2010 Strategic Planning for Client Name

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U N I V E R S I T Y O F A L A S K A F Y 2 0 1 3 W E L L N E S S &

I N I T I A T I V E S

E X P E R T I S E P A R T N E R S H I P V A L U E

J u n e 1 4 & 1 5 , 2 0 1 1

T R E N D S A N A L Y S I S S T A T I S T I C S P L A N N I N G T O O L S

History of UA Wellness program

University of Alaska started wellness program in November 2006 with WIN for

Alaska

First phase was to increase program visibility, awareness and provide health education to faculty and staff (Nov 06 to Nov 07)

Second phase was to increase participation in the wellness program. (December

2007 to June 2008)

Introduction of Individualized Health Planning Sessions (IHPs) and an individualized Get the

Point (GTP) incentive program

IHPs started in 2008

Year 1, the program was available in Anchorage and Juneau

Year 2, the program included Fairbanks

IHP program has demonstrated improved health in participants

The UA wellness program offers multiple face to face to interactions thru IHPs,

Wellness breaks and Mass Screening events

PWP (Health Risk Assessment) started in 2009 and discontinued PWP and $100 incentive for FY 2012.

2009 participation of 39% of total eligible population (employees and spouses)

2010 participation of 33% of total eligible population (employees and spouses)

2

UA Wellness Plan Guiding Principles

Measurement

Establish a baseline of all employees

 UA has partial baseline through IHP program

 Historically PWP (Health Risk Assessment) information

Continuous Measurement from areas of improvement

 Incentives and Communications

Utilize point system to reduce medical plan employee charges

Reward outcomes and not just activity

Target high risk individuals

Reduce health risk factors

Improve employees health thru tools and programs

 IHP

3

UA’s Wellness Program Goals

 UA’s Wellness Program Goals

Establish a culture of wellness

Continue to identify the risk factors or problems University of Alaska employees and spouses have

Help University of Alaska employees improve their health by providing tools and programs to assist employees and spouses

Slow the rate of increase in health plan costs

Keeping Healthy People Healthy

4

Wellness program

Personal Wellness Profile (PWP)

2010 Report with areas to focus on were Fitness, Weight management, Nutrition and

Blood Pressure.

Of those that took the PWP, 694 have prehypertension (120/80 – 139/89) and 196 (8.7%) already have high blood pressure (140/90)

 Individualized Health Planning Sessions (IHPs)

The individuals that have participated have experience positive results

Employees that lost at least 10 pounds – 116 participants

Employees that lost at least 2 inches from their waistline – 229 participants

Employees that decreased their blood pressure to a normal level from 140/90 (high blood pressure) – 147 participants

Employees that decreased their total cholesterol by at least 40 points – 121 participants

February 2011 Alere and VSP started to build data exchange

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FY 2013 Wellness Programs

Health Risk Identification & Improvement

Participation Incentive Strategies

Identification and Improvement Programs

- Health Status Questionnaire

- Smoking Cessation

-2 or Less Risk Factors

Participation Incentive Strategies

- Biometric Screenings

- Healthy Weight

- Health Coaching Participant

Premium Contribution Discounts

Gift Cards

0% 20% 40% 60%

Participation Percentage

80%

A dollar lost is valued by the individual more than a dollar gained

100%

7

FY 2013 Potential Wellness Strategy

 FY 2013 – July 1, 2012

Utilize “Point System” of activities with points correlating to a discount on the employee charges

Points will be heavily weighted toward Health Risk Assessment, Biometrics and smoking cessation

Know Your Numbers (Mass Screenings) events employees complete full biometric screening (cholesterol, blood pressure) and sign release to provide information to WIN and Lockton

Establish two tier employee charge discount

Utilize WIN to track, record and report information (already have Get The

Point)

All Activities will be completed by April 15, 2012 – Open Enrollment FY 2013

Begin Communications in August 2011 on the updated point system

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EXAMPLE - Incent Healthy Behaviors

Activities

Employee Completes PWP

Spouse Completes PWP

Employee Biometrics Submitted via Mass Screening, Doctor Affidavit

Spouse Biometrics Submitted via Mass Screening, Doctor Affidavit

Actively Engaged in Disease Management Program

(if identified as a candidate based on risk factors or claims utilization)

