University of Alaska Quarterly Business Review – Not for distribution University of Alaska Quarterly Business Review October 27, 2016

Confidential – Not for distribution Confidential – Not for distribution

University of Alaska

Quarterly Business Review

October 27, 2016

Confidential – Not for distribution

Agenda |  Welcome |  Program goals review |  Engagement strategy & enrollment |  Program results

–  Outcomes –  Participation –  Final feedback results –  Graduate group 2015 –  Recommendations

|  Future launch proposal |  Retrofit UX preview


Attendees

Retrofit

Jade Dismore Account Manager

Katie Digan VP Business Development

Matthew Schoenthaler

Executive Sponsor, VP Sales

University of Alaska |  Erika Van Flein |  Timothy Armbruster


PROGRAM GOALS REVIEW


Program goals

|  Improve health ✓ |  Control healthcare costs ✓ |  Engage employees via a virtual program ✓ |  Contribute to a culture of health and wellness ✓


ENGAGEMENT STRATEGY & ENROLLMENT


Engagement strategy

Main CTA: Watch info session

|  Series of 3 emails

|  4 options for live information sessions

|  Email reminder

1 2 3


INFORM

EDUCATE

SELECT

APPLY

ENROLL

321 registered

89 applicants

79 enrolled

3,900 employees

8%

59%

79%

151 attendees 47%

Engagement Population engagement successful even with upfront investment by employee

Minimum: 40 Maximum: 100


35%+ have high blood pressure*

77% qualified into months 4-6

29 continued on Retrofit Next

40% rate spouse as “very supportive”

A closer look at the group

*Self reported on intake form


PROGRAM RESULTS


Overview

79 PARTICIPANTS

1,151 POUNDS LOST

$50,264 SAVINGS*

*Estimated savings according to Duke University study

-6.4% AVG. LOSS

*All data represents time period 3/7 through 10/17


Outcomes – 6 months

University of Alaska

89% lost weight

64% have lost 5%+ of their weight

33% have lost 10%+ of their weight

77% have lost at least 1 BMI point

8% have moved out of morbidly obese BMI category

*All data represents time period 3/7 through 10/17

In line with/ahead of book of business outcome metrics

Confidential – Not for distribution Source: Journal of Occupational Environmental Medicine, American Journal of Health Promotion, Duke University

Estimated cost savings

+$6,087 per year +$6,694 per year

BMI 40+


BMI 35-40


BMI 30-35

Alaska cost: $6,087 (1)



Alaska cost: $133,880 (20)









SAVINGS = $4,994 SAVINGS = $45,270

TOTAL HEALTHCARE SAVINGS = $50,264


Participation

Attend 10 of 14 weekly classes

Track food 5+ times per week

3+ weigh ins per week

Wear Fitbit 5 days per week

Attend 3 of 4 1:1 sessions

57% 98% 100% 81% 97%

Pro

gram

goa

ls

Gro

up

Pro

gres

s

6.5 17.4 4.4 23 6

*Goals represent midpoint in program All data represents time period 3/7 through 10/17

High engagement continues


Feedback Survey Results

1. Felt Happier 2. Felt more energized

Lowered waist circumference

Helped improve mindset and awareness

8/10 would recommend Retrofit


Favorite client moments

”Looks like I surpassed the 15% weight loss by half a pound J That’s 44 lbs from my heaviest at 260. My new goal is 20%, 204 lbs. The biggest difference from before is that I know I am in control of my eating and it’s no longer in control of me. “I’VE GOT THE POWER” For decades I had a fear of being hungry though I rarely was. There were a few times I went hungry, but I didn’t feel I was in control except by overeating. No more. I know there are many options now and how to get back on track.

-39.4 lbs. and -15.5%

”Went for a hike this morning, 7.5 miles. Felt good. I had enough energy to top it off and get 30,000 total steps today – that was about 8,000+ additional after the hike. Everything is so much easier these days. Physically. Emotionally. I don’t have a constant struggle with food, what to eat, what not to eat, what to hide, guilt, sadness….it’s easier and I am happy! Went to a friends house yesterday and realized on the way that I wasn’t plotting what I was going to sneak eat. No urge for junk at all. Freedom. I don’t know how else to say it. Not even a little desire and it feels great” –52 lbs. and -20.4%

”I have a lot of energy now! I have lost 37 pounds. I have gotten rid of 7 huge garbage bags of clothes to a co-worker that is also in Retrofit (one of my lunch buddies). Today I have size 14 jeans on. When I started the program I was a size 18! I am SO very happy about that! ”

-37 lbs. and15. 6%

”Just got lab work back from 2 doctors. My weight loss has changed my blood pressure – going off my meds. My arthritis inflammation numbers decreased from 2.97 to 0.9. I have a lung infection that hospitalized me the last 2 years but seems to be getting better quickly this year! This gives me hope!”

