16A Daring to Reward Biometrics in the Public Sector€¦ · Daring to Reward Biometrics in the...
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The opinions expressed in this presentation are those of the speaker. The International Society and International Foundation disclaims responsibility for views expressed and statements made by the program speakers. Daring to Reward Biometrics in the Public Sector Mary Kay Ruwette Human Resources Manager City of Dublin Dublin, Ohio 16A-1
Transcript of 16A Daring to Reward Biometrics in the Public Sector€¦ · Daring to Reward Biometrics in the...
The opinions expressed in this presentation are those of the speaker. The International Society and International Foundation disclaims responsibility for views expressed and statements made by the program speakers.
Daring to Reward Biometrics in the Public Sector
Mary Kay RuwetteHuman Resources ManagerCity of DublinDublin, Ohio
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Who is the City of Dublin?
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Wellness & Prevention must be inseparably linked to the healthcare plan design.
Employees must be partners in their healthcare coverage and stewards of their own health.
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Daring to Reward Biometrics in the Public Sector
Benefit Team
Lower Health Care costs
City Council
Best PracticesROI on Wellness
Healthcare costs
Benefit Design
Tie Wellness to BenefitsOffer Incentives
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Best Practice to Next Practice
2 0 0 6 - 2 0 1 0 P P O P L A N
Deductible Co-Insurance Out of Pocket
Sing
le
$0 85/15 $1,750
Fam
ily
$0 85/15 $3,000
Premium contribution= $0
Free On-Site Screenings (optional)
Free Recreation Center Membership
Preventive Care Covered at 100%
Incentives
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HBC PlusChecklist
Health Risk Assessment
Screenings and Forms
Education Credit• 2 classes required
Preventive Care Check-Up
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Health Care Spending—Projections
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Benefits
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Best Practice to Next Practice
I N C E N T I V E SEarn a contribution into a Health
Savings Account Participation ($1,125/$2,250) Health Factors (Biometric
measures) ($150 per person)
Free On-Site Screenings (Mandatory)
Free Recreation Center Membership
Preventive Care Covered at 100%
Deductible Co-Insurance Out ofPocket
Sing
le $2,500 85/15 $4,000
Fam
ily
$5,000 85/15 $8,000
2011 Consumer Driven Health Plan
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Best Practice to Next Practice
2 0 0 6 - 2 0 1 0 P P O P L A N
Deductible Co-Insurance Out of Pocket
Sing
le
$0 85/15 $1,750
Fam
ily
$0 85/15 $3,000
2 0 1 1 H I G H D E D U C T I B L E
Deductible Co-Insurance Out ofPocket
Sing
le
$2,500 85/15 $4,000
Fam
ily
$5,000 85/15 $8,000
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Best Practice to Next Practice
2 0 0 6 – 2 0 1 0 I N C E N T I V E S
Premium contribution= $0
Free On-Site Screenings (optional)
Free Recreation Center Membership
Preventive Care Covered at 100%
Free Health Coaching
HBC “Buck” Program—Earn “bucks” to pay for programs at Rec Center
2 0 1 1 I N C E N T I V E S
Earn a contribution into a Health Savings Account
Participation ($1,125/$2,250)
Health Factors (Biometric measures) ($150 per person)
Free On-Site Screenings (Mandatory)
Free Recreation Center Membership
Preventive Care Covered at 100%
Free Health Coaching
HBC “Buck” Program
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Health measuresTobacco Free
Weight (BMI/waist)
Cholesterol
Blood pressure
Health Factor
HBC Target Ideal Measure*
Tobacco Use
Tobacco free 1 year No use
Weight(BMI/waist)
BMI <=25 Or
Waist 35 (F) or 40 (M)
BMI <=25
Cholesterol(Total/LDL)
<=200 mg/dl
OrLDL < 100
< 200 Total Cholesterol
Blood Pressure <140/90 <120/90
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2011-2013 City of Dublin Consumer Driven Health Plan(Example for Single Coverage)
Plan Participation Requirements Contribution to HSA $ Contribution to HSA %
Completion of Health Risk AppraisalPreventive Care ExamEducation CoursesScreenings
$1,125 45%
Health Measures
BMI/Waist $150 51%
Cholesterol $150 67%
Blood Pressure $150 63%
Tobacco Free $150 69%
Deductible: $2,500
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2011-2013 City of Dublin Consumer Driven Health Plan(Example for Family Coverage)
Plan Participation Requirements Contribution to HSA $ Contribution to HSA %
Completion of Health Risk AppraisalPreventive Care ExamEducation CoursesScreenings
$2,250 45%
Health Measures per employee & per spouse
BMI/Waist $150 51%
Cholesterol $150 67%
Blood Pressure $150 63%
Tobacco Free $150 69%
Deductible: $5,000
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Re-Testing Incentives
Rewarding Progress
•Twice a Year
• Earn a Partial Contribution
• Progress toward Health Factors
Health measures
Weight (BMI/waist)
Cholesterol
Blood pressure
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Daring to Reward Biometrics in the Public Sector
Biometrics
Education
Union Buy-In
City Council Buy-In
Communication
Legal
Medical Experts
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Wellness Programs
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Health Care Spending
0
1000000
2000000
3000000
4000000
5000000
6000000
2010 2011 2012
Projected Cost
Actual Cost
4,860,000
$4,448,419$4,214,4825,248,000
5,668,700
4,065,347
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Claims Cost PEPY
$7,500
$8,000
$8,500
$9,000
$9,500
$10,000
$10,500
$11,000
Total Cost
2010
2011
2012
Benefits
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Risk Status: Low, Medium and High
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
2008 2009 2010 2011 2012
High Risk
Medium Risk
Low Risk
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Next Practices—2014 & Beyond
Increase BMI Reward
Alternative Standard—Progress
Tobacco Surcharge
Dental Incentive
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Questions?
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