1. Population Health: Employers and Beyond OSHE Fall Meeting October, 2015 Karen Volmar, JD MPH Oregon State University

2. History of employer involvement in population health Current employer based population health management strategies Moving forward– examples of partnerships and programs from the field

3. Employers – the first population health managers Health Insurance Coverage Management Features & Plan Design Employee Wellness Programs Partnerships for Population Management

4. Average Annual Worker and Employer Contributions to Premiums and Total Premiums for Family Coverage, 1999- 2015 * Estimate is statistically different from estimate for the previous year shown (p<.05). SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2015. $ 5,791 $6,438* $7,061* $8,003* $9,068* $9,950* $10,880* $11,480* $12,106* $12,680* $13,375* $ 13,770 * $ 15,073 * $ 15,745 * $ 16,351 * $16,834* $17,545*

6. Among Large Firms (200 or More Workers) Offering Health Benefits, Percentage of Firms Offering Incentives for Various Wellness and Health Promotion Activities, 2015 ǂ Firms which offer either “ Programs to Help Employees Stop Smoking”, “Programs to Help Employees Lose Weight”, or “Other Lifestyle or Behavioral Coaching“. SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2015. Health Risk Assessments Biometric ScreeningWellness Programs

7. Among Firms Offering Health Benefits, Percentage of Firms Offering Specific Wellness Program to Their Employees, by Firm Size, 2015 * Estimate is statistically different between All Small Firms and All Large Firms (p<.05). NOTE: “Other Lifestyle or Behavioral Coaching” can include health education classes, stress management, or substance abuse counseling.

8. 2% of health benefit dollars spend on wellness 20% of companies spend more than $400 per employee per year on incentives 1in 4 companies do not measure outcomes of wellness activities 2 010 SHRM Survey (Fidelity and NBGH)

9. Additional Challenges Employee Privacy concerns Financial Incentives Discrimination concerns

10. Catastrophic Health Coverage Health Maintenance Organizations Employee Wellness Programs Partnerships for Population Management Partnering with Providers and Payers Program design Developing the evidence base Program execution Managing privacy

11. Thank you