HealthCheck360 was created in 2007 to focus on health risk management and is a subsidiary of a medical management firm. It uses a 5-step system to identify and quantify individual health risks, motivate individuals to reduce risks, provide risk mitigation tools, and track outcomes. This includes personalized biometric screenings, a proprietary health scoring system, incentive programs, engagement programming, and customized reporting to lower costs and improve health for clients.

1. Create value by providing a total health risk
management solution with innovative programs to
reduce risk, improve health, lower costs and drive
financial accountability in our client populations.

2. About HealthCheck360°
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Proprietary & Confidential
• Created in 2007 to change focus of wellness industry to
health risk management
• Subsidiary of medical management firm HealthCorp
• Natural evolution of 20+ years of experience in:
– Health improvement and behavior change
– Chronic condition management
– Managing over 100,000+ employee lives

3. 1. Risk Identification
2. Risk Quantification
3. Motivation to Reduce Risk
4. Risk Mitigation Tools
5. Risk Management Scorecard
1. Personalized Biometric Screening Solutions
2. Proprietary Objective Scoring System
3. Outcome Based Incentive Models
4. Data Driven Engagement and Programming
5. Custom, Client Specific Reporting & Analytics
HealthCheck360° System
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Proprietary & Confidential

4. 1. Personalized Biometric Screening Solutions
Key components:
• National Reach
• Consistent and flexible experience
• Dedicated Account management
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Proprietary & Confidential

5. 5
Proprietary & Confidential
1. Personalized Biometric Screening Solutions

6. The HealthCheck360° participant experience is
consistent and flexible:
– Onsite (large and small)
– Individual (at home or work)
– Walk-in (clinic option)
Proprietary & Confidential 6
1. Personalized Biometric Screening Solutions

7. Dedicated Account Management
• Consult on effective incentives,
scheduling, and processes
• Customized implementation guide
and timeline
• 8-10 week pre-event employee
communication plan
Proprietary & Confidential 7
1. Personalized Biometric Screening Solutions

8. You Don’t Know What You Don’t Know
Biometric Screening Findings
• 111 with glucose in diabetic range
• 580 with glucose in pre-diabetic
range
• 549 individuals with elevated
systolic and diastolic blood
pressure readings
• 815with elevated cholesterol
• 883 with BMI readings > 30, of
which 396 (44.8%) are also pre-
diabetic
Claims Information
• 50 have claims with a diagnosis
suggesting diabetes or pre-
diabetes
• 78 have claims with a diagnosis
suggesting hypertension
• 98 individuals have claims with a
diagnosis suggesting being at risk
of a heart attack
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Proprietary & Confidential
N = 1,750 Mfg Firm

9. 2. Proprietary Objective Scoring System
• Easy to understand 0-100
scale
• No self-reported
information
• Correlated to all major cost
drivers
• Motivates change at all
levels
• Developed and reviewed
by physicians
Proprietary & Confidential 9

10. What moves people to change?
21%
48%
56%
63%
73%
91%
0% 20% 40% 60% 80% 100%
Co-worker inspired change
Illness of friend/family
Spouse was improving health
Taking online HRA
Want to pay lower insurance
premiums
Receiving Biometric data
Somewhat agree, Agree and Strongly Agree
Biometrics and
premium incentives
are much more
influential than
online HRA or
personal events in
influencing decision
to improve health.
10
Proprietary & Confidential
N = 6,000
2. Proprietary Objective Scoring System

11. 29%
59%
10% 1% 0%
Self reported Status of Health
Great
Good
Average
Below Average
Poor
33%
37%
18%
8%
4%
Biometric Results
Ideal (85+)
Low (71-84)
Moderate (61-70)
High (51-60)
Very High (<=50)
Employee Perception of Health
• 88% of participants self-reported
a good or great health status
• 70% of participants scored a 71 or
higher (ideal or low level of risk)
• 1% of participants self reported a
below average or poor health
status
• 12% of participants scored a 60 or
below (high or very high risk)
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Proprietary & Confidential
2. Proprietary Objective Scoring System

12. 3. Outcome Based Incentive Models
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Proprietary & Confidential

13. • $500 annually
Incentives
• 85%-100%
Participation
• Motivation to participate
Engagement
• Rewards progress
Health
Outcomes
Proprietary & Confidential 13
3. Outcome Based Incentive Models

14. 3. Outcome Based Incentive Models
Bronze Level
• Participation only incentive
Proprietary & Confidential 14
Example Premium Contribution Incentive
Silver Level
• Repeat participants with >=71 and <85
• Repeat participants with <71 AND 5+ pt improvement
• ALL new participants
Gold Level
• Repeat participants with 85 or greater
• Repeat participants with <71 AND 10+ pt improvement

15. 3. Outcome Based Incentive Models
HealthCheck360°
Compliance:
– Incentive Reporting
– HIPAA Compliance
– Reasonable alternative
process
Proprietary & Confidential 15

