Well Wisconsin Program Overview & Planning

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Well Wisconsin Program Overview & Planning
Well Wisconsin Program Overview & Planning

                                             ©WebMD Health Services. All rights reserved.
Well Wisconsin Program Overview & Planning
Executive Summary
Participation                                          Health Risk Prevalence
•   2020 activity completion was slightly lower than   •   Like past years, weight and stress were among
    2019 (25.6% vs. 29%, respectively), which we           the top risk areas.
    believe is attributed to the COVID-19 pandemic.    •   Overall, average number of health risks
•   Health risk assessment completion for the State        decreased from 3.42 to 3.31, or a 3.0%
    (42.3%) and UW (42.1%) groups were in line             improvement from 2019 to 2020.
    with the book-of-business of 44%.                  •   Those engaged with a lifestyle health coach
•   The Health Check participation ended at 29.5%          experienced a 4.6% improvement and those who
    which included a modified version of a Biometric       engaged with a disease management nurse
    Screening (i.e., dental cleaning, coaching call,       coach experienced a 1.4% improvement.
    biometric screening, health care provider form     •   The impact of COVID on health risk prevalence is
    completion or home test kit submission).               still emerging; the health risk results may not be
•   Incredible success with Well WI radio. The             generalizable to the broader population.
    October session included more than 4,400
    participants!
                                                                                                                                                  2

                                                                                             ©The StayWell Company, L.L.C. All rights reserved.
Employee Program Participation
•   Program goal for 2021 is to close the gap among those who only completed two steps which ended up
    being 29.1% in 2020.
•   25.6% of the Wisconsin population completed all three activities in 2020 (27.5% for employees; 21.8%
    for spouses)
                                                                                Employee Program Participation
    50.0%

    45.0%                                   42.3%           43.0%                                  42.6%
                                                                                   42.1%

    40.0%
                                                    36.4%                                  36.6%
                                                                                                                         35.0%           35.5%
                            34.5%                                   34.1%                                  34.5%
    35.0%   34.0%

                                                                                                                                 30.5%
                    29.5%
    30.0%                           27.5%                                                                                                        28.2%

    25.0%

    20.0%                                                                                                                                                                                                      17.4%
                                                                                                                                                                                          17.0%
                                                                                                                                                          14.7%           15.0%                   15.3%
    15.0%                                                                                                                                                         12.9%
                                                                                                                                                                                                                              13.8%
                                                                                                                                                                                  11.7%

    10.0%

     5.0%

     0.0%
             All EE N=110,069               State EE N=35,816                     UW EE & GA N=33,293                    Local EE N=10,648               State Retiree N=28,204           Local Retiree N=2,108
                                                             HA             Health Check           Activity Completion           HA, Health Check & Activity

                                                                                                                                                                                                                                                       3

                                                                                                                                                                                                  ©The StayWell Company, L.L.C. All rights reserved.
Overall Risk Prevalence
•     The highest risk area for the employee population continues to be BMI/weight, with 65% of HA
      participants at elevated risk.
•     Stress risk among employees (42%) is 5 percentage points higher than spouses (37%) and is 9
      percentage points higher than StayWell’s BoB (33%).

                                                              HA Risk Prevalence, Total & By Eligible Type
100%
                            73%
                65%
          65%

    75%
                      64%

                                        42%
                                  41%

                                                                                    40%
    50%
                                              37%

                                                                        36%
                                                                  36%

                                                                              34%
                                                    33%

                                                                                                    19%
                                                                                              18%

                                                                                                                18%

                                                                                                                                 16%

                                                                                                                                                           16%
                                                                                                                          15%

                                                                                                                                                     15%
    25%

                                                                                                                                                                       15%
                                                                                                          15%

                                                                                                                                                                 14%
                                                                                                                                       13%

                                                                                                                                             13%

                                                                                                                                                                                                               7%
                                                                                                                                                                             5%

                                                                                                                                                                                       5%

                                                                                                                                                                                                   5%
    0%
                 BMI                    Stress                          Eating                      Exercise                    Depression                 Sleep             Alcohol/Tobacco
                                                          Total (n=52,904)          Employees (n=38,772)          Spouses (n=14,132)           BoB

                                                                                                                                                                                                                                  4

                                                                                                                                                                             ©The StayWell Company, L.L.C. All rights reserved.
Weight Management: Risk Stratification
Population by BMI class shows rising risk, with an opportunity to prevent the
overweight demographic from elevating to obese.

                                                        BMI Range, Total and by Eligible Type*
100%

75%
                                                                                                                                          69%
                        63%                                     64%                                  62%                                   6%
                         6%                                      7%                                   5%                                   9%
                         8%                                      8%                                   7%
50%
                                                                                                                                          19%
                        17%                                     17%                                  17%

25%
                        33%                                     32%                                  33%                                  35%

 0%
                   Total (n=52,904)                      Employees (n=38,772)                Spouses (n=14,132)                           BoB
                Overweight (BMI 25.0-39.9)        Obese Class I (BMI 30.0-34.9)   Obese Class II (BMI 35.0-39.9)   Obese Class III (BMI 40+)

*Underweight (1%-2%) and normal weight are not shown.
                                                                                                                                                                                                     5

                                                                                                                                                ©The StayWell Company, L.L.C. All rights reserved.
2020 Group Coaching Participation Detail
     •              Of those who registered for Group Coaching, 76% attended at least 6 sessions and 51% completed at
                    least 9 sessions.
     •              Registrants attended 1,500 total group coaching sessions (average 7.7 group sessions per registrant).
     •              43% of participants completed a 1:1 call with their group coach in week 16.

