Religious Institution: Saddleback Church
• The Daniel Plan, named after the biblical character,
encouraged congregants to work together to lose
• Plan focused on “knowing your five”: weight, waist
size, blood pressure, cholesterol, and blood sugar.
• 15,000 people registered for the program and 250,000
pounds were lost in one year.
• “The secret sauce of Saddleback is we do this as a
community. It's very different than most health plans
where you do it with yourself or your wife. You get to do
this with a whole community.“
Government Wellness: State of Nebraska
• One of the first US states to launch an integrated health
coverage plan tied to wellness program participation, called
The Wellness Plan, for state employees.
• Program motto: “Wellness is a journey we take together.”
• Discounted health care premiums and comprehensive
preventive coverage offered to those who completed 3
Wellness Plan steps:
• Enroll in choice of wellness program (walking
program, coaching, weight management program, or fitness
• Complete biometric screening
• Complete online HRA
• In 2012, The Wellness Plan enjoyed at 42% engagement
rate and a 99% satisfaction rate. Risk factors per
participant also decreased.
Large Employer: KeyBank
• Sought a social solution to unite and activate a dispersed
and largely rural workforce.
• KeyBank partnered with ShapeUp to offer its 15,000
employees team-based physical activity challenges.
• Wellness program also included HRAs, wellness coaching,
onsite health activities, and the promotion of physical
• 3 goals for program:
• Alert employees of individual risk factors
• Teach them how to change their behavior
• Provide assistance where needed
• Offered employees $600 wellness credit to those who
completed HRA, had physical exam, and participated in
wellness activity, like ShapeUp.
• ShapeUp led to 56% engagement, average weight loss of
What These Programs Have In Common
• Strong Social Component: These wellness programs
successfully turned wellness into a shared journey rather
than a solo mission.
• Robust Education: To encourage long-term, sustained
change, they understood that participants must know
their own risk factors and learn ways to manage them.
• Powerful Incentives: These programs adeptly
leveraged financial rewards and other types of incentives
to drive participation and outcomes.