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Health Management

Health Management . A Mandatory Business Practice Presented by Erick Hathorn, Health Management Practice Leader. Today’s Agenda. Why Wellness Today’s Reality Healthcare is Changing Gallagher Health Management. Every 100 Employees. 68 are overweight or obese 21 smoke

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Health Management

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  1. Health Management A Mandatory Business Practice Presented by Erick Hathorn, Health Management Practice Leader

  2. Today’s Agenda Why Wellness Today’s Reality Healthcare is Changing Gallagher Health Management

  3. Every 100 Employees • 68 are overweight or obese • 21 smoke • 31 use alcohol excessively • 20 don’t wear seatbelts • 24 don’t exercise • 25 have cardiovascular disease • 12 are asthmatic • 10 are diabetic • 26 have high blood pressure • 30 have high cholesterol • 4 suffer from stress

  4. The Facts • Heart Disease Costs Employers $18,618 PEPY • $5,617 Healthcare Plan • $6,052 Sick Leave • $4,845 STD • $981 Workers Comp. • $945 Unpaid Leave • $178 LTD • Smoking Costs Employers $5,318 PEPY • $2,295 Excess Medical Expense • $2,175 Smoke breaks • $465 Absenteeism • $206 Death • $176 Workers Comp. • Diabetes Costs Employers $11,744 PEPY More

  5. Cost Reality

  6. Obesity is an Epidemic OUCH! • 68% of the American population is either overweight or obese • Obese Employees are 4x more likely to be absent from work • Obese Employees pay • 77% more in RX • 36% more at Physicians • 45% more for hospital stays

  7. Obesity Trends* Among U.S. Adults1990, 1999, 2009 1999 1990 2009 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  8. High Claims & Body Weight

  9. High Claims & Inactivity

  10. Today’s Reality

  11. Healthcare is the second largest business expense to most organizations87% of corporate leaders listed rising healthcare costs as their #1 concern

  12. Industry Misconceptions Wellness – Wellness is not screening your employees, its helping them make better health decisions Engagement – Engagement is the value proposition between the company and employee Return On Investment – There is no such thing as a like company. There are over 50 different variable to consider. Budget – Wellness programs are expensive

  13. Why Healthcare Costs Continue To Rise

  14. How the Industry has Managed Rising Healthcare Costs

  15. Healthcare is becoming a question of Sustainability 10% Trend

  16. The Total Impact of Health • Medical Health Costs • Medical Care • Pharmacy 25% of Cost $3,376 PEPY Productivity Costs Presenteeism Absenteeism LTD STD Overtime Turnover Temp Staffing Administrative Replacement Retention $10,128 PEPY 75% of Cost

  17. Keep the Healthy, Healthy Chronic Disease Claims Continuum 20% 50% of claims cost --- 5% • Contributing Factors: • Aging Population • Obesity • Inactivity • Stress • Smoking Chronic Condition 75%

  18. Healthcare is Changing

  19. The Evolution of Health Management 1930’s Risk Management 1970’s Disease Management 1990’s Wellness 2010’s Enterprise Health Management

  20. A Shift In Thinking From Disease & Cost, to Health & Investment Aligning Your Company Vision With That of Your Employees

  21. Zero Trend Healthcare Breaking Down Barriers & Driving Engagement Wellness is not finding out what’s wrong; its fixing what’s wrong.

  22. Incentives Lead to Engagement • Contribution Premium Differential (Incentive/Disincentive) • Eligibility • Participation on Insurance • Participation on Richer Plan • Plan Design • Diabetes Plan Design • Waiver of Deductible/Coinsurance • Rewards—Gift Cards or Prizes

  23. Healthcare Reform & Legislation

  24. Keys to Success • Communication Strategy • The Assessment – Strive to Maximize Participation • The Fix – Four key behavioral change components • Weight Management • Physical Activity • Stress Management • Tobacco • Coaching – Clinical & Behavioral • Integration – Wellness and Disease Management

  25. Gallagher Health Management

  26. Wellness starts with Communication Exclusive Prepared By

  27. The Science of Engagement

  28. Readiness For Change Evaluation Inventory

  29. Building A Case For Wellness

  30. Market Scans Master Profile Carrier Drill Down

  31. Multi-Year Plan

  32. Thank You

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