SEBC Conference Childrens of Alabama: Wellness Always Evolving - - PowerPoint PPT Presentation

SEBC Conference Children’s of Alabama: Wellness Always Evolving

Natalie Nelson, CWPM Employee Wellness Coordinator

Wellness Always Evolving

• Healthy Behaviors Incentive Program

– Available to all subscribers on a Children’s of Alabama medical plan – Earn a discount on your healthcare premium

• Must complete certain activities by a certain date
• Premium credit is based on the completed activities for up to

$20 off per pay period

– Activities included:

– Complete the health quotient – WellCoach personal health coaching program – Chronic condition management coaching program – Lifestyle solutions course(s)

Wellness Always Evolving

• Obstacles learned from Healthy Behaviors

Incentive program

– Heavy Children’s of Alabama administration work – Little to no engagement throughout the year – Low participation in the telephonic coaching

• Program needed to evolve for our population

and the culture Children’s of Alabama was moving towards

Wellness Always Evolving

• Proactive wellness program rather than a reactive

wellness program

• In 2010, Children’s of Alabama partnered with:

– Virgin HealthMiles – Abacus Good Health Gateway

• In 2012, Children’s of Alabama partnered with:

– ChipRewards

Virgin HealthMiles

• Available to all benefit eligible employees
• Participants can earn HealthMiles throughout a

365 day time period based on date of enrollment

• Earn up to $500 in health cash
• Enrollment

– January 2010: 53% – July 2013: 66%

Virgin HealthMiles

0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% January 2010 through December 2010 January 2011 through December 2011 January 2012 through December 2012 January 2013 through July 2013

Daily Average Steps

Under 7,000 7,000 - 11,999 12,000 - 19,999 20,000 or above

Virgin HealthMiles

$217 $207 $260 $232 $67 $75 $81 $97 $0 $50 $100 $150 $200 $250 $300 2011 2012 Net Pay PMPM Med - Participant Net Pay PMPM Med - Non Participant Net Pay PMPM RX - Participant Net Pay PMPM RX - Non Participant

Abacus Good Health Gateway Diabetes Reward Program

• Available to all members on a Children’s of

Alabama medical plan with a diabetes diagnosis

• Complete basic requirements for managing your

diabetes

• Incentive

– PPO or VIVA health plan members

• Diabetes medication and supplies for $0 copay

– CDHP health plan members

• $35 monthly cash incentive

Abacus Good Health Gateway Diabetes Reward Program

$175.43 $191.75

$652.76 $511.59 $0.00 $100.00 $200.00 $300.00 $400.00 $500.00 $600.00 $700.00 2011 2012

Cost Analysis Based on PMPM Medical Costs

Overall Population (excluding diabetic population) Diabetic Population

Abacus Good Health Gateway Diabetes Reward Program

• Total in Member Incentives = $65,515

– $59,775 member savings in co-payment waivers for medication and supplies – $5,740 cash incentives for member on the CDHP

• Diabetes costs trend for 2012 decreased significantly

– (-13.8%) as compared to an increase in the overall population trend (18.0%)

• For the Diabetes population:

– Hospital admissions decreased 28.8% – Hospital days decreased 28.4%

• Pharmacy spend is up 45.3% in 2012

– Consistent with program focus on Rx adherence, increased self-testing

ChipRewards

• Available to all subscribers on a Children’s of

Alabama medical plan

• Earn points by completing certain activities

throughout the year that can be redeemed online

• Activities include:

– Getting your preventive visit – Participating in the annual biometric screenings – Being tobacco free

ChipRewards

• Top 5 Utilized Promotions

– 2012 (January – December)

• Have your annual physical
• Biometric screening
• Have your well-woman exam
• Learn about depression
• Learn about generic drugs

– 2013 (January – June)

• Biometric screening
• Have your annual physical
• Have your well-woman exam
• Attend a lunch n’ learn
• Have your mammogram

ChipRewards

Procedure Patients Visits Screen Rate Patients Visits Screen Rate Physicals 16% 20% Colonoscopies 4% 7%

• 4%

11% 8% 2% Well Woman Exams

• 2%
• 1%
• 4%

9% 9% 3% Mammograms 11% 14% 6% 7% 6% 1% PSA 1%

• 6%
• 5%

2% 14%

• 6%

% Change 2010 – 2011 % Change 2011 – 2012

Preventive Visit Utilization Review

Wellness Always Evolving

• Program is constantly evolving with the

growing population’s needs and movement towards a Culture of Health

– Participation in Good Choice Vending – Having a Farm Stand to sell local produce during the summer months

Wellness Always Evolving Thank You For Your Time!

Natalie Nelson, CWPM Employee Wellness Coordinator Children’s of Alabama Natalie.nelson@childrensal.org