                   100.0%                 76.9%

                   80.0%

                                                                                                                         57.6%
% of Registrants

                                                                       51.3%
                   60.0%

                                                                                                                                                       40.6%
                   40.0%

                   20.0%

                    0.0%
                                                  State of Wisconsin                                                             Group Coaching BoB*
                                                                           Attended 6+ Sessions   Attended 9+ Sessions

  N=195 Group Coaching registrants.
  Report generated 11/10/2020.
  *Group Coaching BoB based on 12-week program
                                                                                                                                                               ©The StayWell Company, L.L.C. All rights reserved.
Group Coaching Weight Loss Detail
       •    After 16 weeks, 61% (n=90) lost weight which is higher than the BoB (55%); average weight loss was
            11.3 pounds among those who lost weight.
       •    Overall, 40% of participants lost ≥3% of their starting weight, and 22% lost ≥5% of their starting
            weight.

                                                                                                                            100.0%

                                                                                      % of Registrants with Weight Values
                        Gained Weight,
                           21, 14%                                                                                          80.0%
                                                                                                                                      61.5%
                                                                                                                            60.0%
                  Maintained
                Weight (+/- 1 lb),                                                                                                                          40.1%
                   36, 25%                     Lost Weight, 90,                                                             40.0%
                                                    61%
                                                                                                                                                                                         21.8%
                                                                                                                            20.0%

                                                                                                                             0.0%
                                                                                                                                     Lost Weight   Lost 3% of Starting Weight   Lost 5% of Starting Weight

N=195 Group Coaching registrants. 75% (n=147) of registrants had recorded both a starting and a follow-up weight. Overall weight loss numbers based on difference
between starting weight and closing or most current weight captured in system as of report run date (11/10/2020). Percent of starting weight lost reflects percent of all
registrants that hit targets at any point from start of group coaching to report run date.                                                                                               ©The StayWell Company, L.L.C. All rights reserved.
Participant Satisfaction
•     Overall, 67% reported they would recommend
                                                                                                                                                           Reported Changes as a Result of Group Coaching Participation
      the group coaching program while 81%

                                                                                     % of Survey Respondents (Improved + Greatly Improved)
                                                                                                                                             100%
      reported that they would recommend their
                                                                                                                                                                                                      81%             81%
      health coaching to a friend or colleague*                                                                                              80%                                                   77%             77%
                                                                                                                                                                                                                                                                               73%75%
                                                                                                                                                                      70%71%           71%
                                                                                                                                                      65%67%                        65%
•     When asked about specific aspects of the                                                                                               60%
                                                                                                                                                                                                                                         62%63%

      program, participants reported highest levels of
      satisfaction with coach interactions                                                                                                   40%

     •     97% satisfied with 1:1 communication with                                                                                         20%
           group health coach
     •     95% satisfied with private/direct messaging                                                                                        0%
                                                                                                                                                    Overall health     Weight     Ability to deal Understanding   Ability to         Daily     Daily moderate
           with group health coach                                                                                                                                   management   with barriers      of habit   achieve a goal fruit/vegetable physical activity
                                                                                                                                                                        skills                      formation                      servings        minutes
                                                                                                                                                                                     Overall         Attended 6+ sessions

N=60 survey respondents.
*Based on n=58 valid responses to questions “How likely is it that you would recommend  to a friend or
colleague?”. Response scale of 0-10 where 10 = very likely.                                                                                                                                                                    ©The StayWell Company, L.L.C. All rights reserved.
Mental Health: Healthy Behaviors
         While most WI employees report manageable stress levels (with 42% at risk for stress), only
         52% feel they have the appropriate coping skills.
                                                    Mental Health Healthy Behaviors
         100%
                                            86%
                               82%

          75%

                                                                                                            62%
                                                                                               59%
                                                                58%
                                                    52%

                                                                                                                   45%
          50%

                                                                                                                                 39%
          25%

           0%
                                 Stress Level        Coping Skills                            Sleep Satisfaction    Sleep Hours
                                                                     Total (n=52,904)   BoB

Minimum reporting requirements: 50 HA completions                                                                                                                               9

                                                                                                                           ©The StayWell Company, L.L.C. All rights reserved.
Risk Change

                                                                   10

              ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Risk Change, 2019
    vs. 2020, Adjusted Comparison
•   The average number of health risks* decreased from 3.42 to 3.31, or a 3.0% improvement. Results were
    adjusted for eating, exercise, sleep and stress. No adjustments were made to biometric risks, tobacco or
    alcohol.
•   The impact of Covid on health risk prevalence is still emerging; the health risk results may not be generalizable to
    the broader population.
                                         100%

