University of Alaska Wellness Program Update

Report
University of Alaska
Wellness – FY 2016 & 2017
May 2, 2014
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UA Wellness Plan Guiding Principles
 Measurement
− Establish a baseline of all employees
 UA is building baseline through biometric testing and physician forms in April – June 2014
− Continuous Measurement for areas of improvement
 Incentives and Communications
− Completion of biometrics and health risk assessment to reduce employee charges
(Implemented for FY15)
− Utilize point system to reduce medical plan employee charges in future years
− Reward outcomes and not just activity
 Target high risk individuals
− Reduce health risk factors
− Improve employees health thru tools and programs
 Telephonic Coaching and Wellness Portal
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UA’s Wellness Program Goals
 UA’s Wellness Program Goals
– Establish a culture of wellness
– Emphasize utilization of no cost preventive services
– Continue to identify the risk factors or problem areas for the University of Alaska
members
– Help University of Alaska employees improve their health by providing tools and
programs
– Slow the rate of increase in health plan costs
– Keep Healthy People Healthy
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Influence the Economic Behavior
of Your Population
Less Effective/Less Savings
More Effective/More Savings
Incentive
Employee Engagement
How are you driving participation?
Disincentive
No
Tie to Employee Contributions
Are you linking to your health plan?
Yes
<10% of the cost
of the health plan
Incentive/Disincentive
How large is your incentive/disincentive?
>10% of the cost
of the health plan
Participation
Participation/Outcomes
How are you measuring success?
Achieving healthier
outcomes
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Wellness – What We Believe
 Healthcare Reform is going to increase medical trend over and above current
projections
 Participants must have “skin in the game” through active engagement and
financial accountability.
− Incentives should drive participation and reward those who do achieve results
 Integrated claim, Health Risk Assessment, and Biometric data establish the Risk
Profile and allow for continuous program measurement
– Targeted and population based, integrated with plan design and outcome based
 Outcomes should be tracked by improving aggregate health status:
− BMI, Blood Pressure, Cholesterol/Fasting Glucose and Tobacco Use
 Long-term health improvement and cost reduction can only be achieved with:
− High consumer engagement (80% over 3-5 years)
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Proposed Wellness Strategy
FY 2015 – July 1, 2014

Preferred Employee Pricing with Biometric Screening and Health Risk Assessment
(HRA) completion for employee and spouse

Biometrics reported via service centers, screening events or doctor form

On-site biometric screening events from April to June 2014

Reduced employee charges of $600 for Employee and $600 for Spouse
FY 2016– July 1, 2015

Completion of Biometrics and Health Risk Assessment required to be eligible for
accumulation of points and employee preferred pricing

Employees and Spouses achieve point level that determines FY 2016 (July 1,
2015) employee preferred pricing

Introduce new streamlined number of activities required to get points
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Incent Healthy Behaviors – FY 2016 (Example)
Activities
Program
Participation
Activities

Points
Complete HRA
50
Biometrics Submitted
300
Annual Wellness Exam
200
Flu Shot
50
Dental Exam
50
Complete Coaching
50
Complete Online programs
50
Complete Tobacco Cessation Program
100
Need other Ideas from the University of Alaska
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Points to Preferred Pricing – FY 2016 (Example)
Employee Only Points Employee + Spouse Points Monthly Preferred Pricing
Program
Participation
Greater than 600
Greater than 1,200
$50/$100
0 to 599
0 to 1,199
$0
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Outcomes based Wellness Strategy – FY 2017
FY 2017 – July 1, 2016

Implement Metabolic Syndrome & Non-Tobacco Outcomes based Wellness plan

Communicate in FY 2015/2016

Employee charges for FY 2017 (July 1, 2016) - Achieve 3 out of 5 Wellness
Categories

Components
Collection of Biometric Data – Baseline established in FY14 & FY15
 Collection of Biometric Data Spring 2016 – Determines FY17 Employee Charges
 Collect Biometrics thru service centers, on-site events or doctor visit
 Healthyroads aggregates information and provides file to the University of who achieved
3 areas for July 1, 2016 (FY17) Employee Charges


Potential to add Tobacco as part of the outcomes based plan
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2017 Outcomes
MEN
WOMEN
HDL Cholesterol ≥ 40
HDL Cholesterol ≥ 50
Triglycerides < 150
Triglycerides < 150
Waist Circumference
< 40 inches (not pants size)
Waist Circumference
< 35 inches (not pants size)
Blood Pressure < 130/85
Blood Pressure < 130/85
Fasting glucose < 100
Fasting glucose < 100
Employee and Spouse must achieve 3 out of the 5 measures
Can add Tobacco in the future
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