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Wellness Initiatives-  Employers are also in the “Health Business” September 11, 2009 8:15 AM Arvid R. “Dick” Tillmar – Health Advocate
Session Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Benefits of Worksite Wellness Programs Companies receive many benefits after implementing a worksite wellness program in addition to reducing costs.  They include increases in employee morale, improved employee health, reduction in workers compensation claims,  reductions in absenteeism, and increases in productivity.       Source: National Business Group on Health, 2005
Milestones in Contemporary America Hostess introduces Twinkies, 1953 Ray Kroc franchises the McDonald Brothers, 1955 And then introduces “ supersizing,” 1993
Individual Behavior ,[object Object],[object Object],[object Object],[object Object]
Individual
16 oz 32 oz 44 oz 52 oz 64 oz 48 Teaspoons Sugar
[object Object],[object Object]
Individual Family
Individual Family Worksite
Individual Family Worksite Community
Individual Family Worksite Community Nation/ world
Constraining Medical Costs  ,[object Object],Behavior & Lifestyle: Weight Gain ’86-’06 No Data  <10%  10%–14%   15%–19%  20%–24%  25%–29%  ≥30%   No Country Can Fund All the Consequences: Hypertension Type 2 Diabetes Osteoarthritis Stroke  Coronary Heart Gallbladder Sleep Apnea Respiratory Issues Some Cancers   Obesity Trends Among U.S. Adults (BMI>30%) 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Diabetes Trends Among Adults in the U.S., BRFSS 1990 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1991-92 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1993-94 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1995 - 96 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1997 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1998 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 1999 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 2000 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
Diabetes Trends Among Adults in the U.S., BRFSS 2001 No Data  <4%  4%-6%  6%-8%  8%-10%  >10%
A Weighty Toll on Employers ,[object Object],[object Object]
The High Cost of Smoking ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lost productivity related to absence & presenteeism  compared to  medical & pharmacy costs IBI Research Insights, May 2007  - Single employer example The Cost of Poor Health Medical Costs  25% Absenteeism  Lost Productivity  36% Presenteeism  Lost Productivity  34% STD/LTD/WC  5%
The Top 10 Most Costly Health Conditions C hronic disease has $1 TRILLION impact on U.S. lost productivity each year. Goetzl, R; JOEM 45(1) 5-14 2003
Expense Drivers ,[object Object],[object Object],[object Object],[object Object]
The Preventable Causes of Death in Wisconsin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Six Unhealthy Truths Tell the Story of the Rise of Chronic Disease and It’s Impact on Health and Health Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Impact of Health Risk Factors on Productivity Boles M, Pelletier B, Lynch W.  The Relationship Between Health Risks and Work Productivity.  JOEM, 2004; 46(7):737-745
Imagine If Your Customers Could Shave 25% Off Rising Health Care Costs
Wellness Programs: Definition, Legal Implications & Essential Elements
Corporate Wellness Programs Defined ,[object Object],[object Object],[object Object],[object Object]
Detailed List of Program Components ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Detailed List of Program Components ,[object Object],[object Object],[object Object],[object Object],[object Object]
Research Says:  Assessments Help Moderate Health Care Costs ,[object Object],[object Object],[object Object]
Making Sure Your Client’s Program is Compliant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
HIPAA Nondiscrimination Rules ,[object Object],[object Object],[object Object],[object Object]
Efficacy & Case Studies
Numerous Studies Document Strong ROI ,[object Object],[object Object],[object Object],[object Object]
Wellness Works, According to ROI Studies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Business Case and Implementation
Defining Health Risks & Risk Levels Health Risk Measure High Risk Criteria Alcohol > 14 drinks per week Blood Pressure Systolic >139 mmHG/Diastolic >89 mmHG Body Weight BMI =/>27.5 Cholesterol >239 mg/dl Existing Medical Problem Heart, Cancer, Diabetes, Stroke HDL <335 mg/dl Illness Days >5 days last yr Life Satisfaction Partly or not satisfied Perception of Health Fair or Poor Physical Activity <1 time per week Safety Belt Usage Using safety belts <100% of time Smoking Current smoker Stress High Overall Risk Levels Low Risk 0 to 2 high risks Medium Risk 3 to 4 high risks High Risk 5 or more high risks
Linking higher Costs With Higher Health Risk
  Get Well or Pay Not To Consumers may be able to improve their health and bottom line by participating in company sponsored wellness programs. More employers are offering cash, discounts and even lower health insurance premiums to entice workers to participate in a variety of programs. Starting next year, employees could have further incentives to get healthy as more companies add penalties to insurance premiums for workers who don’t partake. “It’s an opportunity to get cash for doing what’s right for you.  Despite cutbacks amid the recession, 58% of large U.S. companies now offer lifestyle-improvement programs, up from 43% in 2007, according to a Watson Wyatt Study.  And 56% provide health coaches, compared with 44% in 2007.  Health-risk appraisals are offered at 80% of companies, up from 72% in 2007.
    Discounts and Freebies Employees may be able to get $200 to $300 for participating in health-risk appraisals, smoking-cessation, weight management and preventive care classes.  Other offerings include heavily discounted weight loss programs and free or discounted gym memberships.  At some companies, employees who participate are rewarded with gift cards or lower insurance premiums.
Wellness Education/Communication Most survey respondents offered at least one type of wellness education and communication program component. ,[object Object],Program Component Percentage of Respondents Online Communications 93% Print Communications 87% Audio/Visual 27% Self-Care Guide 27% Pre-Natal Program 67%
 
