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Learn from the best. An in-depth look at best-in-class incentives. Wellness on the Run May 17, 2017 The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase.
Anthem s Total Rewards My Company My Development My Pay My Benefits My Time Away Our organizational culture respects, welcomes, and supports your contributions to our company and our communities We offer many ways for you to grow, no matter what your current career stage We offer you marketcompetitive base pay, plus opportunities for you to earn additional rewards The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. Our comprehensive package of benefits offers something for everyone, with programs to protect your physical, financial, and overall wellbeing We offer a variety of programs to help you keep your work and personal life in balance 3
Our approach Anthem provides many benefits, tools and resources to help associates and their family stay well. Medical plan design CDHPs and cost-efficient HMOs Dental and vision Consumer centricity & engagement Networks Health management Cost & quality tools Wellness & wellbeing Onsite fitness facilities Lifestyle programs Wellness support programs Financial wellbeing Flexible work arrangements EAP/work-life programs New parent transition week EAP/stress management Health club reimbursement Flexible work arrangements Weight and stress programs Adoption assistance program Nursing mothers' facilities Varied incentives Wellness credit program Future Moms incentive Castlight Rewards Healthy Lifestyles prizes The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 4
Who we are: Anthem Inc. s workforce Key demographics: Growing both through acquisition and organically: Average age 45; 36% over age 50 Average tenure 9 years 76% female 42% racially diverse Associates in 50 states 40% work from home all the time 47% hourly / 53% salaried 87% enroll in medical / 13% waive Number of Associates 60,000 50,000 40,000 30,000 20,000 10,000 0 36,600 42,800 37,300 47,900 51,000 51,750 52,895 51,750 53,018 2012 2013 2014 2015 2016 2017 The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 5
Medical Plan Overview 6
Medical plan strategy Anthem provides many benefits, tools and resources to help associates and their family stay well. Benefits Gold HRA, Gold and Silver HSA Plans PreventiveRx Networks 5 AltNets Blue Distinction Total Care Blue Distinction Centers of Excellence Tiered Benefits for transplant, bariatric and orthopedics Integrated Health Management Integrated Health Model (IHM) AIM Radiology and Sleep Management Behavioral Health Consumer Centricity & Engagement Anthem Health Guide Castlight: Cost, Quality and Rewards LiveHealth Online Wellness Programs Healthy Lifestyles Outcomes-based wellness credit Anthem EAP and MyStrength The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 7
Rewarded accountability Incentives for accountable behavior Outcome-based wellness credit Future Moms maternity program Castlight Rewards Healthy Lifestyles 8
Continuing on the path to informed and motivated members with expanded support, tools and consumer education Anthem Health Guide Castlight Rewards PreventiveRx Cancer Care Quality Program Healthy Lifestyles The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 9
Wellness overview 10
Wellness Programs Your health matters to you, your family and to Anthem. That s why we offer all kinds of support healthy living. Here s how you can get started today: Use Quit for Life to quit using tobacco Get involved in wellness events at your location Join Weight Watchers Take advantage of healthy dining offerings Go to the gym, either onsite or with the help of health club reimbursement Get a free flu shot Listen to a monthly wellness audio cast Take advantage of our WorkLife services through Anthem EAP The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 1 1
Wellness Credit program WELLNESS CREDIT: $400/400 per associate / spouse or partner WELLNESS CREDIT: $600/600 per associate / spouse or partner WELLNESS CREDIT: $700/700 per associate / spouse or partner $200 for BMI of <30 or demonstrating improvement WELLNESS CREDIT: $200 per associate for completing an eligible wellness program $100 $200 for being tobacco free or completing Quit for Life $100 $200 for BMI of <30 or demonstrating improvement for being tobacco free or completing Quit for Life $200 $200 for being tobacco free or completing Quit for Life for blood pressureof <140/90 for completing Know Your Numbers and health assessment for completing Know Your Numbers and health assessment $200 $200 $200 for blood pressureof <140/90 $100 for flu vaccine AWARENESS 2010 - Year 1 PARTICIPATION 2011 - Year 2 RESULTS 2012 & 2013 - Years 3 & 4 RESULTS 2014-2017 Years 5 & 6 Reasonable Alternatives to all outcomes based standards were made available in 2013 to comply with the HIPAA Wellness Incentive regulations issued in June 2013. The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 12
Wellness Credit Engagement 100% 75% 50% Associate 80% 46% Spouse/Domestic Partner 90% 91% 96% 87% 73% 63% 56% 70% 97% 77% 2016 90% increase (Associate participation since 2010) 67% increase (Spouse and domestic partner participation since 2011) 25% 0% 2011 2012 2013 2014 2015 2016 The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 13
LHO Weight Management at a Glance Strong engagement and continuity of care 50% increase in LHO registrations for house account and $122K in cost of care savings Population Some found medical 607 medical visits (10% Some found therapy Eligible Population: 15,287 Total Enrolled: 6,254 (41%) Completed 3 visits with an RD: 2,094 (33%) utilization) Cost of care savings = $122, 007 36 behavioral health visits Anecdotally: RDs stated some participants dealing with eating disorders were provided info on accessing LHO Psychology The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 14 * $201 saved for every medical visit that occurs on LiveHealth Online. Results based on internal LIveHealth Online study during 2014 and Q1 of 2015
