Corporate Wellness Programs

There’s been a lot of discussion this week about the value of RPM programs that manage chronic disease using CPT codes. I’ve been surprised to see deep skepticism from digital health entrepreneurs I respect like TJ Parker, Christopher McGhee, Grant Hesser, Nikhil Krishnan and others. At Cadence, we partner with leading health systems to deliver high-quality RPM for both fee-for-service and at-risk populations. As one of the largest platforms in the US, supporting over 70,000 patients, we’ve learned what drives real outcomes: + 24/7 dedicated clinical team (MDs, NPs, RNs, etc.) able to prescribe medications, order labs, and triage urgent issues + Deep EMR integration enabling seamless coordination between virtual teams, PCPs, and specialists + AI-assisted proactive care model that continuously compares medications, labs, vitals, and health records to clinical guidelines These fundamentals have produced dramatically better outcomes: 27% reduction in hospitalizations, 13% reduction in total cost of care, and improved primary care capacity across many of the country’s largest health systems. Our results are peer-reviewed in leading journals, which detail exactly how our model works, from medication titration to AI design to team structure: – JACC: https://lnkd.in/gJtg8ptD – NEJM Catalyst: https://lnkd.in/g9amrHab – AHA: https://lnkd.in/gwN_6f6c (presentation of pre-published data) In my view, the key question isn’t whether RPM can work, it’s how we set the right policies to reward high-quality RPM and eliminate bad actors. If we’re serious about bending the cost curve today, the solutions must also deliver on value in a fee-for-service model. We have proven this at scale.

