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American Institute for Preventive Medicine
A White Paper: The Health and Economic Implications of Worksite Wellness Programs Presented by: Don R. Powell, Ph.D. President and CEO American Institute for Preventive Medicine
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Health Insurance Premiums vs Other Indicators
Source: Kaiser Family Foundation, 2008
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If Food Were Health Care
If food prices had risen at medical inflation rates since the 1930’s: 1 dozen eggs $ 1 pound apples $ 1 pound sugar $ 1 roll toilet tissue $ 1 dozen oranges $107.90 1 pound butter $102.07 1 pound bananas $ 1 pound bacon $122.48 1 pound beef shoulder $ 1 pound of coffee $ 10 item total $586.56 Source: American Institute for Preventive Medicine, 2007
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How Companies Are Responding to Increased Health Care Costs
% of companies Increased copays Increased participant cost Increased deductibles Participant pay more for prescription drugs Switched providers Offer wellness program Source: Society for Human Resource Management, 2006
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Health Risks & Health Care Costs
N = 1,706 Source: Fairview Alive Program Evaluation (StayWell, 2004)
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Savings Per Employee (2001 – 2003)
Source: Fairview Alive Program Evaluation (StayWell, 2004)
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Review of Published Studies on Worksite Wellness (ROI)
Medical Costs, Absenteeism, & Workers Comp Medical Costs & Absenteeism Medical Costs Absenteeism Source: Aldana, SG, Financial impact of health promotion programs: a comprehensive review of the literature, American Journal of Health Promotion, 2001, volume 15:5: pages Source: Chapman, LS, Meta-evaluation of worksite health promotion economic return studies, Art of Health Promotion, 2003, 6:6, pages 1-16. Source: Chapman, LS, Meta-evaluation of worksite health promotion economic return studies: 2005 Update Art of Health Promotion, 2005, p
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Prevalence of Wellness Programs
49% 39% Resources & Information Health Screening Program Smoking Cessation Health Newsletter Fitness Center Subsidy Weight Loss Onsite Fitness Center Stress Management Source: SHRM 2006 Benefits Survey Reports
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Risk Factors for Every 100 Employees/Members
25 have cardiovascular disease 8 are asthmatic 8 are diabetic 31 have high blood pressure 17 have high cholesterol 66 are overweight 20 smoke 20 use alcohol excessively 20 don’t wear seatbelts 40 don’t exercise 44 suffer from stress Source: Department of Health and Human Services
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Wellness Wizard® Determine your employee’s health risks, costs, and savings
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1. Make the Program Multi-Component
Assessment activities Communication materials Self-help materials/programs Health Coaching Group programs
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Smokeless® 1 Year Quit Rates for Salaried and Hourly Employees
Source: American Journal of Health Promotion
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2. Teach Demand Management
Medical self-care Wise consumerism
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Physician Office Visits Annually
Total - to non federally employed, office based physicians 964 million Approximately 3.3 visits/person Source: National Ambulatory Medical Care Survey-2007 Unnecessary Visits 25% or 241 million Source: Dunnell, K. and Cartwright, C. Medicine Takers, Prescribers and Hoarders Average cost - $121/visit Source: American Medical Association, 2001
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Emergency Room Visits Annually
Total 115 million 37.8 visits/100 persons Source: National Ambulatory Medical Care Survey Unnecessary Visits 55% or 63 million Average cost - $586/visit Source: New England Journal of Medicine, 1996
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HealthyLife® Self-Care Studies
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“Health at Home® was the reason I went to see my doctor and it saved my life.”
Jeff Bilbrey Sales Specialist, Lowe’s Bloomfield Hills, Michigan
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“Healthier at Home was a real lifesaver
“Healthier at Home was a real lifesaver. It helped me to know my husband, Jay, was having a heart attack.” Marijo Parsons Pharmacy Supervisor Aurora Medical Center Milwaukee, WI
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3. Present Psychosocial Issues
Self-esteem Anger management Depression management Laughter workshops
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4. Use High Tech as an Adjunct to High Touch
No data to support cost savings Only 50% of U.S. population has internet access Only 25% goes online for health information Some intranets can only be accessed at work May not reach dependents Time consuming Many people still prefer print Employees thank you for books
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Thank you for your attention. Questions?
Phone: , extension 221 Fax: Web Site:
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