Nemours Wellness Program

Mark Mulray, MBA, M.Ed.

Overview of Program YOURHealth

● Annual Program

● Optional for all benefits eligible associates

● 20 % Incentive on employee contributions

(Up to $1300 Annually)

Our Guiding Principles

▪Focus on key programs and high risk areas

for maximum impact

▪Provide more “high touch” programs

▪Remove or reduce barriers to participation

(time/convenience/cost)

▪Reward goal setting and achievement

Physical Activity

Stress

Weight Management

YOURHealth RX (Goal Setting)

The Big Four - 2016 YOURHealth

Integration With Vendors YOURHealth

Way to 100 Wellness Incentive

❖ Well-Being Assessment (Required Activity)

❖ Biometric Screening (Required Activity)

❖ Biometric Screenings w/ “Healthy Range”- Bonus Points

❖ YOURHealth Rx – Goal Setting

❖ Nemours On-Site Fitness Centers

❖ Weight Watchers Online

❖ Wellness Challenges

❖ Stress Reduction (MeQuilibrium)

❖ Highmark Health Coaching

❖ Healthy Eating/Cooking Class

❖ Flu-Shot

❖ Financial Finesse

❖ Volunteer Day, Dental Visit, Vision Screening, Preventive Exams

❖ Doc Walks

❖ Community Wellness Event (i.e., Walks, Runs, Triathlons)

YOURHealth

Highmark Diagnosed Condition # Claims Amount

Paid

Total Paid

Per Claim

Diabetes 288 $164,016 $569.50

Coronary Artery Disease 72 $145,972 $2,027.39

Congestive Heart Failure 13 $4,206 $323.54

High Cholesterol 594 $44,884 $75.56

Hypertension 360 $90,967 $252.69

Musculoskeletal 1,591 $3,030,749 $1,904.93

Mental Health 734 $398,108 $542.38

Costs of Chronic Conditions July 2014 – June 2015

YOURHealth

Program Success

● Engagement

○ 2 Week Engagement

○ Completion Rate

● Risk Reduction

○ HRA (self-reported)

○ Biometric Data (verified)

● Medical Spend

○ HighMark Data

2015 Results

*Enrolled in Health Plan

Data Source: Executive Summary, SMS report as of 12/09/15

YOURHealth

• Benefits Eligible 6,112

• Enrolled in Health Plan* 5,086

• Way to 100 Completed* 4,277

• Eligible for 20% Reduction in Premiums 84%

• 100 – 149 Points Earned 68%

• 150+ Points Earned 16%

• Biometrics Completed* 4,368

YOURHealth

• Average additional employer and employee medical expenditures for “At Risk” population vs.

Normal $1,0911

• Nemours shifted 241or 11 percent of Associates from “At Risk” to Normal category

• Potential saving in healthcare expenditures: $262,931

1. Ron Z. Goetzel, Xiaofei Pei, Maryam J. Tabrizi, Rachel M. Henke, Niranjana, Kowlessar, Craig F. Nelson

and R. Douglas Metz. Ten Modifiable Health Risk Factors Are Linked To More Than One-Fifth Employer-

Employee Health Care Spending Health Affairs, 31, no.11 (2012):2474-2484

YOURHealth

• Average additional employer and employee medical expenditures for “At Risk” population vs

Normal $1,6531

• Nemours shifted 349 or 58 percent of Associates from “At Risk” to Normal category

• Potential saving in healthcare expenditures: $576,897

1. Ron Z. Goetzel, Xiaofei Pei, Maryam J. Tabrizi, Rachel M. Henke, Niranjana, Kowlessar, Craig F. Nelson

and R. Douglas Metz. Ten Modifiable Health Risk Factors Are Linked To More Than One-Fifth Employer-

Employee Health Care Spending Health Affairs, 31, no.11 (2012):2474-2484

YOURHealth

• Average additional employer and employee medical expenditures for “At Risk” population vs

Normal $1,3781

• Nemours shifted 689 or 46 percent of Associates from “At Risk” to Normal category

• Potential saving in healthcare expenditures: $955,643

1. Ron Z. Goetzel, Xiaofei Pei, Maryam J. Tabrizi, Rachel M. Henke, Niranjana, Kowlessar, Craig F. Nelson

and R. Douglas Metz. Ten Modifiable Health Risk Factors Are Linked To More Than One-Fifth Employer-

Employee Health Care Spending Health Affairs, 31, no.11 (2012):2474-2484

1 Analysis for Nutrition, Physical Activity and Stress was measured in 2015

*Results based on a sample size of 1,868 Associate respondents who completed a Health Check-In

Survey.

Category 2010 2011 2012 2013 2014 1

High Risk (5 + Risk Factors) 8% 4% 2.5% 1.8% 0.0%

Weight/BMI (Mod. to High

Risk)

65% 61% 59% 60% 60%

Nutrition (Mod. to High Risk) 73% 68% 83% 74% 81%*

Physical Activity (Mod. to

High Risk)

60% 55% 42% 36% 36%*

Stress (Mod. to High Risk) 65% 58% 75% 74% 80%*

Population Health- 5 Year Results- HRA DATA

Highmark Claims Expenses

● Actual claims expense declined 1.0%

● PMPY costs declined 7.5% and is 2.3% below National PPO norm

● When compared to hospital norm, Nemours is 20.2% lower

● High cost members (>$50k/year) accounted for 32.7% of claims

expense, lower than the norm of 36.3%

Future Vision of Employee Wellness Program

2016 – 2018

▪ Occupational Health

▪ Acute Care

▪ Preventive Care

▪ Health Coaching (High Risk)

▪ Disease Management

▪ Diabetes Education

▪ Ergonomics Assessments

● WELCOA- Gold Level Well Workplace 2016

● Philadelphia Business Journal- Healthiest Employers 2016

● Orlando Business Journal – Healthiest Employer in 2013-2016

● American Heart Association – Platinum Level Fit Friendly Worksite 2013 - 2015

● American Heart Association – Gold Level Fit Friendly Worksite 2012

● Get Active Orlando – 2012

YOURHealth