🚨 𝟮𝟬𝟮𝟱 𝗡𝗜𝗖𝗘 𝗚𝘂𝗶𝗱𝗲𝗹𝗶𝗻𝗲𝘀 𝗳𝗼𝗿 𝗢𝘃𝗲𝗿𝘄𝗲𝗶𝗴𝗵𝘁 & 𝗢𝗯𝗲𝘀𝗶𝘁𝘆 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 The 2025 National Institute for Health and Care Excellence (NICE) guidelines outline a comprehensive framework for managing overweight and obesity. 1️⃣ 𝗟𝗶𝗳𝗲𝘀𝘁𝘆𝗹𝗲 𝗜𝗻𝘁𝗲𝗿𝘃𝗲𝗻𝘁𝗶𝗼𝗻𝘀: 🔴𝗡𝘂𝘁𝗿𝗶𝘁𝗶𝗼𝗻 𝗧𝗵𝗲𝗿𝗮𝗽𝘆: 🔹Energy deficit aim for a 500–600 kcal/day deficit, leading to 0.5–1 kg/week weight loss. 🔹Macronutrient balance: ↳Protein (1.2–1.6 g/kg/day) to preserve lean muscle mass and improve satiety. ↳Fiber intake (25–35 g/day) to enhance gut health, regulate blood glucose, and promote satiety. ↳Carbohydrates should be high in fiber and low in glycemic index to improve insulin sensitivity. ↳Healthy fats (monounsaturated & polyunsaturated) should replace trans fats & refined oils to support cardiovascular health. 🔹 Dietary Approaches Based on Individual Needs: ↳ Mediterranean Diet, 40-45% carbs, 15-20% protein, 35-40% fats; rich in omega-3s, polyphenols, and fiber. ↳High-Protein, Low-Carbohydrate Diet, 30-40% protein, <30% carbs, 30-40% fat. ↳Intermittent Fasting (IF) & Time-Restricted Eating, though long-term adherence requires further research. ↳ Plant-Based Diets lower BMI, but require B12 and protein supplementation. ↳ Meal Replacements (800–1,200 kcal/day, for up to 12 weeks), effective for rapid weight loss in obesity, but require supervision. 🔴 𝗘𝘅𝗲𝗿𝗰𝗶𝘀𝗲 & 𝗣𝗵𝘆𝘀𝗶𝗰𝗮𝗹 𝗔𝗰𝘁𝗶𝘃𝗶𝘁𝘆 🔹Aerobic Exercise: ↳150–300 minutes/week of moderate-intensity aerobic activity (brisk walking, cycling, swimming). ↳75–150 minutes/week of high-intensity aerobic exercise (running, interval training). 🔹Strength Training (2–3/week): Ideal Duration 45–60 minutes per session. 🔹NEAT (Non-Exercise Activity Thermogenesis): ↳Encourage daily movement, standing desks, walking meetings, stairs. ↳Increase step count goal of 8,000–10,000 steps per day. 2️⃣ 𝗕𝗲𝗵𝗮𝘃𝗶𝗼𝗿𝗮𝗹 𝗜𝗻𝘁𝗲𝗿𝘃𝗲𝗻𝘁𝗶𝗼𝗻𝘀: 🔴 Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), Self-Monitoring, Sleep Hygiene & Stress Management, and Group Support & Coaching. 3️⃣ 𝗦𝘂𝗽𝗽𝗹𝗲𝗺𝗲𝗻𝘁𝗮𝘁𝗶𝗼𝗻 𝗶𝗻 𝗢𝗯𝗲𝘀𝗶𝘁𝘆 𝗠𝗮𝗻𝗮𝗴𝗲𝗺𝗲𝗻𝘁 🔴 Vitamin D for insulin sensitivity, Omega-3s for heart health, Magnesium for metabolism, Probiotics for gut health, Protein for muscle support, and Iron & B12 for post-bariatric care. 4️⃣ 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 & 𝗦𝘂𝗿𝗴𝗶𝗰𝗮𝗹 𝗜𝗻𝘁𝗲𝗿𝘃𝗲𝗻𝘁𝗶𝗼𝗻𝘀: 🔴 𝗣𝗵𝗮𝗿𝗺𝗮𝗰𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆 ↳GLP-1 receptor agonists (semaglutide, liraglutide). ↳Dual-mechanism agents (naltrexone-bupropion). ↳Lipase inhibitors (orlistat). 🔴 𝗕𝗮𝗿𝗶𝗮𝘁𝗿𝗶𝗰 𝗦𝘂𝗿𝗴𝗲𝗿𝘆 ↳Indicated for BMI ≥40 kg/m² or ≥35 kg/m² with comorbidities (diabetes, hypertension). 📄 𝗧𝗵𝗲 𝗳𝘂𝗹𝗹 𝘀𝘁𝘂𝗱𝘆 𝗶𝘀 𝗮𝘁𝘁𝗮𝗰𝗵𝗲𝗱.👇 #ClinicalNutrition #Dietitian #Dietician #Nutrition #Diabetes #NutritionEducation #WeightManagement  #أخصائي_تغذية_علاجية #تغذية_علاجية

Unfortunately, the narrative around diabetes too often drives hopelessness and shame: "Type 2 diabetes is a death sentence. A progressive, chronic disease. Manage it, delay complications—but don’t expect real improvement, and certainly not remission." But this message—so deeply ingrained—has been challenged for years and deserves a full reboot. The new clinical practice guideline from the American College of Lifestyle Medicine represents a major shift. This multidisciplinary, evidence-based guidance is both practical and detailed, placing lifestyle interventions at the center of treatment—not just prevention—for type 2 diabetes and prediabetes. Yes, remission is possible for many. And for others, we continue to see meaningful improvements in medication use, health outcomes, and quality of life. Many reports have highlighted the role of bariatric surgery, non-diabetes medications, and weight management. This guideline amplifies another powerful path: lifestyle medicine. Tools like: 1.    Food as medicine 2.    Physical activity (a game changer) 3.    Sleep optimization 4.    Stress reduction 5.    Social connection 6.    Avoidance of harmful substances This is a call to shift the paradigm—from symptom management to root cause care. It’s the future of diabetes treatment—and it’s long overdue. Check out the full guideline here: https://lnkd.in/eGBsG4Sx Check out more resources here: https://lnkd.in/eN4CKcei Incredibly proud of the American College of Lifestyle Medicine and so many dedicated colleagues and friends. Let’s change the narrative—and the outcomes—for our communities, families, and patients we have the privilege to work alongside. As the young people say...."Let's goooooo!" #FoodasMedicine #LifestyleMedicine #DiabetesRemission #T2D #ChronicConditionCare #HealthEquity #PreventionFirst #RootCauseCare Susan Benigas Jonathan Bonnet, MD, MPH Meagan Grega, MD, FACLM, DipABLM Beth Frates, MD Jaclyn Albin, MD, CCMS, DipABLM Dexter Shurney Qadira M. Ali, MD, MPH, FAAP, DipABLM David Bowman, M.D., DipABLM, FACLM Terri Stone MD FACP FACLM DipABLM Alka Gupta Wesley McWhorter, DrPH, MS, RDN, LD, CSCS Victoria Bouhairie, MD, DABOM, DipABLM Gebre Nida MD, FACE, DipABLM Subhashini Katumuluwa, MD, MPH Tyler Hemmingson Padmaja Patel, MD, FACLM, DipABLM, CPE Martin Tull David L. Katz, MD, MPH Jean Tips Stacia Johnston, M.S. Erin W. Martin Dion Dawson

