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Madeline McGee
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1 Welcome Today s presentation will begin shortly. In order to hear the audio for this presentation, please turn up your speakers. If you d like to ask a question, please use the Q&A area of the console. A PDF of the presentation and other relevant resources are available in the More Information area of the console. To resize the presentation, just drag the lower right corner of the slide area. If you need help during the event, please click on the Help icon at the bottom of the screen. 1

2 Help your employees. Help your bottom line. Top strategies for reducing health care costs. Wellness on the Run July 27th, 2016

3 Top 5 Focus Areas 1. Transparency/ Consumerism 2. Stress 3. Physical Activity 4. Smoking Cessation 5. Incentives

4 Cost of uninformed consumers One out of every five visits to the emergency room is avoidable. ER visits cost $1.2 million in unnecessary expenses each day. 1 in 3 visits to the ER are during physician normal business hours. 4

Where to go when it s not a real emergency Faster, less expensive, more convenient Emergency Room: ($1,454) When immediate care is required- i.e. chest pain, profuse bleeding, difficulty breathing,

5 Where to go when it s not a real emergency Faster, less expensive, more convenient Emergency Room: ($1,454) When immediate care is required- i.e. chest pain, profuse bleeding, difficulty breathing, unconsciousness, Urgent care center: ($156) When someone needs to be looked at right away but isn t experiencing a severe emergency, most can do X-rays, lab tests and stitches Doctor s Office: ($112) Many doctors reserve special appointments for same day appointments and also have evening or weekend hours. Retail health clinic: ($77) Good for basic medical services, usually found in a major pharmacy or retail store LiveHealth Online: ($49) Connect with a doctor right away online, using a webcam, without appointments, waiting rooms or high costs. 24/7 NurseLine: (included with most health plans) Can assist members in determining the appropriate care setting for their situation. The number is on each ID card! 5 5

67% of employers are currently offering telehealth services 90% expect to add them by 2018 LiveHealth Online Members can easily and conveniently connect to a board-certified doctor any time, anywhere.

6 67% of employers are currently offering telehealth services 90% expect to add them by 2018 LiveHealth Online Members can easily and conveniently connect to a board-certified doctor any time, anywhere. This is the definition of increased access. 90% 90% 85% satisfaction 1 time 1 medical issue 1 patient saved completely resolved Learn more about Live Health Online in our August Webinar 1. LiveHealth Online Consumer Post-Visit Survey Results. 2. Results based on internal LIveHealth Online study during 2014 and Q1 of 2015 for the most common conditions. 6

7 On the Go Info Our Health Plan app helps members get info they need to be better consumers Download the app on Google Play or the itunes Store. FIND A DOCTOR URGENT CARE ESTIMATE YOUR COST CONTACT US 7

Shopper programs Supporting more informed health care decisions for your employees on a variety of procedures Program components Provides information to members to empower them as active participants

8 Shopper programs Supporting more informed health care decisions for your employees on a variety of procedures Program components Provides information to members to empower them as active participants in their health care decisions Provider orders test or procedure Member is called if provider does not select a high-value option Member has the option to voluntarily receive similar care at a lower cost Programs include: Imaging Shopper Sleep Shopper Surgical Shopper Procedure Shopper Select programs may not be available in all markets 8

Stress in the workplace Compared to low-stress employees, those with higher stress show: Lower levels of engagement - 57% felt disengaged compared to 10%.

1 Lower productivity increased presenteeism - 16 days per year compared to 10 days 1 Higher absentee levels - 4.6 sick days per year compared to 2.

9 Stress in the workplace Compared to low-stress employees, those with higher stress show: Lower levels of engagement - 57% felt disengaged compared to 10%. 50% of the low stress employee group claimed to be highly engaged. 1 Lower productivity increased presenteeism - 16 days per year compared to 10 days 1 Higher absentee levels sick days per year compared to 2.6 days 1 Higher health care costs - $2,000 higher than those with the least stress 2 $300 Billion U.S. businesses lose up to $300 billion a year because of stress /2014 Global Benefit Attitudes Survey Towers Watson Aetna Mind-Body Stress Study 9

10 Stress Solutions Wellness coaching Healthy lifestyle habits : sleep, exercise and nutrition Mindful meditation Therapeutic yoga Wellness coaching Employee Assistance Program Working remotely Helps improve work-life balance Creativity breaks Helps recovery from daily stress Creative projects, take a walk Foosball, ping pong, game consoles. Classes Stress management Desk Meditation/ Desk Yoga Massage therapist Healthy food options Minimize the effects of stress on weight gain Break rooms, vending machines, cafeterias Black tea, whole grain bars, water, fruit, nuts, chewing gum Learning and development Productivity classes How to facilitate effective meetings Set expectations When should employees be available 10

11 Physical Activity Americans spend up to 13 hours a day sitting, 7.5 hours are typically spent sitting at work This is increasing our rates of heart disease, diabetes, cancer, obesity and premature death. Even a 10% reduction in sitting time or a 30-minute decrease of sitting time per day increased life expectancy by 0.2 years 11

tracker Provide workstation workouts and stretches Promote walking meetings; keep shoes at work!

