A space where theory, evidence, policy and practice can come together to enlighten multi-disciplinary stakeholders interested in facilitating meaningful change at individual, group and population levels.

1. Behaviorally Designed
Well-Being the Walmart Way
Feb. 2014

2. 2
Our Foundation:
Every Day Low Prices and
Every Day Low Costs
• More than 260 million customers each week
• More than 2 million associates
• 11,000 stores under 72 different banners in 27 countries
• $485 billion dollars in net revenue

3. 3
WE STARTED WITH WELLBEING AND A TRADITONAL MODEL
• Conducted traditional tests in some Clubs and Distribution Centers
• Traditional approach:
– Complete a wellbeing assessment
– Get biometric screening
– Speak with a coach
Associates have multiple
dimensions that affect
their energy and performance.
Well-being allows us to meet
associates and families where
they are now to effect change.

4. 4
WE STRUGGLED WITH ENGAGEMENT, DISRUPTION AND COST
Old System
People are Machines
Focus on physical health
Limit participation to a select group
Prescriptive and centrally controlled
Buy compliance through incentives
Save money on health care
New System
Holistic and Emotional Approach
Focus on whole person
Everyone can participate
Locally and individually controlled
Inspire others to be better in their lives
Set your people free to be their best
This new path continues to improve the wellbeing of our population but is
scalable and creates better emotional connection

5. 5
Our north star:
Measurably improve business performance and impact health
related costs by offering a holistic wellbeing plan that improves
the lives of all associates, their families and the communities in
which we operate
Design Philosophy
• Build a movement – don’t offer a program
• People follow people
• Simple
• Trust + authentic + relevant = results
Measurement Approach
• Business Performance
• Attitudinal
• Health related spending

6. 6
FRAMED AROUND THE CONCEPT OF BUILDING A MOVEMENT
Walmart
Associate
Other
Associates
Community
Associates’
FamiliesCommunityWorld World
Human Impact Business Impact
Proprietary and Confidential

7. 7
OUR ZP CHALLENGE WAS BUILT USING BEHAVIORAL DESIGN
ZP is a simple challenge, where participants make better choices in fitness, family, money
and food
Simple approach
People follow people
Outsized
Results
Inspiration drives
engagement
We don’t need
incentives to get
results
Our associates are our hero’s
Based in science

8. 8 Proprietary and Confidential
WE KNOW THAT IF WE BUILD EMOTIONAL CONNECTIONS WITH
PEOPLE THAT THEY WILL DO AMAZING THINGS
But the healthcare experience
is not emotionally connecting
– it is often emotionally
discouraging
So we have started to ask how we can
apply the same thinking to medical
conditions. Out focus is on the person,
not the system

9. 9
HEALTHCARE IS RIPE FOR OPPORTUNITY TO APPLY MUCH OF
THE SAME THINKING
o Shift towards population health vs. treating disease
o Data suggests improving population health requires
significant individual changes in lifestyle
Proprietary and Confidential
o Success = two things:
• Influence the culture
• Increase adoption of foundational habits that slow the
progression of morbidity

10. 10
FINAL THOUGHTS
Proprietary and Confidential
• Manage expectations
• Pace and sequence
• Primary vs. derivative outcomes
• Use the science
• Resistance will come from unexpected quarters