Let EPIC help BRIDGE the GAP in your wellness program Screenings (Physical Exam) Health Assessment...
Transcript of Let EPIC help BRIDGE the GAP in your wellness program Screenings (Physical Exam) Health Assessment...
Setting the Tone: Ø YEAR
It’s the employee’s
responsibility
I don’t want to be “Big Brother”
I want healthy
participants and cost control
I have senior leadership
support
I have a wellness budget or
other funding
My goal is to have 100%
participation
I want to stratify all
participants with health
risks
I need to show a
measurable VOI and ROI
I want actively engaged
consumers
I need to allow for multiple
languages
I want to engage
employees on plan
I want to engage
spouses on plan
I want to engage
employees not on plan
I want to offer
biometric screenings
I want to offer tobacco
cessation
I want to focus on
preventive care
I want to include lifestyle
management
I want to integrate fitness
trackers
I want to provide
eLearning opportunities
I want a points
management system
I want to use discounts
and surcharges
Multi-Year Strategy: YEAR 1 KEY: = None = Partial = Full
COMMUNITY-RATED FULLY-INSURED SELF-FUNDEDSHOW ME THE MONEY!
Value of Investment (VOI)
Return on Investment (ROI)
WHAT’S YOUR STRATEGY?Participation-Based Wellness Strategy
Outcome-Based Wellness Strategy
WELLNESSEducation
Activity (Steps)
Stress/Financial/Emotional Health
DISEASE MANAGEMENTBiometric Screenings (Physical Exam)
Health Assessment
Tobacco Cessation
Preventive Care
Coaching
Benefit Plan Utilization
Data Analytics
Dollars and Sense
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PRODUCTIVITYLost productivity costs are 2.3 times higherthan medical and pharmacy costs, includes:
Depression, anxiety and migraines
Respiratory illnesses
Arthritis and diabetes
Back and neck pain
ABSENTEEISM AND PRESEENTEISMCompanies that support workplace health have a greater percentage of employees at work every day.
Dow Chemical Harvard Business Review
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Queens School of Business Gallup Poll Organization
WORKPLACE STRESSA significant number of adults report feeling stressed about:
64% money and finances
60% work related stress
47% family responsibilities
46% health concerns
DISENGAGED WORKERSDisengaged workers had:
37% higher absenteeism49% more accidents60% more errors and defects
In organizations with low employee engagement scores, they experienced:
18% lower productivity16% lower profitability37% lower job growth
University of Warwick
Multi-Year Strategy: YEAR 2 KEY: = None = Partial = Full
COMMUNITY-RATED FULLY-INSURED SELF-FUNDEDSHOW ME THE MONEY!
Value of Investment (VOI)
Return on Investment (ROI)
WHAT’S YOUR STRATEGY?Participation-Based Wellness Strategy
Outcome-Based Wellness Strategy
WELLNESSEducation
Activity (Steps)
Stress/Financial/Emotional Health
DISEASE MANAGEMENTBiometric Screenings (Physical Exam)
Health Assessment
Tobacco Cessation
Preventive Care
Coaching
Benefit Plan Utilization
Data Analytics
Dollars and SenseESTIMATED COST FOR UNHEALTHY BEHAVIOR
$10,000,000Annual benefit spend
X 7%= $700,000
Claims paid for unhealthy behavior
ESTIMATED COST FOR CHRONIC CONDITIONS
$10,000,000Annual benefit spend
X 40%= $4,000,000
Claims paid for chronic conditions
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Corporate Synergies benchmarking study
Dollars and SenseCHRONIC CONDITIONS
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Centers for Disease Control and Prevention America’s Health Rankings
fitness.gov diabetes.org
86 million U.S. adults have prediabetes
34.6% of U.S. adults are obese
19% of U.S. adults currently smoke
90% of U.S. adults eat more than the recommended amount of sodium
By 2030, half of all U.S. adults are expected to be obese
Obesity-related illness costs approximately $190 annually
Dollars and SenseWHAT APA AWARD WINNERS HAVE IN COMMON
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American Psychological Association:APA Psychologically Healthy Workplace Award winners
Reported an average turnover rate of just 7%
66% of employees say their employer promotes and supports a healthy lifestyle
67% of employees say their employer values work-life balance
61% of employees say their employer promotes employee recognition
71% of employees say their employer provides adequate resources to address their mental health needs
Multi-Year Strategy: YEAR 3 KEY: = None = Partial = Full
COMMUNITY-RATED FULLY-INSURED SELF-FUNDEDSHOW ME THE MONEY!
Value of Investment (VOI)
Return on Investment (ROI)
WHAT’S YOUR STRATEGY?Participation-Based Wellness Strategy
Outcome-Based Wellness Strategy
WELLNESSEducation
Activity (Steps)
Stress/Financial/Emotional Health
DISEASE MANAGEMENTBiometric Screenings (Physical Exam)
Health Assessment
Tobacco Cessation
Preventive Care
Coaching
Benefit Plan Utilization
Data Analytics
Dollars and SenseWHERE ARE YOU INVESTING YOUR HEALTHCARE DOLLARS?
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American College of Occupational and Environmental Medicine, Health and Productivity
$0.95Treatment
$0.05Prevention
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Corporate Synergies benchmarking study University of Michigan Health Management Research Center
LOW RISK PARTICIPANT REMAINS LOW RISK
700Total participants on plan
X 60%
= 420Estimated low risk participants
X $350
= $147,000Estimated annual savings
HIGH RISK PARTICIPANT REDUCES RISKS
700Total participants on plan
X 40%
= 280Estimated at risk participants
X $153
= $42,840Estimated annual savings
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Is 100% Participation yourfinish line or your starting point?
Multi-Year Strategy: YEAR 4 KEY: = None = Partial = Full
COMMUNITY-RATED FULLY-INSURED SELF-FUNDEDSHOW ME THE MONEY!
Value of Investment (VOI)
Return on Investment (ROI)
WHAT’S YOUR STRATEGY?Participation-Based Wellness Strategy
Outcome-Based Wellness Strategy
WELLNESSEducation
Activity (Steps)
Stress/Financial/Emotional Health
DISEASE MANAGEMENTBiometric Screenings (Physical Exam)
Health Assessment
Tobacco Cessation
Preventive Care
Coaching
Benefit Plan Utilization
Data Analytics
Dollars and SenseHOW MUCH SHOULD YOU INVEST IN WELLNESS TO REALIZE A POSITIVE ROI?
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HOW DOES THIS COMPARE TO YOUR ANNUAL BENEFIT SPEND?
$245,000Estimated annual investment
/ $10,000,000Estimated annual investment
=2.45%Percentage of investment
700Total participants on plan
X $350
= $245,000Estimated annual investment
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SO WHERE DOES [SOME] OF THE INVESTMENT COME FROM?
Employer investment
Carrier wellness fund or reimbursement
Participant surcharge
Maintaining participant’s health
Reducing participants’ risk factors
Increasing employees’ productivity
Extra EPIC InsightSTRATEGYPlan, implement and integrate EPIC into a long-term wellness strategy
SCALABLESized to meet needs regardless of size or current stage in wellness
OPEN ACCESSEnrolled employees/spouse and employees not enrolled in
COST-EFFECTIVEOnly pay for participants registered on the EPIC Portal
REPORTINGAggregate on-demand employer reporting
UNLIMITED CHALLENGESUnlimited EPIC Challenges from our library of 40+ challenges
COMMUNICATIONSNot a DIY solution, but a defined suite of communications