LHO Weight Management at a Glance LHO Weight Management at a Glance Visit Totals 2017 ytd 3,686 2016 2,650 Total 6,336 Consumer Insights 63 % utilized mobile options for visits to LiveHealth Online 113 completed their 3 visits through phone only 4.8 out of 5 in satisfaction rating of the online care system 4.9 out of 5 in satisfaction rating of the provider seen in the process The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 15
Wellness outcomes: Observations GOAL: Assess impact of wellness programs on member behavior and member health plan costs Population 25,197 associates 3-year continuous enrollment Represents 49% of total associates Methodology Low accountable: no participation in wellness program in 2014 Moderately accountable: participation in only one wellness program in 2014 Highly accountable: participation in Know Your Numbers and at least one other wellness program in 2014 Evaluated risk scores and cost Insights are from observational data; causality should not be inferred The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 16
Observation 1: Health Cost and Risk compared to accountability Lower Health Care Trends: Highly Accountable had a lower percentage one year change in cost, +2.7%. While Moderately Accountable reflected a +9.5% change in cost and Non Accountable reflected a +22% change in cost. Healthier Profiles: Highly Accountable members risk scores remained constant indicating maintaining health. Moderately Accountable risk scores increased indicating more health risk, but increased at a lower rate than Non Accountable population. Association Type Count 2014 Risk Score Change in Risk Score Change in Cost Highly Accountable 9,366 1.6 0.4% 2.7% Moderately Accountable 9,828 1.59 8.2% 9.5% Not Accountable 5,970 1.84 15.2% 22% The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 17
Observation 2: Lower risk for members earning more Healthy Lifestyles points Preliminary analysis of Healthy Lifestyles participants: Change in risk score between 2013 and 2014 is directionally proportional to the level of participation Members earning most points in 2014 had biggest drop in risk score Members earning least points had biggest increase in risk score Healthy Lifestyles points compared to to change in risk score Risk score 8.8% 5.1% 2.4% Healthy Lifestyles points earned Less than 1,000 1,000 1,0001-5,000 5,000+ -3.9% The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 20
Observation 3: Lower risk for members participating in multiple wellness programs Lower Health Care Cost: Health Risk is lower based on the participation in multiple wellness programs. The progression to a higher risk is less based on the number of wellness programs a member participates in. Total Wellness Programs 4-7 3 2 1 0 1.57 1.59 1.6 1.6 1.61 1.6 1.75 1.6 1.84 2.17 0 0.5 1 1.5 2 2.5 Health Risk 2014 2013 The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 19
Communications 20
Communication approach: Story telling Find intrinsic motivators: What will make people want to stick with it? Use warm, genuine, human tone and highlight why health is important Tell associate stories or better yet, let them tell them. Humanizes wellness, encourages grassroots support and makes results seem achievable. If she can do it, I can, too. Use a variety of vehicles: Screensavers Video ecards/emails Posters Intranet articles Spouse/domestic partner microsite 21
Wellness communications Healthy Lifestyles WBA Challenge New Total Rewards site launch Know Your Numbers Food subsidy Food subsidy Maintain not gain Q1 Q2 Q3 Q4 Food subsidy Food subsidy Healthy Lifestyles Steps Challenge Stress awareness National Walk at Lunch Day New Total Rewards mobile app launch The content in this presentation is a case study in best-in-class benefit design and incentives. Not all programs mentioned in this presentation are available for purchase. 22
Wellness communications 30
Upcoming Wellness on the Run Webinars Next Webinar: The engagement challenge. How to reach hard-to-reach segments. Date: Wednesday, June 21, 2017 Time: 2:00 PM Eastern Daylight Time Register on Time Well Spent today! Time Well Spent Learn Wellness on the Run Webinars July 19: Addressing the opioid epidemic. Strategies for prevention and treatment. August 23: Kick the habit. Reducing tobacco in the workplace. Sept 20: The stress factor: how to manage stress and depression in the workplace. 24
2017 DocTalks Your employees can get health tips with our free DocTalk webinars! DoctTalk webinars are available to all members and their spouses. June 13, 2017 12:00 pm. & 3:00 p.m. EDT COMPANY CONFIDENTIAL FOR INTERNAL USE ONLY DO NOT COPY Zika: Everything You Need to Know Michael Eleff, MD Regional Vice President and Medical Director August 8, 2017 The Sandwich Generation Caring for others. Caring for 12:00 pm. & 3:00 p.m. EDT you. Antonio Linares, M.D. Regional Vice President and Medical Director September 12, 2017 Heart Health 12:00 pm. & 3:00 p.m. EDT Sanjay Lall M.D., F.A.C.C. Medical Director October 10, 2017 Diet, Nutrition and Weight Loss 12:00 pm. & 3:00 p.m. EDT Presenter: Richard M. Lachiver, MD, MPH, FACPM Regional Vice President and Medical Director December 12, 2017 LiveHealth Online: Telehealth on The Cutting Edge 12:00 pm. & 3:00 p.m. EDT Presenter: Sharon S. Boose, Sales Director, LiveHealth Online, Anthem, Inc. 25 2
Q&A 26