L O C K T O N C O M P A N I E S

University of AlaskaWellness – 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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No

<10% of the cost of the health plan

Incentive

Yes

>10% of the cost of the health plan

Disincentive

Tie to Employee ContributionsAre you linking to your health plan?

Incentive/DisincentiveHow large is your incentive/disincentive?

Employee EngagementHow are you driving participation?

ParticipationAchieving healthier outcomes

Participation/OutcomesHow are you measuring success?

Influence the Economic Behaviorof Your Population

Less Effective/Less Savings

More Effective/More Savings

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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)

Need other Ideas from the University of Alaska

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

Program Participation Activities

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Points to Preferred Pricing – FY 2016 (Example)

Employee Only Points Employee + Spouse Points Monthly Preferred Pricing

Greater than 600 Greater than 1,200 $50/ $100

0 to 599 0 to 1,199 $0

Program Participation

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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

WOMEN

HDL Cholesterol ≥ 50

Triglycerides < 150

Waist Circumference < 35 inches (not pants size)

Blood Pressure < 130/85

Fasting glucose < 100

MEN

HDL Cholesterol ≥ 40

Triglycerides < 150

Waist Circumference < 40 inches (not pants size)

Blood Pressure < 130/85

Fasting glucose < 100

Employee and Spouse must achieve 3 out of the 5 measures

Can add Tobacco in the future