City of Chattanooga Employee Wellness Program Wellness Works! Our Goals Primary Care Increases in healthcare costs High risk employees Better access to healthcare for our employees Quality care convenient to work Occupational Health Bring everything under one roof 1
Objectives 1. Provide high quality health care to employees and families of the City of Chattanooga. 2. Identify patients at high risk of becoming seriously ill and work with them to mitigate risk. 3. Help patients with chronic conditions achieve the standard of care for their condition. 4. Provide injury treatment, case management, physicals, drug screening and other occupational health services for employees. 5. Reduce the per capita cost of health care for employees, family members, and the City of Chattanooga. Where we are now! 2
WellAdvantage Program Components of the City s Wellness Program On-site Clinics Primary Care Occupational Care On-site Pharmacy On-site Fitness Center Lifestyle Management Programs BlueHealthRewards: Wellness Incentive Program WellAdvantage Program Primary Care Opened in June 2006 Currently operated by Marathon Health Employees, retirees and dependents covered by the City s Health Plan are eligible Offers acute care, preventive screenings and management of chronic conditions through health coaching Free Comprehensive Health Reviews 30 minute appointments with providers No or minimal co-pays 3
WellAdvantage Program Lifestyle management programs Tobacco Cessation Weight Management Diabetes Management GERD Management Medical Providers and Dietician offer free one-on-one coaching for a variety health conditions Additional Programs: Lunch & Learns, Healthy Cooking Classes, Farm Fresh Fridays, Annual Health Fair Patient # 1 :61yr Old Male With Hyperlipidemia and Newly Diagnosed Pre-Diabetes Time 1 Time 2 (6 mos. later) Weight 194 pounds Fasting glucose 103 (prediabetes) Total cholesterol=198 LDL=135 HDL=42 Sedentary Frequent Fast Foods Weight 174 pounds Fasting glucose 99 (normal) Total cholesterol=179 LDL=108 HDL=53 Active on a daily basis Cut back on fast food 4
Patient # 2 : 51yr Old Male With Diabetes and Hypertension Time 1 Time 2 (3 mos. later) 265 pounds Fasting glucose=151 Hemoglobin A1c=7.1 Total cholesterol=193 LDL=93 HDL=45 Sedentary/sweets eater Upping meds vs. lifestyle 242 pounds Fasting glucose=126 Hemoglobin A1c=6.9 Total cholesterol=172 LDL=81 HDL=57 Modified food choices Walking daily Successes 2,570 patients with serious risk factors and/or chronic conditions working with a member of the medical team 70% have made clinically measureable gains in health status 82% of patients with diabetes and 78% of patients with asthma at standard of care for their condition 5
Patients Making Progress on Key Risk Factors Enrolled EEs vs. Marathon Health Benchmarks Target Population Participation and Engagement MH Benchmarks for near-site health centers 3+ years of operation Total Participation Coaching Only 6
90% Overall Satisfaction With Health Center 4 th Consecutive Year of 90%+ Satisfaction WellAdvantage Program Occupational Health Onsite treatment and case management for all injuries All CDL medical cards Post employment physicals NFPA physicals Drug Testing Return to Work/Fit for Duty Job Related Vaccinations 7
WellAdvantage Pharmacy Managed by On-site Rx Opened in December 2008 Employees, retirees and dependents covered by the City s Health Plan are eligible Full Service Pharmacy Generics, preferred, non-preferred, and over-the-counter medications City purchases medications at acquisition pricing= saving for the City and the members Reduced co-pay structure as compared to retail What are the savings? WellAdvan Pharm (w/ BCBS PPO) Other Pharmacies(w/BCBS PPO) $2.00 for Generic $10.00 Generic $25.00 for Preferred $40.00 Preferred $50.00 for Non-preferred $65.00 Non-preferred Over the counter products are offered at a lower cost 8
The WellAdvantage Fitness Center includes: Cardio Equipment: Treadmills, Ellipticals and Bikes Strength Training Equipment: Machines and Free Weights Variety of group fitness classes including Kettlebells, Yoga, Spinning, Zumba etc Free Health Coaching and Personal Training to all participants Free Fitness Testing Cardiorespiratory Strength Muscular Endurance Flexibility Body Composition Collaboration with BCBS Fitness Manager Team approach to Wellness Programs Genesis Thrive New Wellness Initiative Health Navigator 9
Wellness Incentive BlueHealthRewards is the employees wellness rewards program. Employees earn points when they participate in a number of health and wellness activities. Earn points for making smart decisions and healthy choices. Employees can earn over 30,000 points per year ($300) How Do Our Employees Earn Points? Complete your Comprehensive Health Review 1,500 Complete a Biometric Screening 1,500 Work with the Dietician Set a Goal 500 Work with the Dietician Reach your Goal 1,000 Get your Annual Physical 1,500 Have a Colonoscopy / Mammogram (if indicated) 1,500 Self Report Exercise 3 times a week 150 Walk 5,000 10,000 Steps a Day 25-50 10
Cost of Benefits in Millions 12/11/2015 So What s In It for the Member? Redeem online for millions of items including electronics, music, real-time travel, event tickets and more. Projected Budget and Actual Benefits Active and Retired Members by Fiscal Year Projected benefit costs Actual benefit costs 40 35 30 25 20 15 10 5-2010 2011 2012 2013 2014 2015 2016 2017 Fiscal Year 11