PBGH Symposium 2012 Presentation Kresse

1 /GE /

GE Health Benefits and Wellness StrategyInnovating to Engage Consumers in their Health and Value-Based Decision-MakingValue-Based Decision-Making

Pittsburgh Business Group on HealthSeptember 6, 2012

Mark Kresse PT FACHEMark Kresse, PT, FACHEManager, Health ServicesGE [email protected]

Welcome backfrom lunch!

2 /©2012 GE Transportation

September 2012

2 /GE /

Know your audience…

Raise your hand if…

• You/your employer are already offering a CDHP

• You/your employer are considering a CDHP

• You/your employer have already decided to NOT offer a CDHP


September 2012

We’ll cover…

• GE’s benefits and wellness strategy

• Health plan design

• Employee support & tools

• HealthAhead - GE’s Culture of Health and Wellness

• Impact on productivity and health care costs


September 2012

• References

• Questions?

3 /GE /

GE Overview

Transportation Healthcare Aviation


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Energy Home & Business Solutions Capital

~600,000 lives across U.S., $2.5B spend

• Northwestern Pennsylvania’s largest


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y gemployer, directly supporting 1-in-11 Erie Co. jobs w/ total economic impact of $2.7B, or a total of $3.6B across NW PA*

*Tripp Umbach 2010 study (2009 data)

4 /GE /

GE’s benefits and wellness strategyA central role for consumers

Plan Design To

Support HealthHealth

Value-Based

Payment

Take an active & accountable role in planning and managing one’s health and health care

Patient Tools & Treatment Decision Support Engage in behaviors for

healthy living ...Leverage workplace initiatives, tools and support

Demand value (quality, cost-effective care) from the system when it’s used


September 2012

Health and

Wellness

Informed Decisions –

Quality & Cost

It starts with a clear message: Be an active consumer

You never know when you will need medical care.

B t t i f t ithi t lBut certain factors are within your control.

Minimize expenses under GE Health Benefits:

Use network providers Seek care from quality doctors and

hospitals

Use free-standing diagnostic imaging centers when possible

Avoid unnecessary ER visits by using urgent care centers when available


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urgent care centers when available

Use generic drugs whenever possible

Get your preventive screenings at no cost to you ... catch any issues early

Eat well, exercise, get fit – and stay fit

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Benefit design supports the message: GE HealthChoice

Employee Choices Financial protection against large

expenses

Move from fixed co-pays to cost sharing

Outreach to high spenders

Personal health report card

No cost for preventive care & screenings

Incentives • Non-smokers pay less • Free smoking cessation


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program and NRTs

• Lower costs for generic drugs

“Bankable” savings (spending account) with debit card Contemporary design... drives active

consumers, promotes health & wellness, provides choice

Personalized support: Health Coach from GE

A free confidential and voluntary resource for plan members

80% brand recognition and

loyalty for plan members

• Staffed by registered nurses • Connects you to high quality doctors • Helps you determine if you should use the ER or an urgent care center • Arms you with the right questions to ask your doctor • Helps you understand information about your condition

and treatment options

• Links you to Lifestyle Coaching to help you live healthier


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Phone 866-XXX-XXXX Available 24/7 for urgent after-hours care questions and options

Visit Health Answers via Web or cell phone to learn more, including email capabilities

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Expert Medical Opinion (EMO) Program

Second opinion through Cleveland Clinic, which is confidential and voluntary

20% of time patient gets

wrong Dx or Tx

GE pays the entire cost

Health Coach will help you collect and submit the required medical records

Commonly used for the following services:

– Back Surgery

– Hip Replacement


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p p– Cancer Treatment

– Heart Surgery

www.ge.com/healthahead* Select “Health Care Decisions”

Treatment Cost Calculator

Built by GE and Thomson Reuters

• Guide to treatment costs, not a substitute for medical advice, (via member on-line or Health Coach

New! Mobile Application October 2011

telephonically January 1, 2012)

• Estimates derived using confidential claims data from GE and other employers

• Types of services:

