Behaviorally Designed Well-Being the Walmart Way

Feb. 2014

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Our Foundation:

Every Day Low Prices and Every Day Low Costs

• More than 260 million customers each week

• More than 2 million associates • 11,000 stores under 72 different banners in 27 countries

• $485 billion dollars in net revenue

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WE STARTED WITH WELLBEING AND A TRADITONAL MODEL• Conducted traditional tests in some Clubs and Distribution Centers

• Traditional approach:– Complete a wellbeing assessment– Get biometric screening– Speak with a coach

Associates have multiple dimensions that affect

their energy and performance.

Well-being allows us to meet associates and families where they are now to effect change.

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WE STRUGGLED WITH ENGAGEMENT, DISRUPTION AND COST

Old SystemPeople are Machines

Focus on physical health

Limit participation to a select group

Prescriptive and centrally controlled

Buy compliance through incentives

Save money on health care

New SystemHolistic and Emotional Approach

Focus on whole person

Everyone can participate

Locally and individually controlled

Inspire others to be better in their lives

Set your people free to be their best

This new path continues to improve the wellbeing of our population but is scalable and creates better emotional connection

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Our north star:Measurably improve business performance and impact health related costs by offering a holistic wellbeing plan that improves the lives of all associates, their families and the communities in which we operate

Design Philosophy• Build a movement – don’t offer a program• People follow people• Simple• Trust + authentic + relevant = results

Measurement Approach• Business Performance • Attitudinal• Health related spending

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FRAMED AROUND THE CONCEPT OF BUILDING A MOVEMENT

Walmart Associate

OtherAssociates Community

Associates’FamiliesCommunityWorld World

Human Impact Business Impact

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OUR ZP CHALLENGE WAS BUILT USING BEHAVIORAL DESIGNZP is a simple challenge, where participants make better choices in fitness, family, money and food

Simple approach

People follow people

Outsized Results

Inspiration drives engagement

We don’t need incentives to get results

Our associates are our hero’sBased in

science

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WE KNOW THAT IF WE BUILD EMOTIONAL CONNECTIONS WITH PEOPLE THAT THEY WILL DO AMAZING THINGS

But the healthcare experience is not emotionally connecting – it is often emotionally discouraging

So we have started to ask how we can apply the same thinking to medical

conditions. Out focus is on the person, not the system

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HEALTHCARE IS RIPE FOR OPPORTUNITY TO APPLY MUCH OF THE SAME THINKING

o Shift towards population health vs. treating disease

o Data suggests improving population health requires significant individual changes in lifestyle

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o Success = two things:

• Influence the culture

• Increase adoption of foundational habits that slow the progression of morbidity

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FINAL THOUGHTS

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• Manage expectations

• Pace and sequence

• Primary vs. derivative outcomes

• Use the science

• Resistance will come from unexpected quarters