LG&E and KU’s Journey into Population Health DeAnna Hall RN, BSN Manager, Corporate Health and Well-being

Get to Know the Company Employees: Approximately 3,500 Diverse population: Line techs, engineers, power plant workers, customer care reps, etc. Facts: LG&E serves 407,000 electric customers and 324,000 natural gas customers KU serves 549,000 electric customers in Kentucky; also serves a small customer base in Virginia and Tennessee. Service area covers approximately 700 square miles. KU's service area covers 4,800 noncontiguous square miles.

LG&E and KU Facilities The Commonwealth of Kentucky is very diverse. Our wellness design must meet the needs of our entire family. In KY we have: Health deserts Food deserts Health meccas Healthcare deserts ...

Rural Mountaintops … . . Congested Urban Areas Our team members work in all types of weather factors. They work hard and long days doing dangerous work. This impacts not only how they but also their family’s ability to live a health lifestyle and utilize healthcare. For LG&E and KU, a culture of well-being can’t be created only within the brick and mortar of our walls. Our reach is much further. It’s in the office, trucks, and in their homes. This is why it was imperative for us to include the spouses of our members.

Aging Workforce

Step One Vision Improve quality of life for the company’s most valuable asset, our employees. Mission To create a best-practice culture of well-being that empowers employees and family members to live healthy, safe and productive lives. Add KY statistics

LG&E and KU’s Well-being Journey

Healthy for Life Includes Everyone! Health Coaching Well-Being Assessment Health Team Concierge Assistance with Disease Care Challenges Group Health Sessions High level guidance with Pregnancy/ Transplant/ NNIC Partner Integration Stress Management Utilization Assistance Nutrition High Level Customer Service Preventive Preventive Benefits: Biometric Screening, Nutritional Education, Mammograms, Flu Vaccines, Gym and Weight Reimbursement, TeleHealth, Family Assistance Program Mercer Health Advantage (MHA) Your Anthem Nurse Healthy for Life Wellness Portal Referral to High Quality Providers and Services Well and Moderately Healthy Discuss move away from traditional DM model to Total Population Health (TPH) Specifically about your ‘buckets” Did financial analysis of DM program – very high-touch which results in very costly – and with minimal adt’l funds, moved to model that will impact everyone Again, go back to your “buckets”

Healthy for Life Program Year Four Healthy for Life Wellness Portal Your Anthem Nurse (MHA) Well and Moderately Healthy Health-Related Issue Assistance with Disease Care Health Team Concierge Health Coaching Challenges Webinars Preventive High-level guidance with Pregnancy/ Transplant/NNIC Utilization Assistance Aduro Healthy for Life Health Risk Assessment Preventative Medicine Nutrition Healthy Lifestyle Health Awareness Stress Management Work/Life Balance Personal Health Coach Adjudication of 2016 Benefits rates Areas of impact Personal Health Knowledge Personal Health Risk Heredity Risk Engagement Referral to MHA/EAP Data Hub Program Reporting Well-Being Assessment Group Health Sessions Stress Management Nutrition Referral to High-Quality Providers and Services High-Level Customer Service Preventive Benefits: Biometric Screening, Nutritional Education, Mammograms, Flu Vaccines, Gym and Weight Reimbursement, TeleHealth, Family Assistance Program

Health and Wellness Strategies Plan design features Employed-spouse premium EPO/FSA option HDHP/HSA option Mail order pharmacy Well-being Zero Trend Population Health Model Health fairs, flu shots, fitness centers, leader grants, nutritional education and Family Assistance Program Population health model integrated partners Mercer Health Advantage – My Anthem Nurse ADURO – Healthy for Life Portal VSP – Annual Eye Exams Delta Dental – Bi-annual Dental Exams Pete the Planner – Financial Health

Health and Wellness Resources Health Management Your Anthem Nurse – ph# 877-750-6062 LiveHealth Online - download the LiveHealth Online app 24 HR Nurse Help Line – ph#800-337-4770 Accredo (prescription specialty medications) – ph# 866-677-8928 Healthy for Life online portal Well-Being Assessment Tobacco Status Verification and Cessation Healthy Coaching/Webinars Financial Health Family Assistance Program Stress Marital Issues Substance Abuse Elder Care Ph# 502-451-8262 While we may not have a magic tonic to make you healthy, we do provide our employees with multiple tools to help you with your health and healthcare. Your Anthem Nurse provides the LKE family with a team of caregivers to help us with health-related issues such as prescription, Disease Care and medical advise that include a medical team of a RN, RD, pharmacist, social worker and medical director should we need assistance with our healthcare. We also provide tools to help maintain your good health. LKE employees and spouse now have access to health coaching and a health portal with an endless amount of resources.

LiveHealth Online

Live Health Online Live Health Online Video

Programs Offered On-site flu shot clinics On-site mammograms Registered Dietitian coaching Wellness reimbursements Fitness classes or facilities Race entry fees Weight-loss or maintenance Wellness Matching Grant Manager Family Assistance Program Wayne Corporation Financial health Fidelity financial planning Pete the Planner

2018 Healthy for Life Preventive Health Nutrition Movement Stress and Work/Life Balance Tobacco Cessation

2018 Healthy for Life Incentives Level Requirements Incentive Healthy for Life Premium (3k) Assessment Tobacco Free or Take Action Certify Your Understanding of Preventive Care View and complete Your Health & Wellness Resources video Healthy for Life Premium Plugged In! (5k) Participation via: Challenges – i.e. Welcome to LKE (1k pts) and Pete the Planner Group coaching via online webinars (1k pts) 1:1 telephonic coaching (1k pts) Your Anthem Nurse engagement (1k pts) $100 Amazon gift card = Employees and Spouses Powered Up! (7k) $125 Amazon gift card = Employee $100 Amazon gift card = Spouse Employees and spouses — regardless of medical plan participation — will receive incentives for completing various wellness actions, some of which are already required to qualify for the HFL premium. Employees and spouses can attain three status levels on the site, based on activities completed. Employees and spouses can earn extra points in a variety of ways. • Via challenges — Various challenges related to exercise, healthy eating, financial wellness and others are available throughout the year. These challenges have a variety of point levels. • Via coaching — The portal offers one-on-one coaching or a series of webinars featuring topics such as nutrition and stress. Employees and spouses who complete any of these programs will earn 1,000 points!

12% got better 75% stayed the stable 13% got worse Health Risk 2016/17 Cohort 12% got better 75% stayed the stable 13% got worse

Healthy for Life Success (Year 3) Engagement (Health screening + well-being assessment + tobacco free or tobacco cessation program) 94% of covered employees (on medical plan) 94% of spouses (on medical plan) Upward Trend Preventive screenings Downward Trend Obesity Lack of physical exercise Tobacco use Poor nutrition 8,121 Human Performance Coaching Engagements 1:1 telephonic Webinars (live and recorded) On-site health classes

The Future of Healthy for Life