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Commissioner Harry Chen, MD November 1, 2012

The Business Case for a Healthy Workplace. Commissioner Harry Chen, MD November 1, 2012. Vermont has a Big Problem. 60% of adult Vermonters are above a healthy weight. Vermont spends an estimated $291 million every year on medical costs related to obesity.

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Commissioner Harry Chen, MD November 1, 2012

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  1. The Business Case for a Healthy Workplace Commissioner Harry Chen, MD November 1, 2012

  2. Vermont has a Big Problem 60% of adult Vermonters are above a healthy weight. Vermont spends an estimated $291 million every year on medical costs related to obesity. The obese workforce costs Vermont $895 million every year.

  3. Vermont Health Care Expenditures Set to Double This Decade

  4. How much does excess weight cost? • In a company of 50 employees • 37 will be above a healthy weight and • Will COST the employer $35,175 per year Each obese employee costs an average of $1478 more per year A Partnership of the Healthy Business Group, National Business Group on Health, and University of Michigan Health Management Research Center - 2012

  5. How much does excess weight cost? Weight Watchers reports that an obese employee: http://www.weightwatchers.com/templates/marketing/marketing_utool_1col.aspx?pageid=1317711

  6. Corporate wellness magazine, 7/12 Wellness Saves $$$

  7. Wellness takes a thoughtful comprehensive approach: a. Make a Plan b. Create a “Culture” of Wellness c. Offer Wellness “Programs” d. Engage all employees e. Measure/Monitor Your Success The VDH FREE Worksite Wellness Resource Guide will show you how. http://healthvermont.gov/family/fit/documents/WorksiteWellness_Resource.pdf

  8. Just telling people how to be healthy doesn’t work, we need to change the environment

  9. BAD POPCORN IN BIG BUCKETS:PORTION SIZE CAN INFLUENCE INTAKE AS MUCH AS TASTE • Moviegoers in Philadelphia • Popcorn in medium and large buckets • Fresh and 14 day old popcorn • Large buckets + fresh popcorn- +45% • Large buckets + stale popcorn- +34% Wansink and Kim, 2005

  10. Determinants of Health Factors influencing Health Status

  11. Improvements in Longevity 100 years of Progress

  12. 2000-2001: TCP started with MSA 2010: Tax to $2.62 1995: Smokefree schools 2001: Quit Line begins 2009: Tax to $2.24 2006: Tax to $1.99 2002: Tax to $1.19 1995: VKAT begins 2001: OVX begins 2007: Youth access Quit Line 1991: Prohibit sales <18 yrs 1997: Prohibit vending machines; possession illegal What we know from Tobacco…

  13. …Obesity is going in the wrong direction

  14. You can be part of the solution Changing lifestyle behaviors is hard without social and physical environments that support a healthy lifestyle. Change the environment. Make ‘the healthy choice the easy choice’

  15. What Can You Do? 1. Implement healthy food purchasing and/or healthy vending machine policies. (VDH can help)

  16. What Can You Do? 2. Create a healthy foods/beverages “at meetings” policy. (VDH has samples)

  17. What Can You Do? 3. Go tobacco-free. (VDH has Free Counseling/NRT Services) 1-800-QUIT-NOW

  18. What Can You Do? 4. Provide refrigerators, microwaves, and break areas making it easier for employees to make the healthy choice.

  19. What Can You Do? 5. Help employees to get 30 minutes of physical activity per day: Provide: bike racks, fitness space, showers, locker rooms, inviting stairwells, walking paths, etc.

  20. Health Benefit Considerations • Incentivize your employees to take part of preventive health care screenings/exams: • Complete an annual exam • Know your numbers (BMI, cholesterol, blood sugar, blood pressure) • Refer tobacco users to the Vermont Quitline • Encourage 30 minutes of daily physical activity

  21. We Can Help with FREE Effective Resources • The Vermont Worksite Wellness Resource Guide: • Walks you through the steps of setting up an employee wellness program • Includes assessment and prioritizing tools • Includes sample policies and links to resources • A new updated version will be available Spring 2013!

  22. Additional FREE resources: http://healthvermont.gov/prevent/tobacco/documents/QUITatWORKVQNJuly09.pdf http://healthvermont.gov/family/fit/documents/WorksiteWellness_Resource.pdf http://www.womenshealth.gov/breastfeeding/government-in-action/business-case-for-breastfeeding/easy-steps-to-supporting-breastfeeding-employees.pdf

  23. Show Off Your Program! Apply for a Vermont Governor’s Council on Physical Fitness and Sports Worksite Wellness Award! 2012 Award Applications are open until November 17th, 2012 Review past winner’s programs and apply athttp://vermontfitness.org/

  24. Our health care system is broken It’s too costly and contains no mechanism for cost control. It is funded in a manner which is unfair, inefficient and inequitable. Too many people are uncovered (47,000) and underinsured (160,000) And it doesn’t provide Vermonters with the best value for the health care dollars we spend.

  25. The Opportunity of Health Care Reform Cover all Vermonters regardless of age income, or employment status Preserve quality and patient choice Separate health care from employment Lower health care spending Improve health Create jobs and economic opportunities

  26. Health Reform Goals 29

  27. Health Care Reform Timeline 30

  28. The Logic of Health Reform:

  29. Green Mountain Care Board Can planning, policy and regulation be coherent and coordinated? Data analysis Benefits standards 10/23/2014 32

  30. Why do we need an Exchange ? 33 Individual tax credits are available only through the Exchange Funds to design and build the Exchange and revamp our eligibility, enrollment and claims processing for Medicaid to serve a larger population Reduced complexity of insurance purchasing Federal limitations on waiver Potential for single claims processing mechanism

  31. New: Proposed Visual Identity The visual identity of the Exchange will be a public face of health reform in Vermont. A range of possible names, taglines, logos, color schemes and images were developed. Then, focus groups of Vermonters – including both individuals and small business owners – were asked to give feedback and discuss their reactions. This is the result. Vermont Health Benefit Exchange

  32. The Vermont Blueprint for Health Central to Payment and Delivery System Reform BLUEPRINT FOR HEALTH Success of all depends on primary care capacity, quality and coordination

  33. Payment reform goals

  34. Practices and Populations with Access to Team-Based ServicesThru June 2012

  35. The finish line Health care is a right – all Vermonters are covered Health care costs are sustainable – closer to our rate of economic growth Providers are paid fairly Everybody pays their fair share Vermont is the best place to do business Vermont is the best place to practice medicine Vermont is the healthiest place to live

  36. We Can Win! • Obesity is a preventable cause of death. • With adequate funding, we have a winnable battle. • Vermont spends ~$300 million per year on obesity related medical costs. • State funding for obesity prevention is only $355 thousand dollars. “The weight of the nation is not healthy. And to get it healthy, we are all going to have to do our part.” Dr. Thomas R. Frieden, Director, Centers for Disease Control and Prevention

  37. Eat Well •Move More •Work Better •Live Longer

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