                                             80%
                 At risk (moderate & high)

                                                   67%   66%
                                             60%               55%   57%
                                                                           54%    53%          54%     52%

                                                                                                                                  39%         36%
                                             40%
                                                                                                                                        33%         30%
                                                                                                                   30%     30%

                                             20%
                                                                                                                                                                                          7%
                                                                                                                                                          4%   4%      5%
                                             0%
                                                    Weight       BP          Eating               Stress               Sleep      Exercise      Chol.     Tobacco          Alcohol
                                                                                                   Past, Adj       Current, Adj
    *Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight
    HA cohort; n=38,254                                                                                                                                                                                                  11
    Updated 1/20/2020
                                                                                                                                                                    ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Coaching Risk Change,
2019 vs. 2020, Adjusted Comparison
•    The average number of health risks* decreased from 3.90 to 3.72, or a 4.6% improvement.
•    As anticipated, health coaching participants has greater risk burden compared to the overall population and
     experienced more favorable risk improvements.

                                     100%

                                               79%   78%
                                         80%
             At risk (moderate & high)

                                                                 64%                       61%
                                                           60%         59%    58%
                                         60%                                                       56%
                                                                                                                                    46%
                                                                                                                                            38%   40%
                                         40%                                                                   35%     34%                              33%

                                         20%
                                                                                                                                                              5%   5%                         7%
                                                                                                                                                                           5%
                                         0%
                                                Weight       BP          Eating               Stress               Sleep             Exercise       Chol.     Tobacco          Alcohol
                                                                                               Past, Adj      Current, Adj

n=1,955
*Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight; Results were adjusted for                                                                              12
eating, exercise, sleep and stress. No adjustments were made to biometric risks, tobacco or alcohol.
Updated 1/20/2020                                                                                                                                                       ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin DM Coaching Risk
Change, 2019 vs. 2020, Adjusted Comparison
•    The average number of health risks* decreased from 3.72 to 3.66, or a 1.4% improvement.
•    As anticipated, health coaching participants has greater risk burden compared to the overall population and
     experienced more favorable risk improvements.

                                     100%

                                               82%
                                                     79%
                                         80%
             At risk (moderate & high)

                                                                 69%
                                                           62%
                                         60%                           56%    57%          55%     53%
                                                                                                                                    48%
                                                                                                                                            41%
                                         40%                                                                   38%     37%

                                                                                                                                                  23%
                                                                                                                                                        20%
                                         20%

                                                                                                                                                              4%   5%      3%                 5%
                                         0%
                                                Weight       BP          Eating               Stress               Sleep             Exercise       Chol.     Tobacco          Alcohol
                                                                                               Past, Adj      Current, Adj

n=757
*Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight; Results were adjusted for                                                                              13
eating, exercise, sleep and stress. No adjustments were made to biometric risks, tobacco or alcohol.
Updated 1/20/2020                                                                                                                                                       ©The StayWell Company, L.L.C. All rights reserved.
Group Details – 2019 vs. 2020
HA period                                         Overall HA Cohort                 LM Coaching Cohort      DM Coaching Cohort
   Current (My StayWell Platform)             1/4/2020 to 12/29/2020              1/4/2020 to 10/21/2020   1/6/2020 to 12/28/2020
   Past (Connext Platform)                    1/3/2019 to 12/18/2019               1/3/2019 to 12/4/2019   1/3/2019 to 10/22/2019
   Average time between HAs                            1.0 years                            1.0 years            1.0 years
Repeat HA participants                                  38,254                                1,955                 757
Average age                                           47.2 years                            54.2 years           58.2 years
Gender                                        41% male, 59% female*               39% male, 61% female     45% male, 54% female
*May not add to 100% due to Other (0.0%) and Prefer not to answer (0.2%) response options

Due to the differences between the health assessments administered in 2019 and 2020 (i.e., question sets, scoring
algorithms), lifestyle risk definitions were adjusted to enable comparisons.
    •   We looked for consistency in questions and defined risk accordingly.
    •   As much as possible, we kept as much consistency between the definitions, and kept the definitions close to
        evidence-based guidelines and validated definitions.
    •   Risk change patterns were further compared to book of business risk-change data; significant outliers were
        adjusted.
                                                                                                                                                                                   14

                                                                                                                              ©The StayWell Company, L.L.C. All rights reserved.
2021 Updates

                                                                    15

               ©The StayWell Company, L.L.C. All rights reserved.
Program Year 5 Updates
•   Successful transition to the WebMD ONE Platform 1/4/2021
•   Review current engagement metrics
•   Goals and objectives for 2021:
     •   Regain program momentum, post-COVID and achieve at least 50,000 participants who earn
         the $150 incentive.
     •   Close the gap of those who are completing two of the three steps.
     •   Audit performance guarantees on a monthly basis.
     •   Achieve more than 5,000 participants in one Well WI Radio session.
     •   Plan and implement the launch of a few pilots focusing on products that touch on the key risk
         areas within the WI population (text-based coaching, financial services program, stress and
         resiliency program, retiree outreach, etc.)
     •   Monitor new portal satisfaction metrics.

