1. Demonstrating value by delivering improved outcomes
Transforming Well-Being
Demonstrating value by delivering improved outcomes

2. Demonstrating value by delivering improved outcomes
Health Advocate performed two sets of analyses to demonstrate the value of its Wellness and Biometric services. Each analysis included a cohort of clients who followed best practices as they relate to structuring their wellness program and employee incentives.
Study #1: Evaluated engagement trends for clients who offered strong incentives and compared engagement to clients who offered minimal incentives

3. Demonstrating value by delivering improved outcomes
Study #2: Examined improvements in hypertension, diabetes and obesity risk over a 3-year period of time for employees of clients who offer best practice incentives.
Year 1 and Year 3 values were compared for employees who were determined to be high-risk.
Only those employees who participated in the program all 3 years were included.

4. Study 1 - Business Outcomes That Matter: Demonstrating Wellness Engagement
Engagement rates for 9 companies that offer strong incentives were evaluated and compared to similar companies that offer minimal incentives.
9 Companies
80,631
Employees
Year Measured
2017

5. Clients with the right incentives and resources have higher engagement
Screenings 42%
Coaching 8%
Overall Engagement
42%
Completed
a PHP 30%
Workshops 9%
Wellness portal 32% Average of 8 logins per member 22% were repeat users

6. Engagement + Activity + Behavior Change = Improved Outcomes
24,405 PHPs completed
6,633
Members working with a Wellness Coach
18,902,942 Minutes exercised
209,401
Wellness portal logins
3,855,678,057
Steps walked
6,587 Pounds lost
6,820 Workshops started

7. Comparing Engagement in Clients With and Without a Strong Incentive
Weak Incentive
Screenings
42%
<1%
Coaching
8%*
Completed PHP
30% 3%
Workshops 9% 1%
Member Website
32%
Website Repeat Users
22% 2%

8. Study 2 - Business Outcomes That Matter: Demonstrating Wellness Savings
A cohort of 9 companies offering strong incentives of $300 or greater was evaluated to assess changes in high-risk participants over 3 years.
16,741 employees participated in biometric screenings; 9,689 participated all 3 years.
9 Companies
9,689
Repeat Participants
Year Measured
2017

9. 3-Year Cohort: Improved Health Outcomes, Lower Expected Medical Costs
Of 9,689 repeat participants, 1,674 members reduced risk from high-risk to normal or borderline-risk within 3 years
Hypertension
Diabetes
Obesity
3 Risk Factors for Cardiovascular Disease:
1,497 people identified as high-risk for hypertension.
76% reduced to normal or borderline within 3 years
425 people identified
high-risk for diabetes. 49% reduced to normal or borderline within 3 years
3,775 people identified as obese. 9% were no longer obese and improved their health within 3 years
Note: savings are per participant with the high risk factor, and each risk factor is looked at independently. If a person is obese and has diabetes, it is possible a change in obesity will result in overlapping savings for both diabetes and obesity
Obesity savings of $1,090 pp. x 3401
$370,600
Hypertension savings of $1,378 pp./y x 1,1381
$1,568,164
Blood glucose savings of
$1,653 pp./y x 2081
$343,824
1Goetzel, R., Pei, X., Tabrizi, M., Henke, R., Kowlessar, N., Nelson, C., & Metz, D. (2012). Ten modifiable health risk factors are linked to more than one-fifth of employer-employee health care spending. Health Affairs, 31(11),

10. Members Continue to Improve After Multiple Years in Program
High-risk repeaters
After 2 years
After 3 years
Hypertension
73%
76%
Blood Glucose
44%
49%
Obesity 8% 9%