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A Patented Framework For Measuring Metabolic Health Longitudinally At The Population Level
A Patented Framework For Measuring Metabolic Health Longitudinally At The Population Level
The Metabolic Health Index is a proprietary, multi-domain composite scoring system that tracks meaningful clinical indicators over time — giving employers a structured, defensible view of program outcomes and workforce metabolic-health trends that no other benefit offering provides.
Beyond BMI. Beyond Weight. A Complete Metabolic Health Picture.
Most employer benefit programs measure metabolic health through a single metric — typically weight or BMI. These point-in-time measurements are clinically limited, easily gamed, and provide no meaningful longitudinal signal for employers or clinicians.
The Metabolic Health Index takes a fundamentally different approach. It integrates 16+ clinical indicators across four domains — anthropometric, metabolic biomarker, cardiovascular, and behavioral — into a single composite score on a 1–1,000 scale.
The MHI can be calculated using data already available through the health plan — no additional programs or clinical visits required to get started. It is then supplemented and enriched as additional data becomes available from our programs, clinical providers, TPAs, or information submitted directly by the individual.
There is no endpoint. Every data point — going back as far as records exist — is incorporated into the score. The MHI grows more accurate and more meaningful with every passing measurement, building a longitudinal health record that supports individual clinical decisions and population-level benefit strategy alike.
All key indicators within optimal ranges. Low metabolic disease risk.
Most indicators within healthy ranges. Minimal intervention required.
Several indicators elevated. Structured intervention recommended.
Multiple indicators outside healthy ranges. Active clinical management indicated.
Significant metabolic dysfunction across multiple domains. Intensive clinical support required.
16+ Clinical Indicators Across Four Measurement Domains
Each domain contributes a weighted sub-score to the composite MHI. The weighting methodology is calibrated to reflect the relative clinical significance of each domain in predicting metabolic disease risk and long-term health outcomes.
Anthropometric
- Body Mass Index (BMI)
- Waist circumference
- Body composition assessment
- Visceral adiposity index
Metabolic Biomarkers
- Fasting glucose & HbA1c
- Fasting insulin & HOMA-IR
- Lipid panel (LDL, HDL, triglycerides)
- High-sensitivity CRP (inflammation)
Cardiovascular
- Blood pressure (systolic & diastolic)
- Resting heart rate
- Cardiovascular risk score
- Arterial stiffness markers
Functional & Behavioral
- Physical activity level
- Sleep quality assessment
- Dietary pattern scoring
- Stress & cortisol markers
Continuous Measurement. Every Data Source. No Endpoint.
Health Plan Data
The MHI baseline is calculated from existing health plan data — claims, labs, pharmacy, and biometric records already on file. No new programs or clinical visits required to begin scoring.
Program Data
Participation in Health Dividend 360 programs generates ongoing clinical and behavioral data that continuously enriches and refines the MHI score.
Clinical Providers
Data from primary care, specialists, and other clinical providers is incorporated as it becomes available, deepening the longitudinal health record.
TPA & Plan Data
Third-party administrator data, including claims and utilization records, feeds directly into the MHI — leveraging existing data infrastructure without additional burden.
Individual Submissions
Employees may submit additional health information — wearable data, self-reported metrics, outside lab results — further enriching their personal MHI record.
Meaningful Clinical Outcomes Across The Participant Population
MHI-tracked outcomes demonstrate clinically meaningful improvements across metabolic health domains — providing employers with the data needed to evaluate program ROI and support benefit strategy decisions.
Actual outcomes will vary based on participant demographics, program adherence, clinical presentation, and individual health factors.
What Makes The MHI Different From Any Other Measurement Approach
Longitudinal By Design
The MHI is built for repeated measurement over time — not a single point-in-time snapshot. Like a credit score for your health, the MHI is never "done." Scores are tracked continuously for as long as an employer or employee is participating in the program — building a lifetime longitudinal health record that grows more meaningful with every measurement.
Multi-Domain Composite Scoring
Unlike single-metric approaches (weight, BMI), the MHI integrates indicators across anthropometric, metabolic, cardiovascular, and behavioral domains into a single composite score — providing a more complete and clinically meaningful picture of metabolic health.
Population-Level Employer Reporting (eMHI)
Aggregate MHI data is compiled into the eMHI — the employer Metabolic Health Index — reported to benefit leadership in a format designed for benefit committee and CFO-level review. The eMHI enables data-driven benefit strategy decisions without exposing individual employee health information.
Patented Framework
The Metabolic Health Index methodology is protected by patent. This proprietary framework is a core differentiator of the Health Dividend 360 program and is not available through any other employer benefit offering.
The eMHI: Population-Level Data Designed For Benefit Leadership
The eMHI — employer Metabolic Health Index — is the aggregate population-level view of your workforce's metabolic health. Compiled from individual MHI scores across your enrolled population, the eMHI is reported to benefit committee, HR leadership, and CFO audiences in a format that supports benefit strategy decisions and program ROI evaluation.
See How The MHI Fits Into Your Organization's Benefit Strategy
Schedule a strategy call to walk through the MHI framework in detail, review population reporting, and evaluate how longitudinal metabolic health measurement can support your organization's benefit strategy and ROI goals.