Complete 5 sessions of IHP w/pre & post biometrics

Program

Participation

Activities

Participate Weight Loss Program

Receive Flu Shot

Employee receives annual physical

Points

50

50

200

200

125

50

100

25

75

Spouse receives annual physical

Employee - Work out 3 times a week

Spouse - Work out 3 times a week

Complete Tobacco Cessation Program

75

75

75

75

Total Potential Points 775

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EXAMPLE - Points to Employee Charge Discount

Program

Participation

Rewards

Employee Only

Points

Greater than 300

Employee + Family

Points

Greater than 600

150 to 299 400 to 599

Less than 150 Less than 400

Award Level

Tier 1

Tier 2

Not Qualified

Award

20% Employee Charge Discount

10% Employee Charge Discount

No Discount

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EXAMPLE - Estimated FY 2013 Employee Charges

500 Plan

Employee

Employee + Spouse

Employee + Child(ren)

Employee + Family

FY12 Annual Charge FY13 Annual Charge*

$2,547 $3,502

$5,094

$4,584

$7,131

$7,004

$6,303

$9,805

750 Plan

Employee

Employee + Spouse

Employee + Child(ren)

Employee + Family

FY12 Annual Charge FY13 Annual Charge*

$1,116 $1,535

$2,232

$2,009

$3,125

$3,069

$2,762

$4,297

HDHP

Employee

Employee + Spouse

Employee + Child(ren)

Employee + Family

FY12 Annual Charge FY13 Annual Charge*

$395 $543

$790

$711

$1,106

$1,086

$978

$1,521

10% Discount

$3,152

$6,304

$5,673

$8,825

10% Discount

$1,381

$2,762

$2,486

$3,867

10% Discount

$489

$978

$880

$1,369

*Employee Charges increased 10% for FY13 and increased for discount

20% Discount

$2,802

$5,603

$5,042

$7,844

20% Discount

$1,228

$2,455

$2,210

$3,438

20% Discount

$435

$869

$782

$1,217

FY 13 Rates are illustrative and do not in anyway indicate what actual rates will be in FY 13

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Recommended Wellness Plan

Who

FY 2012

AWARENESS

Employees & Spouses

(on medical plan)

FY 2013

BASELINE

Employees & Spouses

(on medical plan)

FY 2014

OUTCOMES

Employees & Spouses

(on medical plan)

Program

Incentive

To qualify for the July 1, 2012 employee charge discount/incentive, employees & spouses can complete a list of activities to gain points for premium differential:

Complete Health Risk

Assessment (PWP)

Biometrics Recorded

Have a preventive exam

Have a flu shot

Work out 3 times a week

Communications:

Communicate in

August/September 2011

To qualify for the July, 1, 2013 ee charge discount/incentive, employees & spouses can complete a list of activities to get

• points and points for in range health risk factors:

Activities

Complete Health Risk

Assessment (PWP)

Biometrics Recorded

Have a preventive exam

Have a flu shot

Work out 3 times a week

Health Risk Factors

E.g. Cholesterol <180

Communications:

Outcomes based program communicated in Aug 2012

To qualify for the July 1, 2014 ee charge discount/incentive, employees & spouses must:

Complete HRA

Complete biometric screening

AND

Meet biometric outcomes measures- can administer using score, status, metrics, etc.

OR

Complete alternative activity if metric is not met

Communications:

Continuation of outcomes based program in August 2013

Resources available

Employee Charge Reduction of X% Employee Charge Reduction of X% Employee Charge Reduction of X%

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July 1, 2014Outcomes and Activities

Required Activity

Complete Health Risk Questionnaire

Program

Participation

Rewards

Bio-Metric Screening

(employee choice of Designated Medical Center, Onsite exams or Personal Physician)

Attend One (1) Health Coaching Session

Complete Disease Management / Health Coaching Program

(If indentified as a candidate based on risk factors or claims utilization)

