1. LG&E and KU’s Journey into Population Health
DeAnna Hall RN, BSN
Manager, Corporate Health and Well-being

2. Get to Know the Company Employees: Approximately 3,500
Diverse population:
Line techs, engineers, power plant workers, customer care reps, etc.
Facts:
LG&E serves 407,000 electric customers and 324,000 natural gas customers
KU serves 549,000 electric customers in Kentucky; also serves a small customer base in Virginia and Tennessee.
Service area covers approximately 700 square miles.
KU's service area covers 4,800 noncontiguous square miles.

3. LG&E and KU Facilities
The Commonwealth of Kentucky is very diverse. Our wellness design must meet the needs of our entire family.
In KY we have:
Health deserts
Food deserts
Health meccas
Healthcare deserts
...

4. Rural Mountaintops … . . Congested Urban Areas
Our team members work in all types of weather factors. They work hard and long days doing dangerous work. This impacts not only how they but also their family’s ability to live a health lifestyle and utilize healthcare.
For LG&E and KU, a culture of well-being can’t be created only within the brick and mortar of our walls. Our reach is much further. It’s in the office, trucks, and in their homes. This is why it was imperative for us to include the spouses of our members.

5. Aging Workforce

7. Step One
Vision
Improve quality of life for the company’s most valuable asset, our employees.
Mission
To create a best-practice culture of well-being that empowers employees and family members to live healthy, safe and productive lives.
Add KY statistics

8. LG&E and KU’s Well-being Journey

9. Healthy for Life Includes Everyone!
Health Coaching
Well-Being Assessment
Health Team Concierge
Assistance with Disease Care
Challenges
Group Health Sessions
High level guidance with Pregnancy/
Transplant/ NNIC
Partner Integration
Stress Management
Utilization Assistance
Nutrition
High Level Customer Service
Preventive
Preventive Benefits: Biometric Screening, Nutritional Education, Mammograms, Flu Vaccines, Gym and Weight Reimbursement, TeleHealth, Family Assistance Program
Mercer Health Advantage (MHA) Your Anthem Nurse
Healthy for Life Wellness Portal
Referral to High Quality Providers and Services
Well and Moderately Healthy
Discuss move away from traditional DM model to Total Population Health (TPH)
Specifically about your ‘buckets”
Did financial analysis of DM program – very high-touch which results in very costly – and with minimal adt’l funds, moved to model that will impact everyone
Again, go back to your “buckets”

10. Healthy for Life Program Year Four
Healthy for Life Wellness Portal
Your Anthem Nurse (MHA)
Well and Moderately Healthy
Health-Related Issue
Assistance with Disease Care
Health Team Concierge
Health Coaching
Challenges
Webinars
Preventive
High-level guidance with Pregnancy/
Transplant/NNIC
Utilization Assistance
Aduro
Healthy for Life
Health Risk Assessment
Preventative Medicine
Nutrition
Healthy Lifestyle
Health Awareness
Stress Management
Work/Life Balance
Personal Health Coach
Adjudication of 2016 Benefits rates
Areas of impact
Personal Health Knowledge
Personal Health Risk
Heredity Risk
Engagement
Referral to MHA/EAP
Data Hub
Program Reporting
Well-Being
Assessment
Group Health Sessions
Stress Management
Nutrition
Referral to High-Quality Providers and Services
High-Level Customer Service
Preventive Benefits: Biometric Screening, Nutritional Education, Mammograms, Flu Vaccines,
Gym and Weight Reimbursement, TeleHealth, Family Assistance Program

11. Health and Wellness Strategies
Plan design features
Employed-spouse premium
EPO/FSA option
HDHP/HSA option
Mail order pharmacy
Well-being
Zero Trend Population Health Model
Health fairs, flu shots, fitness centers, leader grants, nutritional education and Family Assistance Program
Population health model integrated partners
Mercer Health Advantage – My Anthem Nurse
ADURO – Healthy for Life Portal
VSP – Annual Eye Exams
Delta Dental – Bi-annual Dental Exams
Pete the Planner – Financial Health

12. Health and Wellness Resources
Health Management
Your Anthem Nurse – ph#
LiveHealth Online - download the LiveHealth Online app
24 HR Nurse Help Line – ph#
Accredo (prescription specialty medications) – ph#
Healthy for Life online portal
Well-Being Assessment
Tobacco Status Verification and Cessation
Healthy Coaching/Webinars
Financial Health
Family Assistance Program
Stress
Marital Issues
Substance Abuse
Elder Care
Ph#
While we may not have a magic tonic to make you healthy, we do provide our employees with multiple tools to help you with your health and healthcare.
Your Anthem Nurse provides the LKE family with a team of caregivers to help us with health-related issues such as prescription, Disease Care and medical advise that include a medical team of a RN, RD, pharmacist, social worker and medical director should we need assistance with our healthcare.
We also provide tools to help maintain your good health. LKE employees and spouse now have access to health coaching and a health portal with an endless amount of resources.

13. LiveHealth Online

14. Live Health Online
Live Health Online Video

15. Programs Offered On-site flu shot clinics On-site mammograms
Registered Dietitian coaching
Wellness reimbursements
Fitness classes or facilities
Race entry fees
Weight-loss or maintenance
Wellness Matching Grant
Manager
Family Assistance Program
Wayne Corporation
Financial health
Fidelity financial planning
Pete the Planner

16. 2018 Healthy for Life Preventive Health Nutrition Movement
Stress and Work/Life Balance
Tobacco Cessation

17. 2018 Healthy for Life Incentives
Level
Requirements
Incentive
Healthy for Life Premium (3k)
Assessment
Tobacco Free or Take Action
Certify Your Understanding of Preventive Care
View and complete Your Health & Wellness Resources video
Healthy for Life Premium
Plugged In! (5k)
Participation via:
Challenges – i.e. Welcome to LKE (1k pts) and Pete the Planner
Group coaching via online webinars (1k pts)
1:1 telephonic coaching (1k pts)
Your Anthem Nurse engagement (1k pts)
$100 Amazon gift card = Employees and Spouses
Powered Up! (7k)
$125 Amazon gift card = Employee
$100 Amazon gift card = Spouse
Employees and spouses — regardless of medical plan participation — will receive incentives for completing various wellness actions, some of which are already required to qualify for the HFL premium. Employees and spouses can attain three status levels on the site, based on activities completed.
Employees and spouses can earn extra points in a variety of ways.
• Via challenges — Various challenges related to exercise, healthy eating, financial wellness and others are available throughout the year. These challenges have a variety of point levels.
• Via coaching — The portal offers one-on-one coaching or a series of webinars featuring topics such as nutrition and stress. Employees and spouses who complete any of these programs will earn 1,000 points!

18. 12% got better 75% stayed the stable 13% got worse
Health Risk 2016/17 Cohort
12% got better 75% stayed the stable 13% got worse

19. Healthy for Life Success (Year 3)
Engagement
(Health screening + well-being assessment + tobacco free or tobacco cessation program)
94% of covered employees (on medical plan)
94% of spouses (on medical plan)
Upward Trend
Preventive screenings
Downward Trend
Obesity
Lack of physical exercise
Tobacco use
Poor nutrition
8,121 Human Performance Coaching Engagements
1:1 telephonic
Webinars (live and recorded)
On-site health classes

20. The Future of Healthy for Life