2. Understanding Your Health 2012

3. Understanding Your Health Main Objectives Understand why health care costs and chronic illness rates continue to rise Learn about the power to make healthy choices and be a wise health consumer Review resources for handling major and minor health problems

5. Obesity is the leading cause of preventable death in America today. True or False Source: CDC False, tobacco use is the single most preventable cause of disease, disability, and death in the United States. Obesity is number two.

6. It is estimated that chronic illnesses presently account for 60 percent of America's total health care bill. True or False 75 – 80% Source: WELCOA

7. New Hampshire’s Health Challenges Chronic diseases – such as heart disease, stroke, cancer, diabetes, and arthritis – are among the most common, costly, and preventable of all health problems in the United States. Source: NH Citizens Health Initiative, US CDC

8. The Big Picture New technologies continue to emerge and be utilized at accelerating rates Defensive Medicine - Malpractice Providers are consolidating Medical inflation trend is growing at rates above 10% Prescription drug costs continue to rise significantly The workforce is aging, exposing employers and employees to the cost impact of rising demographics All populations are highly entitled to health care 47+ Million uninsured and another 15+ under-insured The health care world is changing dramatically

9. Reinforce Health & Safety Improved health & safety at the workplace supports health of individual in addition to: Medical consumerism Lifestyle behaviors & clinical factors Making the everyday choice, the healthy choice Addressing the Health Belief Model

10. Medical Consumerism: Information Access & Transparency Best Practices

11. The High Cost of Health Care New Hampshire… 2009 NH cost of health care $10.0 billion - almost 18% of NH gross state product Source: NH Center for Public Policy

12. What do you think….. An average hospital stay cost? An average physician visit cost? An emergency room visit cost? An average prescription drug cost? $14,246.00 $ 120.00 $ 980.00 $ 111.53 Source: NH Local Government Center HealthTrust, July 2010 pool

13. Medical Consumerism Q. How much do you think the current health plan coverage costs? POSHMO $7,877.28 $7,516.32 (One Person) $15,754.08$15,031.8(Two-person) $25,206.72$24,050.88(Family) Source: SONH Risk Management

14. FY2011 Health Costs Medical Claims $ 182,200,200 State of New Hampshire Source: SONH FY2011 Self-Funded Employee and Retiree Health Benefit Program Annual Report Pharmaceutical Drug Claims $ 69,500,000

15. Snapshot of Benefits Program All Costs *$ 263,200,000 *Medical Claims, Prescription Drug claims, Dental claims, administration and other expenses paid in FY2011 FY2011 Plan Costs Benefit PlanEmployeesSpouses and Dependents Total Active & Retirees 21,26018,70739,967 Source: SONH FY2011 Self-Funded Employee and Retiree Health Benefit Program Annual Report

16. Rising Cost of Health Care Everyone pays As health care costs rise, the State is paying more and you are paying too, in terms of... –Lower wages from increases in cost sharing –Fewer resources for training programs –Pay freezes –Decrease in contributions to pension programs –Layoffs and Furloughs

17. Economic case for Medical Consumerism In 2005, Americans went to hospital emergency rooms 114 million times Estimates identify that 55.4% of ER visits were for non-urgent conditions Source: CDC An observation…

18. www.nhhealthinfo.org Transparency

19. www.nhhealthcost.org

20. New Hampshire Hospital Scorecard www.nhpghscorecard.org

21. Lifestyle Behaviors and Clinical Factor Best Practices

22. Drivers of Healthcare Cost and Affordability Health Risk Behaviors Obesity (poor nutrition, sedentary lifestyle) Tobacco Use Illness and Disease Health Care Treatment & Management Utilization Overcapacity ER, Tests, Technology Cost of services Quality of services Disparity of treatment pathways

23. Top Health Risk Behaviors in Terms of Cost New Hampshire: Today 16% of NH adults and 21% NH teens smoke Smoking is associated with higher health care costs, averaging $1,275 more for smokers than nonsmokers* Today In 2011, Potentially Lifestyle related claims accounted for 52.4% (Anthem) 62% of NH adults are overweight or obese Obesity is associated with higher health care costs, averaging $1,850 more for obese people than those at a healthy weight* * Mayo Clinic