–39 lbs and 13.8%

UofA employees are seeing results and feeling empowered with the lessons they’ve learned


“RETROFIT changed and SAVED my life! I am a brand new me. I find it very hard to believe because it feels like a dream – but that dream came true – and I did it! I couldn’t be happier; and now, any healthier!”

“I am extremely please to be part of this organization & very grateful to my employer for this opportunity!”

“How do you spell success? RETROFIT!”

Community highlights


|  Loves to be active in the Alaskan woods, but weight made this challenging

|  Has lost weight but gained it back |  Joined Retrofit and lost 24 lbs./12%

of her body weight |  Her BMI is under 30 for the first time

in years |  Credits her coach for helping her

navigate nutritional challenges she faces when traveling throughout Alaska

|  Is training for another marathon

Meet Sarah

“The super personalized coaching is a huge help. I don't have home internet and no smart phone, so I wasn't sure Retrofit would fit for me. I have been super impressed with the program's adaptability and how it has been customized to work for me.” – Sarah McConnell


|  Had borderline high cholesterol, blood pressure and was prediabetic

|  Was a self-described couch potato and felt uncomfortable in general

|  Has lost 30 lbs. several times before but has always gained it back

|  Joined Retrofit and lost 45 lbs./18% of her body weight in just 3 months

|  Has more energy and is happier |  Loves to travel and is much more

comfortable doing it |  Returns to the doctor next week and

expects to see her numbers go down

Meet Lisa

“I have a totally different mindset on Retrofit. I feel very strong, and I believe that I can maintain my weight loss. Thank you, University of Alaska for bringing me this program!” – Lisa Digou


|  Lost 100 lbs. twice and gained more back

|  Suffered from knee problems |  Joined Retrofit and lost 21 lbs/10% of

her body weight |  Believes program opened her eyes to

what being healthy is |  No longer suffers from knee pain |  Bought a bike and can go a lot farther

and faster now |  Appreciates the professional coaches

Meet Barbara

“This is the first weight-loss program I have done where I didn’t feel like an outcast, because I can eat what everyone else is eating. This program is very positive and it makes you want to succeed.” – Barbara Hegel


2015 Graduate group

Final 2015 1 Year post program

88% lost weight 73% losing weight

50% have lost > 5%+ of their weight 43% have lost > 5%+ of their weight

25% have lost > 10%+ of their weight 23% have lost > 10%+ of their weight

70% lost at least 1 BMI point 60% lost at least 1 BMI point

58% weigh in 3+ days per week

35% weigh in 3+ days per week

88% log 5+ food entries per week 73% log 5+ food entries per week

Group still engaged 1 year post program & maintaining


Co-pay/BYOD engagement method successful

Leverage program ambassadors in

communications strategy

Increase access to Retrofit program

Learning’s & recommendations


UNIVERSITY OF ALASKA FUTURE PROGRAM LAUNCH


•  Review of Alaska programs •  Proposal overview •  Key decisions & next steps

Future launch discussion


Full launch proposal overview Total population Employees + spouses who are benefits eligible and

have screening data with a BMI of 30 + Target population 3,900

Estimated eligible population

~ 1,200 +

Estimated engagement 50-75 participants

Selection and enrollment •  Selection policy defined by Alaska & Retrofit (ex: 30 + BMI, benefits eligible)

•  Retrofit sponsored launch/enrollment and information sessions

•  Online enrollment managed by Retrofit

Program structure •  Subsidized 6-months of Retrofit •  Potential for maintenance subsidy

Reporting Real-time access to aggregate participation and outcomes data. Quarterly Business Reviews


RETROFIT

Retrofit’s core program design

Jump Start Month 1-3

Habit Formation Month 4-6

Maintenance Month 7+

Target Weight loss

$500 Alaska pays $440

Weight loss Alaska pays $240

Weight maintenance $33/month

Alaska pays $13/month up to 6-months

Custom Plan Development

Customized meal plan Customized exercise plan

Weekly plan review Weekly plan review Weekly plan review

Private Online Feedback

Twice weekly food log feedback

Unlimited timeline support

Once weekly food log feedback

Unlimited timeline support Unlimited timeline support

Private 1:1 Meetings 4 video sessions 3 video sessions Option to buy sessions @ $50/session !

