WHAT MAKES A WORKSITE WELLNESS PROGRAM WORK? Diane Oliver, R.Ph Sales Manager, HealthSpan

1. WHAT MAKES A WORKSITE WELLNESS PROGRAM WORK? Diane Oliver, R.Ph Sales Manager, HealthSpan HealthSpan—Because Your Health Comes First

2. Historical Perspective • The old “80/20” rule • Let’s focus on the 80%! • Predictive Models • Before claims information HealthSpan—Because Your Health Comes First

3. What are companies doing to drive participation in their wellness program? HealthSpan—Because Your Health Comes First

4. Leadership Support Commitment to wellness and a cultural change Role model participation in the wellness program Be visible in getting it done Share personal goals HealthSpan—Because Your Health Comes First

5. Convenience • On site program during work hours HealthSpan—Because Your Health Comes First

6. Supply Tools and Activities to Support Behavior Change • Vending machine selections • Cheaper healthy lunch choices • On site weight watchers • Walking groups • Lunch and Learns • Health Fairs • Biggest Losers contest • Healthy Bulletin Board HealthSpan—Because Your Health Comes First

7. What’s the REAL driverfor participation??? HealthSpan—Because Your Health Comes First

8. TEETH!!!!!! Carrot vs Stick Name in hat for a prize Money Contributed into their Flex Account Contribution differential HealthSpan—Because Your Health Comes First

9. Form a Wellness Committee Share the impact of health care costs and trends Cost per member Cost of benefit design Create follow up initiatives Support these initiatives HealthSpan—Because Your Health Comes First

10. Engagement of the Member makes it work! Have a clinician from your wellness vendor roll out the program to members Have her do a pre-screen presentation Post screen follow up HealthSpan—Because Your Health Comes First

11. Case Studies • Local Sanitation District Screenings started in 1999 Wellness committee Shift walks Fitness focus point system “We won’t be satisfied till everyone is involved. Everyone can do something!” HealthSpan—Because Your Health Comes First

12. Case Studies • Municipality Had lab draws several years in a row with minimal participation. Started charging $20 per month additional ee contribution for non-participants Now have 98% participation! HealthSpan—Because Your Health Comes First

13. Case Studies • Trucking Company Year one of wellness offering, ee contribution went from $1 PEPM for participants to $50 PEPM for non participants. Guess what? This drove 100% participation! HealthSpan—Because Your Health Comes First

14. Case Studies • Engineering Firm Began indexing year 2. Gave $100 bills to members who hit goal. HealthSpan—Because Your Health Comes First

15. Case Studies • Municipality Commissioners on the plan Excited chatter Annual expectation PTO day for participation in program HealthSpan—Because Your Health Comes First

16. Return on Investment • The true measure • Reduction of medical cost trend • Improvement in biometric risk factors • Increase of medical compliance HealthSpan—Because Your Health Comes First

17. Legal Issues HIPAA Nondiscrimination Rule Participation only programs When is discrimination allowed? 5 Criteria that must be met HealthSpan—Because Your Health Comes First

18. Discrimination Criteria 1. Limitation on the carrot 2. Program is reasonably designed to promote good health 3. Qualification must be offered annually 4. Available to all similarly situated members 5. Reasonable alternatives to qualify HealthSpan—Because Your Health Comes First

19. Americans with Disabilities Act • Reasonable accommodations available HealthSpan—Because Your Health Comes First

20. Models of Wellness Programs • Participation only • Outcomes oriented • Intrinsic model HealthSpan—Because Your Health Comes First