Overview Health Statistics ACA Framework for wellness Employer Strategies Wellness Bill and California Climate.

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