1 © 2011 PATH, LLC Bending Trend - A Case Study VEHI’s published results presented to at the National BCBS Sumit October 2010.

1© 2011 PATH, LLC

Bending Trend - A Case Study

VEHI’s published results presented to at the National BCBS SumitOctober 2010.

2© 2011 PATH, LLC

Demographics

Gender DistributionAge Distribution

83%

17%

Female Male

3© 2011 PATH, LLC

10,445 check recipients for 2010,out of 11,954 participants

59% of total eligible (N=17,800)$50 $100 $150

0%

10%

20%

30%

40%

50%

60%

2007 2008 2009 2010

Incentives Distributed:

87%

13%

Check No Check

Check Distribution Over 4 yearsChecks Distributed 2010

4© 2011 PATH, LLC

Peer Coaching Calendar Puzzler Adventure Healthy Life Survey

Other0%

10%

20%

30%

40%

50%

60%

70%

80%

1%

30%

46%

39%

9%

1%

51%

57%

46%

11%

2%

56%

62%

52%

7%

3%

64%

71%

56%

15%

Percent of Eligible Employees

2007 2008 2009 2010

4-Year Pilot: % Participation

EAP, Nurse,

Pro Coach

5© 2011 PATH, LLC

Peer Coaching Calendar Puzzler Adventure Healthy Life Survey

Other0

2000

4000

6000

8000

10000

12000

Participation Rates (N=17,800)

2009 2010

2-Year Overall Participation

6© 2011 PATH, LLC

2001 2002 2003 2004 2005 2006 2007 2008 2009 20100%

10%

20%

30%

40%

50%

60%

70%

80%

39% 40% 40% 38% 38%

32%

43%39%

54%

67%

Pilot Group Incentives

Introduced in 14 School Districts

(N=5500)

Incentive Group Increases to 43 Districts (N=

10,000)

Incentive Group Increases to 53 Districts (N=

15,000)

Participation & Incentives:

7© 2011 PATH, LLC

Let’s look into what’s changing…

“Pie Eyed” World Pie Championship judge John Young poses with two scotch pies at a competition in Dunfermline, Scotland. Photo: David Moir / Reuters (Time Magazine picture of the year 2010)

8© 2011 PATH, LLC

As the blues and greens increase, the yellows-to-reds are decreasing.

That’s moving in the right direction.

Overall Risk Trend:Risk Factors per Person

2007 2008 2009 20100

20

40

60

80

100

0 1 2 548 8

126

16 15

1720

18 20

2220

1921

1719

18 151124

17 16 12

10 7 7 4

0 risks 1 risk 2 risks 3 risks 4 risks 5 risks 6 risks 7+ risks

9© 2011 PATH, LLC

2011 Signs of More Good Migration

Also the right direction!

Healthy Life Survey

N = 3005

2009 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

32%41%

41%39%

26% 20%

2009 Cohort

2007 20110%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

15%

38%

42%

38%

44%25%

Pilot

N = 594

10© 2011 PATH, LLC

PATH Adventures(wellness challenges)

11© 2011 PATH, LLC

Pilot Adventure Outcomes

Walk Daily Weight loss Lower stress Increased fitness

Feeling healthier

Have more energy

Other0

200

400

600

800

1000

1200

1400

1600

1800

2000

Around the World - 2007, N=-2853 Fantastic Human Voyage - 2008, N=3546

Wild Wisdom - 2009, N=3922 Green Odyssey - 2010, N=4340

4-Year Progression: 2007, 2008, 2009, 2010

12© 2011 PATH, LLC

Walk Daily Weight loss Lower stress

Increased fitness

Feeling healthier

Have more energy

Other0

500

1000

1500

2000

2500

3000

3500

4000

4500

2893

1273

1573

1821

2728

1932

486

4491

2202 2182

2871

4209

2839

672

Wild Wisdom (2009, N=8278)

2-Year Progression: 2009 (N=8278), 2010 (N=10868)

Adventure Outcomes - All

13© 2011 PATH, LLC

Good Things in the first 5 Weeks:• Learned to scissor kick.• I keep on truckin’.• Flossed 11 days in a row now.• Discovered bone density improved over last year.• I’m doing 10 push ups and 25 jumping jacks am and pm,

DAILY • Did not kill Jean.• Exercising 5 times a week.• Walking twice a week.• Made it to my first wellness meeting.• Got to a wellness meeting.• Down 4 pounds (healthy weight loss---YEAH)!!!!!• Lost 3 pounds - exercising in the morning now.• Kept my temper.• Danced.

TW Real Person Account

14© 2011 PATH, LLC

22%

32%

24%

62%

53%

70%

41%

30%

44%

44%

0% 20% 40% 60% 80%

Cheerful vs Depressed

Peaceful vs Anxious

Persisent Sadness

Felt Lonely or Isolated

Sleep or Appetite Issues

Job Satisfaction

Work Unit - Positive Outlook

Work Unit - Shared Vision

Overall Stress Level

Overall Risks

% Improvement

Pilot 5-yr Culture Change

15© 2011 PATH, LLC

Is it cooling off costs?

Alan Mitchell shows a passing cyclist how cold the

waters of the Serpentine Lido in Hyde Park are.

Photo: GETTY

16© 2011 PATH, LLC

0%

10%

20%

30%

40%

50%

60%

70%

80%

51%

61%

65%75%

8%5%

0% 3%

VEHI Pilot School Districts

% Participation Overall

Calendar Puzzler

Adventure

Healthy Life Survey

Premium Increases (%)

4-Year: % Participation vs Rates

2007 2008 2009 2010

17© 2011 PATH, LLC

OVERALL: 59% of survey respondents feel healthier all around

Overall Adventure Outcomes

Morale

Exercise

Weight Management

• 94%: School worksites participating in the campaign reporting increased morale in their building (same score 19 yrs running).

• 66%: Survey respondents who saythey now walk regularly(N = 4491; $215 savings per person = $965,565)

• 31%: Survey respondents who lost weight(N=2202; $215 savings = $473,430).

Life-Saving• 83%: school worksites reporting a life-

saving lifestyle change in at least one employee, and often in 2 or more (N = 100 lives saved)

2010 (N=7104 Surveys of 10868 participants)

18© 2011 PATH, LLC

Perception of Health

59% said they feel better

59% = 4209 peoplex $3,774 savings per

person= $15.88 million

19© 2011 PATH, LLC

Reality of VEHI Health Costs

987654321-1-2-3-4-5

% c

hang

e

Cost of BCBSVT Universe of Business

2000 2009

VEHI Costs relative to the BCBSVT Universe- In 2000 VEHI was running 9% above.- In 2009 VEHI ran2.3 % below.

VEHI Cost

$15.7 million in annual savings

20© 2011 PATH, LLC

“Weigh In” on Other Success…

“Pie Eyed” World Pie Championship judge John Young poses with two scotch pies at a competition in Dunfermline, Scotland. Photo: David Moir / Reuters (Time Magazine picture of the year 2010)

21© 2011 PATH, LLC

TW Progress by TO DATE (it’ll only get bigger):

135,514,979 Calories = 38,710 lbs

OR

1,665,181 Miles = 65 x Around the World

22© 2011 PATH

Contact Us:P

ho

to: S

ergey G

orsh

kov / so

lentn

ews.co

.uk

Click the “Contact Us” tab on anyPATH page

Or call 802-223-5686 for Amy or Larae

Gillian Pieper,Co-Founder,

Vice President, Research and Health [email protected]