Commonwealth of Virginia Employee Wellness

1. Commonwealth of Virginia Employee Wellness Department of Human Resource Management State Employee Health Benefits & CommonHealth Virginia Hospital & Healthcare Association Employee Wellness Academy Richmond, VA October 8, 2013

2. $1 Billion State Employee Health PlanCost Drivers • Expensive procedures • Treatment of chronic conditions • Prescription drug therapy cost • Employee lifestyle • Smoking • Physical activity level • Overweight • Average employee age

3. Consumer-FocusedHealth Plan Design • Maternity • Weight Watchers • Smoking Cessation • Flu Shots • Bariatric Surgery • Diabetes • Coronary Artery Disease

4. Plan DesignMaternity Consumer Action • Participate in the Maternity Program • Begin the program in the first trimester • Get extra dental cleaning Plan Incentive • Waive $300 inpatient or $125 outpatient co-pay

5. Plan Design Weight Watchers Consumer Action • Participate in 75% of the classes Plan Incentive • Receive 50% reimbursement of class fees paid

6. Plan Design Smoking Cessation Consumer Action • Participate in the program Plan Incentive • No charge for program

7. Plan Design Flu Shots Consumer Action • Get a flu shot Plan Incentive • No charge for shot

8. Plan Design Bariatric Surgery Consumer Action • Participate in the year-long coaching program • Attend a Weight Watchers or similar program Plan Incentive • Eligible for plan coverage • Receive health coaching pre-surgery and post-surgery at no charge • Eligible for Weight Watchers 50% reimbursement • Waive $300 inpatient hospital or $125 outpatient co-pay

9. Plan Design Bariatric Surgery

10. Plan Design Diabetes Consumer Action • Annual physical • Annual A1C test • Participate in disease management program • Comply with medications Plan Incentive • Tier 1 and Tier 2 medications and supplies at no charge • Receive coaching at no charge

11. Plan Design Coronary Artery Disease Consumer Action • Participate in the 6 month Health Diagnostic Lab program • Receive initial health screening • Biometric measurements • Blood draw • Recommend sharing results with physician • Meet with clinical health consultant • Get follow-up health screening ~ 6 months later Plan Incentive • Receive HDL tests at no charge • Receive health coaching based on results at no charge

12. Employee Wellness ProgramCommonHealth • Established 25 years ago • 9 home-based regional coordinators across state • Travel state to present programs on health, wellness and safety • Coordinator in each agency/location • 500 agency locations participate • 58% employee participation rate, up from 26% in FY 2012

13. CommonHealth Programs • 3 new programs offered face-to-face annually • Coordinates with Health Benefits to select topics • Coordinates with Workers Compensation on safety issues • Provides special programs upon request

14. Biometric Measures • Biometric screenings • Workplace • Doctor’s Office • Lab Corp • Part of Total Population Health • Results available online to employees

15. CommonHealth Challenges • Growing Younger Bingo Challenge • CommonHealth It’s Your Move – Step Challenge • Just Drive Virginia • Home Safe Home Challenge • Take a Break Quick Start Challenge • Quick State Fitness Challenge • 15 Ways to Renew You and Virginia • Outdoor Adventures Trail Quest • Water for Wellness • Take Control of Your Stress • Stretch at Work • Five to Nine to Feel Really Fine

16. Summary • Data driven • Value-Based Insurance Design (VBID) • Short-term cost investment for long-term health improvement resulting in lower cost • Continuous improvement • Health Plan and Wellness Program coordination • Employee Engagement • http://www.commonhealth.virginia.gov