Health and Wellness in a Time of Healthcare Reform =
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Transcript of Health and Wellness in a Time of Healthcare Reform =
Health and Wellness in a Time of Healthcare Reform
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Healthy Employees are Important to the Health of Your Business
Wellness DefinedA process of being aware of and actively working toward better health.
AwarenessIf people are going to get healthy, then they need to have a precise understanding of their current health status.
Action“Act as if what you do makes a difference.
It does.”
Healthy employees are more productive and
have lower healthcare costs.
That’s important because healthy employees can
mean a “healthy” bottom line for your
business.
Why Wellness Now?
Question 1
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
1990
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
1999
2010
Obesity Trends Among U.S. Adults
BRFSS
Visible Cost
Non-Visible Cost
Direct Medical CostsMedicalPharmaceutical
Indirect CostsPresenteeismShort-term DisabilityLong-term DisabilityAbsenteeismWorkers Compensation
Iceberg Phenomenon
Pay me now, or pay me later
$85 OR $85,000
Why Wellnessat the Worksite?
Question 2
Reason #1-
Leisure and Sports
2.611%
Caring for others1.35%
Eating / Drinking1.15%
Household activities
1.15% Other
1.56%
Sleeping7.7
32%
Working 8.736%
Source: Bureau of Labor Statistics
Average Hours per Work Week Spent at Work
With the majority of Americans spending more of their waking hours at work, what better place to start than with worksite wellness.
The typical U.S. adult over the age of 18 has seven (7) chronic health conditions.
Reason # 2Healthy employees are more productive and have lower healthcare costs. That’s important because healthy employees can mean a “healthy” bottom line for your business.
Portion of Healthcare Dollars Spending on
Wellness<10%
Wellness
90+%
High Indirect Costs
Direct
Indirect
Total Value of Health
2010 - Most Common Ways Employers Manage Healthcare
Trends
Source: ERC Healthcare and Wellness Practices Survey
51%56% 58% 60%
0%
10%20%30%40%50%60%
70%
Increase coststo employees
Change plandesigns
Utilize wellnessprograms
Employeeeducation
2010 Wellness Trends
Source: ERC Healthcare and Wellness Practices Survey
9%
24%
59% 57%
68%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Chargetobaccousers
Plan toimplement
somewellnessactivities
Havewellness
activities inplace
Haveincentivesin place
Unsure ifwellnessreduces
costs
Average of $14/month
Be a Champion of Health & Wellness
Step One:
Inform Your Management
Define Management’s Role
Train Management
Healthy Workplace Tour & Culture Assessment
Activity level Nutrition habits Campus layout
Health Risk Assessment Personal Wellness Profile Health Screenings Healthy You! visit
Assess Your CultureChange Your Culture – Make it Healthy
Step Two:
Program Services: 3 fully-covered physician visits for counselingPrescribed nicotine replacement therapy / medicationBCBSMS Quitline90-day coverage
Change Your CultureBe Tobacco-free
Program Results:
Blue Cross & Blue Shield of Mississippi “be smoke-free”
Program
Program Results:
Blue Cross & Blue Shield of Mississippi “be smoke-free”
Program
HRA Program Components: Lifestyle questionnaire Annual health screenings 50% participation
Understand employees’ health needs & interests
Personalized Health Report Executive Report
Change Your CultureAssess Your Employees
Blue Cross & Blue Shield of Mississippi
Employee Results 2006-2010
0%
20%
40%
60%
80%
100%
2003 2004 2005 2006 2007 2008 2009 2010
75% 84
% 97%
99%
99%
99%
99%
100%
Blue Cross & Blue Shield of Mississippi
Health & Wellness Program Success
Employees have a direct impact on your health plan
Use benefits wisely Health and lifestyle choices impact plan costs Access to Nurse Advice Line Access to Wellness Center Discount Program Annual Healthy You! wellness exam Access to tobacco-cessation Monthly health & wellness information
Change Your CultureInform and Educate Your Employees
Promote Healthy You!
Step ThreeHealthy You! Wellness Benefit
Set a goal of 100% of employees get their Healthy You! visit
Focused Risk Factors Cholesterol Glucose Blood pressure Weight/BMI Tobacco use
KnowKnowYour Numbers
ManageManageYour Risks
Healthy You! Program
Blue Cross & Blue Shield of Mississippi Healthy You! Utilization
(covered employees)
Tangible Results:
If employees know their numbers, they can manage their risks
Our Per Member Per Year (PMPY) costs are
14.2% less for employees in our
Wellness Incentive Program.
Employee Health Impacts the Health of Your Business
Tangible results: Time away from work
Employee Health Impacts the Health of Your Business
Quarterly activitiesQuarterly activities Management in-serviceManagement in-service High participationHigh participation Timely feedbackTimely feedback
Step Four
Healthy Workplace Activities ““be smoke-free” Program be smoke-free” Program
Healthy You! Healthy You! promotionpromotion Eat Healthy ChallengeEat Healthy Challenge be healthy! Challenge be healthy! Challenge LGWM worksite challengeLGWM worksite challenge Be stress-free activityBe stress-free activity
Carefully plan your incentives forlong-term behavior change
Time at work to participate in activitiesExtra day off for the Healthy You! visit Monetary incentivesPrize drawings
Provide Incentives forHealthy Behavior
Step Five:
Participation during work
Activity options Achievement
recognition Competition Financial rewards Benefit differentials
Provide Incentives forHealthy Behavior
Lower healthcare costsLower healthcare costs Fewer employee sick daysFewer employee sick days Reduction in workers’ comp costsReduction in workers’ comp costs Lower disability management costsLower disability management costs Improved moraleImproved morale Reduced turnover Reduced turnover Lives saved! Lives saved!
Return on Wellness
Return on Wellness
Source: Employee and Executive Wellness Solutions
$1.00
$5.93
$-$1.00$2.00$3.00$4.00$5.00$6.00$7.00
Wellness investment ROI per dollar
Indirect Return on Wellness
-28.0% -26.0%-30.0%
12.5%
-40.0%
-30.0%
-20.0%
-10.0%
0.0%
10.0%
20.0%
Reduced sickleave
Reducedhealthcare costs
ReducedWorkers' Compand Disability
claims
Increasedemployee
productivity
Source: Employee and Executive Wellness Solutions
Healthy Workplace Timeline
Month 2 In-service with
Management/Wellnes
s Committee &
Champion
Month 3 Memo from Champion
to employees about
Healthy Workplace
Month 5 Worksite Wellness Activities begin
Month 1 - Commitment letter- Healthy Workplace
Tour