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June 14, 2013

RIBGH Quarterly Summit Meeting Using Wellness Incentives to Drive Healthy Choices and Better Outcomes. June 14, 2013. About Today’s Session. Speaker. Agenda Best Practices Survey Context Research Insights. Resources Businessgrouphealth.org Aon.com Search consumer health mindset

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June 14, 2013

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  1. RIBGH Quarterly Summit MeetingUsing Wellness Incentives to Drive Healthy Choices and Better Outcomes June 14, 2013

  2. About Today’s Session Speaker Agenda • Best Practices • Survey Context • Research Insights Resources • Businessgrouphealth.org • Aon.com • Search consumer health mindset • Search 2013 health care survey Robin Bouvier Aon Hewitt, Vice President Certified Wellness Program Coordinator robin.bouvier@aonhewitt.com

  3. A healthy workplace is one in which the organization and its employeescollaborate to protect and promote the health and well-being of all workers and the sustainability of the workplace by considering the following: Incorporate positive health practices into the physical work environment Make health easy to obtain and sustain through a supportive workplace culture Provide individual health resources in the workplace and at home Identify ways of participating in the community to improve the health of workers, their families and other members of the community Create a Healthy & High Performing Workforce Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  4. Best Practices to Drive a Successful Wellness Program Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  5. Why Do Employers Think Employees Participate in Wellness Programs? Extremely Somewhat Minimally Not Important Important Important Important To earn incentives 54.4% 35.3% 6.3% 4.1% To avoid incurring penalties 36.2% 20.8% 11.1% 31.9% To improve their health right now 25.2% 57.0% 17.4% 0.3% To know and understand their biometrics 13.7% 51.4% 30.2% 4.7% To make sustainable, healthy lifestyle changes 21.4% 54.3% 22.0% 2.2% To be included in your company’s culture 8.9% 35.8% 38.0% 17.4% To avoid negative perceptions from peers from 4.1% 20.2% 40.4% 35.3% not participating Source: Virgin HealthMiles, April 2013 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  6. The Business Leader Reality Costs • Continue to rise at unaffordable rates • Most foundational strategies are in place Performance • Real price goes beyond direct costs • Workforce in better health performs at higher levels Behaviors • 8 modifiable human behaviors that lead to 15 chronic conditions account for 80% of total costs for all chronic illnesses worldwide • Better behaviors = better health = better outcomes Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  7. The Consumer Reality A lot of good health intentions get sidetracked by real life Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  8. The Consumer Health Mindset Survey: Profile of Consumers • 2,876 consumers ages 23+ • Have employer-sponsored health coverage as employee (71%) or dependent (29%) through 1,000+ employee company Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  9. Research InsightsWhat’s On Consumers’ Minds?

  10. “I know what it takes to be healthy and I really want to do the right things…” Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  11. “…but obstacles get in the way.” More than half of those who report being in good health are actually overweight or obese. Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  12. “I’m stressed—particularly with money and work concerns…” Nearly 50% of consumers feel their stress level is at least moderately high. Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  13. “…and most often deal with it in sedentary ways.” Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  14. “Pay me to participate in wellness programs.” Younger consumers (ages 25-39) are more likely to need incentives Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  15. “I think my employer should reward good health outcomes.” Half the consumers believe their employer should reward them for achieving specific, controllable health outcomes Only 15% of consumers say employers should impose consequences for less-than-healthy outcomes Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  16. “If you are going to provide an incentive, I’ll take cash.” Source: 2012 Consumer Health Mindset Survey – Aon Hewitt, National Business Group on Health, The Futures Company Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  17. 2013 Aon Hewitt Health Care Survey Results Compendium of Questions & Answers 2013 Aon Hewitt Health Care Survey: New Choices, Better Results

