COST EFFECTIVE WELLNESS - Microsoft... · 2019-02-04 · COST EFFECTIVE WELLNESS January 31, 2019 Diane Andrea, MBA, RD, LDN ... –Distribute a newsletter with physical activity

COST EFFECTIVE WELLNESS

January 31, 2019

Diane Andrea, MBA, RD, LDN

Health Promotion Program Consultant

J.W. Terrill

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC

Wellness Programs

• Basic

• Intermediate

• Comprehensive

1 February 4, 2019


Edington, Burton. A Practical Approach to Occupational and Environmental Medicine 140-152. 2003.

Worker’s Comp 9%

Absenteeism 6%

Health Care Cost 25%

Presenteeism 60%

Impact of Poor Health on Employer Costs

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC 3 February 4, 2019



Costs

• Incentives

• Programming

• Staffing



Median Incentive Value

7 February 4, 2019


Risk is Not Static

High Risk

Moderate Risk

Low Risk

2% - 4%



Financial Incentive

• 61% - decrease in premiums

• 55% - cash or gift cards

• 27% - contribution to a HSA or similar vehicle

10 February 4, 2019


Incentives

Expected Participation

• Trinkets and t-shirts 10-15%

• Merchandise 15-50%

• $25-$50 Cash 35-75%

• Premium reductions

on healthcare 50-80%+



Incentives

• Start slowly

• Implement carefully

• Reward right after the event

• Focus on the benefits, not the incentive


Wellness Budget



Most Popular Wellness Programs

• Physical Wellbeing

– Nutrition

– Physical activity

– Heart health

– Tobacco cessation

• Emotional and Mental Wellbeing

– Stress management

– Mindfulness/meditation

• Financial Wellbeing

– Retirement savings

• Social Wellbeing


Physical Wellbeing Strategies – Physical Activity

• Low Cost

– Support physical activity breaks

– Map out on-site trails and walking routes

– Host walk and talk meetings

– Post motivational signs at elevators & escalators to encourage stair use

– Explore fitness center corporate discounts



• Low Cost

– Create a culture that discourages sitting for long periods of time

– Start employee activity clubs (walking, bicycling, running)

– Post or distribute community and charity runs, walks, and other activity

events

– Host a fun tournament



• Low Cost

– Offer on-site space for employees to work out during lunch, before or

after work

– Distribute a newsletter with physical activity tips and strategies

– Distribute a physical activity log

– Start a physical activity or walking competition



• Medium Cost

– Provide bicycle racks in safe, convenient and accessible locations

– Support recreation leagues

– Implement incentive based pedometer program

– Offer fitness DVD lending library

– Provide speakers on exercise and offer fitness assessments.