                                                                                                                                               16

                                                                                          ©The StayWell Company, L.L.C. All rights reserved.
Questions?

             ©The StayWell Company, L.L.C. All rights reserved.
Appendix

                                                                18

           ©The StayWell Company, L.L.C. All rights reserved.
Employee HA Participation
Overall, Wisconsin had strong participation, with variability across the groups with the
health assessment completion.
                                               Health Assessment Participation
45.0%
                                42.3%                 42.1%
40.0%
                                                                           35.0%
35.0%        34.0%

30.0%

25.0%

20.0%
                                                                                                                             17.0%
                                                                                                 14.7%
15.0%

10.0%

5.0%

0.0%
        All EE N=110,069   State EE N=35,816    UW EE & GA N=33,293   Local EE N=10,648   State Retiree N=28,204   Local Retiree N=2,108

                                                                                                                                                                             19

                                                                                                                        ©The StayWell Company, L.L.C. All rights reserved.
Employee Health Check Participation
The State and UW Groups remain the most engaged across all groups.

                                                Health Check Completion
40.0%
                                36.4%                36.6%
35.0%
                                                                          30.5%
30.0%        29.5%

25.0%

20.0%
                                                                                                                           15.3%
15.0%                                                                                           12.9%

10.0%

5.0%

0.0%
        All EE N=110,069   State EE N=35,816   UW EE & GA N=33,293   Local EE N=10,648   State Retiree N=28,204   Local Retiree N=2,108

                                                                                                                                                                            20

                                                                                                                       ©The StayWell Company, L.L.C. All rights reserved.
Employee HA and Health Check Participation

                                      Health Assessment & Health Check Completion
40.0%
                                36.0%                36.3%
35.0%

                                                                          30.1%
30.0%        29.1%

25.0%

20.0%

                                                                                                                           15.1%
15.0%
                                                                                                12.6%

10.0%

5.0%

0.0%
        All EE N=110,069   State EE N=35,816   UW EE & GA N=33,293   Local EE N=10,648   State Retiree N=28,204   Local Retiree N=2,108

                                                                                                                                                                            21

                                                                                                                       ©The StayWell Company, L.L.C. All rights reserved.
Employee Activity Participation
                                               Wellbeing Activity Completion
50.0%

45.0%                           43.0%                42.6%

40.0%
             34.5%                                                        35.5%
35.0%

30.0%

25.0%

20.0%                                                                                                                      17.4%
                                                                                                15.0%
15.0%

10.0%

5.0%

0.0%
        All EE N=110,069   State EE N=35,816   UW EE & GA N=33,293   Local EE N=10,648   State Retiree N=28,204   Local Retiree N=2,108

                                                                                                                                                                            22

                                                                                                                       ©The StayWell Company, L.L.C. All rights reserved.
Health Risk Definitions
• Alcohol & Tobacco: Tobacco user; or score of 2+ on alcohol index including: drinks per sitting (4+F/5+M), 15+ drinks
  per day, recent attempt to quit excessive drinking, suggestion by another to cut down on drinking.
• Depression: Felt significantly depressed now or in last 7 days, or prescribed/taking medication for depression.
• Eating: Score of 3+ on index including servings of: fruits, vegetables, fast food, fried food, high-fiber food, processed
  meat, high-fat dairy or meat, sugary or diet soda, and water.
• Exercise: Mostly sedentary lifestyle; or less than 2 days per week of: moderate-intensity exercise for 30 minutes,
  vigorous exercise for 30 minutes, or strength-building activity for 15 minutes.
• Sleep: Trouble sleeping in last 7 days, fell asleep while driving in last 3 months, averaged less than 6 hours/night of
  sleep in last 30 days, currently feeling very sleepy, or prescribed/taking sleep medication.
• Stress: Score of 13+ on 10-question weighted index of perceived stress and coping ability.
• Weight: BMI of >18.5 or >24.9.

Minimum reporting requirements: 50 HA Completions
                                                                                                                                                                   23

                                                                                                              ©The StayWell Company, L.L.C. All rights reserved.
Healthy Behavior Definitions
Eating Risk: Healthy Behaviors
• Fruits & Vegetables – 5 or more per day.
• High-Fiber Food – Always/very often eat whole-grain breads, cereals, beans, etc., each day.
• Red or Processed Meat – 3 or fewer servings of red meat per week and always/very often avoid deli meats like corned beef, pastrami,
• sausages and hot dogs.
• Fried Foods – Never/almost never eat French fries, fried potatoes or other fried foods.
• Soda – 1 or fewer days per week of drinking a 12 oz. serving of regular or diet soda.

Physical Activity Risk: Healthy Behaviors
• Activity Level – Active (on my feet most of the day).
• Moderate Activity – 30 or more minutes of moderate-intensity activity, 5 or more days per week.
• Vigorous Activity – 20 or more minutes of vigorous activity, 4 or more days per week.

