1. The “Win / Win” of a Focus on Wellness
Presented by:
Noel R. Baril
Vice President – Total Rewards
Henry Ford Health System

2. The Henry Ford Health Philosophy
Henry Ford Health System strives to embrace a Culture of Health through our health care strategy
We offer health benefits to positively impact the health and productive lives of our employees, their families and the community
We consider benefits an investment, rather than an expense:
Use health status to drive desired outcomes
Incorporate “Value” Wellness (health) into benefit design

3. HFHS Asks Employees to Self-Report Their Health Risks
HRA: Risk Prevalence
Condition/Issue
HFHS
HealthMedia
Weight (BMI 25+)
66%
63%
Depression
(Yes or Currently being treated)
18%
30%
Insomnia
(6 hours or less sleep)
26%
27%
Stress
(Fairly or Very often)
14%
29%
Chronic Conditions (1 or more)
45%
43%
Tobacco Use (Yes)
10%
*Derived from aggregate data taken between September 2009 to November 2010, with 20,259 participants.

4. Understanding the ‘Costs’ of Productivity Impairment
Payroll of $20 per hour
22,000 employees work 46M hours (2,080)
$5M per hour
$7,500 per minute
Challenge: Maximize productivity
Realizing 1% unproductive time equals $10M
Consider the impact of poor health conditions
Migraines
Lower back-pain
Carpel tunnel pain
Impairment hurts employee, productivity, and ultimately engagement in your organization 4

5. How Can We Improve the Health of Our Community?
To improve the health status of our employees, HFHS focuses on three areas:
Providing incentives that motivate employees (and families) to improve their health and reduce their health risks
Significant co-pay incentive (no deductible)
Creating a culture of wellness
Wellness Champions, Inclusion of Workplace Safety
Managing chronic conditions
Member Qualification Form
HFHS and HAP effectively use incentives across all three of these areas to reduce health risks, improve health and improve patient self-management.

6. HAP’s Health Engagement Program is a Key Tool
Two-tiered HMO plan design:
Enhanced with lower co-pays and lower/no deductible
Standard with same level of benefits, higher co-pays and deductible
Employees start in the Enhanced benefit level
Within 90 days, participants must:
Complete the HAP online iStrive HealthMedia Health Risk Assessment
Visit their Personal Care Physician and
Successfully complete the Member Qualification Form
HAP’s Health Engagement program incorporates personal responsibility into its benefit designs. Members become active partners in maintaining their health.
Those who commit to health improvement goals save money on out-of-pocket costs. Those who don’t will pay higher out-of-pocket costs when they utilize health care services.

7. HAP Health Engagement Participation at HFHS
Participation target was 70 percent
Actual participation was percent
Henry Ford partnered with HAP in the rollout of Health Engagement to maximize impact with employees

8. Health Engagement: Closing the Gap
Level 1
Level 2
Level 3
2011
2012
2013
Must (within 90 days):
* Complete HRA
* Complete MQF
(score 85 or >)
Agree to treatment plans to achieve wellness targets
Must (within 90 days):
* Complete HRA
* Complete MQF
(score 85 or >)
Achieve treatment plan wellness targets
Must (within 90 days):
* Complete HRA
* Complete MQF
(score 85 or >)
Achieve treatment plan wellness targets and other requirements
Level
Represents the year the member joined Health Engagement

9. According to Health Media, Inc.: Wellness Programs Are Working!
This translates to:
$1 M in medical claims
$5 M in increased productivity
For every point lifestyle improves, HFHS saves per employee:
$30 on medical claims annually
$140 in improved productivity
2 points
5,9200
20,259
# of participants
4,200
5,000
890
6,300
Source: Dr. Vic Strecher, Health Media Inc. ENGAGE Conference, May 2010
Health Engagement

10. In Closing…The Challenge
We must intensify our focus on wellness — as individuals, as business leaders, and as a society in order to break the unsustainable cycle of risky health behavior and chronic disease.
HFHS and HAP continue to learn lessons that will help us to create a supportive wellness environment across Michigan.