Abacus Health Solutions is a pioneer in behaviorally focused chronic disease management — founded by researchers and clinicians from Brown University's Warren Alpert Medical School and built on more than 35 years of independently validated outcomes data. Through AP3, Abacus delivers precision-targeted intervention for the high-risk members driving a disproportionate share of employer health plan spend.
The Challenge
Chronic conditions represent the single largest driver of employer health plan costs — and the gap between clinical guidelines and actual member behavior is where most of that cost lives. Healthcare organizations face compounding challenges managing their own employee populations.
Members diagnosed with diabetes and/or obesity account for a disproportionate share of inpatient hospitalizations, medical claims, and long-term cost volatility that compounds year over year.
Standard disease management programs fail to engage high-risk members at meaningful participation rates — averaging 4–5% nationally, leaving the majority of at-risk employees and dependents without structured support.
Non-adherence to chronic condition medications is a primary driver of avoidable hospitalizations and emergency care utilization — and most programs lack the behavioral infrastructure to address it systematically.
Missed labs, skipped provider visits, and deferred screenings accumulate without intervention until a high-cost claim event occurs — at which point the opportunity for prevention has passed.
Digital-only offerings and general wellness platforms are not designed to manage clinical risk at the population level. They address employee experience — not health plan economics.
Most employers lack the claims-based analytics infrastructure to identify which members are at highest risk of hospitalization before the event occurs — making proactive intervention impossible.
The Abacus Health AP3 Solution
Abacus Health Solutions delivers a comprehensive, data-driven chronic disease management platform built to identify, engage, and support the highest-risk members in any self-funded employer health plan — with independently validated outcomes documented across more than seventeen years of real-world employer data.
A proprietary risk algorithm mines medical and pharmacy claims data from national and regional health plans and PBMs to build a precision engagement profile for every potential program participant — recruiting members based on actual clinical risk, not demographic averages.
An independently validated, data-driven intervention that closes ADA gaps in care by driving members to providers, improving medication adherence, and supporting evidence-based clinical protocols. Patented behavior-contingent incentives deliver $0 copay waivers on covered diabetes medications and supplies in real time based on program adherence.
20.1% decrease in members with an A1c greater than 9, 32% reduction in hospital admissions, 24% reduction in hospital days, and reduced frequency of high-cost claims among program participants — independently validated and peer-reviewed.
An obesity management solution combining high-risk member recruitment, personalized care planning focused on sustainable maintenance, and medication prescribing by a primary care provider. Time-limited GLP-1 access (maximum 12 fills) as part of a 24-month intervention with broad clinical support and behavioral science expertise.
Program participants lose 20% of body weight in the first twelve months while on GLP-1 medication and maintain 20% body weight loss at 24 months — twelve months after discontinuing medication — distinguishing this model from standard GLP-1 programs with no maintenance infrastructure.
Comprehensive analytics and outcomes reporting to demonstrate measurable ROI — including participation tracking, care gap closure data, hospitalization reduction metrics, and medical cost trend analysis available to plan sponsors throughout the program.
The Abacus platform achieves participation rates three times higher than standard disease management programs — driven by patented behavior-contingent incentive design developed through more than 35 years of grant-funded research from Brown University's Warren Alpert Medical School.
Is This Right for Your Organization?
The Abacus Health AP3 solution is purpose-built for self-funded healthcare employers experiencing rising stop loss premiums, catastrophic claim events, or chronic disease prevalence that standard wellness and disease management programs are failing to address.
Stop loss premiums or catastrophic claim events have increased in the past two renewal cycles, with chronic conditions — particularly diabetes or obesity — as identifiable drivers.
Current wellness or disease management programs are not reaching high-risk members at meaningful rates, leaving the majority of the at-risk population without structured clinical support.
There is no current mechanism to identify which members are at highest risk of hospitalization before a cost event occurs — intervention is reactive rather than proactive.
High-cost claims are traceable to members with chronic conditions who are not adhering to evidence-based medication protocols — a gap that standard programs are not structured to close.
Leadership needs a chronic disease management partner with independently validated, peer-reviewed outcomes data — not a general wellness platform making unsubstantiated ROI claims.
Current GLP-1 benefit access lacks a structured maintenance model — resulting in weight regain after medication discontinuation and no long-term clinical or financial return on pharmacy spend.
Why Through AP3
As a vetted Strategic Partner within the ASHHRA Preferred Partner Program, Abacus Health Solutions' engagement is structured to deliver more than a standard vendor relationship.
Abacus Health Solutions' capabilities and healthcare alignment have been formally evaluated through AP3's structured governance process.
Engagements are coordinated through AP3 to ensure strategic alignment and executive-level transparency from the outset.
Special pricing considerations and partner incentives are available exclusively through AP3 — not through direct outreach.
Abacus Health Solutions connects to AP3's broader population health and stop loss strategy through Lockton — addressing chronic disease at the member level before it becomes catastrophic claim exposure at the plan level.
Request a Structured Evaluation
Complete the form and an AP3 representative will connect you with Abacus Health Solutions to discuss your chronic disease management and population health challenges. Engagements are coordinated through AP3 to ensure alignment and access to pre-negotiated terms.
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