E Employee Health Plan Employee Health Plan E Employee Health - - PDF document

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E Employee Health Plan Employee Health Plan E Employee Health - - PDF document

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E Employee Health Plan Employee Health Plan E Employee Health Plan E Employee Health Plan E l l l l H H H H lth Pl lth Pl lth Pl lth Pl Activity Monitor 2014 Activity Monitor 2014 Activity Monitor 2014 Activity Monitor 2014

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E l H lth Pl E l H lth Pl E l H lth Pl E l H lth Pl Employee Health Plan Employee Health Plan Activity Monitor 2014 Activity Monitor 2014 Employee Health Plan Employee Health Plan Activity Monitor 2014 Activity Monitor 2014

David Pauer, MNO David Pauer, MNO David Pauer, MNO David Pauer, MNO pauerd@ccf.org pauerd@ccf.org www.clevelandclinic.org/healthplan www.clevelandclinic.org/healthplan

Cleveland Clinic EHP Cleveland Clinic EHP Cleveland Clinic EHP Cleveland Clinic EHP

  • 85,000 employees and family

85,000 employees and family member only member only

  • Standard premium below national

Standard premium below national average but offer premium discount average but offer premium discount

  • Offer wellness programs for health

Offer wellness programs for health plan members plan members plan members plan members

  • 2014 added activity device option

2014 added activity device option

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2 Obesity Trends* Among U.S. Adults BRFSS, 1990

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14%

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3 Obesity Trends* Among U.S. Adults BRFSS, 1991

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1992

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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4 Obesity Trends* Among U.S. Adults BRFSS, 1993

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1994

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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5 Obesity Trends* Among U.S. Adults BRFSS, 1995

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

Obesity Trends* Among U.S. Adults BRFSS, 1996

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19%

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6 Obesity Trends* Among U.S. Adults BRFSS, 1997

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. Adults BRFSS, 1998

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% ≥20

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7 Obesity Trends* Among U.S. Adults BRFSS, 1999

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% ≥20

Obesity Trends* Among U.S. Adults BRFSS, 2000

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% ≥20

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8 Obesity Trends* Among U.S. Adults BRFSS, 2001

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

(*BMI ≥30, or ~ 30 lbs overweight for 5’4” person)

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Obesity Trends* Among U.S. Adults BRFSS, 2002

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

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9 Obesity Trends* Among U.S. Adults BRFSS, 2003

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

Obesity Trends* Among U.S. Adults BRFSS, 2004

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% ≥25%

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10 Obesity Trends* Among U.S. Adults BRFSS, 2005

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 2006

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

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11 Obesity Trends* Among U.S. Adults BRFSS, 2007

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 2008

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

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12 Obesity Trends* Among U.S. Adults BRFSS, 2009

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

Obesity Trends* Among U.S. Adults BRFSS, 2010

(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)

Source: Behavioral Risk Factor Surveillance System, CDC.

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

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Prevalence* of Self-Reported Obesity Among U.S. Adults

BRFSS, 2011

*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to previous years.

Source: Behavioral Risk Factor Surveillance System, CDC.

15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

Prevalence* of Self-Reported Obesity Among U.S. Adults

BRFSS, 2012

*Prevalence reflects BRFSS methodological changes in 2011, and these estimates should not be compared to those before 2011.

Source: Behavioral Risk Factor Surveillance System, CDC.

15%–<20% 20%–<25% 25%–<30% 30%–<35% ≥35%

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Children Ages 10-17 Obese and Overweight

Consequences of Obesity Consequences of Obesity Consequences of Obesity Consequences of Obesity

  • Metabolic complications

Metabolic complications such as such as di b t h t i d li id i di b t h t i d li id i diabetes, hypertension, dyslipidemia diabetes, hypertension, dyslipidemia gall stones, and fatty liver disease. gall stones, and fatty liver disease.

  • Mechanical problems

Mechanical problems such as such as

  • bstructive sleep apnea syndrome and
  • bstructive sleep apnea syndrome and
  • rthopedic disorders.
  • rthopedic disorders.
  • rthopedic disorders.
  • rthopedic disorders.
  • Psychological and social

Psychological and social consequences consequences

Yung Seng Lee,1 Yung Seng Lee,1MMed (Paed Med), MRCP (UK), MRCPCH MMed (Paed Med), MRCP (UK), MRCPCH

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National Trend

Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2003-2013

National Trend

Average Annual Health Insurance Premiums and Worker Contributions for Family Coverage, 2003-2013

80% Total Premium Increase 89% Worker Contribution Increase SOURCE: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2003-2013.

