Health challenges are a mainstay of employee wellness programs. However, little is known about whether, when and for whom they are effective. Drawing from the nascent literature on health challenges and related, more established literature, this presentation will focus on how best to leverage health challenges for population reach while acknowledging their limitations in eliciting sustainable behavior change. LiveHealthier Presentation at the 15th Annual Employee Healthcare Conference; March 12-13, 2015. Presenters: Lisa Igel Wellness Program Manager at Huntington National Bank Heather Patrick, Ph.D. Senior Director of Program Development at LiveHealthier

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Health Challenges:
What Can They Deliver?
The 15th Annual Employee Healthcare Conference
March 12-13, 2015
Lisa Igel, Staff Officer/Wellness Program Manager
Huntington Bancshares
Heather Patrick, PhD, Senior Director, Program Development

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About LiveHealthier
• Total population health management solution, tailored to each
individual, customized to organization
• Multi-channel consumer engagement platform that provides the
singular, integrated interface to empower behavior change
• Deliver positive ROI through cost avoidance and cost savings
models
• Fully accredited coaching program

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Our Approach
Engaging the Consumer Through Relevance
Individualization Accessibility Total Wellbeing
• Anytime, anywhere access:
Desktop mirrored on mobile, with
high-value features mobile first
• Consumer Preference:
Choice in apps / devices
• Interoperability: 3rd party program
integration with Adaptive
EngagementSM platform
Frictionless fit into
everyday life
• Individualized action plans
based on risk areas, readiness
to change, preferences
• Individualized Communications:
timed and delivered when the
user is most apt to respond
• Individualized incentive plans
Transcending the org to
the individual
• Behavior change for physical,
mental and financial health
• Platform approach levering best-
in-class programs and innovations
• Full data integration optimizes the
individualized user experience
Addressing the
whole person

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Engaging Every One
Health Assessment,
Biometrics, Claims,
Environmental Audit,
Usage, Participation
Participation, Completion, Outcomes
Gateway, Blocker, Bundles
Data Management
Flexible Payout, Redemption
Portal, Mobile App
Communications,
Push Notifications
Wellness Champions

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About Huntington
• Established in 1866
• Headquartered in Columbus, Ohio
• Over 12,000 colleagues and more than 700 branches
• Provides financial services in Indiana, Kentucky, Michigan,
Ohio, Pennsylvania and West Virginia

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Employee Wellness Programs:
Uptake, Components & Delivery

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Employee Wellness Programs
• Approx. ¾ of US
employers offer EWP
• 80% of EWP include
some Screening Activities
• 72% of EWP include both
Screening & Intervention
RAND 2012 Workplace Wellness Programs Study
Final Report by Soeren Mattke, Hangsheng Liu, John Caloyeras, Christina Y. Huang, Kristin R. Van Busum, Dmitry Khodyakov, Victoria Shier

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Employee Wellness Programs - Participation
Average Participation Rates of Employees Identified
for Inclusion in Select Wellness Program Components
RAND 2012 Workplace Wellness Programs Study
Final Report by Soeren Mattke, Hangsheng Liu, John Caloyeras, Christina Y. Huang, Kristin R. Van Busum, Dmitry Khodyakov, Victoria Shier

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EWPs and Lifestyle Management
Population-based approaches
• Targeted at groups of employees,
collectively
• Educate/enable workers
• Promote healthy behaviors across an entire
workforce or group of employees
Individualized interventions
• Designed to meet an individual worker’s
needs & preferences
• Highlight relevant health risks
• Provide guidance for modifying behaviors

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Health Challenges:
A Population-Based Approach

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Health Challenges
Health challenges defined
Descriptives: Common elements in
health challenges
What varies
• What is incentivized – participation vs. outcome
• What, when and how – incentive delivery
• How people participate – individual vs. team (or
both)

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Health Challenges
Over-promise (with good cause)
• Broad population reach
• Fun and engaging
• Potential to jump-start behavior change
initiation
(Where we) Under-deliver
• Engaging those who are less motivated (and
most at-risk)
• Failure to achieve long-term behavior change

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Toward More Comprehensive
Employee Wellness Programs
(The Case for Individually-Tailored Programs)

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Individually-Tailored Programs
How do they work?
What can they do?
• Meet people where they are
• Provide a more intense intervention dose
• Move employees closer to sustained
behavior change

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What is tailoring?
Tailoring:
• Enhances information relevance
• Has the potential to create greater behavior change
It involves:
• Personalizing information
• Providing feedback based on individual risk or behavior
• Matching content to user preferences and other characteristics
It is achieved through:
• Segmentation – Dividing the audience into defined, homogenous groups
• Customization – The degree to which program content reflects relevant individual
characteristics

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Why tailor?
• Heightened attention to and improved processing of program
content
• Enhanced positive attitude toward, perceptions of norms and
agency for health behavior
• Greater engagement in programs, greater evidence of behavior
change (compared to programs that do not involve tailoring)

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Population-Based or Individual?
Each serve different purposes
• Benefits to broad population reach
• Benefits to individually-tailored approaches
Elements of employee wellness programs need to work
together to promote
• Health behavior change (and maintenance) among individuals
• A shift in workplace norms toward health

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Putting It All Together
Huntington’s Wellness Matters Program

19. Empowering Everyone and Every OneEmpowering Everyone and Every One
at Huntington.

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Huntington Total Health: The Brand
LIVE LIFE WELL
• Our innovative benefits and wellness program supports
your physical, financial and personal well-being.

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Wellness Program: Key Messages
WELLNESS MATTERS AT HUNTINGTON…
Our wellness program is a big part of Huntington Total
Health.
• Huntington’s commitment: Provide wellness resources
and tools to colleagues and families.
• Colleague commitment: Take advantage of the tools
and resources to be your best every day. It’s good for
you and good for the company.
Wellness matters at Huntington. We hope it matters to you.

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LIVEHEALTHER – OUR WELLNESS PARTNER
• Colleagues/spouses participate in wellness activities
Wellness Program
• Huntington rewards participation with contributions to a HSA
• Additional features
• Web portal
• Mobile application
• Synching ability with Fitbit

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2014 Wellness Program – The Numbers
Top 3 Risks
BMI:
35% overweight; 38% obese
Body Fat:
24% borderline high; 50% high
Blood Pressure:
50% hypertension

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HuntingtonTotalHealth.com
Swapping messages
promote timely wellness
and benefit activities,
events and features
Direct link to LiveHealthier
web portal
Calendar populated with
benefit/wellness/company
activities, events and
important dates
Message from leadership;
audio recording
“Colleague Corner”
celebrates and
recognizes colleagues for
their wellness successes
with video and images
Highlights important and
timely information, such
as wellness initiatives,
program changes and
upcoming events
Direct link to most recent
videos in video library

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Thank You!
To learn more about LiveHealthier’s
innovative solutions for large employers,
please visit www.livehealthier.com.