The recent Labour Code update is a big milestone for India. For the first time, preventive health features prominently in our labour framework. Employers are now required to conduct annual health checkups for employees over 40. It’s a clear shift toward early detection and healthier workplaces. This may look like a compliance line item, but it signals something bigger: a change in how the country thinks about workforce health. It’s the government saying, don’t wait for disease; catch it early. While we work closely with India’s most progressive companies to make healthcare more accessible, it’s great to see the government leading the charge. At Plum, we’ve believed this for a long time. And we had to build a best-in-class product and experience. Traditional checkups were often shallow and generic, with long panels that told you very little. So we built clinically advanced screenings like ApoB, HsCRP, GGT and Homocysteine that surface risks years before symptoms appear. Prevention isn’t about ticking a box. It’s about identifying the one in three employees with high cholesterol, the one in four with fatty liver, and the many silent metabolic issues that become far more costly when discovered late. If this policy nudges organisations to invest in early detection for everyone, not just the 40+ group, we’ll see healthier and more productive teams across the country. We welcome this shift. It’s time India moved from reactive care to preventive care. If you’d like to understand what this change means for your organisation or how to stay compliant without adding operational load, happy to help.

I created a model of understanding Chronic Pain, specially when it overlaps with Anxiety, Depression, and Insomnia. I call it the SEC model of chronic pain, and it offers a comprehensive framework that addresses the multifaceted nature of chronic pain by integrating three core dimensions: Sensory, Emotional, and Cognitive. This model emphasizes that effective pain management requires a holistic approach, considering not just the physical sensations but also the emotional and cognitive experiences associated with pain. ⸻ 🔍 Overview of the SEC Model 1. Sensory: This dimension pertains to the physical sensations of pain, including intensity, location, and quality. It encompasses the neurological and physiological aspects that contribute to the perception of pain. 2. Emotional: Chronic pain often leads to emotional responses such as depression, anxiety, and frustration. These emotional states can, in turn, exacerbate the perception of pain, creating a cyclical relationship between pain and mood disorders. 3. Cognitive: This aspect involves the thoughts, beliefs, and attitudes individuals hold about their pain. Negative thought patterns, such as catastrophizing or feelings of helplessness, can intensify the experience of pain and hinder effective coping strategies. ⸻ 🧠 Clinical Implications The SEC model underscores the importance of a multidisciplinary approach to chronic pain management. By addressing all three dimensions, healthcare providers can develop more effective treatment plans. Interventions may include:    •   Cognitive Behavioral Therapy (CBT): Targets maladaptive thought patterns and promotes healthier coping mechanisms.    •   Mindfulness and Meditation: Helps in managing emotional responses and reducing stress-related exacerbation of pain.    •   Physical Exercise: Improves physical function and can have positive effects on mood and cognitive function.    •   Pharmacological Treatments: Medications may be used to address both the sensory aspects of pain and associated mood disorders. I advocate for integrating these interventions to address the complex interplay between the sensory, emotional, and cognitive components of chronic pain . ⸻ 📚 Further Reading For a more in-depth understanding, consider exploring the book 100 Questions and Answers About Chronic Pain, co-authored by Dr. Rakesh Jain, which delves into various aspects of chronic pain management . https://a.co/d/4Me1Iuz ⸻ By adopting the SEC model, healthcare professionals can better understand the multifaceted nature of chronic pain and implement comprehensive treatment strategies that address the full spectrum of patients’ experiences.

