Omada-Specific

Question 1

We just don’t have the budget for this this year

Answer 1

Possible to bill through claims with health plan, which allows it to be included in medical budget.
In-network with a growing number of health plans.
If not in-network, with your intro, we can work to cover Omada

Question 2

You say you have performance based pricing; why do you charge when people enroll?

Answer 2

“We go through a number of steps before enrolling a participant, including marketing to them, enrolling them in the program, matching them with a peer group and health coach and sending them the wireless digital scale.
The fee helps to cover the costs we incur to get participants enrolled”

Question 3

Why don’t you refund us if people hit 5% then gain the weight back?

Answer 3

“Long-term pricing model in which we only get paid if weight loss is maintained.
Due to our innovative pricing model, Omada already takes on a greater percentage of the financial risk than any other program or pharmaceutical that is focused on diabetes risk reduction.”

Question 4

What if someone loses a huge amount of weight?

Answer 4

“Cost they would have paid in diabetes costs
Cost would be gradual due to gradual change
Based on body weight percentage, not total pounds”

Question 5

Cost of diabetes data source?

Answer 5

UHG 2009 analysis of 10M commercial patients

Question 6

Prevalence of diabetes and prediabetes data source?

Answer 6

CDC

Question 7

Weight loss associated with wellness programs data source?

Answer 7

2013 Rand corporation report on wellness programs

Question 8

Weight loss associated with in-person DPP’s data source?

Answer 8

2014 Dunkley meta-analysis of DPP’s

Question 9

We don’t need diabetes prevention; our wellness program is working well

Answer 9

“Wellness programs can be great for ‘keeping the well, well.’
But individuals with prediabetes are not well - they already have elevated blood sugar levels and tissue damage, and they have a 5-10% chance every year, of progressing to diabetes.
In general, steps programs or general weight loss programs are not sufficient for people with pre-diabetes, since those programs on average achieve less than 1% weight loss after 1 year.
Our program has results that are 5-10X better on average.”

Question 10

Why should I prioritize Omada over my other health & wellness priorities?

Answer 10

“Direct ROI in relation to medical spend
According to the CDC, 1 in 3 of us has prediabetes which puts us at a 5-10 fold greater risk of developing diabetes each year.
And once someone develops diabetes, the personal toll is significant and annual health costs will more than double.”

Question 11

Now is not the right time for us. We’re busy on other priorities for a few months

Answer 11

“Implementation team has experience working with a wide variety of partners handling deployments of different types and sizes
Their expertise means the deployments don’t require a great deal of time or effort from our partners”

Question 12

Why Omada vs other online options

Answer 12

“3 reasons: Omada’s multi-modal platform; performance - based pricing and an ongoing commitment to driving and publishing meaningful long-term outcomes.
Omada employs a multi-modal approach that makes the program available when and where participants need it.
Our performance - based pricing model is unique. Omada is focused on driving meaningful results, so much so that we don’t break even financially until a participant loses at least 5% of their baseline weight.
Not only have we proven 2-year outcomes, we publish our results in peer-reviewed journals.”

Question 13

Lots of programs show weight loss but few can maintain it

Answer 13

“True. Omada is different.
At 16 weeks our participants had an average of 5% weight loss. And our published data showed that the weight loss was maintained at 1 year.
Our soon to be published 2 year results show that most maintain this weight loss all the way out to 2 years. In other words, Omada creates sustainable behavior change.
As you note, the maintenance of significant weight loss out to two years, plus our publication of these results differentiates Omada from other programs. “

Question 14

We tried a weight-loss program before, how is Omada different?

Answer 14

“Omada is not a weight loss program. It is a multi-modal approach targeting the 1 in 3 individuals with pre-diabetes from developing the disease.
Omada is based on the proven results seen in the original NIH-sponsored Diabetes Omadaion Program (DPP).
Omada employs a performance - based pricing model which means you pay for outcomes not participation.
The published Omada results show an average of 5% weight loss at 16 weeks and maintained out to a year and beyond.
Our soon to be published 2-year results are showing that this weight loss is maintained over the long term.”

