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Insurance verified Verified Outcome TRL 9

Digital Diabetes Prevention Program

domain Client: A major health insurer / PBM handshake Provider: Omada Health schedule Deploy: 2022
85 Impact
Enterprise Ready
Evidence Score: A/10
Strength: High

Executive Summary

ANALYST: COI RESEARCH

Inclusion of digital diabetes prevention in the formulary to reduce long-term chronic care costs for plan members.

rate_review Analyst Verdict

"Low Risk. Digital Prevention Programs (DPP) are now standard benefits. The ROI is actuarially validated: weight loss reduces the progression to Type 2 diabetes."

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Full Audit Report Available Includes Risk Register, Technical Specs & Compliance Data.

warning The Challenge

Rising prevalence of Type 2 diabetes drives massive cost in the insured population. Traditional gym memberships or in-person coaching had low adherence.

psychology The Solution

Added Omada Health to the digital health formulary. Eligible members receive a connected scale and access to a digital coach/community curriculum to drive behavioral change.

settings_suggest Technical & Deployment Specs

Integrations
Claims / Eligibility
Deployment Model
SaaS / Device
Data Classification
PHI
Estimated TCO / ROI
Performance-based
POC Summary ( to )

"N/A"

shield Risk Register & Mitigation

Risk Factor Severity Mitigation Strategy
Engagement Drop-off Medium Human coaching component

trending_up Impact Trajectory

Audited value realization curve

Significant average weight loss per participant Verified Outcome
Primary KPIReduction in progression to Type 2 diabetes
Audit CycleNet cost savings per participant

policy Compliance & Gov

  • Standards: HIPAA / CDC Recognition
  • Maturity (TRL): 9
  • Evidence Score: A/10
  • Data Class: PHI

folder_shared Verified Assets

description
Verified Case Study
PDF • Version 1
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Technical Audit
PDF • Audited
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Security Architecture

The "Blind Verification" Protocol

How we verified these outcomes for A major health insurer / PBM without exposing sensitive IP or identities.

Private
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1. Raw Evidence

Audit ID: #PRIV-533
Evidence: Direct SQL Logs
Public
public

2. Verified Asset

Outcome: Verified
Ref ID: #COI-533

Strategic Action Center

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