Dr. Ben Costa, co-founder Betsy Shor, co-founder
From our family to yours

We're Ben & Betsy, a husband-and-wife team who built 3 Billion Beats to deliver the kind of care we wish were more accessible in the traditional healthcare system: proactive, personalized, and focused on root causes.

When you join the 90 Nation, you're not a number. You're part of our family and a community built on the same standard of care we want for our own family and patients.

That's why we keep it simple: one membership, no tiers, no markups on labs or imaging, and nothing salesy. Just honest, high-quality care that we've worked hard to keep as affordable as possible.

We believe you deserve to understand your heart, know your risk, and have the knowledge, tools, and support to be the CEO of your own health.

— Ben & Betsy, Co-founders, 3 Billion Beats
What a Year With Us Includes

About 90% of heart attacks are preventable — here's how we help you understand and address the root causes of your risk:

Annual Comprehensive Cardiometabolic Lab Panel

41 advanced tests measuring 95+ biomarkers, included at our cost with no markup.

Annual Physician Chart Review + CCTA Concierge Service

Every membership year, a physician personally reviews your chart.

Corwin, AI Health Coach

Unlimited text and voice conversations with Corwin, your AI health coach.

Weekly Live Group Coaching & Q&A with Betsy

Join our Chief Medical Officer, Betsy, for weekly live sessions.

Community, Live Streams & Rewards

Buddies, Challenges, and Billion Bucks rewards for healthy habits.

GAIN Program

A transformative 16-week course designed to educate, inspire, and empower.

A man laces his running shoes on porch steps at sunrise

Know your risk.
Address the root causes.
Keep doing what you love.

What brings you here?

Every Condition Is Connected.

Six different membersSix different journey pathsOne heart.

Member journeys are illustrative composites, not individual patient records.

The Standard of Care is Broken. And It's Failing Your Heart.

0%

of heart attack victims have "normal" cholesterol levels.

UCLA Health, 2009
0%

of heart attacks are driven by insulin resistance, which isn't routinely tested.

AHA, Metabolic Syndrome Study
0%

of people who suffer a heart attack never had prior symptoms.

CDC, 2023
0%

is the absolute risk reduction for statins in primary prevention.

NNT Group, 2022
A multigenerational group of 90 Nation members winding down together in a park after a community walk at golden hour

Join our 90 Nation

90%of heart attacks are preventable.

Lifetime CCTA Chart Review & ConciergeInsurance prior authorization & CCTA booking service

Be first — join our waiting list
What We Stand For

Built for the People Healthcare Forgot

Don't let your health be limited by your healthcare.

Heart Disease Is Multifactorial
"My doctor only checked my cholesterol. Nobody looked at the full picture."

Heart Disease Is Multifactorial

Inflammation, metabolic health, insulin resistance, genetics, lifestyle, and environment all contribute to risk — not just a single cholesterol number.

Look Beyond Standard Testing
"I didn't know there were better tests until it was almost too late."

Look Beyond Standard Testing

Traditional lipid panels don't tell the whole story. ApoB, Lp(a), inflammatory markers, and metabolic measures reveal what standard care misses.

AI Should Humanize Healthcare
"I wanted answers, not just another appointment in six months."

AI Should Humanize Healthcare

Technology should never replace human connection. We use AI to synthesize complex data, personalize insights, and empower individuals and clinicians.

Root Cause Medicine Matters
"They kept treating my symptoms. Nobody asked why."

Root Cause Medicine Matters

Managing symptoms is important. Understanding why they developed is transformative. Our goal is to help restore health, not just manage disease.

Prevention Is Powerful
"I wish someone had told me I could change my future."

Prevention Is Powerful

Lifestyle, nutrition, sleep, stress management, movement, and targeted therapies remain some of the most powerful tools in medicine.

You Are the CEO of Your Health
"The moment I took ownership, everything changed."

You Are the CEO of Your Health

We provide data, education, and guidance — but lasting transformation happens when individuals are empowered to take ownership of their health journey.

Pay Once — Yours for Life

Bloodwork shows the chemistry. A CCTA shows the arteries.

Lifetime CCTA Chart Review

A CCTA sees what labs can't: the plaque itself. CCTA-guided care cut heart attacks 41% over five years.1 One fee, ever — your chart reviewed every year you're a member.

  • Prior auth · best-priced center found
  • Booked for you · results followed up

1 SCOT-HEART Investigators. Coronary CT Angiography and 5-Year Risk of Myocardial Infarction. N Engl J Med 2018;379:924–933. Read the paper  ·  Our CCTA Deep Dive →

A grandmother lifts her laughing grandchild in a garden at golden hour

More data means more memories
and more time together.

Be Part of Something Bigger

Your Health Story Could
Change Medicine.

Every lab result, every scan, every heartbeat tracked — it's not just about you. When you choose to contribute your de-identified data, you join a growing community building one of the most comprehensive longitudinal health datasets ever assembled.

Initial conditions. Interventions. Results. Over time.

This is how we move medicine from reactive to preventive.
From guessing to knowing.

Privacy-First. Always.

Your data contribution is 100% opt-in and fully de-identified. We never share personal health information. You choose what to share, and you can withdraw at any time. Your privacy is non-negotiable.

Corwin and the 90 Nation are launching soon. Be first — join our waiting list: