April 23, 2012

Prudential HealthSolutions

Diane Hettinger RN MPH CEBS

Director Health & Wellness

Keith Winick MS

Wellness Manager

Prudential at a Glance

Employees: Worldwide - 40,000; U.S - 19,000

Businesses: Life Insurance, Annuities, Retirement-related

Services, Mutual Funds, Investment Management, Real Estate

Services

2

Assets Under Management: $883

billion (as of 06/30/2011)

Founded: 1875 by John Fairfield

Dryden

Headquarters: Newark, New Jersey

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“Health is a state of complete physical, mental and

social well-being and not merely the absence of disease

or infirmity.”

– World Health Organization

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Prudential is committed to improving

health and well being in every part of

our population.

Multidisciplinary team of nurses, physicians, exercise physiologists,

registered dietitians, EAP, safety, business and administrative

professionals overseeing a broad array of programs and services such

as onsite clinics, fitness centers, EAP counseling, health screenings,

coaching, etc.

Early adopter of Mental Health parity in benefit design.

All medical programs cover preventive services at 100%.

Introduced consumerism programs in 2006.

Top priorities include integrating health & productivity and eliminating

health disparity in population.

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H&W Balanced Health Wheel

Physical

Balanced Health Wheel

Physical Mental

Balanced Health Wheel (continued)

Physical

Mental

Social

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

Physical

Mental

Social

Spiritual

Financial

Balanced Health Wheel (continued)

MentalSocial

Spiritual

Financial

Physical

Balanced Health Wheel (continued)

Health Management Strategy

Aligning with company’s mission

Individualized employee interaction (holistic approach)

Strong leadership commitment

Integrated approach to wellness and disease management

Comprehensive and targeted communication strategy

Create and nurture a Culture of Health and Performance at

Prudential

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Health & Wellness Focus

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Employee & Family

Organization and Business

Groups

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Employee &

Family

Integrated Holistic

Approach

Outcomes

Employee & Family

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Organization &

Business Groups

Support & Align with

Company Mission

Outcomes

Organization & Business Groups

Optimizing Human Capacity

Optimal Health

• Physically Energized

• Emotionally Connected

• Mentally Focused

• Spiritually Fulfilled

Business Benefits

• Stamina

• Collaboration

• Strategic Judgment

• Commitment

Healthy employees help your business…

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Leadership Commitment

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Health Summit

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2010: Healthy Team Award, Lifestyle Challenge,

Wellness Champions, Weight Watchers Subsidy (30%)

2009: Culture of Health Webinars, Know Your Numbers,

Healthy Stairwells, THM Strategy, Nutritionist

2008: Expanded Health Coaching (Healthyroads)

2007: Wellness Incentive (HRA),

Pru Today Healthy Living Series

2006: Internal Health Coaching,

Prudential Health Solutions (HRA), Total Health Management, CDHP & HDHP

2005: Biometric Screenings - Cholesterol, Glucose, Blood Pressure, BMI/Body Fat; Onsite

Clinics, Travel Consultations, Data Warehouse, Intranet Site, Flu Vaccines, Health Fairs,

Care Counselors, Ask The Doctor, Hypertension Mgt Program, Wellness Seminars, Child

Care Discounts, On-site Fitness Centers and Discounts, Prudential Life Solutions, EAP

Services Internal/External

EVOLUTION OF HEALTH & WELLNESS PROGRAMS AT PRUDENTIAL

2005Biometric Screenings-Cholesterol-Glucose-Blood Pressure-BMI – Body Fat

-On-Site Clinics

Travel Consultations

Data Warehouse

Intranet Site

Flu Vaccines

Ask The Doctor

Hypertension Mgmt Program

Wellness Seminars

Child care Discounts

On-site FitnessCenters andDiscounts

Prudential Life Solutions

EAP Services Internal/External

Health Fairs

Care Counselors

Internal Health Coaching

Prudential Health Solutions (HRA)

Total Health Management

CDHP HDHP

Wellness Incentive (HRA) Pru Today Healthy Living Series

Expanded Health Coaching (Healthyroads)

Culture of Health WebinarsKnow Your Numbers

Healthy StairwellsTHM StrategyNutritionist

Healthy Team AwardLifestyle Challenge

Wellness ChampionsWeight Watchers Subsidy (30%)

