A Case Study for GPBCH’s 2016 Wellness Summit

Aetna Inc. & Newtopia

September 14th, 2016

Philadelphia, PA

50% of the US population has at least 2 or more out-of-range risk factors of Metabolic Syndrome

Source: 1) International Diabetes Foundation, Highlight Health, CMS.gov

Elevated Blood Glucose (> 100 mg/dl)

Elevated Triglycerides (> 150 mg/dl)

High BMI / Waist Circumference (35” for women, 40” for men or > 30 BMI)

Elevated Blood Pressure (> 130/85 mm HG)

Low Levels of HDL (<50 mg/dl for women, < 40 mg/dl for men)

5x as likely

to develop

type 2 diabetes

2x as likely

to develop

heart disease

3x as likely

to have a

stroke

2

$5,400 metabolic syndrome1

$3,400 healthy1

$13,700 type 2 diabetes3

$15,000 stroke2

$20,000 cardiovascular disease1

Preventable health risk continuum

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1) http://www.ncbi.nlm.nih.gov/pubmed/21585226

2) http://www.uhnj.org/stroke/stats.htm

3) http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html`

Managing Metabolic Syndrome risk - improve health and decrease healthcare costs

6

Wearables Wireless scale Personalized App

Personal Profile Genetic Test

Personality-matched Inspirator

Personalized Plan NEW:

Nutrition + Exercise + Wellbeing

Sophia

Coach

Gamification

Community/Group

At-Risk Employee

Sally

Introducing Newtopia - A personalized engagement platform to inspire at-risk individuals to live healthier lives

4

A closer look at Aetna Inc. . .

Aetna’s demographics pose unique challenges:

50,000 active employees

• Average age 45 with 11 years of service

– creeping age brings increased medical risk

• 76% of workforce are female

– have a unique set of health care needs

• 50% earn average of $40,000

– issues with affordability

• Almost 50% work from home full-time

– engaging employees in programs

5

Aetna’s integrated benefits strategy

3

5

2

1

4

TOTAL

WELL-BEING

Physical

Financial

Social

Community Emotional

6

Why did Aetna choose Newtopia as a part of our overall H&W strategy?

7

Employees have participated in metabolic syndrome testing

since 2010

Earn a medical plan premium credit based on test results

Healthcare reform requirement for a reasonable alternative

with an outcomes-based program

Need for a selection of evidence-based metabolic

syndrome intervention programs

Why did Aetna choose Newtopia as a part of our overall H&W strategy?

8

Employees participated in a very successful study 2013-2014 Published in JOEM, v.57, no.12, December 2015

Average weight loss = 10 lbs

Statistically significant improvements in waist circumference,

triglycerides, and HDL cholesterol

In-year ROI - $1,464 reduction in medical claims

Launched Newtopia in January 2016

Since launch, approximately 16% of “at-risk” Aetna employees have registered for Newtopia

Aetna employees with

biometric lab data

Employees with 2 or more

out-of-range MetS risk factors

Enrolled in Newtopia

25,513

7,685

1,216

9

Average monthly engagement rate is 87% for Aetna employees in the Newtopia program

10

65%

80% 87% 91% 90% 90% 87%

82%

JAN FEB MAR APR MAY JUN JUL AUG

Aetna’s weight loss results with Newtopia

Weight Loss Mean – 5.4% Median– 3.9%

Thank you!