the new smoking cessation imperative
DESCRIPTION
TRANSCRIPT
The New Smoking Cessation Imperative
A review of current trends in
programming, incentives and plan design
November 16, 2012
© 2012 beBetter Health, Inc. Confidential. Do Not Distribute.
Introduction
Speakers
Gary B. Sams MS Chief Wellness Officer
Cameron Smith Regional Sales
Director
Learning objectives : To understand the facts of tobacco use
To review current trends in tobacco cessation
To review and discuss benefit plan and incentive program design issues
To understand resources available to support the development and delivery of effective tobacco cessation programs
maintain a healthy diet get enough exercise don’t smoke
The presence of just one healthy behavior compared with none cuts chronic disease risk in half. (CDC)
WE FOCUS ON WELLNESS ESSENTIALS
eatBetter moveBetter
breatheBetter
Company Background
The Tobacco Cessation Products and Services of beBetter Health
NRT Sales
Program Consultation & Evaluation
Web Based Programming
Marketing Support Coaching
beBetter products and services have helped millions address their challenges with tobacco use and nicotine addiction since 1977
According to the 2010 U.S. Surgeon General's report, 443,000 U.S. adults die from smoking-related illnesses each year. Smoking costs the United States $96 billion in direct medical expenses and $97 billion in lost productivity annually.
Source - Morbidity and Mortality Weekly Report (MMWR) Current Cigarette Smoking Among Adults — United States, 2011 November 9, 2012 / 61(44);889-894
Tobacco Use Facts:
Among daily smokers, the proportion who smoked ≥30 cigarettes per day (CPD)
declined significantly, from 12.6% in 2005 to 9.1% in 2011, whereas the proportion of those who smoked 1–9 CPD increased significantly, from 16.4% to 22.0%.
Overall, among current smokers and those who had quit during the preceding year, 51.8% had made a quit attempt for >1 day during the preceding year.
Current smoking prevalence declined most markedly from 2005 to 2011 among adults aged 18–24 years (from 24.4% to 18.9%), and this age group, which had the highest prevalence in 2005, now has the lowest of any group aged <65 years.
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2012.
Employer Response:
Employer Response:
Workplace tobacco use policies Hiring and Personnel Policies Health Benefit plan design modification Employee Health and Wellness Programs
Recommended Reading www.no-smoke.org
Tobacco Cessation Programming Trends
Goals
Programs
Success
Incentives and Premium Differentials
Program Planning
Communication
Tobacco Cessation Program Goals
Reduce health care & lost productivity costs Support tobacco-free campus policies Implement Tobacco Premium Differentials,
Surcharges and Incentives Improve employee health!
Tobacco Cessation Programming Trends
Tobacco Cessation Programming Trends
Types of Programs
On-site face-to-face coaching Web-based programs Texting & Mobile Telephonic coaching
Successful Programs
1. Participation 2. Quit Rate • Communication • Incentives • Vendor Selection
Tobacco Cessation Programming Trends
Recommended Reading TowersWatson 2011/2012 Staying@Work Survey report
Types of Incentives True premium surcharge or discount HSA or FSA Contribution Wellness Credits Premium Differentials Identifying tobacco users i. Affidavit ii. HRA iii. Biometric testing or Cotinine testing
Tobacco Cessation Programming Trends
Programming Plan for Incentives
• Timeline: offer tobacco cessation program 6 months to 1 year in advance
• Tie premium differential/incentive to participation
• Allow year-round opportunity for incentive • Clear communication strategy
Tobacco Cessation Programming Trends
Recommended Reading Centers for Disease Control and Prevention. Quitting Smoking Among Adults—United States, 2001–2010. Morbidity and Mortality Weekly Report [serial online] 2011;60(44):1513–19 [accessed 2012 Jun 7].
