Obesity in AmericaA Growing Epidemic

Workplace Strategies & Solutions

UniqueU Medical Weight Loss & Wellness

Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD

513-984-2700

www.UniqueU.com

-CERTIFIED WELLNESS PROVIDER

-MEMBER OF AMERICAN COLLEGE OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINES, HEALTHY WORKFORCE NOW

PROGRAM.

MEMBER OF THE FOUNDATION FOR WELLNESS PROFESSIONALS

UniqueU’s Corporate Wellness Training

Overview 1/3 of U.S. population is obese 2/3 of U.S. population is overweight or obese 74% Increase over 10 year period Costs U.S. companies $13 billion/year Employers, and employees, have important roles

in addressing this epidemic

Outline

Obesity: scope of problem Contribution to rising healthcare costs What is obesity? Role in chronic disease, disability Workplace strategies and trends Return on Investment Case Study Individual Assessments Wellness Programs Questions/discussion

Obesity on the Map

Obesity Has a Hefty Price Tag ~$117 billion in 2000 ($61 billion

direct and $56 billion indirect)

6-10% of U.S. health care spending

Health costs >30% higher than normal weight individuals

More on the Bottom Line

Costs companies >$13 billion annually More than twice as many sick days Disability, workers compensation Self esteem, emotional factors affect productivity Costs of accommodations, chairs, keyboards

Definitions of Obesity

Classification BMI (kg/m2) Comorbidity Risk

Underweight < 18.5 Low*

Normal range 18.5 to 24.9 Average

Overweight 25.0 to 29.9 Increased

Obese class 1 30.0 to 34.9 Moderate

Obese class 2 35.0 to 39.9 Severe

Obese class 3 (Morbidly obese)

40.0 Very severe

*risk of other clinical problems increased

Calculate your own BMI: http://www.nhlbisupport.com/bmi/

Apples and Pears

Waist circumference is tied to cardiovascular risk

Tipping Point:

Men: >40 inches

Women: >35 inches

Diabetes Coronary artery disease Peripheral artery disease Stroke Hypertension Hyperlipidemia Arthritis Obstructive sleep apnea Pulmonary disease PCOS/infertility Dysmenorrhea

Pregnancy complications Gallbladder disease GERD Skin infections Urinary incontinence Depression Eating disorders Social stigma Cancers: breast, endometrial,

colon, prostate, gallbladder, kidney, esophagus…

Increase in all causes mortality

Obesity Major Player in Many Diseases

7 preventable & reversible conditions with weight-loss

Hypertension Dyslipidemia Type II Diabetes Heart Disease Sleep Apnea Certain Cancers Metabolic Syndrome

Why Workplace Solutions?

Workplace can be part of the problem Employees willing to pay for it An ideal opportunity for social reinforcement

Workplace involvement pays off

Wellness programs with onsite or online wellness coaches are effective

Incentives Ongoing reminders through newsletters, posters,

speakers Weight management support groups

The Hard Return on Employee Wellness Programs?

(Berry, Mirabito, Baun)

“Employee wellness programs have often been viewed as a nice extra, not a strategic imperative. But the data show otherwise. The ROI on comprehensive, well-run employee wellness programs can be 6 to 1”.

The Hard Return on Employee Wellness Programs?

(Berry, Mirabito, Baun)

Our extensive research on workplace wellness has led us to arrive at this definition of it: an organized, employer-sponsored program that is designed to support employees (and, sometimes, their families) as they adopt and sustain behaviors that reduce health risks, improve quality of life, enhance personal effectiveness, and benefit the organizations bottom line.

Case Study

Health costs >30% higher than normal weight individuals

• Brennan Scanlon, Scanlon & Associates Employee Benefits Broker

• Develop a Case Study, using past patient data from UniqueU, wherein obesity related conditions were actually reversed. What difference would that make to a companies health care premiums & claims costs?

Case Study Census

• Brennan took a random sample from 32 Unique U patients grouping them together by professional class

• Approximately 7 of them had one of more of the conditions that can be reversed with weight loss.

• UniqueU reduced their BMI to a level that can reverse these conditions

• Brennan then proposed before & after scenario’s to medical carrier underwriters of this group

Case Study 1

22%

0

200

400

600

800

1000

1200

1400

1600

EE EE+S EE+C FAM

WithConditions

WithoutConditions

$457.24 $1,005.01 $771.82 $1,411.50 $374.79 $823.78 $632.64 $1,156.97

Case Study 1- Additional premiums due to conditions

Employee Employee/Spouse Employee/Children FAM

• Bi Weekly $41.23 na $69.59 $127.27

• Monthly $82.45 na $139.18 $254.53

• Annually $989.40 na $1,670.16 $3,054.36

• Total additional premium annually-company

• $46,401.48

Case Study 2

49%

0

200

400

600

800

1000

1200

1400

1600

1800

EE EE+S EE+C FAM

WithConditions

WithoutConditions

$507.74 $1,017.02 $964.17 $1,624.76 $338.49 $744.68 $643.14 $1,083.17

Case Study 2- Additional premiums due to conditions

Employee Employee/Spouse Employee/Children FAM

• Bi Weekly $84.87 na $160.75 $271

• Monthly $169.25 na $321.57 $541.59

• Annually $2,031 na $3,858.84 $6,499.08

• Total additional premium annually-company

• $97,485.24

Claims: Including deductible, coinsurance & copays

• Office Visits• Specialist Visits• Emergency Visits• Diagnostic Testing• Inpatient Services• Outpatient Services• Medical Devices• Medicines• Labs

• Hypertension• Dyslipidemia• Type II Diabetes• Heart Disease• Sleep Apnea• Certain Cancers• Metabolic

Syndrome

Related Medicines

• Benicar• Coreg• Synthroid• Zoloft• Wellbutrin• Meloxicam• C Pap• Insulin

• Plavix• Ramipil• Glimpiride• Synthroid• Metformin• Meloxicam• Tricor• Lipitor

Premiums + Claims

• Case Study 1

• $80,427

• Case Study 2

• $131,511

Large Group Scenario Estimates

• 128 Employee Company

• $321,708 to $526,044

• 258 Employee Company

• $643,614 to $1,052,088

What can reducing Body Mass Index (BMI) mean

for probability ofChronic Disease?

Wellness Tax Credits & Grants

IRS Publication 502

Deductible Medical Expenses may include but are not limited to:

Payments to participate in a weight loss program for a specific disease or diseases, including obesity, diagnosed by a physician.

Blueprint for Health

The American College of Occupational and Environmental Medicine has developed a software program that is statistical driven to determine total cost impact from health related conditions from over 2 million employers

in the United States. Some criteria measured include:

-Absenteeism / Presenteeism

-Chronic Health Related Conditions (Physical and Psychological)

-Productivity

-INDIVIDUAL COMPANY ASSESSMENT AND NEEDS.

-DATA COLLECTION FOR STATISTICAL ANALYSIS.

-OPERATIONAL PLAN, BASED ON INDIVIDUAL NEEDS.

-INTERVENTION.

-PERIODIC EVALUATION AND REFINEMENTS, BASED ON STATISTICS AND MEASURING RETURN ON INVESTMENT.

Elements of a Well Designed Wellness Program:

Questions?

ConclusionTake action and contact our practice

for a complementary Wellness Consultation for your company.

UniqueU Medical Weight Loss & Wellness

Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD

513-984-2700 / www.UniqueU.com