Manage what care costs.
Better network rates and claims administration can lower the price of care. They matter, but the hospital stay or new diagnosis has already happened.
Back to starting point
THE PRICE LEVER
THE UTILIZATION LEVER
BEFORE DIAGNOSIS
WITH TYPE 2 DIABETES
AFTER A CARDIAC EVENT
Explore the prediabetes scenario
TYPE 2 DIABETES
CARDIAC REHABILITATION
LOWER-COST START GUIDED SUPPORT
Talk to a Human
FOR SELF-FUNDED EMPLOYERS
Reduce avoidable care, not just its price.
Discounts change what a claim costs, not why it occurs. Plan2Peak looks for opportunities before a new diagnosis, during established disease, and after a cardiac event when proven recovery care may be missed.
The goal is fewer preventable escalations and fuller use of proven care. Measure health first, then examine claims, medication use, and rehabilitation participation.
THE CORE DIFFERENCE
A discounted claim is still a claim.
Change what happens next.
Prevent avoidable progression, support people working toward remission, and help eligible cardiac patients reach rehabilitation. Measure the response and care use over time.
THREE PLACES TO ACT
The opportunity extends beyond prediabetes.
Each path asks a different question about health and the care a person actually receives.
Prevent progression.
Find rising metabolic measures early and help each person act on the factors that matter most to them.
Work toward remission.
Follow glycemia, medication burden, and function while the treating team makes clinical decisions.
Use proven recovery care.
Ask whether eligible people were referred to cardiac rehabilitation and could participate.
ONE EXAMPLE / PREVENT PROGRESSION
Prediabetes does not have to become diabetes.
A previously published lifestyle intervention led by Peter followed people with prediabetes and reported how many progressed.
Read the published study2 of 131
participants with prediabetes progressed to type 2 diabetes in the cohort.
WHY PROGRESSION MATTERS
The cost gap is substantial.
National estimates show how much more medical spending is associated with diagnosed diabetes than with prediabetes.
$500prediabetes, 2017 estimate
$12,022diagnosed diabetes, 2022 estimate
Estimated annual medical expenditures attributable to each condition, per person. These figures come from separate studies in different dollar years and are not directly comparable or projected employer savings. 2017 prediabetes estimate · 2022 diabetes estimate.
THE COST OF DELAYED ACTION
Explore the cost of leaving prediabetes unaddressed.
Adjust workforce, progression, and medical cost assumptions to see how this one pathway changes potential cost exposure.
TWO MORE OPPORTUNITIES
Address existing disease and missed recovery.
Improvement can lower care use.
In Peter’s published cohort, 46% of participants with type 2 diabetes brought HbA1c below the diabetic cutoff. With sustained improvement and clinician-guided medication changes, reducing medication use and its associated cost is possible.
Independent studies show the economic pathway. In the U.S. Look AHEAD trial, hospitalizations and medication costs were lower with intensive lifestyle intervention. A five-year UK analysis of the DiRECT remission program modeled about £400 lower net healthcare costs per participant after program costs.
Plan2Peak cohort · Look AHEAD trial · DiRECT economic analysis
Do not miss proven care.
For eligible patients after a heart attack, stent, or bypass surgery, referral to cardiac rehabilitation is a Class I, Level A recommendation. Trials show fewer recurrent cardiac events, cardiovascular deaths, and hospitalizations. Avoiding a second event is a meaningful utilization opportunity.
Yet only about one-quarter of eligible commercially insured adults in a U.S. study enrolled. In a separate Medicare study, rehabilitation participants averaged 48 fewer subsequent hospitalizations per 1,000 people per year and $1,005 lower subsequent annual Medicare expenditures per person.
Why rehabilitation matters · AHA/ACC referral measure · Trial evidence · Participation · Cost analysis
A BETTER CLAIMS QUESTION
Are all your qualifying cardiac patients being referred?
Compare heart attack, stent, and bypass claims with rehabilitation referral and participation. Then ask what kept eligible people from enrolling or completing care. A missing rehabilitation claim is a reason to investigate with the treating team.
PUBLISHED HEALTH OUTCOMES
Earlier action can change the trajectory.
42%metabolic syndrome reversal
Metabolic syndrome is linked to stroke, heart disease, and type 2 diabetes risk
35%prediabetes hyperglycemia normalized
Blood sugar levels returned to the normal range during the lifestyle intervention
46%with type 2 diabetes reached HbA1c below diabetic cutoffs
HbA1c fell below the diagnostic threshold for type 2 diabetes
Outcomes among participants with each condition in a published lifestyle intervention cohort. Read the study. These are group results, not a promise of individual outcomes. The study did not evaluate employer claims utilization or the current Health Ballistics Report.
WORKFORCE HEALTH
Choose the scope of the conversation.
Personalized education at scale
The Health Ballistics Report gives each participant prioritized, personalized next steps drawn from the Health Ballistics framework. Employers see aggregate findings to guide education and support.
- Personalized priorities for each person
- Aggregate insight for employers
- Practical learning matched to findings
Workforce health partnership
Build on individual priorities with guidance and follow-through shaped by how people respond over time.
- Workshops, speaking, and targeted education
- Professional guidance for employees
- Outcome tracking for self-funded employers
HOW IT WORKS AT WORKFORCE SCALE
Personal for employees. Useful in aggregate for employers.
Employees complete their reports individually and receive priorities based on their own starting point. Plan2Peak can summarize group findings without sharing named individual health details, so you can choose education and support around common needs. Rollout and reporting are designed with each employer.
Discuss a group rolloutSTART A CONVERSATION