Livongo

Livongo, branded as "Livongo by Teladoc Health," delivers digital chronic condition management programs to individuals who are eligible through an employer, health plan or care provider. Its four programs cover Diabetes Management, a Diabetes Prevention Program, Hypertension Management and Weight Management, and members may enroll in one or several programs for which they qualify. Eligibility for Diabetes Management requires a type 1 or type 2 diabetes diagnosis; Hypertension Management requires high blood pressure.

Each program combines connected health-monitoring devices with human support. Depending on the enrolled condition(s), members may receive a cellular-connected blood glucose meter with unlimited test strips and lancets shipped to their home, a blood pressure monitor that records readings into the mobile app, and/or a connected scale. Members work on an ongoing basis with the same certified health coach, who addresses diet, exercise, medication, motivation, nutrition and mental health, and have access to physicians and mental health specialists. The company monitors readings around the clock and contacts members directly when dangerous glucose levels are detected. Program content is based on clinical standards of care including guidance from the American Diabetes Association, American Heart Association and Centers for Disease Control and Prevention, and coaching support is also offered in Spanish.

Livongo care providers can prescribe GLP-1 medications, when clinically appropriate, to members enrolled in condition care, alongside lifestyle-modification guidance and support from nutritionists, coaches and other licensed professionals. GLP-1 availability depends on the specific benefit offering purchased by the member's employer, health plan or care provider.

Business model

Programs are sold to employers, health plans and healthcare providers, which pay for the service on behalf of eligible members; enrolled members pay nothing, including shipping of devices and supplies.

Sponsor-paid: the member's employer, health plan or healthcare provider funds the condition management program, with no additional cost or shipping charges to the member.

Traction

The company states it has helped more than 730,000 patients. Reported program outcomes include a 48% reduced incidence of diabetes over a three-year period, an average systolic blood pressure reduction of 15 mmHg, and 46% of patients losing 5% or more of their starting weight. Member testimonials and Trustpilot reviews are featured on the site.

Latest developments

The current program includes GLP-1 medication access for enrolled condition management members where the sponsor's benefit offering supports it, paired with lifestyle-modification coaching. The website also carries a notice regarding devices.