24. What does your Health Plan Administrator recommend you do?

25. Online Tools and Resources MyHealth@Anthem MyHealth Assessment MyHealth Record Condition Centers Online Community Specialoffers@Anthem AudioHealth Library Care Management 24/7 NurseLine Future Moms ConditionCare ComplexCare Comprehensive Medical Management Anthem Comprehensive Health and Wellness Benefits For more information call 1-800-933-8415

26. Schedule Your Preventive Screenings $0 CO-PAY! Medical AND Dental Prevention is best. Early detection is next!

27. Take the Health Assessment Tool Log in at www.anthem.comwww.anthem.com Click on health and wellness Evaluate your health Steps to take to live healthier Online health coaching Review the results with your health care provider Your information is confidential and is protected by law For more information call 1-800-933-8415

28. Health Risk Assessment Tool If you are an active employee subscriber on the health benefit program, you will receive a $200 Health Reimbursement Arrangement (HRA) for calendar/benefit year 2012 when you complete your HAT. The HRA is eligible for medical and pharmacy copays and POS deductible and co-insurance

29. NURSE ON DUTY 24/7 access to a registered nurse coach Seamlessly integrates with our comprehensive suite of preventive care programs and wellness initiatives Medical decision making and general health issues The 24/7 Nurseline provides members toll-free access to trained registered nurses any time of the day or night Anthem 24/7 NurseLine Call 1-800-544-1901

30. Future Moms Future Moms provides expectant moms with personal support to help promote a healthy pregnancy and delivery Call 1-866-347-8360 Anthem Future Moms

31. What would you do? What if you or a family member… had a serious medical condition?

32. Helps members manage the following conditions: Asthma Diabetes CAD COPD Heart Failure Anthem ConditionCare Call 1-866-596-9812

33. Anthem ComplexCare ComplexCare identifies complicated medical cases and responds to assist members. Proactive member identification and engagement Integrated care Helps reduce absenteeism, condition-related disability, hospitalizations and ER visits Call 1-800-933-8415

34. Members have access to a registered nurse 24/7 A single point of contact… Anthem ConditionCare & ComplexCare Members proactively identified through predictive modeling Holistic member management and greater understanding and control of health risks and condition Members have access to an entire multidisciplinary team to help, if needed

35. Anthem Worksite Wellness Services Collaborates with State of NH Wellness Program and other partners. Provides free wellness workshops*, blood pressure and body mass index screenings, and flu clinics. Help members take an active role in a healthy lifestyle Behavior change resources and tools Conveniently located at the workplace Available to all employees regardless of location *Workshops focus on Better Health Digital Coaching, 360 Health Programs, Blood Pressure, Heart Health, Diabetes, Cancer Prevention, Stress in the Workplace, Healthy Aging, and Healthy Holidays Call 1-603-695-7559

36. Shop Smart. Earn Green. www.compasssmartshopper.com

37. Earn financial rewards simply by getting the healthcare services you need! Compass SmartShopper is a free service offered to State employees and dependents covered by the Health Benefit Program that provides cost information for healthcare facilities in your area. By using a more cost-effective provider for common medical procedures and diagnostic tests, you can help reduce claims costs. These savings are shared back to you through financial incentive rewards.

38. Beginning December 1, 2011: State employees have an expanded list of services to shop! NEW procedures include Lab Services, Physical Therapy and Remicade Infusion Therapy. For a complete list of services or more information on how the program works, contact Compass at 1-800-824-9127 or visit the website. Here’s how it works: Your doctor recommends a procedure or test. Call Compass or visit the website to shop for a location. Have your service done at a cost-effective location identified by Compass to earn an incentive reward.

