Atlas Webinars. Hawaii is not just a place we do business. Hawaii is our home.

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1 Atlas Webinars Hawaii is not just a place we do business. Hawaii is our home.

2 A quick tutorial on WebEx 2 You may be able to see our participants today. 1 This is our sharing screen where you will see today s presentation. 3 To chat, type in this box and hit Send. 4 To ask questions, type in this box and hit Send.

3 The Participants box

4 The Chat and Q&A boxes

5 Worksite Wellness: Best Practices August 2, 2011

6 Today s Speakers Bonnie Pang Deanna Moncrief

7 Objectives Assessing your population Getting management support Leveraging your data Other important best practices

8 Worksite Wellness Best Practices BenchmarkWellness Hawaii s Wellness Company

9 Employee Health Cost Drivers Employee lifestyles Unhealthy work environments Specific risk factors: 1. Poor nutrition 2. Physical inactivity 3. Overweight & obesity 4. High blood sugar 5. High cholesterol 6. High triglycerides 7. High blood pressure 8. Smoking 9. Stress

10 Assess Your Population Identify Health Cost Drivers Medical Costs ($)

11 Risk Factor Approx. Costs in Dollars (direct/indirect), 2011 Obesity $1,351 Diabetes $1,176 Physical Inactivity $982 Asthma $803 Migraine $723 Tobacco Use $579 Alcohol Abuse $386 Heart Disease $165 Calculator Business Group on Health Agency for Healthcare Research and Quality East Carolina University Agency for Healthcare Research and Quality The Pharmaceutical Research and Manufacturers of America American Health Insurance Plans The George Washington University Medical Center University of Maryland Heart Center

12 Alternative formula for calculating costs:

13 Best Practices Rally your leadership Form a wellness committee Brand your program Create a culture of change

14 Best Practices.. Form a wellness committee

15 Best Practices.. Brand your program

16 Best Practices.. Create a healthy work culture

17 More Best Practices Create worthwhile incentive programs Institute wellness policies Evaluate on a regular basis Think out of the box Evaluate constantly

18 Physical Activity Strategies Post prompts like, Take a Few Steps to Better Health signage by stairwells Offer on-site fitness classes Subsidize gym or YMCA/YWCA memberships

19 Create departmental competitions and reward teams that meet exercise goals each month Provide pedometers so employees can count their steps

20 Nutrition Strategies Place (and advertise) healthy choices in vending machines and price healthy items more favorably Offer fruit & vegetable snacks at company-sponsored meetings Subsidize the delivery of locallygrown fruits & vegetables for employees home use

21 Offer on-site lunch-n-learn seminars Offer on-line nutrition webinars Provide healthy recipes in newsletters, communication materials

22 Risk Reduction Strategies Awareness & prevention classes Disease management classes One-on-one coaching Employer-sponsored drug management

23 Cultural Strategies Promote individual responsibility for health Employee ownership of wellness program Create a culture of health: Encourage employees to leave work at work Encourage employees to take stress breaks Serve only healthy foods at meetings (including board meetings) Institute wellness policies

24 Additional Strategies Provide a quiet room with comfortable seating and soft lighting as a place to go Designate time for employees to participate in employer-sponsored health activities Provide fresh, pure water at no charge to employees

25 Communication Strategies Information Create and maintain an online website to contain all wellnessrelated information Replace magazines in break rooms and client/customer waiting areas with health magazines and information Use free materials from health plan

26 Communication Strategies Education daily or weekly health tips Include a personal health column in your newsletter Solicit and communicate employee testimonials or How I got here from there series Make it social

27 Best Practices Program Elements Operational Features Health education Health coaching Screening programs Reduction of cost and access barriers to preventive screenings Interventions Benchmark health data to set short-and long-term objectives to reduce risks

28 Best Practices, cont d Program Elements Operational Features Supportive social and physical environments Discretionary program budget Wellness committee Leadership support Integration of the program Alignment with business goals Evaluation and improvement process Evaluation of ROI on selected interventions Integrated data dashboard Measurements for selected health conditions (WC, absenteeism, STD, etc.)

29 Change Doesn t Happen Motivation..Without

30 Wellness Is Voluntary Voluntary behavior requires continual acts of will Voluntary behavior has a set of reasons Some things help maintain the old behavior

31 Wellness Is Voluntary cont d Incentives can help to: Unbalance the status quo Increase participation Support healthy behaviors

32 The Wellness Paradigm Just Don t Get Worse! The Incentive Paradigm Incentives

33 Tangible Rewards 1. Material reward 2. Cash (immediate) 3. Future financial reward 4. Cost avoidance 5. Time off

34 Intangible Rewards Belonging Acceptance Self-Mastery Contribution

35 Cost of Incentives Is More Better? $450/year for 50% participation $210/year for 70% $30/year for 80% Participation doesn t require tons of money

36 Incentive Program Example

37 Before you pass go If your wellness program is: Achievement-based Subject to HIPAA nondiscrimination rules where the reward is both: Related to a healthcare plan, and Contingent upon the employee satisfying a standard related to a health factor

38 Before you pass go Must be reasonably designed to promote health or prevent disease Incentives (or penalties) must not exceed 20% of health coverage* Must give eligible individuals the opportunity to qualify at least 1x/year

39 Before you pass go Must offer a reasonable alternative standard Full disclosure of the program in all printed and online materials

40 Join Us for Part 3 September 7, :00-10:00 am

41 Q & A

42 Atlas Insurance Agency Local expertise. Global resources.

43 Speaker Contact Bonnie Pang Sr. Vice President, Atlas Employee Benefits Deanna Moncrief President, Benchmark Wellness

44 atlasinsurance.com

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46 atlasinsurance.com