Creating Our Culture of Health at American Express
April 7
2010
Overview
• A leading global payments, network and travel company established in
1850
• Operate in over 130 countries around the globe
• Approximately 50,000 employees worldwide
• A Fortune 100 company
• Recognized as an “Employer of Choice” by several publications
worldwide
• Self insured, high deductible health plans for all employees
Industries
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World’s largest card issuer
Premier Travel and Expense Management
World Leader in Travelers Checks and Prepaid Products
International Bank
Mission and Goals
Healthy Living is about making better health a way of life at American
Express. Through a shared commitment to wellness, together we can
become a stronger and healthier community.
Program Goals
To promote health awareness, influence positive behavior change,
improve productivity, enhance employee engagement and reduce health
care expenditures.
Objectives
 Optimize utilization of existing programs and resources
 Focus on prevention and intervene earlier to avoid more serious
illnesses
 Increase vendor awareness of other benefits to maximize intervendor referrals
 Proactively refer individuals to higher quality providers and facilities
 Identify and address underlying mental health or substance abuse
issues that complicate medical treatment
 Better engage employees (and family members) through an
employee-centric operations flow
 Measure through implementation of metrics for ongoing performance
monitoring and improvement
Support Across Our Organization
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Senior Leadership – Chairman Ken Chenault
People Leaders
Human Resources
Health Advocacy Board (business Leaders)
Wellness Committees – across all large locations and many midsize
Dedicated full-time Wellness staff
Healthy Living Wellness Centers
Healthy Living Activity Centers
Healthy Living Cafés
Vendor Partners
Wellness Program
Program re-branded and launched in 2009
Comprehensive, integrated model
1. Health Screenings
2. Health Assessment
3. Telephonic Health Coaching
4. Condition Management
5. Wellness Centers (Occupational health)
6. Activity Centers (Health Coaches, Registered Dieticians, fitness
staff)
Employee Healthy Rewards = up to $150
Eligible
Action
Healthy Reward
Covered/noncovered
employees
Complete your Health
Assessment within
specified timeframe
$100 into HSA or Health Care Reimbursement
Account if they don’t have an HSA
Enroll in a Health
Coaching or Condition
Management program, or
complete four online
Selfhelpworks program
(ongoing)
$50 into HSA or Health Care Reimbursement
Account if they don’t have an HSA
Spouse/Partner Healthy Rewards = up to $100
Eligible
Action
Healthy Reward
Covered
spouses/partners
Complete your Health
Assessment within
specified timeframe
$50 into HSA or Health Care Reimbursement
Account if they don’t have an HSA
Enroll in a Health
Coaching or Condition
Management program, or
complete four online
Selfhelpworks program
(ongoing)
$50 into HSA or Health Care Reimbursement
Account if they don’t have an HSA
Free Preventive
Prescription Drugs and Vitamins
Eligible
Action
Healthy Reward
Covered employees
and covered
spouses/partners
2009 – enroll in
American Express
medical plan
Automatically receive certain prescriptions for free
through Medco through Dec. 31, 2009
2010 – enroll in
American Express
medical plan, enroll in
Health Coaching,
Condition Management
or four sessions of
Selfhelpworks and use
Medco’s mail-order
service
Continue/start receiving certain prescriptions for
free through Medco through Dec. 31, 2010
Communications
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Simplify and sustain messaging
Keep the momentum
Leverage marketing approach
Utilize various methods of media
Engage employees and their families
Feature real healthy stories and goals
from employees
Tie to blue box values
Encourage the sharing of stories
Create competition
Report results