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Nourish Announces Clinical Outcomes Model, Tying Fees to Performance in the First Outcomes-Based Approach for Dietitian-Led Metabolic Care

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Nourish, the country's largest dietitian-led metabolic health clinic, today announced the Nourish Clinical Outcomes Model: an integrated model across care delivery, product, and data focused on the continuous improvement of patient outcomes, both with and without medications.

89% of Nourish patients have at least one metabolic condition, among the most complex and costly conditions to treat. Driving measurable outcomes for this high-acuity population requires a coordinated investment across clinical care, product, and data infrastructure — a system that has not existed in dietitian-led care until now.

The Nourish Clinical Outcomes Model operates across four interconnected levers:

  • Clinical quality and coaching: Clinicians have real-time visibility into patient progress against clinically relevant, condition-specific goals. This is reinforced with 1-on-1, scenario-based coaching that builds counseling fluency and outcomes-oriented clinical tactics, equipping clinicians to adapt their approaches across patient panels.
  • Clinical development and innovation: Condition-specific care pathways are continuously refined against the latest peer-reviewed evidence, establishing a best-in-class standard of care across the Nourish clinician network. In parallel, a robust pipeline of outcomes-targeted efforts, including routine metabolic lab panels, smart scales, and personalized patient communications, expands the modalities used to support patients between visits and accelerate their progress toward goals.
  • AI-enabled consumer technology: As Nourish's AI-powered platform adds new features across meal planning, between-session guidance, habit tracking, and more, each is evaluated against outcomes as a core success metric. Structured holdout groups and defined read timelines surface outcome signals within weeks of launch, enabling rapid iteration.
  • Data and continuous learning: One of the largest longitudinal outcomes datasets in dietitian-led care powers a continuous feedback loop between outcomes measurement and care delivery. At its core is the Early Drivers of Outcomes framework, identifying patient behaviors that predict outcomes weeks before traditional measures, allowing for early intervention and ongoing care model refinement.

The Clinical Outcomes Model has enabled Nourish to better align incentives with its partners, introducing outcomes-based partnership models that tie fees directly to the results patients achieve and help reduce the total cost of care for health plans and employers.

The results are clear: patient weight loss outcomes have improved 30% year-over-year, and Nourish patients achieve an average of 8% weight loss, 1.3-point reduction in A1c, and 27-point reduction in LDL cholesterol after 12 months, without GLP-1s.

"Exceptional patient outcomes aren't a byproduct of what we do — they're at the center of everything we're building toward," said Aidan Dewar, Co-Founder and CEO of Nourish. “Across all Nourish teams, outcomes are the primary benchmark by which we measure success. Our confidence in this model is why we're willing to put our fees at risk for our partners."

As the metabolic health crisis continues to grow, Nourish believes this model represents a new standard for what dietitian-led care can deliver.

About Nourish:

Nourish is the country's largest dietitian-led metabolic health clinic, building the first AI-native virtual care model to tackle America’s healthcare crisis and reverse chronic disease. The company pairs 10,000+ Registered Dietitians with AI agents to deliver insurance-covered, personalized care that produces best-in-class outcomes.

For patients who need access, Nourish integrates GLP-1 medication management, lab testing, and medical care into one care model designed for sustained behavior change. Through partnerships with the nation's largest health plans, health systems, and employers, Nourish is available to over 200 million Americans across all 50 states — typically at no cost. Nourish is actively hiring across clinical and business roles — learn more at nourish.com.


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