Communication
• Carrot vs. Stick (reward vs. penalty) • Offer spouses support • Clearly communicate what needs to
be done • Identify outbound calls to tobacco
users • Support executive management
Tobacco Cessation Programming Trends
Legal Considerations
Individual state laws vary around smokers’ rights laws and lifestyle statutes
Just because it is legal to test for tobacco use doesn't mean it’s the right thing to do
There are many complicating issues to consider, such as 2nd-hand exposure through family member use
The rising use of e-cigarettes Consider alternatives and company
culture
The Trouble with Tobacco Testing Human Resource Executive Magazine Online Jill Cueni-Cohen- Tuesday, October 9, 2012 Link: http://www.hreonline.com /HRE/view/story.jhtml?id=534354450
Recommended Reading
Legal Considerations (Wellness)
The Five Criteria
1. Limited to 20% Differential 2. Must Be Tied to Wellness
Programs 3. Annual Qualification 4. Provide Alternative Standards for
Medical Exceptions 5. Disclose Alternative
Results-Based Wellness Incentives How to Strategically Tie Your Wellness Program to A Benefit Plan Design with Premium Differentials An Industry Brief by beBetter Health, Oct. 2012 – available upon request www.beBetterhealth.com For additional information, see the DOL FIELD ASSISTANCE BULLETIN 2008-02.10 -Taken from the Department of Labor website
Recommended Reading
Employer Direct Costs Examples Greater health insurance costs and claims Greater life insurance premium costs and increased claims Greater disability costs Greater worker's compensation payments and occupational health awards
Employer Indirect Costs Examples Recruitment and retraining costs resulting from loss of employees to
tobacco-related death and disability Lost productivity Greater amount of work time used on tobacco-use habits and routines
What’s the ROI?
Recommended Reading
Smoke-free work sites top ten financial benefits to employers. Western CAPT/CASAT. University of Nevada, Reno. Center for Health Promotion Publications. The Dollar (and sense) Benefits of Having a Smoke-Free Workplace. Lansing, Michigan Tobacco Control Program; 2000. Centers for Disease Control and Prevention. Making your Workplace Smoke-Free: A Decision Makers Guide. Available at: http://www.cdc.gov/tobacco/secondhand_smoke/00_pdfs/fullguide.pdf. Accessed: September 10, 2007. NBGH – Tobacco: The Business of Quitting- An Employers Website for Tobacco Cessation. Accessed: November 1, 2012
Workplace Costs of Tobacco Use
What’s the ROI?
Recommended Reading
1-“Making the Business Case for Smoking Cessation Programs” A report by America’s Health Insurance Plans. http://www.businesscaseroi.org/roi/apps/execsum.aspx 2-Stewart, WF, Ricci, JA, Chee, E, Morganstein, D. Lost productivity work time costs from health conditions in the United States: Results from the American Productivity Audit. Journal of Occupational and Environmental Medicine 2003;45(12):1234-1246. ClearWay MinnesotaSM and Minnesota Department of Health. Minnesota Adult Tobacco Survey: Tobacco Use in Minnesota: 2010 Update. 2011
Investments in smoking cessation save health plans and employers money in the short and long term. Research has shown that health plans investing $35-$410 to help a person quit over the course of a year generate positive return on investment (ROI) within 3 years. Simulation models using health plan data to estimate ROI for smoking cessation indicate that spending $0.18-$0.79 PMPM generates positive net ROI of over $1.70-$2.20 after five years. This model also demonstrates positive ROI for employers beginning in the first year that the investment was made and continuing over the five-year period. 1 Smoking cessation increases productivity. The American Productivity Audit, a national survey of over 29,000 workers, found that tobacco use was a leading cause of worker lost production time—greater than alcohol abuse or family emergencies. Quitting smoking improves a worker’s productivity.2
What’s the ROI?
http://www.businesscaseroi.org/roi/default.aspx
Employer Resources There are a tremendous number of resources available for employers who want to develop or improve tobacco cessation programs for their employees. Below are links to some of the most prominent organizations offering assistance.
Centers for Disease Control and Prevention – Smoking & Tobacco Use www.cdc.gov/tobacco/quit_smoking/cessation/index American Cancer Society Quit for Life Program www.acsworkplacesolutions.com/quitforlife.asp Fundamentals of Smokefree Workplace Laws www.no-smoke.org/pdf/CIA_Fundamentals.pdf Employers’ Smoking Cessation Guide: Practical Approaches to a Costly Workplace Problem www.endsmoking.org Tobacco: The Business of Quitting An Employer’s Website for Tobacco Cessation. www.businessgrouphealth.org/tobacco 1-800-Quit-Now www.smokefree.gov/quitlines-faq.aspx - http://betobaccofree.hhs.gov/
Employer Resources
www.breathebetter.me
This program is free for consumers and employers within basic set up parameters. Some fee for service features are available such as private labeling, telephonic coaching and special NRT options.
Thank You
For a copy of today’s presentation slides and additional resources, please visit: www.bebetter.com/hplive
For follow up information please contact: Cameron Smith Regional Sales Manager beBetter Health, Inc. 325 W. Huron Street Chicago, IL 60654 512.213.7910 [email protected]