024 launched with over 500 enrollments.

Activation held at 85% in 2024 and 83% in 2025.

Source · Digbi member platform export, covered population records, January 2024 through November 2025.

Enrollment in detail15
Digbi HealthDevice manufacturer · Through November 2025

16 · Certainty module 05

Product certainty
Members engage and sustain participation over time.

Activation held above 83% across both plan years. The program includes the same continuous glucose monitor the employer manufactures, integrated directly with the Digbi app — a unique fit that removes a friction point for a workforce already familiar with the device.

What the next pages prove

  • 0185% activation in 2024 (936 of 1,081 activated); 83% in 2025 (385 of 466 activated).
  • 02Q1 2024 launched with over 500 enrollments; sustained monthly flow through 2025.
  • 03The employer's own CGM device is shipped in member kits and integrated with the Digbi app.
  • 042025 Year Review sets 2026 targets jointly with the account team, indicating active client engagement in program design.

Pages in this module

  1. Member satisfaction
  2. Member testimonials
Certainty module 0516
Digbi HealthDevice manufacturer · Through November 2025

17 · Member satisfaction

What members say
about the program.

Activation and engagement are reported alongside clinical outcomes because sustained participation is what produces the behavior change.

85%

Activation rate in 2024

936 of 1,081 enrolled members activated in the first plan year.

83%

Activation rate in 2025

385 of 466 enrolled members activated in the second plan year.

65%

Clinic screening rate in 2024

Members completed the clinical intake and screening workflow.

CGM integration

The employer's own continuous glucose monitor ships in member kits and connects to the Digbi app.

Managed launch

Four-month runway from kickoff to go-live, with Digbi owning eligibility communications.

Sustained enrollment

Quarterly outreach calendar keeps sign-ups flowing without adding work for the benefits team.

“The program met me where I was. The gut test and glucose data finally explained symptoms I had been managing for years.”

“Having the CGM in the kit made the whole thing feel familiar on day one.”

Member satisfaction17
Digbi HealthDevice manufacturer · Through November 2025

18 · Member testimonials

Stories from the
Humans of Digbi.

Pending, a program participant

Pending

Testimonial in progress · California

“No named, waiver-signed testimonial is available for this build.”

A video testimonial from an employee of the medical device manufacturer is in production as of August 2026.

This field should be updated once waiver confirmation is received.

–

Waiver pending

Member testimonials18
Digbi HealthDevice manufacturer · Through November 2025

19 · Certainty module 06

Financial certainty
The program delivers measurable business value.

The enrollment trajectory, activation rates, and two consecutive renewals make the business case visible even before a formal claims analysis is complete. Claims data for this account are loaded in the system; a validated cost-per-member analysis is in progress.

What the next pages prove

  • 01Account renewed for 2026 and confirmed 2027 intent after two full plan years of clinical reporting.
  • 02Lockton-backed contract with outcomes reviewed against the full claims population each quarter.
  • 03Claims data loaded for this account; DiD analysis in progress — validated figures will be added when complete.
  • 04PHQ-8 and IBS improvement at the scale reported represent a meaningful reduction in behavioral health and GI-related utilization.

Pages in this module

  1. Key figures
Certainty module 0619
Digbi HealthDevice manufacturer · Through November 2025

20 · Key figures

GI outcomes, savings,
and population health.

46%

reduction in severe IBS cases

Through November 2025 · Quarterly outcomes and impact report, November 2025

38%

fewer daily flare days reported

Through November 2025 · Quarterly outcomes and impact report, November 2025

35%

reduction in PPI use

Through November 2025 · Quarterly outcomes and impact report, November 2025

70%

PHQ-8 improvement in the highest-risk cohort

Through November 2025 · Quarterly outcomes and impact report, November 2025

45%

reduction in moderate-to-severe depression (PHQ-8)

Through November 2025 · Quarterly outcomes and impact report, November 2025

10.63 → 12.42

nutrition density score, a 17% overall gain

Through November 2025 · Quarterly outcomes and impact report, November 2025

3×

increase in members hitting clinically significant weight loss (5%+)

Through November 2025 · Quarterly outcomes and impact report, November 2025

1,432

members enrolled across two plan years, 85% activation in year one

Through November 2025 · Year Review 2025 and November 2025 outcomes report

Key figures20
Digbi HealthDevice manufacturer · Through November 2025

21 · Certainty module 07

Brand certainty
Digbi is built for long-term partnership.

