1. Health and Wellness in a Time of Healthcare Reform = Healthy Employees are Important to the Health of Your Business

2. A process of being aware of and actively working toward better health. Awareness If people are going to get healthy, then they need to have a precise understanding of their current health status. Action “Act as if what you do makes a difference. It does.”

3. Healthy employees are more productive and have lower healthcare costs. That’s important because healthy employees can mean a “healthy” bottom line for your business.

4. Question 1

5. (*BMI  30, or about 30 lbs. overweight for 5’4” person) 1990 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 1999 2010 Obesity Trends Among U.S. Adults BRFSS

6. Visible Cost Non-Visible Cost Direct Medical Costs  Medical  Pharmaceutical Indirect Costs  Presenteeism  Short-term Disability  Long-term Disability  Absenteeism  Workers Compensation Iceberg Phenomenon

7. $85OR$85,000

8. Why Wellness at the Worksite? Question 2

9. Source: Bureau of Labor Statistics

10.  With the majority of Americans spending more of their waking hours at work, what better place to start than with worksite wellness. The typical U.S. adult over the age of 18 has seven (7) chronic health conditions.

11. Healthy employees are more productive and have lower healthcare costs. That’s important because healthy employees can mean a “healthy” bottom line for your business.

12. <10% Wellness 90+% Wellness

13. High Indirect Costs Direct Indirect Total Value of Health

14. Source: ERC Healthcare and Wellness Practices Survey

15. Average of $14/month

16. Step One: Inform Your Management Define Management’s Role Train Management

17. Healthy Workplace Tour & Culture Assessment  Activity level  Nutrition habits  Campus layout Health Risk Assessment  Personal Wellness Profile  Health Screenings  Healthy You! visit Assess Your Culture Change Your Culture – Make it Healthy Step Two:

18. Program Services:   3 fully-covered physician visits for counseling   Prescribed nicotine replacement therapy / medication   BCBSMS Quitline   90-day coverage Change Your Culture Be Tobacco-free

19. Program Results: Blue Cross & Blue Shield of Mississippi “be smoke-free” Program

20. Program Results: Blue Cross & Blue Shield of Mississippi “be smoke-free” Program

21. HRA Program Components:   Lifestyle questionnaire   Annual health screenings   50% participation   Understand employees’ health needs & interests   Personalized Health Report   Executive Report Change Your Culture Assess Your Employees

22. Blue Cross & Blue Shield of Mississippi Employee Results 2006-2010

23. Blue Cross & Blue Shield of Mississippi Health & Wellness Program Success

24. Employees have a direct impact on your health plan  Use benefits wisely  Health and lifestyle choices impact plan costs  Access to Nurse Advice Line  Access to Wellness Center Discount Program  Annual Healthy You! wellness exam  Access to tobacco-cessation  Monthly health & wellness information Change Your Culture Inform and Educate Your Employees

25. Promote Healthy You! Step Three Healthy You! Wellness Benefit  Set a goal of 100% of employees get their Healthy You! visit

26. Focused Risk Factors   Cholesterol   Glucose   Blood pressure   Weight/BMI   Tobacco use Know Your NumbersManage Your Risks Healthy You! Program

27. Blue Cross & Blue Shield of Mississippi Healthy You! Utilization (covered employees)

28. Tangible Results: If employees know their numbers, they can manage their risks

29. Our Per Member Per Year (PMPY) costs are 14.2% less for employees in our Wellness Incentive Program. Employee Health Impacts the Health of Your Business

30. Tangible results: Time away from work Employee Health Impacts the Health of Your Business

31.  Quarterly activities  Management in-service  High participation  Timely feedback Step Four

32.  “be smoke-free” Program  Healthy You! promotion  Eat Healthy Challenge  be healthy! Challenge  LGWM worksite challenge  Be stress-free activity

33. Carefully plan your incentives for long-term behavior change   Time at work to participate in activities   Extra day off for the Healthy You! visit   Monetary incentives   Prize drawings Provide Incentives for Healthy Behavior Step Five:

34.   Participation during work   Activity options   Achievement recognition   Competition   Financial rewards   Benefit differentials Provide Incentives for Healthy Behavior

35.  Lower healthcare costs  Fewer employee sick days  Reduction in workers’ comp costs  Lower disability management costs  Improved morale  Reduced turnover  Lives saved! Return on Wellness

36. Source: Employee and Executive Wellness Solutions

37. Indirect Return on Wellness Source: Employee and Executive Wellness Solutions

38. Month 2 In-service with Management/Wellness Committee & Champion Month 3 Memo from Champion to employees about Healthy Workplace Month 5 Worksite Wellness Activities begin Month 1 - Commitment letter - Healthy Workplace Tour