This presentation was given at a workshop for HR and benefits leaders at Castlight Health's 2015 Enterprise Healthcare Summit.
Title: Your New #1 Priority: What You Need To Know About Tackling Behavioral Health Issues
Speakers:
- Thomas Parry, Ph.D., President, Integrated Benefits Institute
- Dr. Jennifer Schneider, Chief Medical Officer, Castlight Health
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Your New #1 Priority: What You Need to Know About Tackling Behavioral Health Issues - Castlight Health
1. Your New #1 Priority:
What You Need to Know
about Tackling
Behavioral Health Issues
Jenny Schneider, M.D., M.S.
Chief Medical Officer
Castlight Health
Brian Gifford, Ph.D.
Director, Research & Development
Integrated Benefits Institute
2.
3. Hillary Clinton Promises to
Tackle ‘Quiet Epidemic of
Substance Abuse
_____________________
____
____________________
Germanwings Crash: Lubitz
Told Lufthansa in 2009 of
‘Severe Depression’
_____________________
____
____________________
Demi Lovato Launches New
Mental Health Awareness
Campaign, “Be Vocal: Speak Up for
Mental Health
NFL Player Brandon Marshall
Speaks out on Tackling Stigma
of Mental Illness
_____________________
____
____________________
Crystal Lake Speakers
Talk Heroin Epidemic in
Chicago Suburbs, Tips
to Fight Drug Abuse
________________________________________________
_________________
_________________
_________________
_________________
4. Behavioral health disorders among most
prevalent. Most of those suffering go untreated
25%
of employees have a
diagnosable mental
health issue
Sources: National Study on Drug Use and Health, OAS, SAMHSA, HHS, 2009. Workplace Mental Health, The Standard, 2013.
5. Sources: National Study on Drug Use and Health, OAS, SAMHSA, HHS, 2009. Workplace Mental Health, The Standard, 2013.
Behavioral health disorders among most
prevalent. Most of those suffering go untreated
>70%of impacted employees go untreated
6. What employees are searching for
Primary care for adults
Obstetrics and Gynecologic Care
Dermatologist Visit
Eye Doctor Visit
Psychological and Psychiatric Care4
1
2
3
5
10. About IBI
National, not-for-profit organization representing 1,100 organizations with 20 million employees
• Business value of workforce health
Linking absence, employee performance and productivity to business metrics.
• Better measurement
Providing practical measurement strategies for linking employee health, care delivery and business
outcomes.
• Modeling tools
To give employers a way to estimate the economic burden of illness when they don’t have all the data.
• Practical evidence
Using case studies to show employers what leading employers have done and how they’ve done it.
11. A New Employer Setting
•ACA: Transition from tactics to strategy
•Show the C-suite the value of improved workforce health
•Dead end: attempting to control claims costs in separate program silos
•Looking for new strategies to improve workforce health, reduce lost time,
enhance productivity and impact business
•Limited data, time and dollars
12. What I’ll cover
• What’s at risk for employers: the economic impact of poor health
• Behavioral health issues from the employee’s view
• The productivity impact of behavioral health
17. 63,600 Days of Illness-Related Absence
0
5
10
15
20
25
30
35
Sick days Short Term
Disability
Long Term
Disability
Workers' Comp FMLA
(stand alone)
Thousands
Unpaid absences - 23.0K days
Paid absences - 40.6K days
18. Employers Incur Lost Productivity Costs for
Each Absence
• Wage replacement payments
• Lost revenues and excess compensation costs to the extent
that:
• It is difficult to find equivalent substitutes for absent employees
• Employees have time sensitive outputs
• Team productivity depends on an employee who is absent
• For hospitals, additional costs are about 45% higher than daily
wages
** Source: Sean Nicholson, Mark Pauly, et al., "Measuring the Effects of Work Loss on Productivity with Team
Production," Health Economics 15: 111-123 (2006).
