Overview Health Statistics ACA Framework for wellness Employer Strategies Wellness Bill and California Climate.
Post on 25-Dec-2015
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Overview
•Health Statistics
•ACA Framework for wellness
•Employer Strategies
•Wellness Bill and California Climate
U.S. Healthcare Facts
•While 70% of healthcare costs are preventable, only 1% of healthcare costs are invested in prevention & wellness.
•U.S. accounts for only 5% of the world’s population yet we consume 1/2 of all the prescription drugs manufactured world wide!
•Nearly one-third (31%) of us are clinically obese (body mass index of 30% or more).
Obesity leads to lots of ills, from heart attacks, strokes and diabetes. The annual costs for treating diabetes alone exceed $200 billion.
Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
BRFSS, Behavioral Risk Factor Surveillance System http: //www.cdc.gov/brfss
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Framework
• Health Insurance/Wellness Copays• http://www.healthcare.gov/prevention/index.
html
• Provider Reimbursements
• Spurring innovation
Startup Incubators & Open Data Initiatives
Quantify self New EMR
Provider/Patient R/shipsSelf-DiagnosisMental Health
Enhanced Care DeliveryGet in shape
FoodQ&A
Find/Rate a DoctorPaying Bills
Cost TransparencyClinical Trials
Children
• healthdatapalooza.org• hhs.gov/digitalstrategy/open-data
Employer strategies (small business <50)
• Tiered contribution structures tied to:• Financial (or other) incentives
• Annual physical exam• Biometric screening
• Team contests;• Walk-a-thons
• Healthy Snacks
Wellness in California Insurance Market
• Rating (providing discounts) for smokers vs. non-smokers (allowed in ACA) was disallowed in California under AB 1083 last year.
• SB 189 (Monning) in Senate Health committee review now will greatly restrict wellness initiatives allowed by Federal ACA.
• Good intentions: avoid discrimination• Bad law: wrong approach
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