VITALITY PERSONAL PATHWAYS: CUSTOMIZING WELLNESS FOR EACH MEMBER

Driving Engagement    Personal Pathways

At the core of the Vitality program is Personal Pathways ™, a proprietary system developed by Vitality, which personalizes a health enhancement plan for each individual. The components are as follows:

Modifiable Health Risk Factors	These are scientifically identified behaviors and biometric measures that can be controlled through healthy lifestyle choices. Vitality is built around fourteen risk factors that have been identified from a review of the scientific literature to be both manageable and have significant consequences for U.S. medical care costs.
Health Risk Assessment	The Vitality HRA is an online interactive tool that gathers self-reported information about each of the fourteen health risk factors and develops a profile of each member’s unique health risk characteristics. To ensure appropriate health outcomes, the information gathered from the Vitality HRA is leveraged into the health behavior change tools and programs.
Vitality Check™	Vitality Check is a biometric test provided by an independent medical laboratory and is the second source of member health information. Factors tested include height and weight, blood pressure, cholesterol, fasting blood sugar level, and cotinine level (tobacco use).
Vitality Age	Vitality Age is a proprietary tool used to analyze each member’s relative health risk profile. It uses the information gathered from the HRA and Vitality Check to determine a risk-adjusted age that can be used as a barometer of health status. Vitality Age can be compared to chronological age to provide an easy-to understand indication of health status.
Health Risk Management Activities	Behavior change is at the heart of the Vitality program. To help manage risk factors and maintain a healthy lifestyle, Vitality provides members with a choice of activities carefully chosen to address their specific risk factors. Vitality further encourages participation by subsidizing access to best-of-breed wellness providers within its extensive partner network.
Vitality Rewards®	Rewards are an important tool to encourage behavior change. Vitality uses incentives called Vitality Bucks® as a positive reinforcement tool to encourage members to adopt and maintain healthy lifestyles. Additional Vitality Bucks are available to at-risk members to encourage participation in activities that will manage their specific risk factors.

The Personal Pathways approach is summarized in the graphic example below. Note that the weighting of the various health interventions are customized to take into account the member’s specific health characteristics and risk factors.

Vitality Age