• High Cost

– Provide shower and/or changing facilities on-site

– Provide on-site fitness opportunities such as personal trainers, fitness

classes

– Provide incentives for participation in fitness related activities

– Create a walking path at work

– Provide an on-site exercise facility with on-site child care facility

– Offer standing desks and stability ball chairs

– Provide or subsidize the purchase of wearables that track activity

– Subsidize fitness memberships


Physical Wellbeing Strategies - Nutrition

• Low Cost

– Send healthy eating newsletters to employees

– Promote fruit and vegetable consumption through signs and posters

– Discourage employee eating at their desk

– Offer appealing, healthy vending options

– Work with on-site cafeterias to encourage healthy cooking practices



• Low Cost

– Use competitive pricing to make healthy options more economical

– Adopt a healthy foods policy

– Promote cooking classes in the community

– Adopt healthy food and beverage policies



• Low Cost

– Promote healthy restaurants and food trucks in the area

– Provide a healthy recipe library

– Get rid of candy dishes and replace with healthier options

– Sponsor healthy potlucks



• Medium Cost

– Make water and ice available to employees throughout the day

– Offer healthy food alternatives at meetings and company events

– Offer only coffee, tea and bottled water at events

– Provide kitchen equipment for employee food storage and preparation



• Medium Cost

– Offer fruits and vegetables at the worksite

– Start a work-site garden

– Establish workplace policies and appropriate space that promotes and

supports breastfeeding

– Have a dietitian present on healthy eating strategies or label reading



• High Cost

– Offer on-site cooking classes

– Subsidize weight loss programs and offer on-site

– Provide incentives for participation in weight loss programs

– Purchase healthy vending machines

– Offer an on-site farmer’s market

– Put together a healthy cookbook for employees

– Partner with catering or meal delivery service to provide healthy meals

to take home


Physical Wellbeing Strategies - Heart Health

• Low Cost

– Offer heart healthy tips

– Offer heart healthy recipes

– Post the signs and symptoms of heart attack and stroke

– Encourage employees to take online heart attack risk assessments

– Vending foods labeled heart healthy selections

– Participate in National Wear Red Day

28 February 4, 2019



• Medium Cost

– Offer onsite or offsite cooking demonstrations

– Offer fruit in the breakroom

– Adopt the AHA food and beverage guide

29 February 4, 2019



• High Cost

– Offer onsite CPR classes

– AED’s in the work areas

– Low or no cost statins

– One-on-one health coaching

– Biometric screenings for employees to be educated on their numbers

30 February 4, 2019



• Know Your Numbers Biometric screening

– Blood pressure

– Cholesterol – total, LDL, HDL

– Triglycerides

– Glucose

– Body mass index

– Waist circumference


Physical Wellbeing Strategies - Tobacco Cessation

• Low Cost

– Establish a policy prohibiting tobacco use on company property

– Provide posters, signs to support the no tobacco policy

– Promote the Tobacco Quit Line (800-QUIT-NOW)

– Encourage use of healthcare insurance programs



• Medium Cost

– Offer smoking cessation programs at the workplace



• High Cost

– Offer subsidized tobacco cessation products

– Provide on-site or individual counseling


Mental Wellbeing Strategies

• Low Cost

– Offer flexible work hours

– Offer job sharing

– Offer a lunch and laughs program

– Post signs that remind employees to be mindful

– Schedule fun tournaments and contests

– Bring in massage therapists for fee-based chair massages

– Share mental wellbeing apps – calm

– Provide a resource guide for community wellbeing

– Establish social connections or mentors



• Medium Cost

– Post employees’ nature pictures in a stress-free work zone area

– Offer stress management workshops

– Offer an employee assistance program (EAP) to employees and

promote it

– Schedule off-site meetings

– Dedicate a room for mindfulness/meditation/relaxation

– Train managers



• High Cost

– Provide on-site counselors

– Participate in a social work network

– Provide chair massages on a regular basis

– Enhance the work environment with light and color

– Dedicate an employee game room

– Re-decorate the break room


Financial Wellbeing Strategies

• Cost Varies

– Comprehensive benefits package

– Identity theft coverage

– L&D, voluntary benefits

– Legal resources

– Access to Certified Financial Planner

– Student and parent loan assistance

– Commuter subsidy

– Retirement plans

– 401K

– HRA/HSA/FSA

38 February 4, 2019


Education

• Low Cost

– Flyers/newsletters from carriers

– Insuring Health Lifestyles weekly information

– Local Hospitals

– Community resources

– Carrier Resources


Education

• High Cost

– On-site Wellness Coordinator



Low Cost Programs to Consider

• Encourage annual preventive exam

• Flu shots

• Health Risk Assessment

• Targeted programs

• Health Fair


Carrier Resources

• Imbedded wellness

• Newsletters

• 24 hour nurse lines

• Telemedicine

• Smoking cessation resources

• Health risk assessments

• Nutritional databases

• Telephonic coaching

• Fitness center discounts


Wellness Resources

• National Health Observances

– http://www.healthfinder.gov/nho/nho.asp

• CDC Workplace Wellness site

– http://www.cdc.gov/workplacehealthpromotion/

• Wellness Council of America

– www.welcoa.org

http://www.welcoa.org/


Wellness Resources

• American Heart Association

– www.heart.org

• CDC Health Worksite Initiative

– http://www.cdc.gov/nccdphp/dnpao/hwi/index.htm

– http://www.cdc.gov/leanworks/

• Lets Move

– www.letsmove.gov

• AHA Heart Attack Risk calculator

– www.cvriskcalculator.com


Wellness Resources

• WellSteps

– Wellness Tools

– ROI Calculator

http://www.wellsteps.com/resources/WellSteps_Implementation_Guide.pdf


Q& A Diane Andrea

[email protected]

mailto:[email protected]



Legal/regional regulatory statement to be added here if required.

Documents

COST EFFECTIVE WELLNESS - Microsoft... · 2019-02-04 · COST EFFECTIVE WELLNESS January 31, 2019 Diane Andrea, MBA, RD, LDN ... –Distribute a newsletter with physical activity