overview. confidential property of real appeal – do not copy or distribute without permission...

Overview

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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015

Agenda

• Evolution of Diabetes Prevention• Program Overview & Consumer Experience• Engagement Results • What Makes Real Appeal Different


Real Learnings

• Partnership between UnitedHealth Group and the YMCA proves DPP research can be brought to the community at acceptable cost

• Needed to expand the reach of the program to millions of Americans in a new, convenient way2010

2013

• Virtual translation of brick and mortar DPP proved that face-to-face Internet coaching is as effective as in person coaching

• Delivering on the promise of real impact on diabetes and obesity requires deeper enrollment & engagement

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Real Appeal

Proven Science

Scalable Disease Prevention

Lasting Behavior Change

Measurable Medical Savings

Top-notch Entertainment

Direct-to-Consumer Principles

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How it Works for the Consumer

Real Appeal takes the science and pitches it to people with DTC principles to help them get the body they want

and feel great about it

• Uplifting message with compelling call to action

• Online face-to-face customization session with an expert who tailors the program to your needs, preferences, attitudes and circumstances

• Receive everything you need online, on your smartphone, and in your home to achieve the body you want

• Tune in over your computer, smartphone, or tablet to the weekly TV series followed by group discussion led by your Real Appeal Coach

• Online face-to-face discussions with your coach as often as you need

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Everything Necessary to Succeed

At Home Digital


Built for Performance & Accountability

Systemically removes challenges inherent in other solutions

• Turnkey promotion material, engagement team and workplace champion sponsor minimize Human Resource time commitment

• Universal appeal and inspiring messaging ensure highest possible engagement rate of desired participants

• Customization sessions match employees with the program best suited for their clinical needs and commitment to success

• Majority of program fees are directly tied to successful weight loss – weekly sessions are billed ONLY when a participant is on track with behavior change

• Coach performance is measured on success metrics and participant feedback

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Tailoring Real Appeal to Your Priorities

Population Clinical Markers Medical Savings

Prediabetics • FBG: 100 mg/dl to 125 mg/dl

• A1C: 5.7% to 6.4%

• Reduce Incidence Rate of Diabetes

Diabetics • FBG: 126 mg/dl or higher• A1C: 6.5% or higher

• Reduction in Diabetic Complications

Overweight or Obese w/ CVD Risk Factors

• BMI 25+ with comorbidity of hypertension, dyslipidemia or smoking

• Prevent or slow Cardiovascular Disease

Obese • BMI >30 • Prevent heart disease, stroke, type 2 Diabetes and certain types of cancer

Weight Loss • BMI > 23 • General health

Leveraging all of the current science

available, qualification criteria

can be adjusted based on desired

medical cost savings, budget and ROI

expectations


Ohio Test Market

84% Qualified for Care Under the Affordable Care Act

65% Enrollment

Enrolled65%

Not En-rolled35%

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Average Cost Per Enrollee $251

• Real Appeal per participant payments include weekly provider claims and are progressive up to 52 weeks from enrollment

• All claims paid at 100% with no copay, coinsurance or deductible

Claim Claim Payment Cumulative Payment

Member attends Customization session

$103 $103

Member attends a session and remains on track for weight loss

$37 per session $140 - $695

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Summary

Real Appeal is a consequent, comprehensive and fresh approach

• Massive investment in video to drive fidelity, engagement, scalability and cost efficiency

• Consistent face-to-face coaching over the Internet to ensure long-term behavior change

• Triaging to apply the resources where they are most certain to get long-term results

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Appendix

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Fusion of Real Science & Consumer Appeal

Behind the Science (14 Key Players):• The scientists behind all the leading NIH-funded weight loss studies of the past 2 decades• Publishers of over 1,000 obesity research articles in peer reviewed academic journals• 7 MDs, 5 behavioral science PhDs, 1 economics of healthcare PhD, 2 doctorates of

psychiatry

Behind the Camera (20 Key Players):• Team of Emmy award-winning TV and film writers ranging from comedians to journalists• The writers behind dozens of infomercials grossing billions in consumer sales• Authors of hundreds of articles for leading high-circulation magazines

In Front of the Camera (16 Key Players):• Team with 4 Golden Globes, 4 Emmy’s, 1 Oscar, and leading roles in 100s of TV and films• Sports MVPs• Best-selling authors and top TV chefs


Clinical Advisory Board

Caroline Apovian, M.D., FACP, FACN• Professor of Medicine & Pediatrics; Endocrinology,

Diabetes, Nutrition; Boston University School of Medicine

• Director, Nutrition and Weight Management Center; Boston Medical Center;

• Director, Nutrition and Support Service; Boston Medical Center

Louis J. Aronne, M.D., FACP• Weill Professor of Metabolic Research; Weill-Cornell

Medical College• Medical Director, Center for Weight Management

and Metabolic Clinical Research• Adjunct Associate Professor of Clinical Medicine;

Columbia University

David Arterburn, M.D., M.P.H.• Associate Investigator, Group Health Research

Institute (GHRI) • Group Health Physician, Internal Medicine• Affiliate Associate Professor, Department of

Medicine, University of Washington

Donna Ryan, M.D.• Professor Emeritus, Pennington Biomedical Research

Center • Investigator, Diabetes Prevention Program (DPP)

Steven R. Smith, M.D.• Professor, Metabolic Disease Program, Sanford-

Burnham Medical Research Institute• Scientific Director, Translational Research Institute for

Metabolism and Diabetes • Chief Scientific Officer, Florida Hospital

Thomas A. Wadden, Ph.D.• Albert J. Stunkard Professor of Psychology in

Psychiatry, Perelman School of Medicine, University of Pennsylvania

• Director, Center for Weight and Eating Disorders

Rena R. Wing, Ph.D.• Professor of Psychiatry and Human Behavior, Brown

Medical School • Director, Weight Control & Diabetes Research Center,

The Miriam Hospital

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http://www.grouphealthresearch.org/faculty/images/arterburn/David-Arterburn_hi-res.jpg

http://www.grouphealthresearch.org/faculty/images/arterburn/David-Arterburn_hi-res.jpg


Real Appeal Talent

• Samantha Harris - former Dancing with the Stars Host and correspondent for Entertainment Tonight• Dr. Ian Smith - co-host of "The Doctors", and medical correspondent for the Rachael Ray show• David Jack - recognized sports performance and conditioning coach• Dr. John Sharp - psychiatrist and best-selling author• Dr. Michael Breus - recognized leader in sleep medicine• Lisa McCree - former co-anchor of Good Morning America• Mitra Manesh - mindfulness educator and executive coach• Rocco Dispirito - celebrity chef and best-selling author• Ellie Krieger - host of Food Network Show, Healthy Appetite with Ellie Krieger• Justin Silver - dog trainer and author of The Language of Dogs• Tom Arnold - actor and comedian, starred in True Lies• Alfonso Riberio - actor who starred in Silver Spoons and The Fresh Prince of Bel-Air• Daisy Fuentes - Cuban television host and model• Nomar Garciaparra - baseball icon and analyst• Jennie Garth - actress who starred in Beverly Hills, 90210• Jill Pollack - author and organization expert

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Real Science

Population Research Findings

Prediabetics NIH DPP & DPP Outcomes Study

• Type 2 Diabetes reduced 58% thru information exchange resulting in lasting behavior change

Diabetics Look AHEAD • Medical savings by reducing diabetes complications thru information exchange resulting in lasting behavior change

• Protocol and results improved over DPPOverweight & Obese

Pounds Lost • Information exchange leads to long term behavior change regardless of macronutrients diet balance

Based on research across 10,000 participants at a cost of $700 million over 19 years

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