America's Wellness Plan

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

Transcript of America's Wellness Plan

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America’s Wellness PlanIndividual Choice.Empowered Consumers.Community Wellness.

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Is our current healthcare system making us fat?

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The Facts

The health of Americans. 63% of Americans are overweight or obese 40% of every dollar spent on food is spent on food

prepared outside the home 1 in 4 adults gets no leisure time physical activity Between 1987 and 2010, the number of American’s

diagnosed with diabetes tripled to 20.9 million

The cost of healthcare. Health expenditures in 2010 were nearly $2.6 trillion A 10x increase from 1980

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The Impact

Obesity’s 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

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The Challenge

Our healthcare system is not able to address meaningful health and wellness at the community level. Access varies widely Income disparities impact health Medical school does not include meaningful training on

nutrition and exercise

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The SolutionAmerica’s Wellness Plan

Wellness Plan

Wellness Spending Account

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Wellness Plan

Serves as “Wellness Home” 4 tiered plan based on health status

Determines frequency of health coach meetings Each enrollee completes Annual Health Improvement Plan

Incentives and Measurement Enrollees: Premium savings for improved health status Wellness Plans: Measured by improvement in enrollees health


20 Wellness Plans per region; 300 nationwide (procured by DHHS)

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Wellness Spending Account

Debit-card for consumers to use for certified health and wellness products and services

All American’s have the same Wellness Spending Account – increased consumer power, access and equality

Four WSA Administrators (procured by DHHS)

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High Deductible Insurance Policy Three Enrollment Tiers determined by Baseline Health

Status evaluation Low risk Moderate risk High risk

Ten HDIPs available in each area; 150 nationwide (procured by DHHS)

Consumers choose plan each year

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Administrative Components

Wellness 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)

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The focus of a healthcare system should be to help people get healthy and stay healthy

Surgeries, drugs and medical innovations add costs to the system

Our nation’s ability to thrive is based on our citizens’ ability to thrive

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About the Author

Joanne M. Frederick is the President and CEO of Market Strategies a consulting firm with 20+ years of experience in the public sector healthcare marketplace.

In 2005, she founded Cybercise, Inc. to help people get more exercise.

In 2012, she published Move.Eat.Be. a six-month wellness program designed to help people reclaim their health.

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