12 Move more Focus on establishing long-term habits, not biggest looser competitions Set reminders to move every hour Buddy up; find accountability partner(s) Set a daily step goal on your fitness tracker Provide workstation workouts and stretches Promote walking meetings; keep shoes at work! Stand while on the phone Organize an office walking group w/routes Buy a few tall counters or standing desks 12

13 Smoking Cessation Each smoker on your benefit plan is costing you and additional $4,000 per year. Those that smoke are sick more often and take more breaks during the workday which impacts productivity. Solution: The #1 reason why people quit smoking is that their worksite has gone smoke-free 1 6 in 10 companies may use tobacco surcharges by Important to communicate changes well in advance and offer smoking cessation tools during transition. Smokefree.gov or 1 The North Caroline Prevention Partners Quit Now NC!: Tobacco Use and Quitting Facts study 2. Towers Watson: 2015 Emerging Trends in Health Care Survey 13 13

14 Do incentives really work? Depending on the incentive you offer, participation rates can go up 40%-45% 1. A moderate cash incentive of $25 to $75 may bring as much as 30% to 50% participation, while a significant cash incentive, $100 to $500, may bring as much as 70% to 80% 1. What companies are spending In 2015, employers are spending $693 on wellness program incentives for each employee to boost program attendance 2. Popular incentives: gift cards lower health care premiums Cash free screenings exercise classes 1 Wellness Councils of America (WELCOA) website: welcoa.org. 2 Forbes website: Employers Boost Wellness Spending 17% From Yoga To Risk Assessments (March 2015): 14

15 Our Company Wellness Credit program WELLNESS CREDIT: $400/400 per associate / spouse or partner WELLNESS CREDIT: $600/600 per associate / spouse or partner WELLNESS CREDIT: $700/700 per associate / spouse or partner $200 for BMI of <30 or demonstrating improvement WELLNESS CREDIT: $200 per associate for completing an eligible wellness program $100 $200 for being tobacco free or completing Quit for Life $100 $200 for BMI of <30 or demonstrating improvement for being tobacco free or completing Quit for Life $200 $200 for being tobacco free or completing Quit for Life for blood pressureof <140/90 for completing Know Your Numbers and health assessment for completing Know Your Numbers and health assessment $200 $200 $200 for blood pressureof <140/90 $100 for flu vaccine AWARENESS Year 1 PARTICIPATION Year 2 RESULTS 2012 & Years 3 & 4 RESULTS 2014 & Years 5 & 6 Reasonable Alternatives to all outcomes based standards were made available in 2013 to comply with the HIPAA Wellness Incentive regulations issued in June

16 Wellness Credit Engagement Trend 100% 75% 50% Associate 51% Spouse/Domestic Partner 90% 91% 80% 87% 73% 63% 56% 46% 96% 70% % increase (Associate participation since 2010) 52% increase (Spouse and domestic partner participation since 2011) 25% 0%

No Cost Resources on Time Well Spent Health Kits Workplace Challenges

17 No Cost Resources on Time Well Spent Health Kits Workplace Challenges (Plan) 1) Nutrition and Fitness 2) Emotional Health Workplace Education Materials (Share) 1) Smoking Cessation 2) Exercise and Fitness 3) Stress Management Newsletter Generation Tool (Share) Webinar Archive (Learn) 1) Using Incentives to Change Behaviors 2) How to Inspire employees to Quit Smoking 3) Stress less- Take Wellness to the Next Level 17

18 Q&A 18

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc.

In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc.

19 Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri (excluding 30 counties in the Kansas City area): RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non- HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. trades as Anthem Blue Cross and Blue Shield in Virginia, and its service area is all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi), which underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation (Compcare), which underwrites or administers the HMO policies; and Compcare and BCBSWi collectively, which underwrite or administer the POS policies. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association.

Welcome. Today s presentation will begin shortly.

Welcome. Today s presentation will begin shortly. Welcome Today s presentation will begin shortly. In order to hear the audio for this presentation, please turn up your speakers. If you d like to ask a question, please use the Q&A area of the console.