The most powerful leadership insight I've gained didn't come from an MBA program or executive retreat. It came from observing how transformative positivity can be in high-pressure environments. Last year, I led a team facing impossible deadlines, budget cuts, and market uncertainty. The conventional leadership approach? Push harder. Demand more. Focus on metrics. Instead, I experimented with what I call "strategic positivity"—not blind optimism, but deliberately cultivating connection, empathy, and psychological safety. 𝗧𝗵𝗿𝗲𝗲 𝗰𝗿𝗶𝘁𝗶𝗰𝗮𝗹 𝗹𝗲𝘀𝘀𝗼𝗻𝘀 𝗲𝗺𝗲𝗿𝗴𝗲𝗱: 𝗟𝗲𝘀𝘀𝗼𝗻 #𝟭: Empathy accelerates execution When we started meetings by checking in on people as humans—not just resources—psychological safety increased. This led to more honest problem-solving and fewer hidden roadblocks. Application: Create structured space for human connection before diving into tasks. 𝗟𝗲𝘀𝘀𝗼𝗻 #𝟮: Unity creates decision velocity By aligning on shared values—not just objectives—we made complex decisions 3x faster because we trusted each other's intentions. Application: Invest time articulating team values that go beyond corporate speak. 𝗟𝗲𝘀𝘀𝗼𝗻 #𝟯: Positive cultures attract top talent Our team became a talent magnet in a difficult hiring market—not because we offered the highest compensation, but because word spread about our supportive environment. Application: Make culture visible through consistent practices, not just slogans. The results surprised even me: • 32% increase in team productivity • Zero turnover during a period of high industry attrition • Recognition from senior leadership as a model team The data is clear: positivity isn't just a nice-to-have—it's a strategic advantage in competitive environments. What's one small practice you've implemented that builds more positivity in your professional environment? ✍️ Your insights can make a difference! ♻️ Share this post if it speaks to you, and follow me for more.

Today, we released promising data from the CVS Health Weight Management program, in which participants achieved more than 15% weight loss on average, including existing users of anti-obesity medications, who succeeded in nearly doubling their pre-program weight loss while working with program clinicians on diet and lifestyle.    The initial results demonstrate improved weight loss and high program satisfaction, in a lifestyle-first approach with clinical support for members on a weight loss journey, including those taking weight management medications like GLP-1s.     Some of the highlights:    -Before program enrollment, nearly 30% of members had lost less than 1 percent body weight on anti-obesity medication. These same members lost on average 11.7 percent of body weight after enrollment, a 13x increase in total weight loss. -The program accelerated weight loss and delivered best-in-class results of average 20 percent weight loss for those with moderate success prior to enrollment.  -Members who chose to discontinue anti-obesity medication and retain lifestyle support maintained 94% of their weight loss after 6 months.    The data are clear: GLP-1 weight-loss drugs work best when combined with nutrition counseling, lifestyle support, and proper dosing. The CVS Weight Management Program is a clinically rigorous solution that helps optimize the effectiveness of GLP-1s for weight loss for those that use them and supports members in making changes to improve weight and cardiometabolic health without the use of medication. 3 million CVS Caremark plan members now have access to proven results in this program, which is optimizing the effectiveness of GLP-1 weight loss drugs while lowering pharmacy costs.

