June 17, 2025
AUSTIN, Texas — Dozens of Travis County residents are transforming their health and future through “Choose to Lose,” Central Health’s new medical weight-loss and wellness program. Designed for patients with chronic conditions enrolled in the Medical Access Program (MAP) or MAP Basic, Central Health’s coverage programs for Travis County residents with low income, participants are referred by physicians and embark on an education-driven journey. The 14-week pilot, which ended in April, marks a milestone in how health care is delivered to Travis County residents through both education and practical support.
Launched in January 2025, the program enrolled residents who met criteria for obesity-related chronic health conditions, including obesity, diabetes, hypertension, and cardiovascular disease. “Choose to Lose” combines clinical treatment, nutrition planning, behavioral health support, and group wellness instruction creating a holistic, whole-person care approach. The goal is to address the root causes of disease and build sustainable habits for lifelong change.
Each participant received coordinated care through Central Health’s Capital Plaza Specialty Clinic, meeting at least twice a month. During the sessions, they learn from licensed medical providers, social workers, and dietitians on topics including movement, food access, stress management, and habit-building. Their journey continued with regular check-ins with community health workers and case managers, along with behavioral health counseling and pharmacy management consultations.
Stephen, a 50-year-old East Austin resident and type-2 diabetic, is one of the program’s standout participants. After years of weight fluctuations and chronic stress, he entered the program looking for both structure and support. Over the course of the program, he lost 15 pounds and significantly lowered his hemoglobin A1C, a key marker of blood sugar control. Now, he says, he feels in control of his decisions.
“Eating—it’s a chess game of the mind,” he said. “The biggest takeaway from the program was the mental aspect.” He now views food differently, feels more in control of his decisions, and continues working toward better long-term health. Stephen’s story is one of many that reflect the program’s impact physically, emotionally, and socially.
Twenty-six residents graduated from the first “Choose to Lose” program this spring. Many of the participants experienced measurable positive health outcomes including improved blood pressure, weight loss, and reduced reliance on medications. Follow-up care continues for participants.
“This is really an opportunity to make a lifestyle change and do some treatment and help reduce the weight but also help with some of those conditions related to it,” said Dr. MiLinda Zabramba, Central Health’s associate medical director and founder of the program.
“Choose to Lose” is part of Central Health’s broader Medical Optimization program, a proactive approach to reducing chronic disease by treating the whole person and removing barriers to care. With additional cohorts planned, the program is paving the way for a more equitable, prevention-focused local health system.