cost effective wellness - microsoft... · 2019-02-04 · cost effective wellness january 31, 2019...

COST EFFECTIVE WELLNESS

January 31, 2019

Diane Andrea, MBA, RD, LDN

Health Promotion Program Consultant

J.W. Terrill

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC

Wellness Programs

• Basic

• Intermediate

• Comprehensive

1 February 4, 2019

Edington, Burton. A Practical Approach to Occupational and Environmental Medicine 140-152. 2003.

Worker’s Comp 9%

Absenteeism 6%

Health Care Cost 25%

Presenteeism 60%

Impact of Poor Health on Employer Costs

J.W. TERRILL• MARSH & McLENNAN AGENCY LLC 3 February 4, 2019

• Incentives

• Programming

• Staffing

Median Incentive Value

7 February 4, 2019

Risk is Not Static

High Risk

Moderate Risk

Low Risk

2% - 4%

Financial Incentive

• 61% - decrease in premiums

• 55% - cash or gift cards

• 27% - contribution to a HSA or similar vehicle

10 February 4, 2019

Incentives

Expected Participation

• Trinkets and t-shirts 10-15%

• Merchandise 15-50%

• $25-$50 Cash 35-75%

• Premium reductions

on healthcare 50-80%+

Incentives

• Start slowly

• Implement carefully

• Reward right after the event

• Focus on the benefits, not the incentive

Wellness Budget

Most Popular Wellness Programs

• Physical Wellbeing

– Nutrition

– Physical activity

– Heart health

– Tobacco cessation

• Emotional and Mental Wellbeing

– Stress management

– Mindfulness/meditation

• Financial Wellbeing

– Retirement savings

• Social Wellbeing

Physical Wellbeing Strategies – Physical Activity

• Low Cost

– Support physical activity breaks

– Map out on-site trails and walking routes

– Host walk and talk meetings

– Post motivational signs at elevators & escalators to encourage stair use

– Explore fitness center corporate discounts

• Low Cost

– Create a culture that discourages sitting for long periods of time

– Start employee activity clubs (walking, bicycling, running)

– Post or distribute community and charity runs, walks, and other activity

events

– Host a fun tournament

• Low Cost

– Offer on-site space for employees to work out during lunch, before or

after work

– Distribute a newsletter with physical activity tips and strategies

– Distribute a physical activity log

– Start a physical activity or walking competition

• Medium Cost

– Provide bicycle racks in safe, convenient and accessible locations

– Support recreation leagues

– Implement incentive based pedometer program

– Offer fitness DVD lending library

– Provide speakers on exercise and offer fitness assessments.

