In a Monday, July 16, 2018 photo, Virta Woodard, a 56-year-old diabetic, chats with wellness coach Ryan Manuwa while exercising at Nifty After Fifty fitness centers in Lakewood, Calif. Woodard gets weekly phone calls from her care manager, and she's started hitting Nifty After Fifty fitness centers since she signed up for a program called "Togetherness" covered by the Blue Cross-Blue Shield insurer Anthem Inc. The health care system is becoming more focused on keeping patients healthy instead of waiting to treat them once they become sick or wind up in the hospital. The 56-year-old diabetic lives with daily pain due to her disease and a injuries from a car accident, but she's lost 34 pounds since joining the program. (AP Photo/Jae C. Hong)
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