Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon...
-
Upload
brian-mclaughlin -
Category
Documents
-
view
223 -
download
0
Transcript of Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon...
![Page 1: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/1.jpg)
Population Health: Employers and Beyond
OSHE Fall MeetingOctober, 2015
Karen Volmar, JD MPHOregon State University
![Page 2: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/2.jpg)
• History of employer involvement in population health
• Current employer based population health management strategies
• Moving forward– examples of partnerships and programs from the field
![Page 3: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/3.jpg)
Employers – the first population health managers
Health Insurance Coverage
Management Features & Plan Design
Employee Wellness Programs
Partnerships for
Population Managemen
t
![Page 4: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/4.jpg)
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
$4,955
$4,823
$4,565
$4,316
$4,129
$3,997
$3,515
$3,354
$3,281
$2,973
$2,713
$2,661
$2,412
$2,137
$1,787
$1,619
$1,543
$12,591
$12,011
$11,786
$11,429
$10,944
$9,773
$9,860
$9,325
$8,824
$8,508
$8,167
$7,289
$6,657
$5,866
$5,274
$4,819
$4,247Worker Contribution
Employer Contribution
Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999-2015
* Estimate is statistically different from estimate for the previous year shown (p<.05).
SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2015.
$5,791
$6,438*
$7,061*
$8,003*
$9,068*
$9,950*
$10,880*
$11,480*
$12,106*
$12,680*
$13,375*
$13,770*
$15,073*
$15,745*
$16,351*
$16,834*
$17,545*
![Page 5: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/5.jpg)
![Page 6: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/6.jpg)
Among Large Firms (200 or More Workers) Offering Health Benefits, Percentage of Firms Offering Incentives for Various Wellness and Health Promotion Activities, 2015
Offers or Re-quires Health Risk Assess-
ment
Also has an In-centive to Complete
Health Risk Assessment
Offers or Asks Employees to
Complete Biometeric Screening
Also has an Incentive To
Complete Biometric Screening
Offers Specific Wellness Programǂ
Also has an In-centive or
Penalty to Par-ticipate in
Wellness Pro-grams
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
50%
31%
50%
28%
81%
31%
• ǂ Firms which offer either “Programs to Help Employees Stop Smoking”, “Programs to Help Employees Lose Weight”, or “Other Lifestyle or Behavioral Coaching“.
• SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2015.
Health Risk Assessments
Biometric Screening Wellness Programs
![Page 7: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/7.jpg)
Among Firms Offering Health Benefits, Percentage of Firms Offering Specific Wellness Program to Their Employees, by Firm Size, 2015
Programs to Help Em-ployees Stop Smoking
Programs to Help Em-ployees Lose Weight
Other Lifestyle or Behav-ioral Coaching
At Least One of These Programs
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
41%* 39%* 39%*
49%*
71%*
61%*
68%*
81%*
All Small Firms (3-199 Workers)All Large Firms (200 or More Workers)
• * Estimate is statistically different between All Small Firms and All Large Firms (p<.05).
• NOTE: “Other Lifestyle or Behavioral Coaching” can include health education classes, stress management, or substance abuse counseling.
![Page 8: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/8.jpg)
• 2% of health benefit dollars spend on wellness
• 20% of companies spend more than $400 per employee per year on incentives
• 1in 4 companies do not measure outcomes of wellness activities
2010 SHRM Survey (Fidelity and NBGH)
![Page 9: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/9.jpg)
Additional Challenges
• Employee Privacy concerns
• Financial Incentives
• Discrimination concerns
![Page 10: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/10.jpg)
Catastrophic Health
Coverage
Health Maintenance Organization
s
Employee Wellness Programs
Partnerships for
Population Managemen
t
Partnering with Providers and Payers• Program
design
• Developing the evidence base
• Program execution
• Managing privacy
![Page 11: Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University.](https://reader035.fdocuments.in/reader035/viewer/2022062222/5697bfc71a28abf838ca7d4e/html5/thumbnails/11.jpg)
Thank you