Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @...
Transcript of Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @...
Health and Wellness @ LifeBridge Health
September 19, 2014
If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health. --Hippocrates
Cheryl Boyer, VP Human Resources Guy Van Tiggelen, Director Total Rewards
Who We Are
• “As one of the largest, most comprehensive and most highly respected providers of health-related services to the people of the Northwest Baltimore region, LifeBridge Health advocates preventive services, wellness and fitness services and programs to educate and support the communities it serves.”
• Sinai Hospital of Baltimore
• Northwest Hospital
• Levindale Hebrew Geriatric Center and Hospital
• Subsidiaries
• LifeBridge Health & Fitness
• LifeBridge Medical Care Centers
• Physician Offices
The LBH Triple Option Health Plan
Cost Share
• Level 1 – Narrow Network 0% after deductible
• Level 2 – CareFirst PPO 30% after deductible
• Level 3 - Out of Network 40% after deductible
The LBH Triple Option Health Plan • 10,085 Covered Lives
• Employees
• Dependents
LiveWell @ LifeBridge - Journey
Year Program / Actions
2003 Wellness Committee established to promote simple wellness ideas at no cost to LifeBridge
2004
to
2008
Wellness Committee activities, as part of our
Great Place to Work Strategy:
2009 Decision made to establish a formal wellness
program
HRA & onsite
biometrics$25 gift
card.
HRA +400 pts.
Surcharge introduced
HRA +600 (full year)
Points granted for
exercise and screenings
meQ stress assessment + 500
points plus mandatory physical
with biometrics Onsite coaching
LiveWell @ LifeBridge - Journey
2010 2011 2012/13 2014
Participation
14%
69% 70% 69%
55%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Phase I Phase II Phase III Phase IV Phase V
Phase I – 2010 Phase II – 2011 Phase III – 2011- 2012 Phase IV – 2012-2013 Phase V – 2013 - 2014
Cost of the Program • Fees
• Administrative fees $285,654
• Metabolic Syndrome Coaching fee $46,300
• High Claims Coaching fee $186,000 (charged to claims)
• Total = $517,954
• Employee Surcharges $521,437
• Cost = -$3,483
Outcomes - Claims
$7,825 $7,830 $7,919
$9,657
$8,193
$7,000
$8,000
$9,000
$10,000
$11,000
2010 2011 2012 2013 2014
Claims per Employee Per Year
Actual
Trend (7%)
Linear (Actual)
*
* Includes shock claim of $1.2 million
Plan Design Changes in 2014, included increases in cost share, deductibles, smoker and spousal surcharges
Employee Health Status
1627
762
224
74 14 1
617
467
286
160 60 16
939 844
521
298
105 25
0
200
400
600
800
1000
1200
1400
1600
1800
None One Two Three Four Five
Metabolic Syndrome Factor
2011 2012
2012 - 2013
2013 -2014
2011-2012 2012-2013 2013-2014
None 60% 38% 34%
One 28% 29% 31%
Two 8% 18% 19%
Three 3% 10% 11%
Four 1% 4% 4%
Risk Stratification
3.2%
9.0%
13.1%
27.1%
47.6%
1.2%
3.2%
6.6%
24.1%
64.9%
Advanced / Critical Illness
Chronic Illnesses
At Risk
Stable
Healthy
CareFirst Members LifeBridge Wellness
Outcomes – Coaching
Outcomes – Culture of Awareness
• "I chose [the Health Risk Counseling] Program with Support, because I need the accountability. I also would like to say that I thought this program so far has been very helpful. It is very well done and has given me a better understanding about what is going on in my body. It explained everything really well."
• " I didn't think I could do it. I thought that if I wasn't able to run or work out at the gym, that exercise wouldn't be worth it. I have learned that walking can be very empowering, not only physically, but for my mind and spirit. I was able to make very specific, realistic goals for myself and maintained my outdoor walking goal through the entire winter. I have lost 10 pounds and feel like I am finally moving in the right direction."
• "I was in a tough place when I started working with the clinician and Allegeant over a year ago, but I'm in a better place now."
• And finally, a common question asked: Will I get points for that?
Wellness Revisited
2015 and Beyond
Employee Health Plan Governance
Employer Insurer
Provider
Plan Design
Human Resources
Managed Care
Physician Network
Challenges/Actions – Data
• Claims Reporting – Consolidated adjudication of
claims – Enhanced data warehousing &
analytics – Hired Insurance / Claims
Manager
• Absence Reporting
– Scheduled/Unscheduled reporting
Challenges/Actions
– Employee Perception • Streamline process
– Reduce required wellness points – Consolidated deadlines – Improved participant communication & support
• Recognition and Rewards – FitLinxx device – Fitness Challenges
• Improved Computer Access – Expanded availability
Challenges/Actions
– Care Gaps • Wellness Coach
– To keep healthy employees healthy
– High risk/chronic employees & dependents
• Incentives for Providers
– Provider compensation program to reward improved patient outcomes