Stress Risk: Healthy Behaviors
• Stress Level – Life is not at all, slightly or somewhat stressful.
• Coping Skills – Coping skills are quite or extremely effective.

Sleep Risk: Healthy Behaviors
• Sleep Satisfaction – Always/often satisfied with sleep in the last 7 days.

Minimum reporting requirements: 50 HA Completions                                                                                                                          24

                                                                                                                      ©The StayWell Company, L.L.C. All rights reserved.
Weight Management
          State of WI employees typically avoid fried food and soda, but there’s an opportunity to increase fruit and
          vegetable consumption, as well as whole grain/high fiber foods. While nutrition is a key foundation for
          weight management, additional opportunity to increase physical activity.

                                                                           Weight Healthy Behaviors
                           96%

                                 92%

              100%
                                              67%

               75%
                                                    59%

                                                                                                                                 59%
                                                                                                                           58%

                                                                                                                                            50%

                                                                                                                                                  49%
                                                           46%

                                                                                                                                                            45%
                                                                            44%

                                                                                                  43%
                                                                 41%

                                                                                  39%

                                                                                                                                                                  39%
               50%

                                                                                                           34%

                                                                                                                                                                                       31%

                                                                                                                                                                                                     29%
               25%

                0%
                       Avoid Fried Foods     Avoid Soda   Eat Fruits &    Avoid Red or         Eat High-Fiber          Strength Training   Stretching   Moderate Activity   Vigorous Activity
                                                          Vegetables     Processed Meat            Foods

                                                                                        Total (n=52,904)         BoB

Minimum reporting requirements: 50 HA Completions                                                                                                                                                                                25

                                                                                                                                                                            ©The StayWell Company, L.L.C. All rights reserved.
Weight Management: Biometric Values
           State of WI’s outcomes are in line with the StayWell book of business in order of risk
           areas, but consistently lower than or comparable to the prevalence.

                                                       Screening Risk Prevalence (Clinically Collected), Total & By Eligible Type
            100%
                                         73%
                       67%

                                   67%
                             66%

             75%                                                 62%
                                                     57%
                                                           57%
                                               57%

             50%

                                                                                             37%
                                                                           35%

                                                                                       34%

                                                                                                          32%

                                                                                                                      31%
                                                                                                                30%
                                                                                                    29%
                                                                                 29%

                                                                                                                                                28%
                                                                                                                              28%

                                                                                                                                          28%
                                                                                                                                    26%

                                                                                                                                                            26%

                                                                                                                                                                                                26%
                                                                                                                                                                  24%
                                                                                                                                                      23%

                                                                                                                                                                              22%
                                                                                                                                                                                    22%
                                                                                                                                                                                          22%

                                                                                                                                                                                                            21%

                                                                                                                                                                                                                        21%
                                                                                                                                                                        20%

                                                                                                                                                                                                                  19%
                                                                                                                                                                                                      18%

                                                                                                                                                                                                                                                                   18%
             25%

                                                                                                                                                                                                                                      14%

                                                                                                                                                                                                                                                         14%
                                                                                                                                                                                                                                                14%
              0%
                              BMI              Blood Pressure                Waist Size            Total Cholesterol                HDL                 Glucose               Triglycerides                  LDL                          Metabolic
                                                                                                                                                                                                                                          Syndrome
                                                                       Employees (n=3,618-16,235)                     Spouses (n=839-6,705)           Total (n=4,457-22,940)                BoB

Minimum reporting requirements: 50 HA Completions                  Waist Risk: > 40M; >35F                            LDL: >130                                                                                                                                                    26
                                                                   Blood Pressure Risk: >120; >80                     Total Cholesterol: >200
                                                                   HDL: 140M                                                                                   ©The StayWell Company, L.L.C. All rights reserved.

                                                                                                                      Metabolic Syndrome: 3+ risks
Weight Management: Risk Prevalence
by Age Group and Sex
The State of WI remains lower than the StayWell BoB in all age and sex categories,
with men consistently higher BMI risk levels when compared to females.

                                                                            BMI Risk Prevalence by Age Group & Sex
100%

                                                                                                                                                          84%
                                                                                                                82%

                                                                                                                                                                                              81%
                                                                                                                                                    79%
                                                                            76%

                                                                                                          76%

                                                                                                                                                                                        75%

                                                                                                                                                                                                                                                   75%
                                                                                                                                      71%
                                                                                            71%

                                                                                                                                                                          70%
                                                                      69%

                                                                                                                                                                                                                                        68%
                                                                                                                                                                                                              67%
                                        67%

 75%

                                                                                                                            66%
                                                        65%

                                                                                  63%

                                                                                                                                                                61%
                     58%

                                              58%

                                                                                                                                                                                                    57%
                                  56%
           51%

 50%

 25%

  0%
                 F                  M               F                   M               F                   M                     F                   M               F                   M               F                                   M
                           < 30                               30-39                               40-49                                     50-59                               60-69                                  ≥ 70
                                                                                                                WI    BoB

*Underweight (1%-2%) and normal weight are not shown.
                                                                                                                                                                                                                                                                   27