Future Health Insurance Costs Future Health Insurance Costs

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National Cost of Chronic Illness National Cost of Chronic Illness

  • 75% spent on healthcare on preventable illness in U.S.*
  • Annual medical costs for a person with a BMI of 35 or

i 76% hi h h h l h i h i di id l**

  • ver is 76% higher than a healthy weight individual**
  • Obesity adds 20 days of lost productivity per year/per
  • bese employee, a cost of $5,350***
  • 17.6% of GDP spent on healthcare now - will go to 19.6%

by 2016 if we do nothing to change our health.

Sources: *Kaiser Permanente, “Health Services use and Healthcare costs of obese and non-obese individuals”. Arch of Internal Medicine 10/04 **Present Dangers: Disability, Risk & Insurance, March 2004 ***Centers for Disease Control and Prevention. Chronic Disease Overview: Costs of Chronic Disease. Atlanta: CDC, 2005.

Programs that Help Members Meet Healthy Choice Requirements Programs that Help Members Meet Healthy Choice Requirements

Coordinated Care: Physical Activity:

  • Weight

Management

  • Diabetes
  • Hypertension
  • Hi h Ch l

t l y y

  • Cleveland Clinic
  • wned fitness

centers

  • Curves fitness
  • High Cholesterol
  • Tobacco
  • Asthma

centers

  • Shape up and Go

(NEW: Pebble)

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Pebble Pebble Pebble Pebble

  • Personal Activity Monitor

Personal Activity Monitor

  • Steps

Steps

  • Activity Minutes

Activity Minutes

  • Wireless Technology

Wireless Technology

  • One time sign up only needed

One time sign up only needed

  • Wear and go capability

Wear and go capability

  • Wear and go capability

Wear and go capability

  • Automatic Upload to SUG

Automatic Upload to SUG

  • Access Points

Access Points

  • Computer access point

Computer access point

EHP Benchmark EHP Benchmark EHP Benchmark EHP Benchmark

Individual can set own goal but Individual can set own goal but qualifying minimum is qualifying minimum is 600 activity 600 activity qualifying minimum is qualifying minimum is 600 activity 600 activity minutes minutes OR OR 100,000 steps per month 100,000 steps per month

  • avg

avg 3,400 3,400 steps or 20 minutes steps or 20 minutes activity per day activity per day

  • participation

articipation requirements of 6 requirements of 6 months of the first 9 months months of the first 9 months

  • f the year
  • f the year
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Results Results

  • More than 24 000 devices distributed
  • More than 24,000 devices distributed
  • Continuing positive change of

culture and healthy activities

  • Improving home support by involving

the spouse p

  • Participants in disease management

programs also using device

How would you rate the use of How would you rate the use of the Pebble device overall? the Pebble device overall? How would you rate the use of How would you rate the use of the Pebble device overall? the Pebble device overall?

Very Good, 25% Good, 20% Great, 39%

Very Good Good Fair Poor

* Reason for poor or fair rating: display does not show numbers, steps less than pedometer * Reason for poor or fair rating: display does not show numbers, steps less than pedometer * Reason for poor or fair rating: display does not show numbers, steps less than pedometer * Reason for poor or fair rating: display does not show numbers, steps less than pedometer

Fair, 9% Poor, 7%

Great

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Challenges Challenges

  • Understanding the difference

between standard pedometer and between standard pedometer and accelerometer activity device.

  • Participants who already have an

activity device.

  • Participants with disabilities who

p cannot use activity device

Cleveland Clinic Wellness Cleveland Clinic Wellness

Contact us for more information about Cleveland Clinic Wellness! Cleveland Clinic Wellness! On-line: www.clevelandclinic.org/wellness www.clevelandclinic.org/healthplan E-mail: wellness@ccf.org or pauerd@ccf.org

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Every Life Deserves World Class Care Every Life Deserves World Class Care Every Life Deserves World Class Care Every Life Deserves World Class Care