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Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health. --Hippocrates Cheryl Boyer, VP Human Resources Guy Van Tiggelen, Director Total Rewards
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Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

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Page 1: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Health and Wellness @ LifeBridge Health

September 19, 2014

If we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health. --Hippocrates

Cheryl Boyer, VP Human Resources Guy Van Tiggelen, Director Total Rewards

Page 2: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Who We Are

• “As one of the largest, most comprehensive and most highly respected providers of health-related services to the people of the Northwest Baltimore region, LifeBridge Health advocates preventive services, wellness and fitness services and programs to educate and support the communities it serves.”

• Sinai Hospital of Baltimore

• Northwest Hospital

• Levindale Hebrew Geriatric Center and Hospital

• Subsidiaries

• LifeBridge Health & Fitness

• LifeBridge Medical Care Centers

• Physician Offices

Page 3: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

The LBH Triple Option Health Plan

Cost Share

• Level 1 – Narrow Network 0% after deductible

• Level 2 – CareFirst PPO 30% after deductible

• Level 3 - Out of Network 40% after deductible

Page 4: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

The LBH Triple Option Health Plan • 10,085 Covered Lives

• Employees

• Dependents

Page 5: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

LiveWell @ LifeBridge - Journey

Year Program / Actions

2003 Wellness Committee established to promote simple wellness ideas at no cost to LifeBridge

2004

to

2008

Wellness Committee activities, as part of our

Great Place to Work Strategy:

2009 Decision made to establish a formal wellness

program

Page 6: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

HRA & onsite

biometrics$25 gift

card.

HRA +400 pts.

Surcharge introduced

HRA +600 (full year)

Points granted for

exercise and screenings

meQ stress assessment + 500

points plus mandatory physical

with biometrics Onsite coaching

LiveWell @ LifeBridge - Journey

2010 2011 2012/13 2014

Page 7: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Participation

14%

69% 70% 69%

55%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Phase I Phase II Phase III Phase IV Phase V

Phase I – 2010 Phase II – 2011 Phase III – 2011- 2012 Phase IV – 2012-2013 Phase V – 2013 - 2014

Page 8: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Cost of the Program • Fees

• Administrative fees $285,654

• Metabolic Syndrome Coaching fee $46,300

• High Claims Coaching fee $186,000 (charged to claims)

• Total = $517,954

• Employee Surcharges $521,437

• Cost = -$3,483

Page 9: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Outcomes - Claims

$7,825 $7,830 $7,919

$9,657

$8,193

$7,000

$8,000

$9,000

$10,000

$11,000

2010 2011 2012 2013 2014

Claims per Employee Per Year

Actual

Trend (7%)

Linear (Actual)

*

* Includes shock claim of $1.2 million

Plan Design Changes in 2014, included increases in cost share, deductibles, smoker and spousal surcharges

Page 10: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Employee Health Status

1627

762

224

74 14 1

617

467

286

160 60 16

939 844

521

298

105 25

0

200

400

600

800

1000

1200

1400

1600

1800

None One Two Three Four Five

Metabolic Syndrome Factor

2011 2012

2012 - 2013

2013 -2014

2011-2012 2012-2013 2013-2014

None 60% 38% 34%

One 28% 29% 31%

Two 8% 18% 19%

Three 3% 10% 11%

Four 1% 4% 4%

Page 11: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Risk Stratification

3.2%

9.0%

13.1%

27.1%

47.6%

1.2%

3.2%

6.6%

24.1%

64.9%

Advanced / Critical Illness

Chronic Illnesses

At Risk

Stable

Healthy

CareFirst Members LifeBridge Wellness

Page 12: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Outcomes – Coaching

Page 13: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Outcomes – Culture of Awareness

• "I chose [the Health Risk Counseling] Program with Support, because I need the accountability. I also would like to say that I thought this program so far has been very helpful. It is very well done and has given me a better understanding about what is going on in my body. It explained everything really well."

• " I didn't think I could do it. I thought that if I wasn't able to run or work out at the gym, that exercise wouldn't be worth it. I have learned that walking can be very empowering, not only physically, but for my mind and spirit. I was able to make very specific, realistic goals for myself and maintained my outdoor walking goal through the entire winter. I have lost 10 pounds and feel like I am finally moving in the right direction."

• "I was in a tough place when I started working with the clinician and Allegeant over a year ago, but I'm in a better place now."

• And finally, a common question asked: Will I get points for that?

Page 14: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Wellness Revisited

2015 and Beyond

Page 15: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Employee Health Plan Governance

Employer Insurer

Provider

Plan Design

Human Resources

Managed Care

Physician Network

Page 16: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Challenges/Actions – Data

• Claims Reporting – Consolidated adjudication of

claims – Enhanced data warehousing &

analytics – Hired Insurance / Claims

Manager

• Absence Reporting

– Scheduled/Unscheduled reporting

Page 17: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Challenges/Actions

– Employee Perception • Streamline process

– Reduce required wellness points – Consolidated deadlines – Improved participant communication & support

• Recognition and Rewards – FitLinxx device – Fitness Challenges

• Improved Computer Access – Expanded availability

Page 18: Health and Wellness @ LifeBridge Health September 19, 2014 · 2014-09-17 · Health and Wellness @ LifeBridge Health September 19, 2014 If we could give every individual the right

Challenges/Actions

– Care Gaps • Wellness Coach

– To keep healthy employees healthy

– High risk/chronic employees & dependents

• Incentives for Providers

– Provider compensation program to reward improved patient outcomes