                                                                                                                                                                                                              ©The StayWell Company, L.L.C. All rights reserved.
Mental Health: Stress Risk Prevalence
        by Age Group and Sex
         The State of WI has consistently higher stress risk levels in all age groups within the female
         population when compared to the book-of-business.
                                                                                  Stress Risk Prevalence by Age Group & Sex
         100%

          75%
                     58%

                                                        52%
                               50%

                                                                                            48%
                                            47%

                                                                  44%

                                                                                43%
          50%

                                                                                                      40%

                                                                                                                    39%

                                                                                                                                      38%
                                                  35%

                                                                                      33%

                                                                                                                                                31%
                                                                                                                          30%

                                                                                                                                                              30%

                                                                                                                                                                          27%

                                                                                                                                                                                                              25%
                                                                                                                                                                                    25%
                                                                                                                                                                    22%

                                                                                                                                                                                                                        21%
                                                                                                                                                                                                  20%
                                                                                                                                                                                                        17%

                                                                                                                                                                                                                                                17%
          25%

                                                                                                                                                                                                                                                           15%
           0%
                           F                  M               F                   M               F                   M                     F                   M               F                   M               F                                  M
                                     < 30                               30-39                               40-49                                     50-59                               60-69                                 ≥ 70
                                                                                                                          WI    BoB

Minimum reporting requirements: 50 HA completions                                                                                                                                                                                                                             28

                                                                                                                                                                                                                         ©The StayWell Company, L.L.C. All rights reserved.
Weight Management:
    Key Recommendations
    With 65% of participants at-risk for weight, we need to continue to support State of WI participants with a
    multi-pronged approach to weight management

Competitions and Campaigns                     Leverage Ambassador Team                        Expand Benefits Awareness
•    Utilize competitions and              •    Assign an ambassador to each office        •    Ensure employees are aware of
     communications to encourage healthy        location to host healthy potlucks and           offerings such a health coaching,
     eating, such a fruits and vegetable        lunch and learns at office locations,           available group coaching opportunities,
     competition with accompanying              encouraging virtual options for remote          etc.
     events and resources.                      employees especially with the continued    •    Provide targeted communications
•    Encourage employees through daily          pandemic.                                       regarding applicable benefits during
     habit checklists to ensure they’re    •    Encourage ambassadors to share                  nutrition campaigns.
     eating nutritiously, which can be          healthy recipes and nutrition content in
     posted on the portal and onsite.           communications.

                                                                                                                                                                           29

                                                                                                                      ©The StayWell Company, L.L.C. All rights reserved.
Mental Health:
    Key Recommendations
    With higher rates of stress risk compared to the StayWell BoB, StayWell recommends supporting mental
    health awareness and highlighting appropriate resources for State of WI employees

        Competitions and                       Leverage Ambassador                                Expand Benefits
          Campaigns                                   Team                                          Awareness
•    Partner with WebMD to launch a        •   Engage ambassadors to host lunch and      •   Ensure employees are aware of EAP
     mental health awareness campaign.         learns regarding stress management            resources, such as therapy sessions.
•    Encourage employees to track their        tactics and leverage available benefits   •   Provide targeted communications
     mindful minutes, walks, and stretch       offerings.                                    regarding applicable benefits during
     breaks.                               •   Encourage ambassadors to send out             mental health awareness campaigns
•    Provide breathing, meditation, and        calendar holds for daily walks or brain   •   Share coping skills such as mindfulness
     sleeping resources for employees          breaks to those in their community or         techniques, particularly during the
                                               office.                                       COVID-19 pandemic.
                                                                                                                                                                       30

                                                                                                                  ©The StayWell Company, L.L.C. All rights reserved.
HA Instrument Change

                                                                            31

                       ©The StayWell Company, L.L.C. All rights reserved.
Risk Definitions
                                          Low-Risk Definition                                          Primary Consideration
Alcohol             Males: 14 or fewer drinks per week                                  Total number of alcoholic drinks per week
                    Non-males: 7 or fewer drinks per week

Blood pressure      Systolic < 120 mmHg and diastolic < 80 mmHg                         Systolic and diastolic blood pressure
Cholesterol         Total cholesterol < 200 mg/dL                                       Total cholesterol

Nutrition           5 or more servings of fruits and/or vegetables per day              Total number of fruits and vegetables per day, on
                                                                                        average
Physical activity   150+ minutes of moderate-intensity activity, or 75+ minutes of      Total physical activity minutes per week
                    vigorous-intensity activity, or an equivalent combination of both
Sleep               Age 18-64: reports between 7 and 9 hours of sleep per night         Hours of sleep per night
                    Age 65+: reports 7 or 8 hours of sleep per night
Stress              Reports “quite effective” or better at dealing with stress and      Stress level and ability to deal with stress
                    that their life is “somewhat stressful” or less
Tobacco             Reports no tobacco use                                              Any form of tobacco use

Weight              Body Mass Index of 18.5+ or less than 25.0                          Body Mass Index