Question and Answers
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Corporate Wellness

  • 1. Wellness Initiatives- Employers are also in the “Health Business” September 11, 2009 8:15 AM Arvid R. “Dick” Tillmar – Health Advocate
  • 2.
  • 3.
  • 4. Benefits of Worksite Wellness Programs Companies receive many benefits after implementing a worksite wellness program in addition to reducing costs. They include increases in employee morale, improved employee health, reduction in workers compensation claims, reductions in absenteeism, and increases in productivity.   Source: National Business Group on Health, 2005
  • 5.
  • 6. Milestones in Contemporary America Hostess introduces Twinkies, 1953 Ray Kroc franchises the McDonald Brothers, 1955 And then introduces “ supersizing,” 1993
  • 7.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. 16 oz 32 oz 44 oz 52 oz 64 oz 48 Teaspoons Sugar
  • 14.
  • 16.
  • 18.
  • 20.
  • 21.
  • 22.
  • 23. Individual Family Worksite Community Nation/ world
  • 24.
  • 25.
  • 26. Diabetes Trends Among Adults in the U.S., BRFSS 1990 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 27. Diabetes Trends Among Adults in the U.S., BRFSS 1991-92 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 28. Diabetes Trends Among Adults in the U.S., BRFSS 1993-94 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 29. Diabetes Trends Among Adults in the U.S., BRFSS 1995 - 96 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 30. Diabetes Trends Among Adults in the U.S., BRFSS 1997 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 31. Diabetes Trends Among Adults in the U.S., BRFSS 1998 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 32. Diabetes Trends Among Adults in the U.S., BRFSS 1999 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 33. Diabetes Trends Among Adults in the U.S., BRFSS 2000 No Data <4% 4%-6% 6%-8% 8%-10% >10%
  • 34. Diabetes Trends Among Adults in the U.S., BRFSS 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%
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  • 37. Lost productivity related to absence & presenteeism compared to medical & pharmacy costs IBI Research Insights, May 2007 - Single employer example The Cost of Poor Health Medical Costs 25% Absenteeism Lost Productivity 36% Presenteeism Lost Productivity 34% STD/LTD/WC 5%
  • 38. The Top 10 Most Costly Health Conditions C hronic disease has $1 TRILLION impact on U.S. lost productivity each year. Goetzl, R; JOEM 45(1) 5-14 2003
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  • 43. Imagine If Your Customers Could Shave 25% Off Rising Health Care Costs
  • 44. Wellness Programs: Definition, Legal Implications & Essential Elements
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  • 51. Efficacy & Case Studies
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  • 54. Business Case and Implementation
  • 55. Defining Health Risks & Risk Levels Health Risk Measure High Risk Criteria Alcohol > 14 drinks per week Blood Pressure Systolic >139 mmHG/Diastolic >89 mmHG Body Weight BMI =/>27.5 Cholesterol >239 mg/dl Existing Medical Problem Heart, Cancer, Diabetes, Stroke HDL <335 mg/dl Illness Days >5 days last yr Life Satisfaction Partly or not satisfied Perception of Health Fair or Poor Physical Activity <1 time per week Safety Belt Usage Using safety belts <100% of time Smoking Current smoker Stress High Overall Risk Levels Low Risk 0 to 2 high risks Medium Risk 3 to 4 high risks High Risk 5 or more high risks
  • 56. Linking higher Costs With Higher Health Risk
  • 57. Get Well or Pay Not To Consumers may be able to improve their health and bottom line by participating in company sponsored wellness programs. More employers are offering cash, discounts and even lower health insurance premiums to entice workers to participate in a variety of programs. Starting next year, employees could have further incentives to get healthy as more companies add penalties to insurance premiums for workers who don’t partake. “It’s an opportunity to get cash for doing what’s right for you. Despite cutbacks amid the recession, 58% of large U.S. companies now offer lifestyle-improvement programs, up from 43% in 2007, according to a Watson Wyatt Study. And 56% provide health coaches, compared with 44% in 2007. Health-risk appraisals are offered at 80% of companies, up from 72% in 2007.
  • 58. Discounts and Freebies Employees may be able to get $200 to $300 for participating in health-risk appraisals, smoking-cessation, weight management and preventive care classes. Other offerings include heavily discounted weight loss programs and free or discounted gym memberships. At some companies, employees who participate are rewarded with gift cards or lower insurance premiums.
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Notas del editor

  1. God almighty it’s hard. Papa: Seat Belt, Cigars, Fructose, Spit ball of bread Trans Fat Sleep ½ NY strip Fewer calories