All phases include:

Dedicated expert weight loss coach

Online dashboard & mobile app

Expert-led weekly online classes

Expert- moderated community

Activity tracker & wireless scale


Estimated budget

Program Minimum Engagement (50)

Maximum Engagement (100)

First 3-months ($440) $22,000 $44,000

Second 3- months ($240) (77% rollover rate)

$9,120 (38 participants)

$18,480

Retrofit Next (6-months) ($78) (50% rollover rate)

$1,482 $2,964

Total $32,602 $65,444

** Devices paid for by employee upon enrollment


Milestone Decision Proposed timeline

Program renewal & budget approval

Annual budget for Retrofit program.

By November 11, 2016

Scope of work Finalize components & programs included in full scope of work.


Contract (MSA) Signature for both SOW & Full launch MSA


Full-launch kick-off call Official implementation kick-off

December 2016

Launch Launch & start of enrollment in program

January 2017

Key decisions & next steps


RETROFIT UX PREVIEW


Instant enrollment upon acceptance


Coaching, classes and community at your fingertips


On-going, unlimited access to coach


APPENDIX


Retrofit Retrofit Diabetes Prevention Population challenge

Obesity and the related conditions and diseases that drive health costs

Prediabetes, a growing epidemic with escalating health costs

Target participants

Obese and overweight individuals (BMI 30+) who are motivated to lose weight

Prediabetic individuals (screened) who are motivated to make a lifestyle change

Program overview

Data-driven, personalized weight management program with proven outcomes and lasting results

CDC’s evidence-based diabetes prevention program combined with Retrofit’s proven weight loss formula

Structure Flexible 6 – 12 month weight-loss program 12 month national diabetes-prevention program

Key program elements:

Expert coaching

•  Highly personalized •  7 one-on-one video coaching sessions •  Unlimited online messaging

•  Personalized •  2 one-on-one video coaching sessions •  Unlimited online messaging

Self-monitoring technology

•  Mobile app, online dashboard •  Devices: wireless scale and activity tracker

•  Mobile app, online dashboard •  Devices: wireless scale and activity tracker

Community support

•  Interactive , expert-moderated online community

•  Workplace-specific or partner group communities

•  Interactive, expert-moderated online community

•  Small communities of participants (cohorts) that move through program together

Education and resources

•  52 weeks of live classes (webinar format) on nutrition, mindset and exercise topics

•  Supporting resources

•  31 diabetes-prevention lesson videos on nutrition, mindset and exercise topics

•  Supporting resources

Retrofit Weight Loss vs. Retrofit DPP Which program is right for your population?


ARCHIVE


51 average age

69 oldest client

29 youngest client

75% “Low energy”

49% motivation (f)*

47% Fairbanks 32% Anchorage

86% female

14% male


*(f) = female




Favorite client moments

”Even my dog has lost weight and is as fit as ever!”

Alaska Client

”Win: At this conference last year, the seat on the plane was a little tight. My thighs touched both arm rests, could not cross my legs, difficult to get my phone out of my pocket, and so on. Just no fun at all. This year was the opposite. Can cross my legs with no issue, seats seemed big and could get into my pockets with no issues! Also, I am so excited to wear a blazer this year as I am so much more confident and don’t mind people looking at me. No more desire to blend into the background!” Male

–38 lbs. and -18.7%

”I am LOVING Retrofit! I had some challenges the first few weeks, but with the encouragement and support of my coach, I am sticking to the program and am now consistently losing weight!”

Female -11.5 lbs. and 6%

”I feel like I have been changed forever! There is so much about Retrofit that seems perfect for me. I have tried many other weight loss programs and nothing has resonated as this has. Thank you for all that you do!”

Female

–10.5 lbs and 4.7%

HAPPINESS SCORE

8.8/109%

UofA employees are enjoying Retrofit & building confidence

University of Alaska Quarterly Business Review – Not for distribution University of Alaska Quarterly Business Review October 27, 2016

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