2011 Speaker Series

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2010 Total Health Benefits

Total Health

Becoming One of the Healthiest Workplaces in DFW! Benefits Training

2010 Total Health Benefits Total Health

Texas Health Resources
• One of the largest faith-based, non-profit health care delivery systems in the United States • Formed in 1997 by joining Harris Methodist Health System, Arlington Memorial Hospital and Presbyterian Healthcare Resources • Operates in the 16 counties of north central Texas serving a community of over 6.2 million people • Includes 24 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated
– More than 4,100 licensed hospital beds

Private and Confidential

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2010 Total Health Benefits Total Health

Texas Health Resources
• THR Mission
– To improve the health of the people in the communities we serve

• THR Vision
– Texas Health Resources, a faith-based organization joining with physicians, will be the health care system of choice

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2010 Total Health Benefits Total Health

Texas Health Resources’ Workforce
• Over 19,400 Employees
– 80% female – Approximately 90% are benefit eligible – Over 32,000 medical plan members

• 2010 Work Force Indicators
– – – – 88.7% employee retention 72.6% satisfaction with benefits (77th percentile nationally) Employees work 24/7 Clinical workforce spend most of their time nurturing

• Financials
– Salary and benefits cost in excess of $1.4B including over $130M spent on medical benefits alone

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2010 Total Health Benefits Total Health

Ounce of Prevention is Worth a Pound of Cure
What Percentage of Medical Costs are Driven by Behavior? • Costs of cardiovascular disease will exceed $1 Trillion per year by 2030 • Type 2 Diabetes is expected to cost $500 Billion per year by 2020 • Social networks important in influencing health behaviors
– Smoker in social network 20% more likely to quit if another in network quits – Obesity risk increases by 57% if a friend is obese

• The environment needs to support behavior change
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2010 Total Health Benefits Total Health

A Culture of Health
• What: Common Elements of Successful Wellness Program
– – – – Role modeling of healthy behaviors from top leadership Incentives for desired behavior Alignment of cafeteria food options Access to fitness programs/facilities

• The Why: Medical Plan Costs Up, Employee Satisfaction Down, Alignment with Mission

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2010 Total Health Benefits Total Health

Use of Data to Drive Decisions /Measure Results
• Data warehouse facilitates our approach
– Sources of data
• • • • • • Health and pharmacy claims EAP participation Health assessment values Lab values Disability claims Workers’ compensation claims

– Criteria for program measures
• Supports our critical success factors • Optimizes health outcomes • Directs plan design decisions

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2010 Total Health Benefits Total Health

Culture of Health: A Business Strategy
• Health promotion - comprehensive, integrated business strategy • Not enough to focus on the sickest 10%, just as important to keep the healthy people healthy • Three main things that affect employee health: exercise, eating right and smoking • Focus on the intrinsic value of health, rather than on doing something to get an incentive – do it for quality of life • Having a culture of health means ensuring your health promotion programs are not one size fits all . 9 Private and Confidential

2010 Total Health Benefits Total Health

Total Health
• Texas Health Resources’ benefit programs are called Total Health because we care about employees: body, mind & spirit • Mission: To optimize the health and productivity of our employees and their families while managing future health plan costs, offering a competitive benefits package and maintaining high employee satisfaction

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2010 Total Health Benefits Total Health

Texas Health Program Overview
• Support from Sr. Leaders
– Doug Hawthorne: “We must never lose sight of the fact that our employees are a very real part of our Mission to improve our own health. If we’re not healthy ourselves, we miss an opportunity to lead by example.”

• • • • • • •

Team Competition Cafeteria & Catering have healthy choices Vending Machines: Balanced Choices Onsite Fitness centers Smoke Free Campus Be Healthy Disease & Case Management
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Personal and Confidential

2010 Total Health Benefits Total Health

Be Healthy 2011
Feature Be Aware
Helps you find out about your health status and learn how to improve your health and reduce your risks of serious illness

Activities
Online Health Assessment ($100 award) Be Healthy Basics ($50 award) Preventive/Wellness Exam ($100 award) Cancer Screenings ($25 award) Health Fairs

Be Proactive
Provides tools to enable you make changes in your life that can lead to positive results and help you become healthier

Maternity Support Program ($100 award)

Healthy Back Program ($50 award)
Diabetes Management Program Free & Clear Tobacco Cessation Program Employee Assistance Program

Be Inspired
Helps you get the support you need to take charge of your health
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Weight Watchers Health Coaches Onsite Fitness Centers
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2010 Total Health Benefits Total Health

Communication, Communication, Communication
• • • • • • • • New Employee Orientation Intranet Email Screen Savers Onsite TV Monitors Monthly Newsletter Quarterly Newsletter Mailed to Homes Flyers for Weight Watchers, Health Fairs, Key Messages • Social Media – Yammer
Personal and Confidential
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2010 Total Health Benefits Total Health

Health Assessment Participation

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2010 Total Health Benefits Total Health

Trends After Inception of Plan
•Mammogram Screening Rates •100% •Healthy People 2010 Target (70%) •50%
54% 52% 54% 64% 65% 70% 69%

•Colon Cancer Screening Rates •100%

•Thomson Norm (48%)

•50%
29% 27% 26% 37% 41% 50% 48%

•Healthy People 2010 Target (50%) •Thomson Norm (20%)

•0%

•0%

•2004 •2005

•2006 •2007

•2008

•2009 •2010

•Cervical Cancer Screening Rates •100% •Healthy People 2010 Target (90%)

•Prostate Cancer Screening Rates •100%

•50%
77% 78% 53% 53% 22%

•50%
90% 78%

•Thomson Norm (40%)

44% 19%

48%

47%

50% 38%

49%

•Thomson Norm (30%)

•0%

•0%

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*2010 is incomplete as based on claims incurred as of September 2010 and paid as of December 2010

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2010 Total Health Benefits Total Health

Optimize Health
 

Decrease of prevalence of most risks factors on the most recent Health Assessment Shift in overall risk factors over last 4 years
•Percent of Employees at Risk based on Health Assessment
80%
69.4% 72.1%

70% 60% 50% 40%

67%

68.0%

2008 2009 2010 2011

30%
22%

20% 10% 0%

20.0%

21.6% 20.0% 11% 9.5% 9.0%7.9%

0 - 2 Risks

3 - 4 Risks

5+ Risks

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*Based on claims incurred as of September 2010 and paid as of December 2010

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2010 Total Health Benefits Total Health

Optimize Health
Utilization
16,613 13,593 10,147

A shift in overall risk factors is very important because our data shows that risk factors do impact utilization

8,346 8,652 8,362 5,429 5,9305,696 1,800 1,957 2,183 171 249 304 Office Visits/1,000 ER Visits/1,000 OP Lab Svcs/1,000 OP Radiology Svcs/1,000 High Risk Rx Scripts/1,000

Low Risk

Moderate Risk

Medical and Rx cost Per Member Per Month (PMPM)
$3,965 $3,397 $2,681

As we are able to shift risk, our costs will decrease

Low Risk

Moderate Risk

High Risk

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*Based on claims incurred as of September 2010 and paid as of December 2010

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2010 Total Health Benefits Total Health

Bottom Line Results
• Costs since 2003 have increased by 19% versus 8% per year like other employers, saving us millions • Based on Towers Watson Health Care Survey, our PEPY cost is 10% less than other comparable healthcare employers

Private and Confidential

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2010 Total Health Benefits Total Health

Questions?

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