Transcript Jarp Wellness Program

City of Wausau
Health Care Cost Containment
Planning Meeting
July 8, 2010
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Agenda
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Introduction
Expectations of Committee
Health Care Costs
Priorities at City of Wausau
Wellness Program Components and Resources
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National Health Care Costs
Source: Hewitt Associates, 2009
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City of Wausau Health Care Costs
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Components of Cost (2009)
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Top Prescription Drugs
Drug Name
Class
Amount Paid
Copaxone
MS
$101,025
Novolog
Diabetes
$78,251
Accu-Chek
Diabetes
$58,698
Lipitor
Cholesterol
$57,613
Enbrel
Psoriasis/Arthritis
$53,249
Actos
Diabetes
$48,249
Plavix
Heart
$46,131
Aciphex
Acid Reflux
$43,141
Niaspan
Cholesterol
$42,787
Adderall XR
ADHD
$41,667
Humira
Rheumatoid Arthritis
$37,152
Nexium
Acid Reflux
$36,645
Zetia
Cholesterol
$34,448
Crestor
Cholesterol
$34,217
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Wellness Priorities at City of
Wausau
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Low Wellness Visit Utilization
2009
While wellness/routine visit utilization is near norm, the norm is not good.
• Only 37% of active employee members went in for an annual routine exam in
2009. Almost half of these visits were dependent children (which is good that
children are being taken in), but the adults aren’t making their annual exam a
priority.
• Only 42% of active employee members (employees and spouses) over age 50
had their PSA exam in 2009.
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Claims Due to Unhealthy Behavior (2009)
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Claims Associated with Prevention, Early Detection and Management (2009)
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Claims Paid for Members with Chronic Conditions (2009)
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Average Costs for Members with Chronic Conditions (2009)
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Priorities
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Getting preventive care
Poor nutrition
High blood pressure
Physical inactivity
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Wellness Program Components
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Wellness Programs
Awareness
• Health Risk Assessments
• Biometric Testing
• Health Promotion Campaigns
- Monthly Communications
>Flu prevention/handwashing
>Sun safety
- Health Newsletters or Articles
- Healthier Vending
Machines/Cafeteria
- Wellness Fairs
- Lunch n’ Learn Programs
Behavioral Modification
• Coaching
• Disease Management
Benefits
• Preventive Care Coverage (Medical
and Dental)
• EAP
• Nurseline
Interventions
• Weight Loss
- Reimbursements for Weight Loss
Program Membership Fees
- Weight Loss Challenge
• Physical Activity
- Walking/Activity Challenge
- Gym Membership Reimbursement
• Tobacco Cessation
- Coverage for Tobacco Cessation
Medications
- Reimbursements for Tobacco
Cessation Courses
- Tobacco Free Workplace Policies
- “Smoke Out” Days
• Healthy Habits/Goal Setting
Challenge
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Potential Programs
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Health Risk Assessments with Biometric Screenings
Onsite periodic blood pressure checks
Medication compliance education
Stress management education
Onsite and printed nutrition education
Education on the importance of preventive care
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Resources for a Wellness Program
Security Health Plan
• Nurseline
• Educational materials and online resources
• Health risk assessments
• Disease management programs: Tobacco addiction, asthma management,
diabetes management
Cottingham & Butler
• Educational materials
• Wellness newsletter
• Benefit website with health encyclopedia, symptom checker and medication
look up
Community Resources
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