Why Wellness Matters Why Wellness Matters Employer studies

Why Wellness Matters

Why Wellness Matters • Employer studies show significant positive impact of Wellness Programs on outcomes, costs, productivity and absenteeism • Healthcare spending continues to increase at unsustainable rates • 80 percent of medical costs can be attributed to preventable and manageable conditions • Many people with these conditions do not follow recommended care guidelines • Unhealthy lifestyle choices (tobacco, obesity) are also major contributors

Real People, Real Results Issue: Maureen was unsure if she Solution: After participating in the could stay engaged in the Wellness program for several weeks, Maureen: Program and meet her long-term • Realized the value of ongoing, goals. regular calls with her Coach to help keep her health top of mind • Enjoys using her Coach as a sounding board when she runs into temptations or barriers to reaching her goals

Real People, Real Results Issue: Ann had been trying to lose weight for several years, with little long-term success. Solution: Since joining Health Advocate’s Wellness Program, Ann has: • Worked closely with her Coach to develop a realistic, achievable plan and create new habits for a healthier lifestyle • Lost over ten pounds • Lowered her cholesterol levels

Health Advocate Wellness Strategy

Our Unique Wellness Strategy Seamless Integration = Total Health Engagement • Health Advocacy • Biometric screening data • Chronic care support • Personalized Health Messaging • EAP+Work/Life 5

Health Advocacy in Wellness Strategy • Health Advocacy is a key part of promoting Wellness • Specialized service supported by physicians and a highly-trained team of clinical, benefits and claims experts who can: § Locate doctors and hospitals; make appointments; transfer medical records; arrange second opinions (preventive services) § Explain complex medical treatments and tests (stress management) § Resolve claims and billing issues (financial wellness) § Address eldercare issues; find caregiver support services (stress management) • Supported by data-driven Dashboard technology; delivers personalized “gaps in care” coaching • Eases burden on Human Resources staff • Helps improve health outcomes and reduce costs

Biometric Screenings in Wellness Strategy • First step to behavior change • Available nationwide • Professional staff trained by Health Advocate • Actual data vs. self-reported • Complete program management • Turnkey communications • Seamless integration with HRA, Wellness and Incentive programs • Improve employee health • Reduce costs

Onsite Biometric Screenings Standard Screening Package Add-on Options and more… 8

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Wellness Coaching

Wellness Coaching Unlimited personal coaching by phone and secure email messaging Weight management Tobacco cessation Fitness/exercise Self-care of chronic conditions Nutrition/diet Pre/post-natal coaching Stress management

Targeted Gaps in Care Coaching § Data identifies actionable care gaps on Advocate dashboard § Personal Health Advocates provide gaps in care coaching and preventive reminders at each member touchpoint § Empowers members to take action to close gaps § Seamless integration with Wellness Coaching § Improve outcomes; reduce costs

How Wellness Coaching Works • Unlimited access to personal Wellness Coach by phone or secure email messaging • Proven, validated methodology: Prochaska’s Stages of Readiness; evidence-based techniques support healthy behavior change • S. M. A. R. T. Goals: One-on-one collaboration to develop short- and long-term goals with achievable steps, timelines • Employees work with the same Coach throughout the program; coaches motivate, educate and guide every step of the way • Supported by 24/7 access to comprehensive Wellness

Wellness Coach Credentials • Full-time, salaried Health Advocate employees • Minimum of a Bachelor’s degree in a health-related field (more than half hold Master’s-level degrees) • Minimum of one additional national certification • Certified in tobacco cessation counseling by the American Lung Association • 4 -month training period with a senior coach • Ongoing training and education

Interactive Wellness Website

Wellness Website Overview • Online resources reinforce coaching • 24/7 access online, by smartphone and tablet • Points-based program • Secure web messaging with Coaches • Personal Health Profile • Self-guided wellness workshops • Wellness “On-the-Go” • Integrated health and fitness trackers • Fun, motivational campaigns + competitions • Incentive tracking • Gym membership discounts

Points-Based Engagement • • • Gamification View and track progress Points reporting Turnkey communications Incentives

Personal Health Profile (PHP) • Confidential survey identifies health risks • Health history; preventive health; lifestyle choices; readiness to change • Personalized summary with steps employees can take to improve health • Biometric data can be integrated (automatic upload from screening event) or self-reported • Aggregate data reveals workforce risk • HIPAA and GINA compliant • Can be repeated annually to compare results over time

PHP Personalized Summary • Dynamic content driven by employees’ responses • Tailored to employees’ health risks • Evidence-based data • Results-driven “To Do” lists (e. g. , workshops) • Year-over-year comparisons • Integrate biometric screening data

Online Wellness Workshops Targeted programs can be incorporated into the coaching process Based on PHP responses | Self-directed | Interactive • Wellness Workshops • Weight Loss (Beginner/Advanced) • Nutrition (Beginner/Advanced) • Stress Management • Walking for Fitness • Tobacco Cessation • Diabetes Prevention • Heart Disease Prevention • Financial Wellness

Wellness “On-the-Go” Employees can perform a wide range of tasks on-the-go • PC, smartphone and tablet; take Personal Health Profile Integrated health trackers • View + update personal trackers • Select from existing trackers • Create your own tracker • Log activity; view progress • Health calculators • Integrate data from dozens of personal activity trackers (e. g. , Fitbit, Jawbone, Garmin, i. Health, Map. My. Walk, etc. )

Competition Portal Designed for HR and Employees • Fun, easy to access and use • Employees can join existing competitions or create new ones • Individual and team • Promotes employee engagement • Integrated with trackers • Turnkey communications

Available Competitions

Incentive Management

Incentive Management Participation-Based • Engage with a Wellness Coach • Complete a workshop • Complete the PHP • Track activities + participation on Wellness website • Communications support • WPC/Consultation – 4 hours per year

Communications + Engagement

Member Communications • Year-round electronic, print and online materials introduce, the program, raise awareness and drive participation • Multi-leveled: brochures, newsletters, posters, health tip sheets, table tents • Strategic and comprehensive

Engagement Support for Employers • Monthly wellness activities + promotions • Annual seasonal wellness campaigns • Health and wellness competitions …and more

Management Reporting

Management Reporting • Aggregate PHP summaries of employee risk factors • Engagement reporting includes online activities and participation in personalized coaching • Supports client-sponsored incentive programs