                                                                                                                                                                                     32

                                                                                                                                ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Risk Change by Employee
                      Type, 2019 vs. 2020, Adjusted Comparison
                                                         State Employee n=15,426                                                                                                                    State Retiree n=4,739
                                                2.4% risk improvement* from 3.58 to 3.50 risks                                                                                          4.5% risk improvement* from 3.21 to 3.07 risks
                     100%                                                                                                                                      100%

                            80%                                                                                                                                       80%
                                  72%
                                        71%
At risk (moderate & high)

                                                                                                                                          At risk (moderate & high)

                                                                                                                                                                                               66%
                                                                                                                                                                            65%

                                                                                                                                                                                         65%
                                                                                                                                                                                  62%
                                                    58%

                                                          56%
                                                                55%
                                              55%

                                                                      55%

                            60%                                                                                                                                       60%
                                                                            53%

                                                                                                                                                                                                           51%
                                                                                                                                                                                                     50%
                                                                                              42%

                                                                                                                                                                                                                                                         38%
                                                                                                                                                                                                                 38%
                                                                                                          36%
                                                                                                    36%

                                                                                                                                                                                                                       35%
                                                                                        35%
                                                                                  34%

                            40%                                                                                                                                       40%

                                                                                                                                                                                                                                                                   33%
                                                                                                                                                                                                                                         30%
                                                                                                                30%

                                                                                                                                                                                                                             26%

                                                                                                                                                                                                                                               23%
                                                                                                                                                                                                                                   22%
                            20%                                                                                                                                       20%

                                                                                                                                                                                                                                                                                                               12%
                                                                                                                                                                                                                                                                                                          6%
                                                                                                                                     6%
                                                                                                                           6%
                                                                                                                      5%

                                                                                                                                4%

                                                                                                                                                                                                                                                                                             3%
                                                                                                                                                                                                                                                                                   2%
                            0%                                                                                                                                        0%
                                  Weight       BP         Eating      Stress      Sleep       Exercise    Chol.       Tobacco Alcohol                                       Weight        BP         Eating      Stress      Sleep       Exercise          Chol.                Tobacco Alcohol

                                                                       Past, Adj              Current, Adj                                                                                                        Past, Adj              Current, Adj

                       *Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight
                       Updated 1/20/2020                                                                                                                                                                                                                                                                             33

                                                                                                                                                                                                                                                     ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Risk Change by Employee
                      Type, 2019 vs. 2020, Adjusted Comparison
                                                          Local Employee n=3,752                                                                                                                    Local Retiree n=278
                                                1.9% risk improvement* from 3.60 to 3.53 risks                                                                                          2.9% risk improvement* from 3.55 to 3.44 risks
                     100%                                                                                                                                      100%

                                                                                                                                                                            77%
                                                                                                                                                                                  75%
                                  75%
                                        73%

                            80%                                                                                                                                       80%

                                                                                                                                                                                               70%
                                                                                                                                                                                         67%
At risk (moderate & high)

                                                                                                                                          At risk (moderate & high)

                                                                                                                                                                                                           61%
                                                                59%
                                                    59%

                                                          59%
                                              58%

                                                                                                                                                                                                     55%
                            60%                                                                                                                                       60%
                                                                      53%
                                                                            52%

                                                                                                                                                                                                                                                         45%
                                                                                                                                                                                                                 42%
                                                                                              38%

                                                                                                          37%

                                                                                                                                                                                                                       37%
                                                                                                    34%
                            40%                                                                                                                                       40%
                                                                                        33%

                                                                                                                                                                                                                                                                   33%
                                                                                                                                                                                                                                         32%
                                                                                  31%

                                                                                                                30%

                                                                                                                                                                                                                                   28%
                                                                                                                                                                                                                             28%

                                                                                                                                                                                                                                               27%
                            20%                                                                                                                                       20%

                                                                                                                                                                                                                                                                                                               7%
                                                                                                                           7%

                                                                                                                                     7%

                                                                                                                                                                                                                                                                                             6%
                                                                                                                      6%

                                                                                                                                                                                                                                                                                                          5%
                                                                                                                                5%

                                                                                                                                                                                                                                                                                   4%
                            0%                                                                                                                                        0%
                                  Weight       BP         Eating      Stress      Sleep       Exercise    Chol.       Tobacco Alcohol                                       Weight        BP         Eating      Stress      Sleep       Exercise          Chol.                Tobacco Alcohol

                                                                       Past, Adj              Current, Adj                                                                                                        Past, Adj              Current, Adj

                       *Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight
                       Updated 1/20/2020                                                                                                                                                                                                                                                                            34

                                                                                                                                                                                                                                                     ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Risk Change by Employee
                      Type, 2019 vs. 2020, Adjusted Comparison
                                                           UW Employee n=12,456                                                                                                                  UW Grad Assistant n=1,563
                                                4.0% risk improvement* from 3.30 to 3.17 risks                                                                                          3.1% risk improvement* from 2.91 to 2.860 risks
                     100%                                                                                                                                      100%

                            80%                                                                                                                                       80%

                                                                                                                                                                                                                       68%
                                                                                                                                                                                                                 67%
At risk (moderate & high)

                                                                                                                                          At risk (moderate & high)
                                  63%
                                        62%

