Upload
shonda-matthews
View
216
Download
1
Embed Size (px)
Citation preview
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Guardian Industries Connecting Incentives to Biometric Results
1
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
About 20,000 covered lives in health care
60 major manufacturing locations in 21 countries, on five continents
3 main businesses
Flat Glass/Auto Glass
SRG Global (auto trim)
Guardian Building Products
Unique culture
Entrepreneurial and de-centralized
“A Hatred of Bureaucracy”
Accountability extends to personal health
Significant leadership support, leverage competition and winning
About Guardian
18,000 Employees Worldwide
8,000 U.S. Employees
Headquartered Auburn Hills, Michigan
2
All rights reserved. May not be copied, reprinted or redistributed without prior written approval3
All rights reserved. May not be copied, reprinted or redistributed without prior written approval4
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
HealthGuard Timeline
HDMS – began data warehouse
ActiveHealth – began care considerations
HFC – nurse screenings and health risk assessments in U.S. plant locations
ActiveHealth – began condition management
Added Nutritionist/Dietician services for:
Diabetes
Obesity
Eating disorders
HealthGuard
Best practice elements defined
Audit format introduced
45 global plants audited
All Guardian U.S. property tobacco-free
$0 copayfor tobacco cessation drugs
2006 2007 2008
5
All rights reserved. May not be copied, reprinted or redistributed without prior written approval6
HealthGuard Timeline
VBID – Half-priced prescriptions when indicated for condition management and engaged with ActiveHealth coach
All Guardian global plantstobacco-free
Required screenings/physicals with HRA or face penalty
Redesigned Winner’s Circle exercise program:
Simplified cash rewards
Added weight loss incentives
$5 routine physicals and cancer screens in all U.S. plans
Required screenings/physicals with HRA to include spouses in the U.S.
Quit for Life tobacco cessation added in all U.S. locations
$5 colonoscopy and polyp removal added
2009 2010 2011
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
HealthGuard Expectations for 2012
Establish link between health behaviors and health benefit outcomes
Employee and spouse need to complete a health screening and the online Health Risk Assessment (HRA)
Employee and spouse need to complete Quit For Life or pay surcharge if using tobacco products
Employee and spouse need to engage with a Health Coach if contacted by ActiveHealth or pay a surcharge
Surcharges:
Can be removed for behavior change
Combined tobacco and condition management surcharges are $18/week
Applied separately to employee and spouse
Members notified of requirements well in advance
7
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
HealthGuard was communicated and administered as integral part of Guardian Industries Health Plan
Before the Health Risk Assessment requirement was implemented in 2010, HRA questions that could disclose any genetic information were eliminated
Guardian never receives any individual health information from HRAs, screenings, or physical exams, only aggregate, de-identified data
The $18/week maximum surcharge is less than 20% of the total cost of single coverage
The $36/week maximum surcharge (if both the employee and the spouse do not comply) is less than 20% of total cost of two-person coverage
New benefit for 2012: $0 copay for annual screening by dermatologist
HealthGuard Program Structure
8
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Open Enrollment Results
over
12,104 employees and spouses completed
screenings or physicals with HRA’s
of employees
and 15% of spouses attested to their
tobacco use
(Up from 22% in 2011)
860 of the 945 ActiveHealth identified
employees and dependents, have
successfully engaged an ActiveHealth nurse coach
Created video of Guardian employee success stories
9
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Employee and spouse contributions will be based in part on compliance with four standard Health Measures Blood Pressure
Total Cholesterol
Communicated in four separate campaigns prior to 2013 effective date
Screenings/HRAs done in U.S. plants each summer
Health Measure thresholds were deliberately set at easily attainable levels, to sweep in only the clear outliers We don’t expect anyone to run a marathon
If you don’t meet these health measures, you probablyshould speak to your doctor
Surcharge waived if employee/spouse provides HFC with doctor’s certification that compliance with standard is unreasonably difficult or medically inadvisable and the employee/spouse is under doctor’s care for condition
Guardian Strategy for 2013 – Health Measurements
10
Blood Glucose/Blood Sugar
Body Mass Index (BMI) or Waist Measurement
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
How Many Members will be Affected?
11
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
NEW - Starting in 2013, $4 copay generic prescriptions for: Blood Pressure
Blood Glucose/Blood Sugar
Cholesterol
What Benefits are New for 2013?
The BMI / Waist Measurement standard can be satisfied by: ActiveHealth’s Weight Management Program
If you prefer to be under your doctor’s care for weight reduction, the Plan will pay your office visits and related lab work with a $0 copay
NEW - Starting in 2013, completion of on-site Weight Watchers program
12
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
A Look at the Data for Potential BMI Outliers
Employees that ‘fail’ the BMI criteria based on current survey data incur 38% more claims costs than normal BMI
Trend for this group was 18% in 2011
ER rates/1000 were 78% higher than the normal BMI Group
12% were actively enrolled in a DM program at the end of 2011 – most were enrolled for multiple conditions including morbid obesity
13
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
14
How Will the Surcharges Work in 2013?
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
15
How Will the Surcharges Work in 2013?
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Never condescend
Long lead times
Transparency
Spouse involvement
Brand your Program
Three times by three media
Communication Strategies
Brochure basics Color
Bullets
Lists
Graphics
White space
Short declarative sentences
Active tense
5th grade reading level
Tell a story, give a timeline, use examples
Close with Action Steps
16
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Improved health leads to reduced risk and lower claims
Manufacturing environment: 75% male, average age 43, some network consolidation, no cost-
shifting in plan designs or 80/20 company/employee cost share
Competitive advantage: HR acting as a strategic partner
Outcomes from HealthGuard Initiatives
Time Period Market Guardian
Annual Increase in 2011 8-10% <1%
Increase in per employee cost 2008-2011 (4 years)
32-35% 9%
Increase in per employee cost 2005-2011 (7 years)
-- 24.5%
17
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Guardian Active Health Cost vs. Trend
Linear
18
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Make it matter
Leverage the culture
Anticipate adverse reactions
Change the vocabulary
Remove road blocks
Provide choices
Lessons Learned
Explain WHY
Build in phases
Manage the 2%
Integrate data
Make health a visible part of company culture
19
All rights reserved. May not be copied, reprinted or redistributed without prior written approval
Eye Med
HMSA, EAPBCBSM
Medco
Delta
MMO
Medical Carriers
Health FitnessCorp
Health FitnessCorp
ActiveHealthActiveHealth
HealthGuard Benefits Work Flow
BOS(COBRA)
THUR.
Ret
iree
Upd
ate
s
HR/EBAsEnter new hires, status changes,
terms into payroll
Mondays
Terminated Employees
AON HEWITT
EmployeesEnroll and Make
Changes
Wed
nesd
ays
CYBORGGlass/SRG
Payroll Systems
INFINIUMGBP
WED.
MON.
Wellness Vendors
Quit for LifeQuit for Life
MON.
HDMS
Fridays
20
All rights reserved. May not be copied, reprinted or redistributed without prior written approval21
Questions?