The care platform that gets paid on your employees’ outcomes

Twin Health is a precision cardiometabolic care platform provided as an employee benefit. Employers offer Twin to their workforce, and eligible employees join at no cost to them. Twin’s expert clinical care team of doctors, nurses, providers, and coaches, guided by a proprietary AI Digital Twin of each member’s biology and behavior, delivers personalized care that reverses, prevents, and manages cardiometabolic conditions including type 2 diabetes, prediabetes, hypertension, and obesity. Employers pay based on member outcomes, not utilization.

Independent analyses show Twin delivers $9,047 in first-year gross savings per enrolled member, with 2.1x first-year ROI that continues to increase over time. Savings come from reduced medical claims, physician-led optimization of high-cost medications including GLP-1s, and sustained improvement in cardiometabolic health across the employee population.

Twin is differentiated in three ways. First, payment: Twin is paid on member outcomes rather than utilization or PMPM. Second, care model: Twin combines a clinical care team with a proprietary AI Digital Twin that adapts to each member’s biology and behavior in real time, rather than a cohort-based curriculum. Each member receives a unique set of recommendations. Twin is the only company that provides members with that level of personalization. Third, proof: Twin has independent evidence of type 2 diabetes reversal from the Cleveland Clinic, published in NEJM Catalyst, with 71% of members reversing type 2 diabetes vs. 2.4% in the control group.

Twin’s clinical team supports members prescribed GLP-1 medications throughout their treatment, including titration, tapering when clinically appropriate, and sustained care after discontinuation. Twin’s payment model rewards deprescribing when clinically right for the member, not access alone. The majority of Twin members using GLP-1s successfully reduce or discontinue therapy while maintaining their weight loss and metabolic improvements.

Twin’s precision cardiometabolic care platform supports members across the full cardiometabolic spectrum, including type 2 diabetes reversal and management, prediabetes reversal, obesity and weight management, hypertension, and preventive care for at-risk employees. Twin’s clinical outcomes at the Cleveland Clinic have also shown improvements in markers of hypertension, cardiovascular disease, liver disease, and kidney disease.

Twin implementation runs in phases. In the first four weeks, Twin sets up the eligibility file and data workstream and begins member outreach. Weeks four through eight cover enrollment, kit shipment, and first care team introductions. Employers receive an initial outcomes snapshot at month three and the first full clinical data set, including A1C trends, medication changes, and engagement by cohort, at month six. A dedicated account team owns the timeline from start to finish.

Twin Health works with employers of all sizes but has particular experience with mid- to large employers with 5,000 or more employees. Twin’s outcomes-based pricing model performs outcomes normalizes and forecasting becomes highly predictable at population sizes of 100+ enrolled members.

Yes. Twin coordinates with existing PBMs, GLP-1 pathways, care navigation, primary care, mental health, and other cardiometabolic vendors. Employers do not need to remove existing benefits to add Twin. Twin runs as its own clinical program and coordinates around the existing formulary and vendor ecosystem rather than competing with it.

Yes. Twin Health is fully HIPAA-compliant. Twin does not sell member data. All biological and behavioral information collected through the platform is used exclusively by the Twin care team to guide the member’s clinical care and is protected under healthcare privacy regulations.

Employers see initial engagement and enrollment data at month three and the first full clinical outcomes data, including A1C trends, weight changes, medication reductions, and cohort-level engagement, at month six. Peer-reviewed clinical results from the Cleveland Clinic RCT showed a 71% reversal of type 2 diabetes at 12 months. You only pay when your population sees outcomes.

Twin measures outcomes across three tiers. Clinical outcomes include type 2 diabetes reversal rates, A1C reduction, weight loss, blood pressure changes, and medication reductions. Engagement outcomes include member retention, active engagement rates, and voluntary churn. Financial outcomes include claims-verified first-year gross savings, net savings after program fees, and pharmacy spend reductions. Population-level reporting is available to employers monthly.

Yes. Twin is accessible to workers coming home from a night shift, on the road, or in the middle of a busy workday. The Twin app is easy to use for people of all ages. In a manufacturing employer study of 7,800 covered lives, participants saw 95% weekly engagement at 6 months, 73% eliminated high-cost medications, and $8,103 in average savings per participant — strong evidence the program works for physical, non-desk workforces.

Large self-funded employers and health plans across manufacturing, retail, logistics, transportation, and public sector, alongside professional and technology workforces.