                                                                      56%

                                                                                                                                                                                                     55%
                                                                            54%
                            60%                                                                                                                                       60%
                                                    53%

                                                                                                                                                                                                           52%
                                                          51%
                                              51%

                                                                49%

                                                                                                                                                                                                                                         42%
                                                                                                                                                                                               40%
                                                                                                                                                                            40%
                                                                                                                                                                                  39%
                                                                                              38%

                                                                                                          37%

                                                                                                                                                                                         37%

                                                                                                                                                                                                                                               35%
                            40%                                                                                                                                       40%

                                                                                                    31%

                                                                                                                31%
                                                                                        27%
                                                                                  27%

                                                                                                                                                                                                                                                         24%
                                                                                                                                                                                                                                   23%
                                                                                                                                                                                                                             22%

                                                                                                                                                                                                                                                                   19%
                            20%                                                                                                                                       20%

                                                                                                                                     7%

                                                                                                                                                                                                                                                                                                               5%
                                                                                                                                4%
                                                                                                                           3%
                                                                                                                      3%

                                                                                                                                                                                                                                                                                   2%

                                                                                                                                                                                                                                                                                                          2%
                                                                                                                                                                                                                                                                                             2%
                            0%                                                                                                                                        0%
                                  Weight       BP         Eating      Stress      Sleep       Exercise    Chol.       Tobacco Alcohol                                       Weight         BP        Eating      Stress      Sleep       Exercise          Chol.                Tobacco Alcohol

                                                                       Past, Adj              Current, Adj                                                                                                        Past, Adj              Current, Adj

                       *Based on 9 health risks: alcohol use, blood pressure, cholesterol, eating, exercise, sleep, stress, tobacco, weight
                       Updated 1/20/2020                                                                                                                                                                                                                                                                            35

                                                                                                                                                                                                                                                     ©The StayWell Company, L.L.C. All rights reserved.
State of Wisconsin Risk Change, 2019
vs. 2020, Unadjusted Comparison
                        100%

                            80%
 At risk moderate + high)

                                  67%

                                        66%

                                                                                     55%
                                              54%

                                                           53%
                            60%

                                                                       52%
                                                                 50%
                                                     42%

                                                                                                       36%
                                                                                                 33%
                            40%

                                                                               30%

                                                                                           26%
                            20%

                                                                                                                                               7%
                                                                                                                           5%
                                                                                                                     4%
                                                                                                                4%
                            0%
                                  Weight        BP    Eating      Stress        Sleep      Exercise     Chol.   Tobacco       Alcohol

                                                                        Past     Current

                                                                                                                                                                               36

                                                                                                                          ©The StayWell Company, L.L.C. All rights reserved.
My StayWell BoB – Risk Change,
Adjusted Data
                              100%
      At risk (moderate & high)
                                  80%

                                                       57%
                                        56%
                                  60%

                                                             49%

                                                                            49%

                                                                                                          42%
                                                                                            40%

                                                                                                                37%

                                                                                                                         37%
                                  40%

                                  20%

                                  0%
                                              Eating               Stress                         Sleep           Exercise
                                                                     Past         Current

                                                                                                                                                                                    37

                                                                                                                               ©The StayWell Company, L.L.C. All rights reserved.
Spouse Findings

                                                                       38

                  ©The StayWell Company, L.L.C. All rights reserved.
Spouse HA and Health Check
Participation
                                                   HA & Health Check
30.0%
                                                    27.2%
                               25.7%
25.0%
            22.6%                                                        22.3%

20.0%

15.0%
                                                                                                11.9%
                                                                                                                             11.2%
10.0%

5.0%

0.0%
        All SP N=56,027   State SP N=19,571   UW & GA SP N=16,727   Local SP N=6,766   State Retiree SP N=12,153   Local Retiree SP N=810

                                                                                                                                                                             39

                                                                                                                        ©The StayWell Company, L.L.C. All rights reserved.
Spouse Program Participation
                                                                                  Spouse Program Participation
35.0%

                                                                                  29.5%                29.8%
30.0%                                                             28.3%
                                             28.0%
                                                                                          27.4%27.2%
                                                     25.9%25.7%                                                26.4%
        24.6%                24.8%                                        24.9%                                             24.4%                24.7%
25.0%
                22.7%22.6%                                                                                                          22.5%22.3%
                                     21.8%                                                                                                               21.6%

20.0%

15.0%                                                                                                                                                              13.2%                13.3%
                                                                                                                                                                           12.0%11.9%                   12.2%                        12.3%
                                                                                                                                                                                                11.4%           11.2%11.2%                       10.9%
10.0%

5.0%

0.0%
           All SP N=56,027                     State SP N=19,571                  UW & GA SP N=16,727                          Local SP N=6,766                   State Retiree SP N=12,153             Local Retiree SP N=810
                                              HA          Health Check            HA & Health Check                    Activity Completion               HA, Health Check & Activity

                                                                                                                                                                                                                                                                      40

                                                                                                                                                                                                                 ©The StayWell Company, L.L.C. All rights reserved.
41

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