October 2013 Employer Worksite Wellness Webinar. Experience. Wellness. Everywhere.

Transcription

1 October 2013 Employer Worksite Wellness Webinar Experience. Wellness. Everywhere.

2 2013 Campaign Schedule Month Webinar Topic Date and Time January 2013 Wellness An Overview of Well ontarget 1/29 February 2013 Wellness An Overview of Well ontarget 2/26 March Thrive to Stay Alive: Happiness in the Workplace 3/19 April Wellness Incentives in Workplace Cultures: Best Practices 4/23 May Rescheduled 5/28 June Creating a Culture of Wellness at Your Worksite: An Overview of Well on Target Consulting Services Experience. Wellness. Everywhere. 6/25 10/11 AM July Blue Care Connection 7/23 August September October Employee Resources: Exploring Be Smart. Be Well. and Blue365 Reframing the Well-Being Value Proposition for Sustainable Results The ondemand Portal: A Closer Look at Reporting and Online Challenges 8/27 9/26 10/22 November/December TBD 12/10 2

3 SIMPLY INSPIRING our purpose To do everything in our power to stand with our members in sickness and in health Experience. Wellness. Everywhere.

4 October 2013 Agenda Introduction ondemand Portal Christina Papirnik Lifestyle Programs Monica Rinehart Questions Survey Experience. Wellness. Everywhere. 4

5 Blue Care Connection Lifestyle, Weight & Tobacco Cessation, Leading Indicators & MetS programs 5 5

6 New The New BCC The Next Generation of Blue Care Connection Catastrophic Illness End of Life High-Risk OB & Neonatal Intensive Care End Stage Renal Disease Traumatic Injury Complex Care Coordination Behavioral Health (BH) Co-management Asthma Cardiovascular Condition Clusters COPD Diabetes Personalized Messaging Leading Indicators Low Back Pain Special Beginnings Maternity Co-morbidity BH Co-management 6 conditions Care Coordination and Early Intervention Targeting Leading Indicators, early identification and outreach, pre-admission / post-discharge counseling, reducing avoidable events Early identification Personalized Messaging Multi-Condition Approach Results Wellness / Preventive Initiatives BlueResource SM Communications BLUE 365 Member Discount Program Worksite Wellness* Fitness Program* Metabolic Syndrome Mgmt Leading Indicators of MetS, Diabetes and CAD Alternative Treatment Options/ Shared Decision Tools MetS Program Buy-up* Health Assessment Well on Target Weight Smoking Cessation 24/7 Nurseline EAP* Authorization / notification / concurrent review ONLY BH Co-management *Additional costs and conditions apply. Experience. Wellness. Everywhere. 6

7 Lifestyle Well Members Low- Risk Moderate- Risk High-Risk Complex / Catastrophic Wellness and Preventive Care Lifestyle Programs Utilization Pre-certification Condition Enhanced Case Priorities Personalized Telephonic coaching with Wellness Coaches Member driven goal setting, treatment planning, and individualized education and support Motivational and Behavioral Coaching Referrals when appropriate to other medical management programs Motivational toolkits mailed to members when enrolled and working with a licensed Wellness Coach Tobacco Cessation: Support for members who want to quit smoking Weight : Support for a Healthier You Licensed Clinical Social Workers Licensed Master Social Workers Licensed Professional Counselors Registered Dietitians Exercise Physiologists 7

8 Lifestyle Well Members Low- Risk Moderate- Risk High-Risk Complex / Catastrophic Wellness and Preventive Care Lifestyle Programs Utilization Pre-certification Condition Enhanced Case Self-Paced Approach (online enrollment) Online tools and resources via the Well on Target Portal Secure outreach to keep members on track Life Points are awarded for taking healthy actions. Points are assigned to actions that have been proven to have a positive impact on health. Blue 365 Member Discount Program: offers new features and discounts on fitness gear, family activities, healthy eating options and much more, from top national and local retailers including: Davis Vision, TruHearing, TruVision, Jenny Craig, Life Time Fitness and Proctor & Gamble. Tobacco Cessation: Support for members who want to quit smoking Weight : Support for a Healthier You 8

9 Lifestyle -Metabolic Syndrome (MetS)/Leading Indicators Well Members Low- Risk Moderate- Risk High-Risk Complex / Catastrophic Wellness and Preventive Care Lifestyle Programs Utilization Pre-certification Condition Enhanced Case We know some health indicators can lead to more serious diseases. Enhanced program analytics identify Metabolic Syndrome and its leading indicators that signify critical risk factors that lead to Metabolic Syndrome, diabetes and coronary artery disease, if left untreated. Metabolic Syndrome and Leading Indicators 2 or more of: Fasting Blood Glucose Hypertension High Triglycerides Low HDL Waist Size 9

10 ELSM Outreach Criteria Member identified from Health Assessment (HA), Integrated Predictive Model, self-referrals, biometric / worksite wellness events and other BCC programs (Internal Referrals). HA/Biometrics*Tobacco Cessation Trigger: Positive response to tobacco use. Appropriate readiness to change HA / Biometrics *Weight Triggers: Overweight: Body Mass Index (BMI) Obese: Respondent with a BMI 30 Appropriate readiness to change Integrated Predictive Model Triggers: Obesity, Tobacco Use Disorder, Hyperlipidemia, Hypertension, Pre-Diabetes, or Diagnosis of Metabolic Syndrome Leading Indicators of conditions above (must meet 3 or more triggers for outreach) Experience. Wellness. Everywhere. 10

11 Blue Care Advisor/Coach Interdisciplinary Timeline BCA/Coach Enrollment #1 #2 #3 #4 #5 #6 Lifestyle Coach Advisor s Follow-up Timeline (Typical 9 Month Total Engagement) NOTE: Actual Follow-upSchedule determined by member needs - Experience. Wellness. Everywhere. 11

12 Lifestyle Well Members Low- Risk Moderate- Risk High-Risk Complex / Catastrophic Wellness and Preventive Care Lifestyle Programs Utilization Pre-certification Condition Enhanced Case Summary Lifestyle includes: Weight Tobacco Cessation Metabolic Syndrome Telephonic coaching with members to help them incorporate healthy lifestyle changes that will have a lasting impact Incorporate and utilize online tools and resources to optimize member success. 12

13 QUESTIONS? 13