– Office visits, Radiology, Outpatient Surgeries, Inpatient Hospital, Ancillary Services (e.g., lab tests,

)


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immunizations)

• Cost Information integrated with Quality Data

• Health Tips (e.g., cost savings advice)

Available at: www.treatmentcostcalculator.com/ge

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CVS/Caremark Savings Center

New and Improved - Developed For GE

Confidential and proactive messaging tailored to the

40,000 opportunities in 2010-11

user

Refill, check order status, locate pharmacy, cost savings opportunities

Search for lower-cost medications and delivery options

Ask a Pharmacist


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Available via mobile app and toll-free service number

www.caremark.com

Health Answers: Making it easy

Allows access from home computer, cell phone or worksite

Find after hours care

Look up drug prices

Step by step instructions on how to find In-network providers

E-mail Health Coach for routine questions... secure response within 24 – 48 hours


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Feature allows user to Drag & Drop icon to personal computer

www.ge.com/healthaheadSelect Health Care Decisions

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Wellness support tools Wellness support tools offered as part of company-wide health wellness initiative, Health Ahead

Confidential and voluntary online resources available at no cost to GE Health Benefits members through Optum Health

o Health Risk Questionnaire (HRQ) • Variety of medical and

lifestyle questions

• Takes about 15 minutes to complete

• Overall wellness score and recommendations

o Personal Health Record

• Track Health: BP, cholesterol, weight, etc.


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, , g ,

• Reminders: medical appointments, prescription refills, etc.

o Other Health Support Programs

o Tobacco cessation and free NRT

www.ge.com/healthahead Select “Health Care Decisions”

Improving value through payment


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Payment is a key lever to ‘bend cost curve’

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HealthAhead is about creating a culture of health for employees

Creating a culture of health

Cultivate healthier lives together with the tools

Lifestyle

p yand their families – partnership between GE and our employees for stronger, healthier individuals and a stronger GE

Through HealthAhead, GE offers employees and their families the tools & programs

together with the tools, programs and a work

culture that enable us to achieve and maintain

wellness

Leading by example to inspire and achieve a healthier workplace, healthier families and

communities

Leadership

Shared


September 2012

families the tools & programs that will help them live healthierlives and make smarter choices about healthcare

communities

Working together to make smart choices about health

and managing costs to ensure quality care for the continued health of GE’s

community

S a edResponsibility

HealthAhead structure

Steering Steering

Committee

GE Vice Chairman

Senior Business Op Leaders

Business OwnershipSenior Business Op Leaders

with Medical, HR, Legal, Finance, Communications


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Site Leader and Wellness Committee/ HealthAhead Champion/Volunteer team

- Charter - Events, communication, engagement - Goals & objectives - Inclusion of families, community- Op Rhythm

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• Site certification: Modeled after safe worksites

• Global sites > 100 EEs

Create Healthier Work Sites

Our approach

Goals

• Lifestyle Programs (e.g. on-site, virtual)• Platform & tools (e.g. digital)

Engage & Help

• New benefit design• Salaried: 2010

Benefits (U.S.)

• Healthy and engaged employees globally

• Decrease health-related absence

• Strive to limit the annual increase of healthcare costs in the U.S.


September 2012

Salaried: 2010• Production: 2012

Site certification program9 Elements, 50+ metrics

Leadership & Wellness Committee

Power players, goals, budgets family programs

Education & Prevention

Education, prevention

Healthy NutritionLabeling, subsidized

healthy food (>20%), NO unhealthy food at GEbudgets, family programs,

voice of customerprograms, screening

rates

unhealthy food at GE meetings

TobaccoTobacco free campuses,

cessation aid

Physical ActivitySubsidized fitness options

(>50%)

StressEducation, management

training


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Health Risk Questionnaire

HRQ promotion and use

Health Related Absence

Increase productivity, reduce absenteeism, annual improvement

Medical & SafetySafe work environment,

medical scorecard

Launched Jan ‘10: 400+ sites certified

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Portal launch… July ‘11• Localized content for 12 countries,

