Date post: | 30-Nov-2014 |
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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