Health Plans

WHO WE SERVE: HEALTH PLANS

Chronic disease is your largest cost driver. Nudj is the clinical program built to move it.

Health plans have tried disease management programs, care management platforms, and wellness incentives. Most produce engagement data, not clinical outcomes.

Your highest-cost members — the ones managing multiple chronic conditions simultaneously — are the hardest to reach and the least served by every point solution you have deployed. Nudj is different: physician-led, remotely delivered, and built around each member as an individual rather than a population segment, producing documented cost savings and clinical improvement at scale in exactly the populations that drive the majority of plan spend.

What Nudj Delivers For Health Plans

Your highest-cost members don’t engage with programs that feel like they come from an institution. They engage with programs that feel like they were built for them, that understand who they are, and that meet them where they are rather than asking them to show up somewhere new. Nudj is built from that understanding: person-first, clinically rigorous, and delivered in a way that removes every barrier that has kept your most complex members from engaging.

1. A scalable clinical benefit members will actually engage with

Your members don’t trust programs that feel like they come from their health plan. They trust their doctor. Nudj works as an extension of the provider relationship, not the payer, so members engage because they feel supported by someone who knows them, not managed by someone who pays their claims. Delivered from the member’s home, alongside their existing primary care relationship. No new facility. No care team to switch to. No friction between your highest-risk members and the clinical support they need.

2. Documented cost reduction, not projected savings

Outcomes from our Corewell Health partnership, measured at scale in a real plan population, not modeled projections or controlled pilot conditions. Fewer ER visits. Fewer avoidable specialist re-referrals. Meaningful medication de-escalation that reduces pharmacy spend. Documented, attributed, and available for your actuarial and finance teams to work with.

$3,230

Average annual savings per enrolled patient

 42%

Average HbA1c reduction

3. Clinical outcomes your quality metrics will reflect

HbA1c reduction. Blood pressure control. Behavioral health integration. Medication adherence improvement. These are the markers that determine HEDIS performance, Stars ratings, and value-based contract results. Nudj tracks and reports every one of them throughout the program in real time, formatted for quality reporting, performance review, and contract accountability. The data you need when you need it, attributed to the right population and the right intervention.

Insert HEDIS measure LM crosswalk table

4. A whole-person approach to GLP-1 cost management

If your plan is managing rising GLP-1 expenditure, you are paying for a pharmaceutical intervention that produces its best outcomes when paired with sustained behavior change, improved sleep, reduced stress, and better nutrition. Without whole-person care alongside the medication, results diminish, weight returns, and costs compound. Nudj is the lifestyle medicine foundation that makes your GLP-1 investment clinically sustainable and financially defensible: medication as one tool within a whole-person model, not the whole model itself.

Members trust their doctor. Nudj works through the trust that already exists.

Patients consistently rate their trust in their health plan significantly lower than their trust in their physician. Programs that come from the plan, however well designed, carry that trust deficit into every member interaction. Programs that come through the provider relationship, that feel like an extension of care rather than a benefit offering, earn engagement because the trust is already there.

Nudj is delivered as an extension of the provider relationship. Our care team communicates with the member’s existing physician, supports their care plan, and operates as part of the clinical picture the member already trusts. The benefit comes from the plan. The experience feels like it comes from the doctor. That is the combination that produces engagement in the population you have not been able to reach.

A note on white-label and co-branded deployment

Nudj works best when it is presented as an extension of care, not an extension of coverage. The outcome for the plan is the same: documented cost reduction and quality improvement in your highest-cost member population. The pathway runs through the trust your members already have in their clinical relationships, not through the trust they don’t have in their plan.

The data your claims system doesn’t capture, Nudj does

Health plans have claims data. They have eligibility data. They have utilization data. What they don’t have is data on what is actually happening between the member and the provider, in the gap where care disappears and costs silently accumulate.

19,000

Enrolled patients

 120

Health data points per patient

 5.8M

Data transmissions captured

Five years of engagement patterns, behavioral change trajectories, and what members do between appointments. What drives them toward and away from behavior change. Which providers generate the best referral outcomes. Which populations face the highest barriers, and why.

For health plans, this has a direct application: understanding where your highest-cost members go when your programs can’t reach them, what would change their trajectory, and what is actually driving the utilization your claims data is showing. We are building the infrastructure to surface this intelligence for our health plan partners.

Interested in a population analysis?
Our team can work with your member data to model the clinical and financial outcomes Nudj would produce in your specific highest-cost population segments before you commit to a full deployment.

Ready to move your highest-cost population?

Our team works with health plans to identify the right member population, model what clinical and financial outcomes look like for your specific plan, and design an implementation that runs through the provider relationships your members already trust. The conversation starts with your data and your population. We bring the clinical model, the care team, and the outcomes.