6 languages… continuing to add• >200k unique visitors, 94 countries

Small Changes

Global Wellness: Engagement

g• 25,000 commitments, 50 countries• Won Interactive Media Award,

Nominated for WEBBY• Refreshed for 2012

Hi-touch• Global HRQ clinic coaching• Personal Trainer Program• Stress Free Now


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3rd Annual HealthAhead Day• Go for the Gold, plus optional

Breakfast of Champions, Olympic Village

Global ProductivityUS: integrated disability program

GE DBC

• Short term• Work comp• Long term

9 years of negative trend

Beat industry benchmarks: EMPAQ

Absence (U.S.)Days/100 EE

515468(9)%

+200 FTE’s

Global Opportunity• Utilize payroll data• Develop baselines in 14 countries

Long term• Dis pension

15,000 claims75,000 checks

2011 CDMS Quality Award

'08 '12

at work


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p• Partner w/ regions to drive improvement…

− Benefit design− Absence reporting practices− etc.

Focus on employee absence over time yields significant results

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CDHP Implementation Impact on Cost

Roll Out 2010 2011 2012

Salaried Year 1 Year 2 Year 3

Production Year 1


September 2012

Prepare for “Rush/Hush”, then “Snap-back”

GE benefits and wellness strategy

Plan Design To

Support Health

Value-Based

Payment

Take an active & accountable role in planning and managing one’s health and health care

Patient Tools & Treatment Decision Support

Engage in behaviors for healthy living ...Leverage workplace initiatives, tools and support

Demand value (quality, cost-effective care) from the system when it’s used

I f d


September 2012

HealthAhead: A Culture of

Health

Informed Decisions –

Quality & Cost

13 /GE /

We’ll cover…

• GE’s benefits and wellness strategy

• Health plan design

• Employee support & tools

• HealthAhead - GE’s Culture of Health and Wellness

• Impact on productivity and health care costs


September 2012

• References

• Questions?

References:1. Johnson AD et al; Committee on Child Health Financing. Pediatrics. 2007;119(3):622–626.2. Consumer-directed health care. Aetna Web site.

https://www1.aetna.com/about/aoti/aetna_perspective/consumerdirectedhealthcare.html. Accessed May 24, 2012.

3. Aetna HealthFund Q&A. Aetna Web site. www.aetna.com/news/kits/healthfund_qa.html. Accessed March 19, 2012.

4. Arkansas Center for Health Improvement. Tax-favored (consumer-driven) health plans. Issue Brief. January 20112011.

5. Consumer-driven health plans: reducing health care costs for everyone. PRIME Web site. primeinc.org/casestudies/employer/study/804/Consumer-Driven_Health_Plans:_Reducing_Health_Care_Costs_for_Everyone. Accessed May 21, 2012.

6. Tax-favored (consumer-driven) health plans. Issue Brief. Arkansas Center for Health Improvement Web site. achi.net/HCR%20Docs/101207%20Health%20Savings%20Accts-FINAL.pdf. Published January 2011. Accessed May 21, 2012.

7. Cigna. CDHP study shows how Americans can reduce their health care costs without compromising care. Cigna Web site. newsroom.cigna.com/article_display.cfm?article_id=1259. Accessed May 21, 2012.

8. Communicating consumer-driven health care to employees and their families. National Business Group on Health Web site. businessgrouphealth.org/pdfs/cdhealthcare_children/section5.pdf. Accessed May 21, 2012.


September 2012

2012.9. Charlton ME et al. Am J Manag Care. 2011;17(1):79–86. 10. Parente ST et al. Health Serv Res. 2004;39(4 pt II):1189–1210.11. Fronstin P. EBRI Issue Brief. 2010;352:1–44. 12. Final report of the working group on health care security consumer-directed health care arrangements. US

Department of Labor Web site. dol.gov/ebsa/publications/AC_1107a03_report.html. Accessed May 21, 2012.

Thank you to Merck, Inc. for related literature/materials listings

14 /GE /

Questions?


September 2012

[email protected]

PBGH Symposium 2012 Presentation Kresse

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