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Healthy Babies, Healthy Business:
A worksite wellness program
Presented to
What We are All About
March of DimesMission:
– To improve the health of babies by preventing birth defects, premature birth and infant mortality
– 4 Strategies to Reach our Mission• 1: Research
• 2: Advocacy
• 3: Community Services
• 4: Education
2
Background• Labor Force (Women 16-44) – 41.7 Million
– Women (16-44) as % of Labor Force – 46%
• Birth Rate (per 1000) among women 16-44 in labor force – 48
• U.S. Births – 4.1 Million
• Births among women 16-44 in labor force –2.0 Million
March of Dimes Prematurity Campaign
A multiyear, multimillionA multiyear, multimillionA multiyear, multimillionA multiyear, multimillion----dollar campaign to address dollar campaign to address dollar campaign to address dollar campaign to address
awareness, education and research to help families have awareness, education and research to help families have awareness, education and research to help families have awareness, education and research to help families have
healthier babieshealthier babieshealthier babieshealthier babies
Preterm Births: US, 1996-2006
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Major Factor in Neonatal and Infant Illness
– Neurodevelopmental handicaps (cerebral palsy, mental retardation)
– Chronic respiratory problems– Intraventricular hemorrhage– Infection– Necrotizing enterocolitis– Neurosensory deficits (hearing, visual)
Prematurity – Economic Burden
• The Institute of Medicine estimates the societal economic cost of prematurity to be $26 billion annually.
• Almost half (44%) of all hospital charges for premature and low birthweight babies were billed to employers and other private insurers.
Distribution of $26 billion societal economic costs of preterm birth
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Average Payment by Health Plan for Newborn Care
Source: Thomson Healthcare Babies were chosen from MarketScan Commercial Claims and Encounter database for 2005 and were only included if they had at least twelve months of continuous enrollment after birth.
$3,859
$46,004
$9,280 $9,331
0
10,000
20,000
30,000
40,000
50,000
Uncomplicated Prematurity/ LBW Other Selected
Complications
All Births
Dollars
Average Inpatient Hospital Stays for Newborn Care
Source: Thomson Healthcare Babies were chosen from MarketScan Commercial Claims and Encounter database for 2005 and were only included if they had at least twelve months of continuous enrollment after birth.
2.3
14.2
3.5 3.8
0
4
8
12
16
Uncomplicated Prematurity/ LBW Other Selected
Complications
All Births
Days
$8,106
$11,657$12,870
$9,781
0
5,000
10,000
15,000
Vaginal C-Section Complicated
Deliveries
All Live Births
Source : Thomson Healthcare Mothers were chosen from the MarketScan Commercial Claims and Encounter data base for 2005 and were only included if they had at least nine months of continuous enrollment before birth and three months after birth.
Average Payment by Health Plan for Maternal Care
Uncomplicated Deliveries
Dollars
5
2.3
3.6
4.1
2.9
0
1
2
3
4
5
Vaginal C-Section Complicated
Deliveries
All Live Births
Source : Thomson Healthcare Mothers were chosen from the MarketScan Commercial Claims and Encounter data base for 2005 and were only included if they had at least nine months of continuous enrollment before birth and three months after birth.
Average Inpatient Hospital Stay for Maternal Care
Uncomplicated Deliveries
Days
Total Direct Costs by Maternal-Newborn Complication Status
$44,367$46,009$77,805Complicated Delivery +
Complicated Newborn
$13,886$15,506$27,949
Uncomplicated Delivery
+ Uncomplicated
Newborn
Net
Payments
Total
Payments
Provider
Charges
Maternal / Newborn
Combination
Source : Thomson Healthcare
96.4 %
89.5%
% Payments
by Plan
Total Wage and Productivity Matrix
Maternal
Newborn Uncomplicated Complicated
Uncomplicated $15,477 $17,598
Complicated $15,367 $16,646
Source : Thomson Healthcare
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Maternal/Newborn Pair
Maternal => Uncomplicated Complicated
Newborn=> Uncomplicated Complicated
Direct Costs
Health Plan
Payments
$13,886 $44,367
Indirect Costs
Short Term
Disability Days 55.8 60.0
Wages $8,464 $9,103
Productivity $15,477 $16,646
Total Costs
$29,363 $61,013
Total Direct Costs + Wage and Productivity Costs
• Chronic health problems (High blood pressure, diabetes, obesity)
• Medical risks in current pregnancy
• Behavioral & environmental risks (Smoking, alcohol or drug use)
• Demographic risks (African-American, over 35)
• Other risks – stress, periods of standing
Risk Factors for Negative Pregnancy Outcomes
Smoking among women of childbearing age US, 1995-2006
21.2
25.126.3 26.0 26.4
27.1 26.3 25.5 24.922.8 23.5
22.423.8
0
10
20
30
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Smoking is defined as having ever smoked 100 cigarettes in a lifetime and currently smoking everyday or some days. Source: Behavioral Risk Factor Surveillance System. Behavioral Surveillance Branch, Centers for Disease Control and
Prevention. Prepared by March of Dimes, Periantal Data Center, April, 2008.
Percent of women ages 18-44
7
Obesity among women of childbearing age US, 1995-2006
14.315.7 16.3 17.4
18.5 18.619.6
21.0 21.7 22.123.6
14.1
0
5
10
15
20
25
1995 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Obesity is defined as a Body Mass Index of 30 or more. Source: Behavioral Risk Factor Surveillance System. Behavioral Surveillance Branch, Centers for Disease Control and Prevention. Prepared by March of Dimes, Periantal Data Center, April, 2008.
Percent of women ages 18-44
The Business Case for Investing in Worksite Health Promotion
Savings per dollar invested in worksite health promotion programs.
• From a review of 73 published studies of worksite health promotion programs
– Average $3.50-to-$1 savings-to-cost ratio in reduced absenteeism and health care costs.
• From a meta-review of 56 published studies of worksite health promotion programs
– Average 27 percent reduction in sick leave absenteeism
– Average 26 percent reduction in health costs
– Average 32 percent reduction in workers' compensation and disability management claims costs
– Average $5.81-to-$1 savings-to-cost ratio
Source: U.S. Workplace Wellness Alliance
Programs Employers May Have Available to Address Risk Factors
• Smoking Cessation Programs
• EAP Programs to address substance abuse, depression, etc.
• Health Risk Assessments
• Fitness club discounts
• Childbirth education classes
• Flexible spending accounts
• Pregnancy and newborn benefits
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An educated employee may improve the chances of a positive pregnancy outcome
Thus, March of Dimes created a NO COST tool
to help employees make better
health care decisions…
www.marchofdimes.com/hbhb
“My 9 Months”
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March of Dimes Print Materials
Online Community for Families of Premature Babies
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Results to Date• Currently over 190 organizations ranging from 25 to over 1 million employees are using “My 9 Months”
• Average monthly unique users = 1300
– Average monthly page views = 2700
• Most popular content:
– Getting Healthy (9 Questions)
– How Your Baby Grows
– Due Date Calculator
– Ovulation Calculator
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Contact
Steve Abelman, Director, Worksite Wellness Programs
– 914-997-4226
– sabelman@marchofdimes.com
THANK YOU FOR YOUR TIME, ATTENTION, AND HELPING TO GIVE EVERY BABY A HEALTHY
START!
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