Question 15

We have a YMCA right down the street so our employees don’t have to go far for a great DPP program

Answer 15

“While in-person programs do work for some, they do not work for most.
In a meta-analysis of dozens of face-to-face DPP programs, the average 12-month weight loss was 2.4% compared to an average of 5% at 12 months for participants in Omada.
In situations where Omada has been offered as a choice next to face-to-face DPPs, Omada has been chosen 70-80% of the time. At Omada we believe that choice and convenience empowers people to take control of their health, and our outcomes are testament to that.”

Question 16

Does your outcomes pricing put you at risk of going bankrupt?

Answer 16

“Absolutely not.
We have now put thousands of patients through the program and our ability achieve these engagement and outcomes milestones is highly replicable, which makes us, and our investors, confident in our outcomes-based pricing model.
And, we are committed to continuous, analytics-driven program improvement, which we believe will lead to our outcomes getting better and better over time!”

Question 17

Only 220 people were in your published study. What results have you seen in larger groups?

Answer 17

“Omada has now been used by thousands of participants and we see an average of 5% weight loss at 16 weeks and out to one year and beyond.
This is even better than our original study - our commitment to continuous program improvement is working!”

Question 18

Is your published outcomes data based on an intent to treat analysis?

Answer 18

“The analysis in Sepah et al was based on the CDC’s approach for measuring outcomes in DPP.
That approach used ‘modified intent-ot-treat’ inclusion criteria where those participants who completed at least 4 lessons during the Core phase were included in the analysis.
(If person looks skeptical) At Omada we publish data that aligns with the CDC standards, but we track and are happy to provide you with true intent-to-treat based outcomes if you want.”

Question 19

How well do people do in the program? At 16 weeks? At 6 months? At 1 year? Beyond?

Answer 19

“We are seeing an average of 5% weight loss at 16 weeks maintained out to 1 year and beyond.
In our soon to be published 2-year data, we’re still seeing our participants mostly maintain their weight.”

Question 20

What fitness trackers do you integrate with?

Answer 20

Beginning in 2015 Omada will integrate with a number of different fitness trackers including Fitbits, Jawbones and Fuel bands - as well as MyFitnessPal for nutrition data.

Question 21

Please share your engagement metrics

Answer 21

On average, 74% of our participants engage with Omada at least daily during the core phase. And 80% of participants engage with Omada at least monthly during the Sustain phase.

Question 22

Our team doesn’t work at a desk / have access to computers during the day

Answer 22

“We have worked with a number of similar clients including a healthcare provider in the midwest whose employees were rarely at a desk, and a large national retailer whose emplooyees work in warehouses.
Because Omada is available 24/7 via computer, tablet or smartphone, participants don’t need to work at a desk to use the program.
Many use it during break times or at the end of the day.
Participants can also connect with their health coach via phone or text message.”

Question 23

We have a large number of low income employees. Do you have any data on use of Omada in this group?

Answer 23

“Yes.
In a cohort of people with household incomes of less than $40,000, the results were similar to those we see with higher income participants.
Weight loss at 16 weeks was 5.4% from baseline and 5.1% at 26 weeks.”

Question 24

We have a large number of employees who are in plants or distribution centers. They are low income and probably don’t even know how to use a computer.

Answer 24

“Our Omada program is built so that people can do the program anywhere at any time.
For some who don’t have computers, we’ve seen participants complete the program on their smartphone or even at a nearby library.
The design of the program is so easy-to-use that people without computer skills are often successful, and our health coaches are trained to help these types of participants learn how to use the program.
A recent study of low - income participants using Omada showed similar results to those seen with higher income participants, with weight loss of 5.4% at 16 weeks and 5.1% at 26 weeks.”

Question 25

How are health coaches qualified without formal training / being a licensed HCP?

Answer 25

“Rigorous training program upon joining Omada.
Based in part on the Emory University Diabetes Training and Technical Assistance Center (DTTAC) training program that is recognized by the CDC.
In addition, although we don’t require other pre-existing healthcare credentials - and neither does the CDC - more than 90% of our health coaches have clinical backgrounds including as registered nurses, registered dietitians, social workers, nutritionists, and certified diabetes educators.
All of them have been through a significant weight loss experience themselves or with a close friend of family member so they have real empathy for what our participants’ experience.”