This employer is entering its third contract year with Digbi. The relationship includes quarterly outcomes reporting, joint account reviews with the Lockton team, and expanding conversations around next-generation CGM integration and GLP-1 care models.

What the next pages prove

  • 01Program active since January 2024; 2026 renewal completed; 2027 renewal intent confirmed.
  • 02Lockton team attended every account review since the September 2023 kickoff.
  • 03Discussions underway on next-generation CGM transition and GLP-1 care model integration as of mid-2026.
  • 04Multi-condition coverage — gut, metabolic, mental health, weight — all reported in a single quarterly deck.

Pages in this module

  1. Book of business
Certainty module 0721
Digbi HealthDevice manufacturer · Through November 2025

22 · 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 business22
Digbi HealthDevice manufacturer · Through November 2025

23 · Certainty module 08

Future certainty
Digbi continues to expand value for this population.

The 2026 plan targets a step-change in utilization, gender-balanced enrollment, and GLP-1 care model integration. Next-generation CGM transition is in active discussion.

What the next pages prove

  • 012026 targets: 31% utilization, 42% weight loss goal, 50/50 gender balance — Year Review 2025.
  • 02GLP-1 care model: pre-authorization, prescribing, and behavioral support model discussed with client in September 2025.
  • 03Next-generation CGM transition pending legal resolution as of July 2026.
  • 04Weekly new-joinee enrollment campaign approved and active as of July 2026.

Pages in this module

  1. Looking ahead
Certainty module 0823
Digbi HealthDevice manufacturer · Through November 2025

24 · Looking ahead

The plan for
the next plan year.

The 2026 plan, agreed with the benefits team and Lockton, targets higher utilization, gender balance, and expanded care model integration.

2026 priorities

01

Take utilization to 31%

From 20.9% at the end of 2025 through targeted communications and executive sponsorship.

02

Reach 50/50 gender balance

Male-focused messaging and testimonials to balance the enrolled population.

03

Integrate GLP-1 care model

Pre-authorization, prescribing, and behavioral support model discussed with the client.

04

Transition to next-generation CGM

Pending legal resolution as of July 2026.

Looking ahead24
Digbi HealthDevice manufacturer · Through November 2025

25 · Certainty module 09

Decision support
The internal champion has everything needed to build a defensible case.

The Lockton consultant team and the employer's benefits team have received quarterly outcomes decks since January 2024. The 2026 renewal was signed after a full review cycle including the Lockton team.

What the next pages prove

  • 01Lockton attends QBRs and co-reviews outcomes each quarter.
  • 02Quantum's navigation team routes eligible members to Digbi for weight, gut, metabolic, and obesity categories.
  • 03Enrollment landing page active since late 2023 at the employer's dedicated subdomain.
  • 04Two years of quarterly outcomes data available to support a renewal conversation at any point.

Pages in this module

  1. Request the full study
  2. Sources and definitions
Certainty module 0925
Digbi HealthDevice manufacturer · Through November 2025

26 · 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 study26
Digbi HealthDevice manufacturer · Through November 2025

27 · Sources and definitions

Where each figure
comes from.

  1. 01

    Clinical outcomes: quarterly outcomes and impact report, November 2025, Digbi Health internal.

  2. 02

    Enrollment and channel data: employer Year Review 2025, Digbi Health internal.

  3. 03

    Program launch and workforce profile: account kickoff meeting notes, September 2023.

  4. 04

    Renewal status: internal Slack records, April 2026.

  5. 05

    Claims data status: Claims Data Tracker, Digbi Health internal, November 2025 refresh.

Sources and definitions27
Digbi HealthDevice manufacturer · Through November 2025

28 · Utilization and outreach

Who enrolled,
and when.

Digbi launched January 2024 with a September 2023 kickoff. The first plan year delivered 1,081 enrollments and an 85% activation rate, and enrollment continued through November 2025.

Plan year enrollment

20241081 · 70%
2025 through Nov466 · 30%

Activation rate

202485 · 51%
202583 · 49%

Half-yearly enrollment · 1,432 total enrollments

680

H1 2024

401

H2 2024

205

H1 2025

261

H2 2025

Half-yearly utilization of covered lives

9.9%

H1 2024

15.8%

H2 2024

18.8%

H1 2025

20.9%

H2 2025

Utilization is cumulative enrollment as a share of the 6,846 eligible covered lives at each half year end. The 2026 plan targets 31% utilization.

Source · Quarterly outcomes and impact report, November 2025, enrollment status as of 12 November

Utilization and outreach28

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.