1. Real Appeal brought to you by UnitedHealthcare

2. America’s weight problem is dangerous and expensive
Weight issues have reached epidemic proportions:
69%
of U.S. adults are overweight or obese1
Being overweight can drive significant
medical costs:
Overweight and obese workers have medical claims that were seven times higher than their fit coworkers2
Health care cost directly related to excess pounds are estimated to double each decade, reaching $957 billion in 20303
Being overweight increases the risk of developing diseases: heart disease, Type 2 diabetes, hypertension, high blood pressure, sleep apnea4
For years, science has told us that a moderate weight reduction of 5 percent can have a material impact on health. Despite that rather simple science, developing a solution that empowers, informs and motivates a population to make that change has proven remarkably challenging.
Employers across the country want to help their employees become healthier and reduce the risk of the onset of disease; however, both groups are disappointed with the options available to them to lose weight and improve health.
The net result is that obesity and obesity-related illnesses such as diabetes, cardiovascular disease, stroke and cancers continue to dominate the top medical expense categories for large employers. Yet the onset and/or progression of diabetes and other disease states can be lowered if we can simply find a way to help people embrace a series of small steps proven to result in lasting lifestyle behavior changes.
1. Flegal et al., “Prevalence of obesity and trends in the distribution of body mass index among U.S. adults”; Journal of American Medical Association; Finklestein et al., “Obesity and Severe Obesity Forecast through 2030”; American Journal of Preventative Medicine; American Heart Association; “Overweight and Obesity: 2012 Statistical Fact Sheet”; January Centers for Disease Control and Prevention (CDC); “Vital Signs: Adult Obesity”; August 2010 2
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3. Introducing Real Appeal
Proven Science
Top-notch Entertainment
Partnership in Communication
Real Appeal combines science with direct-to-consumer marketing principles, including high quality entertainment that may help members lose weight, feel good and help prevent weight-related health conditions.
A Real Appeal program empowers people, focuses on the individual, applies proven science in the real world, maximizes the power of the Internet with a human touch, and manages outcomes for success.
We are dedicated to offering truly revolutionary healthcare programs for corporations and their employees. Our mission is to prevent and treat diseases related to lifestyle habits. We accomplish this by balancing clinically-proven science with engagement tactics in ways that are scalable for employers and inspiring for participants. Simply put, it is long-term behavior modification that results in disease prevention—and Real Appeal specializes in knowing how to get people to join in and stay with a program.
We began with a deep understanding of what was needed, optimized what worked, removed everything that didn’t, and invented what was missing.
Scalable Disease Prevention
Goals
Lasting Behavior Change
Medical Savings
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4. Consumer approach to support weight loss
Invitation
Universally applicable and empowering messaging engages the willing and captures those at risk.
Enrollment
Participants pre-enroll online and schedule a time for their personalization session. 1 2
Community
Participants meet online for 52 weeks to watch, learn and laugh with their coach and private success group. Camaraderie helps drive sustained weight loss.
Personalization
A Real Appeal expert assesses appropriateness, readiness to commit, barriers and goals then tailors the program to each participant’s unique needs.
More detail on how the program works, once they are enrolled:
Weekly group sessions, delivered live over the internet by a coach
Interactive, online group discussion with other participants
One-on-one meetings weekly, or more often, if needed, with coach
Specially trained weight loss coach tailors program to needs, preferences, attitudes and more of the participant
Watch weekly internet TV mini-series featuring celebrities and health experts
High-quality entertainment: tips on how to eat healthy and exercise in a sustainable and rewarding way. Printed books are available if online mini-series aren’t accessible
Receive gadgets to help support personalized needs of participant (e.g. wireless scale, pedometer, measuring cups)
Tools, based on participant need, to help achieve sustainable long-term weight loss
Nutrition guide: meal plans, recipes, shopping lists, and tips to dine at home or at restaurants with healthy, sustainable eating habits
Video workouts and fitness guide: cardio, resistance, balance, and stretching
Track nutrition and exercise online or through mobile device
Changing moods, cravings, feelings of satiety, exercise, food intake 4 3 5 6 7
Kit
Participants receive tools to help them succeed.