2006

2007

2008

2009

2010

2011 – Integrated

Health Coaching,

Partnership with

Benefits (Surcharges)

Health and Wellness Program Categories

Clinical

Fitness

Nutrition

Wellness

Employee Assistance Program

Work Life

Return To Work/Accommodations

Safety

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WebMD Component

Prudential HealthSolutions

• Active employees, dependents, and retirees are eligible for portal

• HQ participation goal is 70% over 3 years

• $150 HQ + 2 Wellness Incentive – Only active employees are eligible. Must

complete HQ plus two lifestyle activities from list. Deadline 11/30/12

• $200 surcharge on health insurance premium if HQ not completed by 11/30/12

• Telephonic Health Coaching to support Healthy Lifestyles

• Specialized Tobacco Cessation Coaching

• Next Steps: Distributed Model/Portal Enhancement

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Healthy Lifestyle Challenges

Challenges offered twice a year (Spring and Fall)

Holistic approach

Usually about 6 weeks

Team and individual components

Prizes for reaching goal and team winners

Next Challenge begins April 16th – “Tour De Pru”

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Available and accessible to all active employees

Healthy Living Articles on our Intranet

Culture of Health Webinar Series

Personal Success Stories on Pru Today and Leader

Magazine

Intranet Home Page links to Healthy Food Choices offered

by Dining Services

Home mailers during benefit enrollment period Wellness

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Multi-channel Communication Strategy

Valuable tool for health improvement messaging

Bulletins and events for health improvement and

programming messages

Wellness calendars with upcoming programs

Linked throughout the company intranet and many of our

business division sites

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Health, Life and Wellness Intranet Site

Well communicated at company meetings, town halls and

via lived/taped videocasts

Business group specific reports

Summarize results of H&W initiatives

Disability and medical cost data

Recommendations based on business unit results

Consult with managers and attend employee meetings

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Communication to Business Leaders

Communicate to diverse populations throughout Business

Resource Groups

Health information presented at local and national

meetings

Communication ramped up during Diversity Recognition

Month

Presentations on Prudential’s health disparity research

Links to H&W site on Diversity site and vice versa

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Reaching Diverse Populations

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Outcomes

HealthQuotient (HQ) Participation

15,246

Responded to HQ

19,800

Eligible participants

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Participation

Completed HRA

Did Not Complete HRA

77%

23%

Change in Health Risk

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Low Risk, 57%

Low Risk, 77%

Moderate Risk, 39%

Moderate Risk, 19%

High Risk, 6% High Risk, 5%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

HRA Year 1 (Sept 07 - Sept 08)

HRA Year 3 (Jan - Dec 2010)

Edington Risk Levels Active Employees with HRA participation in both years 1 and 3

(n = 9,616)

Low Risk Moderate Risk High Risk

Risk Migration

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100%

89%

65%

30%

10%

100%

29%

44%

1% 7%

100%

26%

0%

20%

40%

60%

80%

100%

HRA Yr 1 Low Risk in

Yr 1 (n = 3981)

HRA Yr 3 HRA Yr 1 Mod Risk in

Yr 1 (n=2791)

HRA Yr 3 HRA Yr 1 High Risk in

Yr 1 (n = 479)

HRA Yr 3

Edington Risk Migration

Low Risk Mod Risk High Risk

ROI: Risk Migration Cost Change

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Med/High Risk

Medical Costs

$3,977

Med/High Risk

Medical Costs

$4,452

Low Risk

Medical Costs

$3,268

Med/High Risk

Medical Costs

$3,299

+12%

-1%

Low Risk

Medical Costs

$2,753

Med/High Risk

Medical Costs

$3.760

Low Risk

Medical Costs

$2,506

Low Risk

Medical Costs

$2,283

+37%

+10%

2008

2010

N= 1256 N= 1926 N= 3531 N= 425

In addition, cost of treatment for acute conditions between 2008 and 2010 remained the same for groups that became or stayed in the low risk category compared to a 21% increase for the

groups that became or stayed in the high risk category.

Net combined Savings is $1,334,331. Cost of program for this time period was $944,241 resulting in an ROI of 1:1.4

Next Steps

More Engagement

Chronic Disease Management

Health Disparities

Continuing to Improve Outcomes

Global Initiatives

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Questions

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