  18. Profile of Respondents • 837 employer respondents • 37% global • 36% U.S. multi-state • 18% U.S. single state • 10% multi-regional (more than one country/region) • 7 employers headquartered in Rhode Island • Represent all employer sizes • 15% of respondents have fewer than 500 U.S. employees • 28% have between 501 and 2,500 U.S. employees • 17% have between 2,501 and 5,000 U.S. employees • 41% of participating companies have union employees • All industries represented • 12% manufacturing • 9% health care • 7% retail • 6% insurance • 6% education Source: 2013 Aon Hewitt Health Care Survey Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  19. Summary of Results Source: 2013 Aon Hewitt Health Care Survey Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  20. Creating a Foundation for Success Which of the following health and wellness tactics does your organization have in place? • 49% have a domestic wellness policy and guiding principles • 47% have visible senior and business unit leadership as a champion of health • 46% have location-based wellness champions/council that meets regularly • 80% have an ongoing wellness communications campaign • 59% have unique branding for their wellness program • 31% offer flexible policies or schedules to accommodate exercise needs • 30% subsidize healthy foods or beverages • 27% conduct summit meetings with all health-related vendors to coordinate interventions and data • 40% track or report health risks and wellness statistics Source: 2013 Aon Hewitt Health Care Survey Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  21. Use of Wellness Tools, Rewards & Consequences Which of the following activities are part of your organization’s 2013 health care strategy? • 84% offer tools (health risk questionnaire, biometric screenings) to raise participants’ awareness of their health status and risks • 67% reward participants for use of health awareness tools • 29% impose consequences on participants if they don’t use tools • 21% reward participants (via enhanced plan design, lower premium contribution or other reward) for achieving specific health outcomes (e.g., normal cholesterol or improved BMI) • 19% impose consequences on participants for exhibiting unhealthy behaviors (e.g. smoking, high BMI) or not achieving specific health outcomes • 34% discourage tobacco use via premium surcharge Source: 2013 Aon Hewitt Health Care Survey Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  22. Motivating Employees & Family Members to Health Which employees and spouses are eligible for the incentives you offer? Total Responses: 466 Source: 2013 Aon Hewitt Health Care Survey 21 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  23. Incentive Focus and Value • According to the National Business Group on Health, spending on incentives has doubled in the last few years, with an average spend per employee on wellness-based incentives of $521 per year, up from $260 in 2009 Total Responses: 465 Responses represent only employers currently offering incentives *Does not include tobacco use Source: 2013 Aon Hewitt Health Care Survey 22 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  24. Build Awareness: Incentive Value Total Responses: 384 Source: 2013 Aon Hewitt Health Care Survey 23 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  25. Build Awareness: Incentive Type Total Responses: 384 Source: 2013 Aon Hewitt Health Care Survey 24 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  26. Take Action: Incentive Value Total Responses: 261 Source: 2013 Aon Hewitt Health Care Survey 25 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  27. Take Action: Incentive Type Total Responses: 261 Source: 2013 Aon Hewitt Health Care Survey 26 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  28. Achieve Outcomes: Incentive Value Total Responses: 113 Source: 2013 Aon Hewitt Health Care Survey 27 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  29. Achieve Outcomes: Incentive Type Total Responses: 113 Source: 2013 Aon Hewitt Health Care Survey 28 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  30. Programs Designed to Address Tobacco Use Does your company offer a surcharge for using tobacco products or a discount for not using tobacco? Total Responses: 463 Total Responses: 217 Source: 2013 Aon Hewitt Health Care Survey 29 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  31. Tobacco Use: Incentive Value Total Responses: 217 Source: 2013 Aon Hewitt Health Care Survey 30 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  32. Tobacco Use: Incentive Type Total Responses: 217 Source: 2013 Aon Hewitt Health Care Survey 31 Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  33. RIBGH Quarterly Summit MeetingPanel Discussion June 14, 2013

  34. Panel Participants Large Employers • Dr. Susan Andrews, Electric Boat • Tricia Fay, FM Global • Cheryl Kennedy, Hasbro • Howard Dulude, Lifespan • Jean Tapley, Amica Vendors • Dr. David Ahern, Abacus • Heather Provino, Provant Health Solutions • Laura Walmsley, Preventure • Rajiv Kumar, ShapeUp Small Employers • Michael Sullivan, Moran Shipping • Gina DeLuca, RI Dept. of Health Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

  35. Best Practices to Drive a Successful Wellness Program Consulting | U.S. Health & Benefits Proprietary & Confidential | June 14, 2013

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