Award

Part of the Employee

Charge Discount

Reduce

Health Risk

Factors

Alternative

Standard

Award

Level

Tier 1

Tier 2

Cholesterol

< 180

< 200

Blood

Pressure

< 120/80

Glucose

< 100

Waist

Circumference

Males < 40 inches

< 130/85 < 110 Females <35 inches

Not

Qualified

Tier 2 Alt

Physician Affidavit of Medical

Condition

Complete

Weight Loss

Program

Tobacco Use

No

Complete Tobacco

Cessation Program

Award

(Subject to HIPAA Limitations)

20% EE Charge Discount

10% EE Charge Discount

No Discount

$X Flat Dollar Amount

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What’s Next

Finalize wellness plan design for July 1, 2012

Determine activities

Determine employee charge discount

Date activities complete

Finalize smoking surcharge/credit

Smoke/Tobacco surcharge or credit

Smoke/tobacco free date

Smoking/tobacco cessation program date

Allow mid-year update

Affidavit language

Determine HRA or HSA for July 1, 2012

Seed money – Yes or No if HAS

Finalize FY 2013 Benefits Timeline

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What’s Next

 Cost analysis of individuals who have participated in an IHP and/or took the

PWP compared to non-participants

 Gather Metabolic Syndrome Data to target communications and wellness programs and tools

WIN will gather and track risk factors associated with Metabolic Syndrome and provide data to Lockton for analysis with InfoLock

5 Risk Factors: HDL Cholesterol, Blood Pressure, Triglycerides, Glucose and Waist

Circumference

Require pre/post full biometric screening

Lockton to receive pre/post screening report with Metabolic Cluster on IHP participants from WIN.

Lockton to integrate this report into InfoLock claims data and provide University of

Alaska with risk reduction to demonstrate savings.

Lockton to provide cost analysis to University with those individuals that have metabolic syndrome and those that do not

 Schedule Two-Day Vendor Summit to facilitate integration in April 2012

Vendor presentations on current and future state of University of Alaska and Alaska healthcare

Continue integration of information between WIN, Alere, VSP and ComPsych

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Appendix

Wellness – What We Believe

Healthcare Reform is going to increase medical trend over and above current projections

Participants must have “skin in the game” through active engagement and financial accountability.

Incentives should drive participation and reward those who do achieve results

 Integrated claim, Health Risk Assessment, and Biometric data establish the Risk

Profile and allow for continuous program measurement

Targeted and population based, integrated with plan design and outcome based

 Outcomes should be tracked by improving aggregate health status:

BMI, Blood Pressure, Cholesterol/Fasting Glucose and Tobacco Use

 Long-term health improvement and cost reduction can only be achieved with:

High consumer engagement (80% over 3-5 years)

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Wellness – What We See

 One of the foundational tenets of the field of corporate wellness is that it is clearly better to prevent health problems than to treat them later on.

On average $1 of medical and pharmacy costs there is about $2.3 of healthrelated productivity costs that employers must pay – and that figure is much greater for some conditions.

1

 A recent study reports that for every dollar spent on wellness programs there are $3.37 dollars returned in reduced medical costs and $2.73 returned in reduced absenteeism.

2

 When done effectively, health promotion has demonstrated a successful history of both improving health and providing a significant return, with ROIs ranging from 3:1 to 5:1 or higher.

3

 Measure risk factors

 Measure change in biometric data

1,2 http://www.thehealthcareblog.com/the_health_care_blog/2010/09/front-line-managers-are-key-to-wellness-program-participation.html

3 http://www.livewellcolorado.org/assets/pdf/partners-in-action/worksites-and-businesses/ucsw-white-paper.pdf

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Other Suggestions

Brainstorm ideas to integrate Nursing School and PA School

Increase number of dental cleanings for diabetics and pregnant women

Onsite Medical Clinic and Pharmacy for Fairbanks and Anchorage

 Put Blood Pressure cuff and scale at various University locations

$70 for cuff and $100 for scale

Blood pressure and scale monitored through third party vendor

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Our Mission

To be the worldwide value and service leader in insurance brokerage and risk management services

Our Goal

To be the best place to do business and to work www.lockton.com

© 2009 Lockton, Inc. All rights reserved.

Images in this publication © 2009 Jupiterimages Corporation

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