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CASE STUDY

How Exos Slashed Risk for a National Health Insurance Provider
Employee receives a blood pressure check during workplace health screening, highlighting early risk detection and care.
THE CHALLENGE

Why Standard Wellness Perks Wouldn't Cut It

This national health insurance company recognized an urgent need to address the growing health risks within its workforce. Looming conditions like hypertension, diabetes, high cholesterol, and obesity were driving up healthcare costs and threatening long-term well-being.

These concerns weren’t unique to this client. National CDC data highlights the scale of the problem: 72% of U.S. adults aren’t meeting daily exercise recommendations, over 40% live with obesity, and nearly 16% have diabetes — 95% of which is Type 2.

Faced with both rising risks and rising costs, their workforce needed more than just a wellness perk. It needed a behavior-changing, clinically impactful solution that could scale across its population.

They turned to Exos to build that solution.
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THE STORY

Building a Behavior-First, Risk-Focused Health Strategy

Exos designed a 12-week hybrid intervention to support employees at risk for metabolic issues from inactivity or excess weight. The mission was clear: improve health, boost confidence, and reduce chronic disease risk through personalized coaching.

The journey began with a one-on-one consultation. Using motion capture technology and in-depth interviews, Exos coaches identified key risk factors and uncovered what truly motivated each participant.

Based on biometric and movement data, coaches grouped participants by risk level. For full medical alignment, we integrated medical teams into the study. This allowed for precise, tailored planning and brought in medical providers when needed. 

From there, each person got a personalized Exos Gameplan built on movement, nutrition, mindset, and recovery.

Small-group training ran four times a week. Participants also received custom meal plans, post-workout shakes, and always-on digital support via the Exos platform. Daily nudges, habit tracking, and personalized content helped new routines stick.
Employee trains with Exos coach in a workplace fitness center, building confidence, health, and long-term performance.

A Custom-Built, Scalable Model

Exos doesn’t do cookie-cutter employee engagement solutions. Each of our programs is personalized to our clients’ unique needs, and they go far beyond just the fitness center. 
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Standardized Wellness Programs

Through rapidly changing eras including COVID-19, Exos consistently rolled out group fitness, nutritional support, mental well-being, and virtual employee engagement solutions to meet the evolving needs of employees. During Pfizer’s COVID-19 vaccination program, Exos teams supported operations by checking in employees and leading movement sessions in line.

Strategic Design & Build Services

Our world-class space design and development team designed and built six new facilities and renovated six existing ones across the U.S. This included redeploying $300,000 in exercise equipment assets, obtained through acquisitions, to generate significant cost savings and upgrade Pfizer’s portfolio of workplace amenities.

Service Request Platform

Exos implemented an online service request system to support streamlined coordination of Recharge Breaks and other wellness offerings. This platform has supported global program delivery across Pfizer's workforce.

Global Hybrid Expansion

Exos virtual coaching gave Pfizer employees across the globe access to wellness programming, regardless of location or remote status.

Centralized Management

Exos implemented a unified standard operating model across 14 locations to ensure a consistent member experience. This included revenue/expense management, programming, staffing, and data tracking.

Recharge Breaks Deployment

As of January 2025, Exos officially deployed the three standard Recharge Break formats (for energy, creativity, or calm) across Pfizer. These sessions are delivered by both on-site and virtual coaches. To date, the team has completed 198 sessions with a total attendance of 8,255.

Data-Driven Efficiencies

Our team implemented Net Promoter Score (NPS) tracking, utilization data, and outcome monitoring to continually measure impact and improve how we serve each member.
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THE SOLUTION

Integrated Coaching Meets Clinical Precision
Tech-Enabled Screening to Target What Really Matters
Personalized Coaching That Actually Moves the Needle
From Colleagues to Community
Tech Integration to Track Progress & Drive Action

CAPABILITIES DEPLOYED

RESULTS

In less than three months, the Exos-led program achieved results that far exceeded national benchmarks for disease prevention and behavior change. This is especially critical for tackling diabetes in the workplace and related risks:

60

achieved ≥5% weight loss (over four times as fast as the CDC benchmark of 12 months)

7.2

average reduction in body fat

1.3

decrease in waist circumference

10.1

improvement in VO₂ max

14.3

increase in movement quality

25.8

improvement in core strength

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Fitness Center Management

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Centralized Operations

programming

Hybrid Programming

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Virtual Coaching

group-work

Group Exercise

nutrition

Nutrition & Wellness Integration

space-design

Space Design & Renovation

training

Personal Training

massage

Massage Therapy

recreation

Recreation Management

nutrition-plan

Nutrition Consults

meal-plan

Meal Planning

coaching

One-on-one Coaching

app

Exos App

Results

Consistent quality, scaled delivery, and versatile impact.

63 NPS

vs. industry average of 26

14

centrally-operated fitness centers, expanded from 3 since 2000.

71,000+

global Pfizer employees served by Exos virtual coaching across 45 countries

8,200+

employees engaged through Recharge Breaks alone

11,000+

skin cancer screenings completed

26

melanoma cases detected
IN THEIR WORDS

Real Impact to Real Lives

“From an outcome perspective, we have seen all the science that was used and the personalized program Exos has [utilized] in decreasing many of the biometrics that are risk factors… So as we look at this from a scientific perspective… We have seen significant improvements with this program.”

VP & Enterprise Medical Director
“Overall I’m healthier. My cholesterol has gone down, I’m not on anxiety medication anymore. I’ve lost 30 pounds… and I just feel better about myself.”
ICS Business Analyst
“I’m so proud… I’ve lost 18 pounds. I’m off of blood pressure medicine… It just totally changed my life and I’m thankful to Exos and my organization.”
Executive Assistant
“Exos is a great partner! I was part of the project team… and I felt Exos was extremely responsive… They were willing to be a partner, they wanted to find the programs that would work for us, and they wanted to be sure we were getting the responses we would need. I was very impressed by their approach, their materials, and all the other items they have to offer.”
Director of HR

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