• High Cost

– Provide shower and/or changing facilities on-site

– Provide on-site fitness opportunities such as personal trainers, fitness

classes

– Provide incentives for participation in fitness related activities

– Create a walking path at work

– Provide an on-site exercise facility with on-site child care facility

– Offer standing desks and stability ball chairs

– Provide or subsidize the purchase of wearables that track activity

– Subsidize fitness memberships

Physical Wellbeing Strategies - Nutrition

• Low Cost

– Send healthy eating newsletters to employees

– Promote fruit and vegetable consumption through signs and posters

– Discourage employee eating at their desk

– Offer appealing, healthy vending options

– Work with on-site cafeterias to encourage healthy cooking practices

• Low Cost

– Use competitive pricing to make healthy options more economical

– Adopt a healthy foods policy

– Promote cooking classes in the community

– Adopt healthy food and beverage policies

• Low Cost

– Promote healthy restaurants and food trucks in the area

– Provide a healthy recipe library

– Get rid of candy dishes and replace with healthier options

– Sponsor healthy potlucks

• Medium Cost

– Make water and ice available to employees throughout the day

– Offer healthy food alternatives at meetings and company events

– Offer only coffee, tea and bottled water at events

– Provide kitchen equipment for employee food storage and preparation

• Medium Cost

– Offer fruits and vegetables at the worksite

– Start a work-site garden

– Establish workplace policies and appropriate space that promotes and

supports breastfeeding

– Have a dietitian present on healthy eating strategies or label reading

• High Cost

– Offer on-site cooking classes

– Subsidize weight loss programs and offer on-site

– Provide incentives for participation in weight loss programs

– Purchase healthy vending machines

– Offer an on-site farmer’s market

– Put together a healthy cookbook for employees

– Partner with catering or meal delivery service to provide healthy meals

to take home

Physical Wellbeing Strategies - Heart Health

• Low Cost

– Offer heart healthy tips

– Offer heart healthy recipes

– Post the signs and symptoms of heart attack and stroke

– Encourage employees to take online heart attack risk assessments

– Vending foods labeled heart healthy selections

– Participate in National Wear Red Day

28 February 4, 2019

• Medium Cost

– Offer onsite or offsite cooking demonstrations

– Offer fruit in the breakroom

– Adopt the AHA food and beverage guide

29 February 4, 2019

• High Cost

– Offer onsite CPR classes

– AED’s in the work areas

– Low or no cost statins

– One-on-one health coaching

– Biometric screenings for employees to be educated on their numbers

30 February 4, 2019

• Know Your Numbers Biometric screening

– Blood pressure

– Cholesterol – total, LDL, HDL

– Triglycerides

– Glucose

– Body mass index

– Waist circumference

Physical Wellbeing Strategies - Tobacco Cessation

• Low Cost

– Establish a policy prohibiting tobacco use on company property

– Provide posters, signs to support the no tobacco policy

– Promote the Tobacco Quit Line (800-QUIT-NOW)

– Encourage use of healthcare insurance programs

• Medium Cost

– Offer smoking cessation programs at the workplace

• High Cost

– Offer subsidized tobacco cessation products

– Provide on-site or individual counseling

Mental Wellbeing Strategies

• Low Cost

– Offer flexible work hours

– Offer job sharing

– Offer a lunch and laughs program

– Post signs that remind employees to be mindful

– Schedule fun tournaments and contests

– Bring in massage therapists for fee-based chair massages

– Share mental wellbeing apps – calm

– Provide a resource guide for community wellbeing

– Establish social connections or mentors

• Medium Cost

– Post employees’ nature pictures in a stress-free work zone area

– Offer stress management workshops

– Offer an employee assistance program (EAP) to employees and

promote it

– Schedule off-site meetings

– Dedicate a room for mindfulness/meditation/relaxation

– Train managers

• High Cost

– Provide on-site counselors

– Participate in a social work network

– Provide chair massages on a regular basis

– Enhance the work environment with light and color

– Dedicate an employee game room

– Re-decorate the break room

Financial Wellbeing Strategies

• Cost Varies

– Comprehensive benefits package

– Identity theft coverage

– L&D, voluntary benefits

– Legal resources

– Access to Certified Financial Planner

– Student and parent loan assistance

– Commuter subsidy

– Retirement plans

– 401K

– HRA/HSA/FSA

38 February 4, 2019

Education

• Low Cost

– Flyers/newsletters from carriers

– Insuring Health Lifestyles weekly information

– Local Hospitals

– Community resources

– Carrier Resources

Education

• High Cost

– On-site Wellness Coordinator

Low Cost Programs to Consider

• Encourage annual preventive exam

• Flu shots

• Health Risk Assessment

• Targeted programs

• Health Fair

Carrier Resources

• Imbedded wellness

• Newsletters

• 24 hour nurse lines

• Telemedicine

• Smoking cessation resources

• Health risk assessments

• Nutritional databases

• Telephonic coaching

• Fitness center discounts

Wellness Resources

• National Health Observances

– http://www.healthfinder.gov/nho/nho.asp

• CDC Workplace Wellness site

– http://www.cdc.gov/workplacehealthpromotion/

• Wellness Council of America

– www.welcoa.org

Wellness Resources

• American Heart Association

– www.heart.org

• CDC Health Worksite Initiative

– http://www.cdc.gov/nccdphp/dnpao/hwi/index.htm

– http://www.cdc.gov/leanworks/

• Lets Move

– www.letsmove.gov

• AHA Heart Attack Risk calculator

– www.cvriskcalculator.com

Wellness Resources

• WellSteps

– Wellness Tools

– ROI Calculator

Q& A Diane Andrea

dandrea@jwterrill.com

Legal/regional regulatory statement to be added here if required.

cost effective wellness - microsoft... · 2019-02-04 · cost effective wellness january 31, 2019...

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