America's Wellness Plan

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America’s Wellness Plan Individual Choice. Empowered Consumers. Community Wellness.

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Americas Wellness PlanIndividual Choice.Empowered Consumers.Community Wellness.

Is our current healthcare system making us fat?

The FactsThe health of Americans.63% of Americans are overweight or obese40% of every dollar spent on food is spent on food prepared outside the home1 in 4 adults gets no leisure time physical activityBetween 1987 and 2010, the number of Americans diagnosed with diabetes tripled to 20.9 millionThe cost of healthcare.Health expenditures in 2010 were nearly $2.6 trillionA 10x increase from 1980

http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx3

The ImpactObesitys Economic Impact:$190 billion in annual medical costs$5 billion annually in additional jet fuel needed to fly heavier passengers$4 billion annually for additional gasoline for cars to carry heavier passengers$30 billion annually for presenteeism$6.4 billion annually for absenteeism

http://www.huffingtonpost.com/2012/04/30/obesity-costs-dollars-cents_n_1463763.htmlhttp://www.reuters.com/article/2012/04/30/us-obesity-idUSBRE83T0C8201204304

The ChallengeOur healthcare system is not able to address meaningful health and wellness at the community level.Access varies widelyIncome disparities impact healthMedical school does not include meaningful training on nutrition and exercise

The SolutionAmericas Wellness Plan

Wellness PlanServes as Wellness Home4 tiered plan based on health statusDetermines frequency of health coach meetingsEach enrollee completes Annual Health Improvement PlanIncentives and MeasurementEnrollees: Premium savings for improved health statusWellness Plans: Measured by improvement in enrollees health status20 Wellness Plans per region; 300 nationwide (procured by DHHS)

Wellness Spending AccountDebit-card for consumers to use for certified health and wellness products and servicesAll Americans have the same Wellness Spending Account increased consumer power, access and equalityFour WSA Administrators (procured by DHHS)

High Deductible Insurance PolicyThree Enrollment Tiers determined by Baseline Health Status evaluationLow riskModerate riskHigh riskTen HDIPs available in each area; 150 nationwide (procured by DHHS)Consumers choose plan each year

Administrative ComponentsWellness Spending Account Administrators (WSAA): 4 nationwide (procured by DHHS)Enrollment Broker: One per state (procured by states)Program Integrity: 15 contractors (procured by DHHS)Independent Quality Monitoring and Evaluation: One per state (procured by states)

Why?The focus of a healthcare system should be to help people get healthy and stay healthySurgeries, drugs and medical innovations add costs to the systemOur nations ability to thrive is based on our citizens ability to thrive

About the AuthorJoanne M. Frederick is the President and CEO of Market Strategies a consulting firm with 20+ years of experience in the public sector healthcare marketplace. www.msiworld.comIn 2005, she founded Cybercise, Inc. to help people get more exercise.www.cyber-cise.comIn 2012, she published Move.Eat.Be. a six-month wellness program designed to help people reclaim their health.www.moveeatbe.comFor speaking engagements, please contact us through: https://speakerfile.com/speakers/joanne.frederick