Employers are in the health business.

1. Wellness Initiatives- Employers are also in the “Health Business” September 11, 2009 8:15 AM Arvid R. “Dick” Tillmar – Health Advocate

4. Benefits of Worksite Wellness Programs Companies receive many benefits after implementing a worksite wellness program in addition to reducing costs. They include increases in employee morale, improved employee health, reduction in workers compensation claims, reductions in absenteeism, and increases in productivity. Source: National Business Group on Health, 2005

6. Milestones in Contemporary America Hostess introduces Twinkies, 1953 Ray Kroc franchises the McDonald Brothers, 1955 And then introduces “ supersizing,” 1993

8. Individual

13. 16 oz 32 oz 44 oz 52 oz 64 oz 48 Teaspoons Sugar

15. Individual Family

17. Individual Family Worksite

19. Individual Family Worksite Community

23. Individual Family Worksite Community Nation/ world

26. Diabetes Trends Among Adults in the U.S., BRFSS 1990 No Data <4% 4%-6% 6%-8% 8%-10% >10%

27. Diabetes Trends Among Adults in the U.S., BRFSS 1991-92 No Data <4% 4%-6% 6%-8% 8%-10% >10%

28. Diabetes Trends Among Adults in the U.S., BRFSS 1993-94 No Data <4% 4%-6% 6%-8% 8%-10% >10%

29. Diabetes Trends Among Adults in the U.S., BRFSS 1995 - 96 No Data <4% 4%-6% 6%-8% 8%-10% >10%

30. Diabetes Trends Among Adults in the U.S., BRFSS 1997 No Data <4% 4%-6% 6%-8% 8%-10% >10%

31. Diabetes Trends Among Adults in the U.S., BRFSS 1998 No Data <4% 4%-6% 6%-8% 8%-10% >10%

32. Diabetes Trends Among Adults in the U.S., BRFSS 1999 No Data <4% 4%-6% 6%-8% 8%-10% >10%

33. Diabetes Trends Among Adults in the U.S., BRFSS 2000 No Data <4% 4%-6% 6%-8% 8%-10% >10%

34. Diabetes Trends Among Adults in the U.S., BRFSS 2001 No Data <4% 4%-6% 6%-8% 8%-10% >10%

37. Lost productivity related to absence & presenteeism compared to medical & pharmacy costs IBI Research Insights, May 2007 - Single employer example The Cost of Poor Health Medical Costs 25% Absenteeism Lost Productivity 36% Presenteeism Lost Productivity 34% STD/LTD/WC 5%

38. The Top 10 Most Costly Health Conditions C hronic disease has $1 TRILLION impact on U.S. lost productivity each year. Goetzl, R; JOEM 45(1) 5-14 2003

43. Imagine If Your Customers Could Shave 25% Off Rising Health Care Costs

44. Wellness Programs: Definition, Legal Implications & Essential Elements

51. Efficacy & Case Studies

54. Business Case and Implementation

55. Defining Health Risks & Risk Levels Health Risk Measure High Risk Criteria Alcohol > 14 drinks per week Blood Pressure Systolic >139 mmHG/Diastolic >89 mmHG Body Weight BMI =/>27.5 Cholesterol >239 mg/dl Existing Medical Problem Heart, Cancer, Diabetes, Stroke HDL <335 mg/dl Illness Days >5 days last yr Life Satisfaction Partly or not satisfied Perception of Health Fair or Poor Physical Activity <1 time per week Safety Belt Usage Using safety belts <100% of time Smoking Current smoker Stress High Overall Risk Levels Low Risk 0 to 2 high risks Medium Risk 3 to 4 high risks High Risk 5 or more high risks

56. Linking higher Costs With Higher Health Risk

57. Get Well or Pay Not To Consumers may be able to improve their health and bottom line by participating in company sponsored wellness programs. More employers are offering cash, discounts and even lower health insurance premiums to entice workers to participate in a variety of programs. Starting next year, employees could have further incentives to get healthy as more companies add penalties to insurance premiums for workers who don’t partake. “It’s an opportunity to get cash for doing what’s right for you. Despite cutbacks amid the recession, 58% of large U.S. companies now offer lifestyle-improvement programs, up from 43% in 2007, according to a Watson Wyatt Study. And 56% provide health coaches, compared with 44% in 2007. Health-risk appraisals are offered at 80% of companies, up from 72% in 2007.

58. Discounts and Freebies Employees may be able to get $200 to $300 for participating in health-risk appraisals, smoking-cessation, weight management and preventive care classes. Other offerings include heavily discounted weight loss programs and free or discounted gym memberships. At some companies, employees who participate are rewarded with gift cards or lower insurance premiums.

67. Question and Answers