39. New Hampshire Local Government Center Pharmacy Benefits Administrator Provides free worksite health and wellness workshops and demonstrations EyeMed Vision Care Discount Program Member Service Call Center –Prescription Benefit Questions –ID Issues Regular Hours: 8:30 A.M. – 4:30 P.M., Mon-Friday Phone: 1.800.527.5001 Email: sonh@nhlgc.org

40. CVS CareMark Pharmacy Benefit Manager Order Prescriptions - Conveniently manage your prescriptions anywhere Understand Plan and Benefits – Learn about your plan’s benefits to help you save money Find Savings and Opportunities – Discover easy ways to help save on your prescriptions Learn About Medications – Stay informed by learning about your medicines and health conditions Ask-a-Pharmacist – Need extra help? CVS CareMark can help with your questions Phone: 1-888-726-1630, 24 hours – 7 days a week www.caremark.com

41. Learn about the latest oral health news and resources Oral health education and products Find a dentist Oral health assessment And much more! Phone 800-537-1715 603-223-1000 Fax: 603-223-1199 Website: www.nedelta.comwww.nedelta.com Customer Service General Benefits/Claims Inquiries 800-832-5700 or 603-223-1234

42. State of New Hampshire Employee Assistance Program Here to give you and your loved ones … an extra hand to meet life’s challenges 1-800-852-3345, ext. 4336

43. State of New Hampshire – Employee Assistance Program What is it? Counseling Services Information & Referrals and Professional Coaching Who is eligible? Any State of New Hampshire employee and their immediate family.

44. Why would I use the EAP? To Navigate Work & Life Events Adjusting to Demands at Work Coping with Stressful Situations Becoming a Better Communicator Managing Debt

45. * Referrals * Drug/Alcohol Testing * Employee Orientation How Do I Use the EAP? 2. Initial Consultation 3. Action Plan Employee/Family Services Educational Programs 1. Call Toll-Free 1-800-852-3345, ext. 4336 * Respect in the Workplace * Humor as a Stress Reliever * Workplace Change Management Services * Supervisory Coaching * Management Consultation * Work Culture Audit

46. Employee Benefit Management Inc. Voluntary Benefits Administrator Contact for questions related to enrollment or eligibility for Accidental, Critical Illness & Short Term Disability Insurance Phone: 1-888-269-2744 Email: info@ebmi.netinfo@ebmi.net Combined Services LLC Contact for questions about your Medical/Dependent Care Flexible Spending Account and Health Reimbursement Arrangement Benefit Debit Cards Phone: 1-888-227-9745 Email: flexiblebenefits@combinedservices.comflexiblebenefits@combinedservices.com Website: www.combinedservices.comwww.combinedservices.com

47. Why are we here today? The State of NH knows that a healthier employee is a happier employee, and that is why we are committed to preserving a healthy workplace for our number one resource - our dedicated employees. Together, Our Wellness Program is designed to support a commitment to your wellbeing and provide opportunities for individuals to improve their health and wellness.

48. What is a Healthy Lifestyle? Being Physically Active Making Healthy Food Choices Maintaining a Healthy Weight Receiving Preventive Care & Knowing Your Numbers Getting Quality Sleep Stress Management Tobacco Cessation Quality HealthCare And More…

49. Helping You Achieve a Healthy Lifestyle Annual Health Assessment Tool (HAT) with a Health Reimbursement Account (HRA) incentive of $200 for out of pocket health plan costs HMO plan- annual gym membership ($450) or exercise equipment ($200) HMO & POS - Annual Community Health Education ($150) $0 Co-pay for Preventive Visits FreeFree Annual Flu Clinics at workplace

50. Utilize the Web Tools and Resources Anthem - www.anthem.comwww.anthem.com NH Dept. of Health and Human Services www.dhhs.nh.gov www.dhhs.nh.gov State Employee Wellness http://admin.state.nh.us/wellness/ http://admin.state.nh.us/wellness/ Healthy Eating Active Living NH - www.healnh.orgwww.healnh.org Centers for Disease Control - www.cdc.govwww.cdc.gov Foundation for Healthy Communities www.healthynh.com

51. Stay Informed! Complete the annual interest survey Attend wellness related educational workshops Read the newsletters Use the Health Assessment Tool Involve your family Be an informed healthcare consumer for quality care

52. Participate in Wellness Campaigns Walk NH Tobacco Cessation Stairway to the Mountains Wellness Challenges –Spring Training –Commissioner’s Challenge Health Fairs/On-site Classes Health Promotions Worksite Screenings Flu Shot Clinics

53. Summary of Main Points Health care costs and chronic illness rates continue to be a problem, but we have options and the power to make choices We have many resources for handling major and minor health problems We can make a difference by leading healthy lifestyles and being wise health care consumers