Never oversimplify growth. ➤ "Mantras don't create change, action does" You've seen the viral lists: "Do these 12 things and your world will change." While these reminders are valuable, personal transformation isn't a checklist—it's a lifelong practice, and science is far more nuanced. Let's add real research and see what actually works for sustainable change: ✅ Spend More Time Focusing on What You Love Science: Positive psychology shows focusing on strengths increases well-being and resilience. ➤ Action: Schedule time for what energizes you weekly, not just when you "have time." ✅ Pause Before Responding Science: Mindful pauses reduce impulsivity and improve emotional regulation. ➤ Action: Try the "three-breath rule" before replying in stressful moments. ✅ Connect to the Essence of You Science: Self-reflection and values alignment link to greater life satisfaction and authentic leadership. ➤ Action: Regular journaling or coaching clarifies your core values and purpose. ✅ Stop Chasing What Doesn't Feel Aligned Science: Pursuing extrinsic goals (status, approval) decreases well-being versus intrinsic goals (meaning, growth). ➤ Action: Audit your calendar—are activities aligned with what truly matters? ✅ Stop Going Back to Places That Have Hurt You Science: Rumination on past pain increases anxiety; letting go supports growth. ➤ Action: Practice self-compassion and seek support to process old wounds. ✅ Allow Yourself Some Grace Science: Self-compassion predicts resilience, motivation, and lower burnout. ➤ Action: Speak to yourself as you would to a close friend facing setbacks. ✅ Lean Into Self-Acceptance Science: Accepting yourself, flaws and all, is a cornerstone of mental health. ➤ Action: Notice self-criticism and gently reframe with acceptance. ✅ Start Being on Your Own Side Science: Self-advocacy and positive self-regard link to higher achievement and well-being. ➤ Action: Celebrate your wins, no matter how small. ✅ Acknowledge That You Matter Too Science: Feeling valued is a basic psychological need (Self-Determination Theory). ➤ Action: Set boundaries and ask for what you need. ✅ Speak to Yourself Like Someone You Love Science: Positive self-talk boosts confidence and performance. ➤ Action: Replace negative inner dialogue with encouragement. ✅ Decide to Make Your Self-Care a Priority Science: Regular self-care links to lower stress and better health outcomes. ➤ Action: Build self-care into your routine as non-negotiable. ✅ Show Up for Yourself Science: Consistency in self-support leads to greater self-efficacy and life satisfaction. ➤ Action: Keep promises you make to yourself. The Real Truth: Change isn't magic—it's practice. Let's discuss how coaching can help transform these reminders into genuine, lasting change—rooted in science, not slogans. Joshua Miller #PersonalGrowth #CoachingTips #Leadership #GrowthMindset #ExecutiveCoaching

We don’t live in a one-size-fits-all world. ⚡ ⚡ So why should wellness be one-size-fits-all? 💫 For too long, wellness programs have been designed as if everyone lives the same life, eats the same food, and faces the same challenges. They don’t. A 25-year-old and a 45-year-old don’t have the same needs. A new parent and a high-performance athlete don’t recover the same way. That’s why one-size-fits-all wellness doesn’t work and, honestly, never really did. True inclusion in wellness begins with personalization. Take precision nutrition, for example. Instead of generic diet plans, it focuses on what actually matters: your DNA, metabolism, activity levels, and lifestyle. When we understand how your body works, food stops being a rulebook. It becomes a tool, one that supports energy, focus, performance, and long-term well-being. At Vieroots Wellness Solutions Pvt Ltd, this belief is fundamental. ✨ Wellness isn’t about forcing people into the same program. It’s about creating tailored wellness journeys that respect individual biology, preferences, and life stages. Because inclusion isn’t just about access. It’s about relevance. The future of wellness belongs to those who move beyond checklists and design systems that meet people where they truly are. Not everyone needs the same solution. But everyone deserves the right one. If you’re rethinking wellness through the lens of personalization and inclusion, this is a conversation worth having.