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LBMC Employment Partners HealthCare 21 Business Coalition January 11, 2012 9:30am-11:30am ©HealthCare 21 Business CoalitionJanuary 2012
HealthCare 21 Business Coalition (HC21) is a non-profit, member driven organization. Our mission is to work with all stakeholders to improve the quality of health care for East and Middle Tennessee. HC21 has 90 corporate members representing over 500,000 covered lives. HC21 has a long history of developing programs to address health risk and chronic care management. ©HealthCare 21 Business CoalitionJanuary 2012
Research shows that healthier employees directly impact a business’s bottom-line: higher quality products a more efficient production process lower health care costs a more productive workforce recruitment, retention and employee satisfaction Consumer engagement is the link that connects education to action. January 2012 ©HealthCare 21 Business Coalition
Prior to joining LBMC, HC21 developed a Medical Expense Reimbursement Program (MERP) as the vehicle to administer employee health incentives for health risk management. All employees, regardless of enrollment in the HC21 benefit plan, were eligible to participate in the program. January 2012 ©HealthCare 21 Business Coalition
$100 in MERP account for an Annual Physical and completion of a Biometric Checklist. Numbers you and your doctor should discuss: Total Cholesterol HDL Cholesterol LDL Cholesterol Triglycerides Blood Glucose Blood Pressure January 2012 ©HealthCare 21 Business Coalition
$100 in his/her MERP account for non-tobacco use. Having not used tobacco products in the last 12 months, OR Currently enrolled or has completed in the past 12 months a smoking cessation program and can provide proof of enrollment or completion. January 2012©HealthCare 21 Business Coalition
$100 in his/her MERP account for employee with a Body Mass Index (BMI) of 30 or less OR can provide documentation that he/she is currently enrolled in a weight loss plan. January 2012 ©HealthCare 21 Business Coalition
Two plan options (traditional and CDHP) The MERP was combined with a CDHP – at that time a brand new idea. CDHP, less premium but higher out of pocket. Employees with an annual salary of less than $50,000 and who were enrolled in the HC21 benefit plan provided with a Compassion Contribution of $400 to assist with out of pocket health expenses. January 2012 ©HealthCare 21 Business Coalition
While MERP provided a foundation for good health it also: Created an administrative burden (tracking) Missed the opportunity to identify our health risks (pick and choose mentality) Focused on the individual rather than the team ©HealthCare 21 Business CoalitionJanuary 2012
In 2009, HC21 replaced the MERP with a team bonus objective focused on health awareness, accountability and ultimately improvement. The goal: Improve the health risks of HC21 Team by 25%. ©HealthCare 21 Business CoalitionJanuary 2012
Actual biometric information is crucial to identifying and managing an “at-risk” population. Knowledge You Need is a one-page health risk assessment form that incorporates a primary care visit with biometric screening and important lifestyle and productivity questions. Based on recommendations from the U.S. Preventive Services Task Force. ©HealthCare 21 Business CoalitionJanuary 2012
Effective and Efficient because: The data is accurate and easy to understand. The process will facilitate annual face-to-face preventive visits with a provider. Eliminates self reported biometrics. January 2012©HealthCare 21 Business Coalition
Employee’s provider completes the biometric section to ensure accurate numbers. Employee completes questionnaire, determines risks and personal improvement goals. These are reviewed and discussed with a Health Coach from LBMC. Free health coaching offered for at-risk health factors. Includes education, assistance with goal setting and follow-up on critical values. ©HealthCare 21 Business CoalitionJanuary 2012
Senior Leadership receives an aggregate report of the total number of health risks of the group. Health risk total compared to previous year to show improvement trend. Leadership never sees or hears individual results, all information is HIPAA compliant. In 2011, HC21 team improved their health risks by 35%. ©HealthCare 21 Business CoalitionJanuary 2012
In addition to our bonus system we implemented easy to do inexpensive office based programs: Stretch bands with Trainer instruction Exercise ideas posters Healthy library – nutrition books Walking the stairs Healthy recipe swaps ©HealthCare 21 Business CoalitionJanuary 2012
Healthy snacks at all staff meetings, office celebrations and events. EAP promotion Ergonomic Study Opportunity each year to receive biometrics at no charge at annual Forum. Take every opportunity to talk about healthy lifestyle choices. ©HealthCare 21 Business CoalitionJanuary 2012
Leadership must be invested in the idea. Leadership must participate – clear examples. Constant communication. Healthy amount of peer pressure….and it is fun and good teamwork activities. ©HealthCare 21 Business CoalitionJanuary 2012
Continue onsite health promotion such as: Healthy snack demos Additional at-work exercise ideas 21 Solutions Program Continue team bonus Reminders/discussion at every staff meeting ©HealthCare 21 Business CoalitionJanuary 2012
©HealthCare 21 Business CoalitionJanuary 2012
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