W E L L N A T I O NRishabh Mehrotra, President & CEO, Carewise Health

THE SICK ECONOMY

THE SICK ECONOMY

Behaviors drive costs

• Healthcare accounts for more than 17% of our economy, and it’s growing at 4-6% per year

• The primary driver of healthcare costs are behavioral

—Eating habits and caloric intake—Smoking—Lack of exercise

Nearly half of children’s vegetable consumption comes

in the form of fried potatoes

THE SICK ECONOMY

Behaviors drive costs

• The average daily calorie intake for Americans is 3,760; the recommended intake ranges from 1,500 to 2,3oo

• The life expectancy of a smoker is 64; for a non-smoker it’s 78

• The deteriorating health effect from lack of exercise is equivalent to smoking a pack of cigarettes a day

Americans watch an average of four hours of TV per day

THE SICK ECONOMY

Fueling the sick economy

• An additional 20% of the economy is powered by purchases that support unhealthy habits

—Fast food—Sugary drinks—Tobacco—Alcohol

Lung cancer accounts for more deaths than any other cancer

in both men and women

THE SICK ECONOMY

Fueling the sick economy

• Recent revenue projections for the five biggest hamburger chains exceeds $40 billion a year

• Americans spent $68.1 billion on carbonated soft drinks last year

• U.S. consumers spent $90 billion in 2006 on tobacco products

• Total U.S. sales for in-home alcohol consumption was nearly $80 billion in 2009

Soft drinks have replaced milk in the diets of many

American children

THE GAP

THE GAP

What would happen if we

• Reduced fat and sugar consumption

• Exercised more

• Quit smoking

• Watched less TV

• Took fewer pills

• Reduced our need for hospital care

A lack of vigorous physical activity is the main contributor to obesity for adolescents

THE GAP

• Healthcare and related costs could go down by 20 to 40%

• GDP would be reduced by 8 – 10%

• A massive recession would follow

• How can we reduce healthcare costs, improve productivity, change unhealthy habits, increase quality of life, and grow our economy?

?

THE NEW ECOSYSTEM

What we must

do

THE NEW ECOSYSTEM

• Build a new ecosystem of health, vitality, and sustainable consumption

• Grow the new ecosystem faster than the decline of the sick economy

The U.S. produces roughly a quarter of the world’s economic output

THE NEW ECOSYSTEM

How do we achieve this?

• Educate consumers on impact of health habits and enable better choices

• Create demand for business to invest in and profit from health, not sickness

• Create policies that support healthy habits and are deterrents for unhealthy ones

• Support companies that are transforming to the new ecosystem

—Pepsi: launched Smart Spot food and Human Sustainability initiative—Rite-Aid: moving to a wellness company

• Create environments at schools and communities that support nutrition and exercise

PepsiCo pledges not to advertise their products

in elementary or middle schools

THE NEW ECOSYSTEM: CASE STUDY

How Carewise Health is helping to build a WellNation

• By transforming our environment to promote better health

• By providing access to health information, health activities and better health choices

• By creating and demonstrating personal relevance

Carewise Health Know Your Numbers seminar

Changes to our environment

Branding wellness•Health Happens Here identity•Three areas of focus:

Nutrition, Fitness, and Stress Management

•Ambassadors and Champions head up wellness efforts in each location

•Achievers (4) make a public commitment to change unhealthy behaviors

Daily reinforcement•Top down messaging •Wave…after wave…after wave

(e-mail messages, news stories, signage, events)

•Dedicated website •Achiever blogs document journey

THE NEW ECOSYSTEM: CASE STUDY

THE NEW ECOSYSTEM: CASE STUDY

Changes to our environment

Create comfort level and support • HR advisory board

• All locations participate

• Engage in healthy activities together

• Walks and exercise during work hours allowed

• Fitness Fridays

• Fit Trail

• Achiever recognition

Cafeteria and vending machine redesign

• Healthy food options

Plan design changes with incentives to support focus on health

Onsite cooking demonstration with guest chef and CEO

THE NEW ECOSYSTEM: CASE STUDY

Providing access

• Know Your Numbers seminar

• Online community – team support and monitoring

• Health Happens Here website

• Quarterly newsletters – delivered to desktop

• Farm to Table

• Fruit day

• Workouts with health coaches

• Health seminars in evening – family members invited

• Online tools

• Health coaching

Carewise Health is the first private company to support a local Farm to Table program

THE NEW ECOSYSTEM: CASE STUDY

Creating personal relevance

Small steps, big changes• Engagement on any level valuable• Achievers both inspired and inspiring

“It’s been a tough week but I’m still moving, and it sounds like I’m not alone. Getting in 10,000 steps a day seemed like a real challenge…but I am starting to see some curves in my waist area.”

“Yesterday was a very good day for me.”

“People are telling me that I am starting to look different, my clothes are fitting differently and my co-workers are telling me that my pants are beginning to look a little big.”

Carewise Health Achievers document their

personal journey

THE NEW ECOSYSTEM: CASE STUDY

Rethinking ROI

Invest in wellness• Create a culture – not a program• Promote prevention• Measure employee vitality• Make health and vitality fun

Shared at an HR event:“During an evening walk with friends, a Carewise Health associate began to describe to her companions the changes taking place within the company. It prompted one of the walkers to say, “Wow, Carewise Health sounds like they really care about their employees. That would be a great place to work.”

Carewise Health Achiever and coach set goals

THE NEW ECOSYSTEM

What can you do?

As Consumers

• Change habits — buy fresh food and prepare meals at home

• Exercise — buy a gym membership

• If you smoke, quit or buy Nicorette gum

• If you eat fast food, choose healthier items

• If you consume beverages, buy healthy choices

• Know your health numbers and what they mean

As Businesses• Create a culture of health

• Design benefit plans to support health

• Create products that support sustainable health

By 2006, PepsiCo’s Smart Spot products represented over two-thirds of North American revenue growth

THE NEW ECOSYSTEM

What can you do?

As Regulators

• Drive awareness of health

• Create policies and pass legislation to support health

• Invest in health programs

As Educators

• Drive awareness and literacy around health

• Create programs to support better health, nutrition, and exercise

Louisville Mayor kicks off Health Happens Here

Together, we can move from a Sick Economy to a WellNation.