Coaching
A coach is available to participants for one-to-one interactions.
Tools
A comprehensive suite of digital tools is available to support and track progress.
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5. Real Appeal Program Tiers
At-Risk Intensive Lifestyle Intervention (ILI)
Not At-Risk Self-Directed
Definition
An intensive lifestyle intervention experience for individuals who will benefit from clinically relevant weight loss. Participate in up to 52 weeks of engaging, intensive, customized lifestyle support.
A self-directed experience for individuals who are primarily healthy and do not medically qualify, but looking to lose a few pounds and maintain a healthy weight.
Qualifications
BMI ≥ 30 OR * BMI 25 to 29.9 with qualifying comorbidity
BMI with no qualifying comorbidity
Coaching
1:1 Customization call
Group sessions with a live virtual coach and videos (20-30 class size)
Customized 1:1 live coaching, telephone, secure messaging
Real Appeal Answer Center
Group sessions with a live virtual coach
Messaging with coach
View videos in the online library or DVD
Supporting Tools
24/7 access to the secure portal
Tips and tools for healthier living
Online tracking tools (syncs with RA app, Jawbone, Fitbit)
Box of supportive tools – Blender, scale, food scale, pedometer, portion plate, water bottle, measuring cups and spoons, session guide, nutrition guide, workout DVD
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6. Results
In the initial 6 months, Real Appeal enrolled more than 30,000 participants
Our current cohort study is made up of about 10% of the enrolled participants within the initial 6 months.  
So far,  after completion of the first phase of the program (16+ Weeks), this cohort has the following statistics*:
89%
of the enrolled at risk participants have attended at least 1 session
60%
of the at risk population
are engaged
46%
of engaged participants are on track for greater than
5% weight loss
92%
of the engaged have
lost weight
7.1
average pounds lost
4.84
Average consumer satisfaction on a scale out of 5
Real Appeal launched in July of 2015 and in the initial 6 months, enrolled more than 30,000 participants in the program.
Following a cohort of 3,000 participants who medically qualified as at risk and who have completed the first 16+ weeks of the program
89% have attended at least 1 session
60% have attended at least 4 sessions
46% are on track for 5% or greater weight loss (of those that attended 4 sessions)
Of the total population of at-risk participants:
92% that attended 4 sessions lost weight
7.1 average pounds lost
4.84 out of 5 consumer satisfaction score
*We continue to monitor participants as they progress through the 52 week program.
Definitions: Enrolled =Complete a personalization session and assigned a group. Engaged=Attended 4+ sessions. At Risk=Participant’s risk level according to USPSTF guidelines (BMI >30 or BMI or with a comorbidity)
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7. Pick up posters, handouts, etc at Real Appeal booth
Next Steps
Connect with Bryan Engleson to develop a promotional plan for your agency
Pick up posters, handouts, etc at Real Appeal booth
Talk with everyone you know about the program!!
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8. How is this different? Intensive multi-component intervention
Covers pre-diabetes and those with cardiovascular risk
Entertaining and aspirational messaging versus academic or fear-based
Science meets direct to consumer marketing techniques
Intensive multi-component intervention is built to fulfill the United States Preventive Services Task Force (USPSTF) guidelines addressing diet, exercise, behaviors and willingness to change
Qualification criteria includes both pre-diabetes and recent recommendations by USPSTF for obesity and overweight with cardiovascular risk
Messaging is entertaining and aspirational, unlike many programs where content is academic and/or fear-based
Program is designed using science and direct-to-consumer marketing techniques to create a program that engages participants
Fully immersive and interactive experience through gadgets, entertainment, group sessions, 1:1 coaching and robust online tools
Programs covering weight loss and management are often 6-month in length. This year-long program ensures we support people through holidays, season changes and help them ensure lifestyle changes stick
Pay for results versus pay for session attendance
Fully immersive and interactive experience
Year-long program
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.