• Am J Manag Care · May 2024

    Modeling the economic value of cardiometabolic virtual-first care programs.

    • Madison Noble, Fang Chen, Sarah Linke, Timothy M Dall, and Jenna Napoleone.
    • Omada Health Inc, 500 Sansome St #200, San Francisco, CA 94111. Email: madison.noble@omadahealth.com.
    • Am J Manag Care. 2024 May 1; 30 (6 Spec No.): SP430SP436SP430-SP436.

    ObjectivesThis study simulated the potential multiyear health and economic benefits of participation in 4 cardiometabolic virtual-first care (V1C) programs: prevention, hypertension, diabetes, and diabetes plus hypertension.Study DesignUsing nationally available data and existing clinical and demographic information from members participating in cardiometabolic V1C programs, a microsimulation approach was used to estimate potential reduction in onset of disease sequelae and associated gross savings (ie, excluding the cost of V1C programs) in health care costs.MethodsMembers of each program were propensity matched to similar records in the combined 2012-2020 National Health and Nutrition Examination Survey files based on age, sex, race/ethnicity, body mass index, and diagnosis status of diabetes and/or hypertension. V1C program-attributed changes in clinical outcomes combined with baseline biometric levels and other risk factors were used as inputs to model disease onset and related gross health care costs.ResultsAcross the V1C programs, sustained improvements in weight loss, hemoglobin A1c, and blood pressure levels were estimated to reduce incidence of modeled disease sequelae by 2% to 10% over the 5 years following enrollment. As a result of sustained improvement in biometrics and reduced disease onset, the estimated gross savings in medical expenditures across the programs would be $892 to $1342 after 1 year, and cumulative estimated gross medical savings would be $2963 to $4346 after 3 years and $5221 to $7756 after 5 years. In addition, high program engagement was associated with greater health and economic benefits.ConclusionsV1C programs for prevention and management of cardiometabolic chronic conditions have potential long-term health and financial implications.

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