Presented to the Minnesota Legislature Katie Bell Partner

Presented to the Minnesota Legislature Katie Bell, Partner Global Well-Being katie_bell@gallup. com January 14, 2009 EMBARGOED COPY – CONFIDENTIAL Trademark TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved.

The Current Projection of the Future • $2 trillion to $4 trillion • Chronic diseases $6 trillion by mid-century – About 67% of working population has more than 1 condition – The more conditions per employee, the more days missed • $3 trillion and climbing needed? Are there more bailouts • How do we redirect these economic projections? EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 2

The Gallup Path Macroeconomics ® EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 3

Partners in Health and Well-being Gallup § Thought leader in behavioral economic research and repository of definitive well-being diagnostic database with clear linkages to clinical and financial outcomes. Healthways, Inc § Industry leader in individual and employer care management and active well-being management leading to quantifiable financial and clinical outcomes improvement. EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 4

About the Well-Being Index In January 2008, Gallup and Healthways made a 25 -year commitment to understand improve Americans’ Well-Being • 355, 000 surveys completed (1, 000 completed surveys per day, 7 days/week) • The “official statistic” for measuring the daily pulse of the nation’s well-being • Only index measuring positive/negative correlations between physical/emotional health, health behaviors, basic access to necessities, work environment, community/social support and economic factors driving well-being • Helps communities, governments and organizations understand improve their constituents decisions about health programs, work environment and leadership culture EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 5

Domains Measured in the Well-Being Index The composite ranking by the Gallup-Healthways Well. Being Index measures six Well-Being domains, each determined based on scientific study of responses to 42 items/questions contained in the survey. The six Well-Being domains are as follows: 1. Life Evaluation 2. Work Quality 3. Basic Access EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 4. Healthy Behavior 5. Physical Health 6. Emotional Health 6

Happiness-Stress Index: Daily Trend January 1 st through December 1 st , 2008 EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 7

Life Evaluation (Daily Trend) of U. S. Population in 2008 n = 355, 334 respondents from January – December 2008 EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 8

Life Evaluation of Minnesotans in 2008 EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 9

Healthier Communities “… imagine what it would be like if your community knew what its health index was. And you knew that the neighboring community had a better health index. Well, that would become an issue for the mayor and it would become an issue for the people who are the civic leaders and pretty soon things would start to happen and I would guarantee you that health in that community will begin to improve. ” » Dr. Julie Gerberding, Director, Centers for Disease Control EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 10

Benefits at the Government Level • Collective voice and experience across 50 states • Economic development tool ranking, state, city, regional and congressional areas across all measures (life evaluation, health, work, basic access to food/shelter, etc. ) • Impact of work environment, economy, community influencers, health, safety and other factors on well-being • Measure of policy implications and public policy effectiveness • Justification for funding and grant awards EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 11

Benefits at the Employer Level • Gain a comprehensive view of employees’ social, emotional, physical and financial well-being • Assess work environment stressors, culture, leadership, wellness and prevention programs and recruitment and retention efforts • Understand the health conditions of a workforce and how to support them for optimal productivity • Save money on medical costs EMBARGOED COPY – CONFIDENTIAL Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 12

Copyright Standards This document contains proprietary research, copyrighted materials and literary property of Gallup, Inc. It is for the guidance of your company only and is not to be copied, quoted, published or divulged to others outside of your organization. Gallup® and The Gallup Path® are trademarks of Gallup, Inc. All other trademarks are the property of their respective owners. This document is of great value to both your organization and Gallup, Inc. Accordingly, international and domestic laws and penalties guaranteeing patent, copyright, trademark and trade secret protection protect the ideas, concepts, and recommendations related within this document. No changes may be made to this document without the express written permission of Gallup, Inc. EMBARGOED CONFIDENTIAL Copyright © 2008 COPY Gallup, –Inc. All rights reserved. Trademark. TM 2008 Gallup-Healthways Well-Being Index. All rights reserved. Copyright © 2008 Gallup, Inc. All rights reserved. Copyright © 2008 Healthways, Inc. All rights reserved. 13