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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
Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
Real Appeal
Proven Science
Scalable Disease Prevention
Lasting Behavior Change
Measurable Medical Savings
Top-notch Entertainment
Direct-to-Consumer Principles
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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
Everything Necessary to Succeed
At Home Digital
Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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
Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
Ohio Test Market
84% Qualified for Care Under the Affordable Care Act
65% Enrollment
Enrolled65%
Not En-rolled35%
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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
Appendix
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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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
Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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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Confidential Property of Real Appeal – Do not copy or distribute without permissionCopyright - 2015
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