16. 4. Data Driven Engagement and Programming
Proprietary & Confidential 16
• Biometrics
• HRA responses
• Demographics
• Claims
Data
• Ideal, Low,
Moderate, High,
& Very High Risk
Stratification
• Communications
• Technology
• Health Coaching
• Medical Mgmt
Engagement

17. 4. Data Driven Engagement and Programming
HealthCheck360° Health Coaching
• Inbound coaching included
• Outbound coaching models
– Review of Findings
– Targeted Intervention
– Comprehensive Intervention
• Condition specific intensive models
– Smoking Cessation
– Weight Management
• Tie outbound coaching to incentives
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Proprietary & Confidential

18. 4. Data Driven Engagement and Programming
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Proprietary & Confidential
MyHealthCheck360.com
• Company branded
• Personalized content
• Tracking tools based
on biometrics
• Client specific
challenge
management

19. Proprietary & Confidential 19
4. Data Driven Engagement and Programming

20. MyHealthCheck360° App
• iPhone and Android
• Linked to MyHealthCheck360°
account
– Tracking tools
– Challenges
– Goals
• Tips of the day
Proprietary & Confidential 20
4. Data Driven Engagement and Programming

21. Post HRA Employee
Communication Campaign
• Quarterly risk-specific
communications
• Monthly wellness newsletter
• Monthly lunch and learns
• Regular updates:
• Blog
• Twitter
• Facebook
Proprietary & Confidential 21
4. Data Driven Engagement and Programming

22. System Promotes Improved Health
34%
67%
80%
89%
92%
92%
0% 20% 40% 60% 80% 100%
Alerted me to medical condition I wasn't
aware of*
Articles I received motivated me to
improve health
Premium Incentive motivated me to
improve my health
Report helped me understand where to
change
Provided valuable insight into my health
Program made it more likely for me to
improve health
Somewhat Agree, Agree and Strongly Agree
* Using Agree/Disagree scale only
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N = 6,000
Proprietary & Confidential
4. Data Driven Engagement and Programming

23. 5. Client Specific Reporting
• Individual Report
• Executive & Aggregate Report
• Risk Migration Analysis
• Critical Value Reporting
• Executive Review Presentation
• Claims analysis*
• Health Coaching Reporting*
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Proprietary & Confidential
* If applicable

24. $5,000.00 $5,500.00 $6,000.00 $6,500.00 $7,000.00 $7,500.00 $8,000.00 $8,500.00
Non-participant/ HRA Only
1 HRA w/ biometrics
2 HRA w/ biometrics
3 HRA w/ biometrics
$8,132.47
$6,202.27
$5,838.68
$5,493.29
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Proprietary & Confidential
Large Financial Services Firm
5. Client Specific Reporting

25. 25
$366.25
$703.24
$771.36
$952.22
$250.00
$350.00
$450.00
$550.00
$650.00
$750.00
$850.00
$950.00
$1,050.00
Ideal Risk Low Risk Moderate Risk High Risk
Workers’ Compensation Correlation to Health Score
Average WC Expense by Health Risk
Avg WC Linear (Avg WC)
Proprietary & Confidential
5. Client Specific Reporting

26. Plan Cost Savings
Actual vs. Trended
(millions)
$1.0 $3.5 $3.8 $5.7 $8.4
$22.4 Million of Plan Cost Savings Over 5 Years
$6,000
$7,000
$8,000
$9,000
$10,000
$11,000
$12,000
$13,000
$14,000
2007-08 2008-09 2009-10 2010-11 2011-12 2012-13
$8,852
$9,054
$8,365
$8,967 $8,823
$8,247
$8,852
$9,560
$10,325
$11,151
$12,043
$13,006
Plan Cost/ Premiums per Covered Employee
Actual 2007-2008 Trended (8%)
Proprietary & Confidential 26
5. Client Specific Reporting

27. Population Migration Results
48% increase 38% decrease
22% decrease
0
200
400
600
800
1000
1200
Ideal Low Moderate High Very High
667
1024
571
330
215
708
1083
522
293
201
852
1027
515
267
146
989 969
459
257
133
Year 1 Year 2 Year 3 Year 4
Proprietary & Confidential 27
5. Client Specific Reporting
60% reduction
in high risk
individuals!

28. 1. Risk Identification
2. Risk Quantification
3. Motivation to Reduce Risk
4. Risk Mitigation Tools
5. Risk Management Scorecard
1. Personalized Biometric Screening Solutions
2. Proprietary Objective Scoring System
3. Outcome Based Incentive Models
4. Data Driven Engagement and Programming
5. Custom, Client Specific Reporting & Analytics
HealthCheck360° System
28
Proprietary & Confidential

29. Create value by providing a total health risk
management solution with innovative programs to
reduce risk, improve health, lower costs and drive
financial accountability in our client populations.