world congress rewardinghlthybehaviors_013013
DESCRIPTION
Overview of Wellvolution; Blue Shield of California's next generation wellness solution. The wellness 1.0 model, focused on risk identification and information transfer is broken. Our wellness 2.0 solution makes wellbeing rewarding, easy, social, fun, iconic and real. Employing rapid cycle prototyping and leading edge academic theories (e.g. behavioral economics, social cohesion, gamification, etc.) Wellvolution consistently delivers market leading engagement, health outcomes and financial returns. Our vision: do it different, make a difference!TRANSCRIPT
page 1
Do it different. Make a difference.Bryce Williams
January 30, 2012
@brycecwilliams
page 2
two roads converging
Source: D. Ornish, M.D.
page 3
living longer, living sicker
0%
10%
20%
30%
40%
50%
60%
Men Women
U.S. Smoking Trends (1965-2006)
Source: CDC Health, United States
0%
10%
20%
30%
40%
50%
18-29 Yrs 30-44 Yrs 45-64 Yrs 65+ Yrs
U.S. Obesity Trends (1971-2006)
1965 20061990 1971 20061990
page 4
wellness 1.0
risk identification
information transfer
marginal impact
page 4
page 5
information rich, knowledge poorquantity of global digital data, exabytes
page 5
1,000 (kilo)1,000,000 (mega)1,000,000,000 (giga)1,000,000,000,000 (tera)1,000,000,000,000,000 (peta)1,000,000,000,000,000,000 (exa)1,000,000,000,000,000,000,000 (zetta)1,000,000,000,000,000,000,000,000 (yotta)
1302005
1,2272008
2,7202010
7,9102015
Source: EMC/IDC Digital Universe Study, 2011
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wellness 2.0 makes it…
Wellness 2.0
Easy
Rewarding
Fun
IconicSocial
Real
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make it rewarding: the basicsI. forget cash…link to benefits…seize the 20%
II. embrace outcomes…show compassion
III. perfect is the enemy of the good
$0
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Low Risk Med Risk High Risk
Medical/Pharma Absence Workers Comp S-T Disability
Source: Wright, Beard, Edington. JOEM. 44(12):1126-1134, 2002.Source: Bray et al. West J Med 1988;149:429–41.
BMI & Mortality Risk Health Risks & Costs
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make it rewarding: behavioral economics
Weight Watchers Participation (1Q)
0
100
200
300
400
500
600
2009 2010 2011 2012
Discount
Reimbursement
Behavioral Economics
page 9
make it rewarding: social cohesionCalPERS - Social Incentives
0%
20%
40%
60%
80%
100%
DPH CalSTRS SCO
Traditional Incentives
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make it easy
Source: Wansink et al, NY Times, 2010
Putting salad bar near checkout
tripled sales!
Putting fruit in attractive bowls doubled sales!
page 11page 11
page 12
make it social: the basics
page 13Source: Massive Health; Christakis et al, NEJM, 2007
page 14
make it social: shape up shield
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shape up shield: trends
0
200
400
600
800
1000
1200
1400
SUS1 SUS2 SUS3 SUS4
Parti
cip
ant
s
Alumni Newbies
social wellness is:
“sticky” - significant alumni retention
“viral” – strong newbie adoption
“popular” – one program = 40% of BSC employees
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shapeupshield: week 2 vs. week 8
0
5
10
15
20
25
30
35
<10,000 10,000-19,999
20,000-29,999
30,000-39,999
40,000-49,999
50,000-59,999
60,000-69,999
>70,000
Steps/Indiv idual/Week
# o
f Tea
ms
Week 2 Week 8
Insight: marked increase in physical activity as the challenge progressed
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shapeupshield: team performance
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
1 8 15 22 29 36 43 50 57 64 71 78 85 92 99 106 113 120 127
Team #
Cum
ulat
ive
Step
s/Pa
rtici
pant Turned On
Tuned Out
Insight: top teams consistently employed behavioral best practices (goal setting, group activities, peer coaching, loss aversion)
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shape up shield: high performance
Teams Averaging >10K Steps/Day
0
3
6
9
12
15
18
1Q2011 1Q2012
Avg Steps/Day - "Winning" Team
0
3000
6000
9000
12000
15000
18000
1Q2011 1Q2012
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HR - total HR - components companywide
71%
72%
92%
89%
90%
90%
2012 medical plan discount
2011 health day off
wellness assessment
biometric screening
wellnessgoals & programs
annual preventive
visit
HR – by locationSF
EDH
OTHER
93%67%
93%75%
67%100%
Way to lead by
example! #1 in
Medical Plan
Discount! Great
job!
2012 medical plan discount
40%
55%
70%
85%
100%
ITISGBU
eBusiness
Customer OpsHCS
Network M gmt
MarketingLega l
Shield Advance LGSBFinance
CPLPSBiz R
eadinessFoundatio
nCorporate HRBSC To tal
2011 health day off
20%
40%
60%
80%
100%
ITISGBU
Customer Ops
eBusiness HCSLega l
Marketing
Shield Advance
Network MgmtCPLPS
LGSBBiz R
eadinessFinance HR
Foundation
CorporateBSC To tal
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connectedness & health
Illness
Wellness
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let’s face it…we love…
we hate…
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gamification & the hype curve
Source: Gartner, Inc.
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make it fun
page 23
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daily challenge: researchEngagement & Social Connection
Source: Poirier, J & Cobb, N; J Med Internet Res 2012
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daily challenge: early returns
110,000 Challenges
90% Retention
2/3 w/ >1 “Friends”
1/4 w/ >8 “Friends”
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make it fun
page 27
make it iconic: brand anti-matter
page 27
page 28page 28
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make it iconic: brand matters
page 29
page 30
make it iconic
page 30
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make it real: engagement matters
0%
15%
30%
45%
60%
75%
90%
2004 2005 2006 2007 2008 2009 2010 2011 2012
Wellness Assessment Biometrics Health Goals/Program
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low risk employees
better choices; better outcomes
page 32
2008 201158%
73%
2009 2010
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better choices; better outcomesregular exercise
page 33
2008 201142%
56%
2009 2010
page 34page 34
make it real: outcomes matter
page 34
smoking
12%
9%
8%6%
2008 20112009 2010 2012
6%
page 35page 35page 35
make it real: outcomes matter
page 35
2009 2011
hypertension
2010
24%
10%
24%
2012
10%
page 36page 36
million annual cost savings
per employee
improving financials
ROI
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Join the Wellvolution:
on Twitter @brycecwilliams
on slideshare @ Bryce Williams