Professional Documents
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TODAYS PRESENTATION:
Findings from the first mail survey
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The Questions
A comprehensive evaluation of the HEM program designed to answer three broad types of questions: Psychosocial & Behavioral Impacts Does HEM change participants health behaviors? Does HEM help people work toward their health goals? Employee Satisfaction Do employees like HEM? Does it impact overall job satisfaction? Is satisfaction with HEM changing over time? Health and Cost Impacts Does HEM result in better health over time? Does HEM result in lower costs of care over time?
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The Survey
Todays Report: Findings from the first mail survey Representative sample of employees Included both participants and non-participants This is our first survey; future surveys would be needed with this study panel to assess trends/changes over time
We tried to reach...
57%
=
Overall Response Rate (n=2,347)
52%
=
36%
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91% 90% 89% 84% 88% 86% 85% 84% 80% 77% 86%
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53%
Easy
33%
Neither
14%
Hard
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The E-Lessons
KEY FINDING: About eight in ten completed the e-lessons. Of those who didnt, most claimed to have not understood the requirement.
Did you complete the e-lessons? (n = 1714) Why didnt you complete them? (n = 300) Didnt know they were required Didnt know about the deadline Hard to find time Online system hard to use Did your spouse? (n = 1293 with a covered spouse) No computer access Forgot Security of information 44% 39% 31% 24% 7% 6% 5%
82%
Yes
18%
No
77%
Yes
19%
No
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The E-Lessons
KEY FINDING: The most commonly chosen e-lessons were stress, healthy eating, weight management and sleep.
TOP FIVE MOST COMMON E-LESSONS:
Providence (n = 1350) Dealing with stress Healthy eating Sleeping well Healthy weight Getting active Percent 45% 39% 32% 26% 21% Kaiser (n = 217) Lose weight Eat healthy Reduce stress Overcoming insomnia Overcoming depression Percent 52% 50% 45% 24% 17%
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The E-Lessons
KEY FINDING: Just under half of respondents made changes based on the e-lessons. Most had success maintaining.
Did you try changing anything about your health or lifestyle after your most recent elesson? (n = 1346) What changes did you try to make? (n = 599 who tried to make a change) Increased my physical activity Changed the way I eat Stress management Management of health condition Something else Follow-up with doctor 43% 42% 38% 13% 13% 8%
54%
No
46%
Yes
In general, how successful have you been in maintaining those changes? (n = 605 who attempted to make a change)
What are the main reasons youve had a hard time maintaining changes?
Lack of motivation Too busy Stress/mental health Physical health Other (various) 36% 20% 20% 8% 36%
Public Employees Benefit Board WJW for PHP
21%
Very successful
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73%
Part successful
6%
Not Successful
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Employee Satisfaction
KEY FINDING: Employees were not satisfied with the HEM rollout. Concerns about privacy and coercion were widespread.
Overall Satisfaction with the HEM rollout:
HEM Participants (n = 1953) HEM Non-Participants (n = 313) Very Satisfied 5% 2% Satisfied 23% 8% Neutral 39% 28% Dissatisfied 19% 22% Very Dissatisfied 15% 41%
If you could change one thing about the HEM rollout, what would it be?
Ask for less personal or private information Provide more information about other changes happening at the same time (like changes to deductibles) Make it feel more collaborative Allow different ways to enroll, not just online Allow more flexible deadlines Multiple reasons (provided more than one)
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Employee Satisfaction
KEY FINDING: We found few signs that satisfaction with HEM was improving over time.
Compared to when it was first introduced, how has your opinion of the HEM program changed? More Satisfied Now HEM Participants (n = 1661) Non-Participants (n = 142) All Employees (n = 1803) 8% 7% 8% About the Same 71%* 61%* 70% Less Satisfied Now 21%* 32%* 22%
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Employee Satisfaction
KEY FINDING: When asked about their happiness with different elements of the benefits package, HEM was the lowest rated element, even among participants.
Percent Very Good or Excellent HEM Participants HEM Non-Participants ALL Employees (n = 1874) (n = 287) (n = 2162) 33%* 22%* 31% 28%* 16%* 26% 42%* 31%* 41% 16%* 4%* 14% 37%* 22%* 35%
Rating of premiums Rating of deductibles Rating of benefits (what is covered) Rating of HEM Program Overall rating of benefits
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Employee Satisfaction
KEY FINDING: HEM contributed to an overall decline in satisfaction with benefits over the last year.
Why are you LESS satisfied? HEM Participants
Changes in deductibles 69% 60% 56% 8% 6% 6% 1% 20% 82% 74% 54% 25% 6% 5% 2% 26% Dont like the HEM program Changes in premiums Smoking surcharge Reduced coverage Higher out of pocket costs Spouse surcharge Something else
4%
More
50%
The Same
46%
Less
Non-Participants
3%
More
37%
The Same
60%
Less
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Version: Board FINAL
*multiple responses allowed, willEmployees not total 100% Public Benefit Board
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Health Efficacy
KEY FINDING: Self-efficacy was roughly comparable overall, with no evidence of large differences between groups.
Health Self-Efficacy Questions How sure are you that you can accomplish your health goals even when You have worries and problems? You feel down or depressed? You feel tense? You feel tired? You feel busy? You dont get much support from others? Percent very sure or sure HEM Participants (n = 1880) 76% 68% 76% 65% 65% 77% Non-Participants (n = 272) 82% 76% 80% 68% 70% 81%
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Health: Smoking
KEY FINDING: HEM participants were much less likely to report smoking than non-participants.
Smoking Percent who are current smokers Percent former smokers --Of current smokers, percent currently trying to reduce or quit HEM Participants (n = 1901) 3%* 25% 88% Non-Participants (n = 312) 15% 25% 80%
*Indicates statistically significant difference between participants & non-participants Smokers may be significantly less likely to participate in HEM, perhaps out of fear of being penalized. HEM participants may also under-report smoking for similar reasons.
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Health: Obesity
Key Finding: HEM participants were less likely to be obese, were more able to correctly assess whether they were obese or not, and were more likely to be actively trying to lose weight.
HEM Participants (n = 1881) 51% 86%* 30%* 16%* Non-Participants (n = 286) 56% 75%* 42%* 23%*
Percent who consider themselves overweight --of those, percent actively trying to lose weight Percent with calculated BMI 30+ (obese) Percent who say they are not overweight, but whose BMI score indicates they are
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Non-Participants (n = 290) 85% 31% Non-Participants (n = 323) .96 .34 1.80 2.33
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Next Steps
INTERVIEWS: We are currently fielding a series of in-depth, open-ended interviews to explore the key findings and themes from the mail survey. The results, available in several months, should help refine understanding of these findings and increase their usefulness for future program development. CLAIMS ANALYSIS: A claims analysis, scheduled for late 2013, will explore whether there are any signs of cost savings among HEM participants. POTENTIAL FOR FUTURE SURVEYS: These surveys represent an initial measure comparing participants to non-participants. Additional surveys with this same panel of respondents would allow for assessment of trends in outcomes over time, creating the opportunity to understand the real impacts of the HEM program on health efficacy, health behaviors, and health outcomes.
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