19. Wage replacements and lost productivity for
illness-related absences cost almost $21M
$0
$2
$4
$6
$8
$10
$12
Sick days Short Tem
Disability
Long Term
Disability
Workers' Comp FMLA
(stand alone)
Millions
Productivity lost - $8.1M
Wage replacement payments - $12.8M
20. What about reduced performance?
79% of this workforce is
estimated to have at least
one of 26 chronic
illnesses.
2.3% of each workday is
lost to underperformance for
chronically-ill employees,
compared to employees with no
chronic illness.
$16.3 million in lost
productivity due to
presenteeism of chronically-ill
employees.
On top of $20.9 million for
absence lost productivity
22. Distribution of costs for employees:
Adding payments to absent workers
73%
27%
14%Medical/pharmacy
Wage replacements
23. Distribution of costs for employees:
Adding absence lost productivity
62%
23%
15%
Medical/pharmacy
Wage replacements
Absence lost productivity
24. Distribution of costs for employees:
Including reduced performance
48%
18%
11%
23%
Medical/pharmacy
Wage replacements
Absence lost productivity
Performance lost productivity
25. The bottom line for this employer
63,600 illness-related absences
per year
$20.9 million in resources are
unavailable for productive use
because of illness-related absences
$16.3 million in reduced
performance – presenteeism
$1.08 in lost productivity costs
for every dollar spent on medical
and Rx treatments
32. $0 $20,000 $40,000 $60,000 $80,000 $100,000
Metabolic
syndrome
Depression
Heart
conditions
Low back
pain
Cancer
Costs per 100 EEs
Comparing Chronic Conditions
Depression
Sick Days
Performance
Short Term Disability Days
Long Term Disability Days
Workers’ Compensation
Medical Treatments
33. How Can HR & Benefits Professionals Make the
Case?
Communicate the prevalence of behavioral health issues in your
workforce
Especially from the employee’s perspective
Understand corporate leaders’ strategic vision
What metrics do they value?
How does high-performing human capital fit in?
Get condition-specific reports form your vendors on the same basis
Make a business case for your need to integrate data across programs
at the employee level
Top 5 Education Page Views:
1) Behavioral Health Conditions – Anxiety, Depression, Psychological & Psychiatric Care
2) Adult Primary Care
3) Referenced Based Benefits
4) Pricing
5) Lower Back Pain
Slide: Prevalence
Castlight has been interested in behavioral health for a couple of years now, and there are a few reasons for this.
First, BH is one of the most prevalent conditions for the employee population. About one in four employees has a diagnosable MHSA condition and 70% of those employees are undiagnosed and untreated
What gets less attention, but is just as impactful is the prevalence of your members who are dealing with extreme levels of stress, which ultimately contribute to health problems and lost productivity at work. In fact, the American Psychological Association found that 33% of Americans are living with extreme stress. Overall, 44% of Americans stated that they need help managing their stress. When we take this broader view of behavioral health, it’s a disorder that is affecting nearly 50% of your population.
2) As we’ll see in a couple of slides, the spend associated with BH conditions is massive.
3) A third reason is that BH conditions lend themselves to being addressed by new technologies. The core of BH care is therapy, which is a conversation, and exercises. All of that can be done remotely. Much of it can even be done successfully without a face to face provider – sometimes even more successfully.
4) Finally, we know that our users are looking to us for help in Castlight already. Typically engagement is the big barrier for BH vendors. In our platform, psych/psych care is already the fifth most searched service. Anxiety is our number 1 most viewed clinical education page. Depression is our 5th most viewed clinical educational page. Our users feel that CL is a trusted and confidential place to learn about care for sensitive conditions.
In addition, most of those employees who need help are not getting it. Some of the key barriers to care, including access, cost, awareness, and mindset. We’ll come back to these barriers a few times today.
Our users are voting with their searches and clicks.
Psychological and Psychiatric Care is actually the fourth most common search from a count perspective. (It's 10th most common if you look at distinct users.)
Technologies have been proven to help with BH issues.
This CBT video demonstrates the possibilities of using BH technology.
