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Employee Health Management

The Business Value of Health

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Employer Survey findings from Aon and Towers Watson

•The health system is shifting from the reactive treatment of illness to the proactive management of health.

•It's clear that traditional annual trend mitigation tactics alone won't work. As a result, leading employers are implementing a 'house money, house rules' environment, using a mix of incentives, penalties and targeted messaging to reward healthy behaviors.“

•50 percent of companies have or will introduce or increase investments in wellness and health promotion

•One-third of employers intend to reward or penalize their employees based on biometric outcomes compared with just 7% in 2011.

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Our Vision for Our Clients:

Enhance Corporate Culture of Health Measure, Monitor & Reward Connect members to their Physicians Educate our members Targeted interventions Report outcomes Connect data to Medical Management Lower health care claim trend

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Case Study

73% Participation

76% Low–No Risk

66–74%Health

ImprovementTrend

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A Corporate Culture of Health:Nature’s Sunshine Products

98% Participation

89% At-Goal

91% ihs.com Users

2% Smoking

12% Pre-Diabetic

78% Improvement

• 94% on BP

Key Metrics:

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Interactive Health Solutions (IHS) Program Components

StrategicProgram Design

Design an incentive process, typically premium contribution differentials, to drive high participation in year one

Align second year strategy to build performance based incentives (see IHI process)

Program Rolloutand Administration

PreventiveHealth Evaluations

Offered at the worksite or through a network of lab facilities located across the US

Includes comprehensive clinical testing

Covered by existing health benefits

Interactive HealthIndex (IHI)

Index score based on lifestyle related, measurable health risk factors

Provides HIPAA compliant process to reward employees who manage their health effectively

Communications, organization and administration managed by IHS

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Health Evaluation

Medical Team

IHS employs our own Phlebotomists

Eight years average experience

Evaluation includes:

Venous Blood Draw

General Health Panel (CBC, Lipid, Comprehensive Metabolic Panel)

Medical History & HRA

Blood Pressure

Comprehensive Personal Health Report

Secure online access to Health Portal

Data exchange with InforMed

Primary Care Physician connection

• LabCorp• Test On Demand • Results in 48 hours

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Communication Program & Collateral

A. Doctor's Letter—Discover/Educate

B. Report Card—Measurement

C. Certificate of Achievement—Recognize/Reward

D. Banners—Visibility

E. Email—Keeping you on Track

F. Postcards—Are you Ready for theNext Evaluation?A

B

C

CD

F

G

E

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IHSClinicalResults

Results Based Health Management

– 58% of members require medical attention

– 19% with Metabolic Syndrome

– 23% high CVD risk

– 43% with conditions that effect productivity

– 2% with serious/abnormal results

High Participation Drives Results

Incentives—the key to increasing participation and improving performance

Participation

VoluntaryProgram

$100–$350Incentives

$500–$1,500Incentives

35% 50% to 60% 80% +

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Measure—Monitor—Reward—Care

Company OutcomesAggregate Report

Data Exchange

HealthFocus Classes

Monthly Newsletters

DM Connect/Reporting

A Sustainable, Prevention Strategy

Member OutcomesCritical Outreach

Web results within 3-4 days

Personal Aggregate Report

Interactive Health Index (IHI)

Health Focus classes

Interactive – News to Use

6 month Quick Check

Preventive EvaluationsLeverage existing health plan

On site or Test on Demand

Annual Event

Personal Health Report

HIPAA Compliant Measurement Tool

5 Controllable Health Factors

Goals set by IHS

Rewards Employees Who Change Behavior

Interactive Health Index

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Interactive Health Index (IHI)

Based on Framingham Heart Study—Five Controllable Health Factors

HIPAA Compliant—Alternative Standard

Rewards Healthy Behaviors

Builds Culture of Health—Culture of Accountability

Produces Results

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Quality Assurance

Critical Calls

Allows for quick response to critical lab values, which are usually received within 24–48 hours

Created when the result is higher or lower than the normal range for the specific test result

Critical alert is sent to the Health Management System—flagged by condition

The member record is reviewed and then triaged to the appropriate staff member, nurse, physician, or dietician

Lab results are reviewed with the member—suggested that they meet with their personal physician for further recommendations

Follow up calls made to answer questions and encourage treatment

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Health Coaching Program

HealthFocus

Clinically based

Promote achievement of IHI goal

Available to all health evaluation members

Provide support through eight lifestyle behavior programs

Individual programs to support member needs

Online educational tools

Integration with Disease Management Programs

The Medical Team

Medical Director, Health Services Director, & RNs

Master Degree Health Educators, Nutritionists, & Diabetes specialist

Health Management Systems supports member interactions

The Health Educator Functions Include:

Understanding of member health status & risk factors

Readiness to Change Assessment

Goal setting and improvement planning

Health Education and lifestyle behavior support

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Health Coaching - Compliance

Compliance and Outreach to “At Risk”

3, 6, & 9—outreach to individuals based on their IHI score

Review individual results and assess needs

Encourage medical management with their Physician

Offer assistance with HealthFocus & other Client programs

Health Coaching

Identify member’s readiness to change

Enroll member in the right program

Provide “one on one” support for individual program

Referral for “Quick Check” service

Provide educational support on various health topics

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Complimentary Six-Month TOD Quick Check of Lipids and Glucose

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Q3 & Q4

2004

Q1 & Q2

2005

Q3 & Q4

2005

Q1 & Q2

2006Q3 & Q4

2006

Q1 & Q2

2007

Groups with

IHS Program

Groups with

IHS & DM

Groups with

No Wellness

Cla

im T

ren

d

Aggregated Trend by Program Type

24% Increase with

No Prevention Program

11% Increase with

IHS Program

8% Increase with

IHS & DM Program

- Proof of Program Concept -Independent Claims Analysis of Total Medical Spend

Key components include - 2 ½ Year period

- 300 Employer Companies

- 50,000 Participants

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The End in Mind for Our Clients:

A Corporate Culture of Health

73% Participation

99%+ Quality Survey Scores

74% Low Risk

86% Improved Blood Pressure

76% Improved LDL

9% Tobacco Users

The Healthiest Employees . . . . . . .

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Conclusion

The discovery and management of avoidable chronic conditions is the biggest area of opportunity in the fight against costs.

Bringing the practicing of prevention to the workplace makes sense.

IHS with J.P. Farley is plan utilization rather than buying a service.

Biometric values are the best “trigger to change”

Cheap finger stick offerings are not effective.

The $195 cost is less than the price of the 34 tests alone.

Outcomes based incentive design can fund the entire program*

Employer gets an on-site, results based, measurable, health management program.

www.interactivehealthsolutions.com