BUDGET & FISCAL AFFAIRS

HEALTH BENEFITS SUBCOMMITTEE

April 3, 20132:00 PM

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Putting a Face to our Wellness Program

Kim Bowie, Senior PlannerPlanning and Development Department

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Wellness at a Glance

Key Benchmarks

1. Capture Senior Level Support2. Create Cohesive Wellness Teams3. Collect Data to Drive Health

Efforts4. Craft an Operating Plan5. Choose Appropriate

Interventions6. Create a Supportive Environment7. Consistently Evaluate Outcomes

Seven Dimensions

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2011-2012: Discover Health

• New brand/logo was developed to increase employee awareness of wellness platform.

• On-site biometric screenings were conducted with 9,399 employees.

• 89% (18,557) completed the health assessment.

• There were three options for Wellness Engagement.

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2012-2013: Challenge Yourself

• Over 500 employees walked through downtown to the GRB for the Wellness Fair on July 19, 2012.

• Over 2,000 employees attended the Health Fair and received their biometric screenings.

• 90% (17,797) completed the health assessment.

• Wellness engagement options were expanded.

2013-2014: Improve!

• Wellness has evolved and employees are actively engaged in wellness programming, now it’s time to Improve!

• The 2013-2014 Wellness program will be geared towards incentivizing employees’ participation in wellness activities.

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2013-2014 Wellness Incentive PlanActive employees on the city’s medical plan are eligible for a premium discount in May 2014.

Three Step Process

1. Obtain biometric information.

2. Complete the online Health Assessment.

3. Earn at least 500 wellness points.

Cigna’s Risk Stratification

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Overall Risk Levels

Low Risk = 1 to 2 risk factors

Medium Risk = 3 to 4 risk factors

High Risk = 5 or more risk factors

Cigna’s Health Risks

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Alcohol use Job satisfaction

Blood pressure Perception of health

Body weight Physical activity

Cholesterol Safety belt usage

Existing medical problem Smoking

HDL Cholesterol Stress

Absent days due to illness Health age index

Life satisfaction Drug use (for relaxation)

Wellness Champions-Zero Health Risk

• Must take the online Health Assessment to determine risk.

• Employees with zero risk based on Cigna’s risk stratification tool will not be required to fulfill the 500-point requirement and will automatically receive the benefit premium discount. They are strongly encouraged to participate in additional wellness activities, and remain eligible for prize drawings.

• Cigna will notify employees in the zero risk category of their status through a personalized letter and an automated phone call.

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Wellness Points OptionsWellness Points Options Points

Healthy Pregnancy Program 250

Disease Management Programs 250

Preventative Health Screening(s) 150

Telephonic Coaching 100

Smoking Cessation Program 100

Department-Specific Programs 100

Physical Activity 75

Wellness Points Options

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Wellness Points Options Points

Alternative/Complementary Medicine (acupuncture, chiropractor, stress management, etc.)

75

Online Coaching Modules 50

Wellness Presentations or Lifestyle Management Programs

50

Family Wellness Day 50

Charity Walk / Run (5k minimum) 50

Weight Management Program (i.e., Weight Watchers, Jenny Craig, etc.)

50

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Prize Levels per Total Points Accrued per Benefit Plan Year

• Bronze: 505-650 points– In addition to a Wellness Champion rubber wristband or an apple pin, individuals in this

category will be entered into a drawing for the prizes listed below:• $25 gift card to healthy food store/restaurant/fitness store (300)• Insulated Lunch Bag (300)• 1-week Weight Watchers Pass (300)

• Silver: 655-800 points– In addition to a Wellness Champion t-shirt, individuals in this category will be entered

into a drawing for one of the prizes listed below:• $50 gift card to healthy food store/restaurant/fitness store (200) • 1-month Weight Watchers Pass (200)• 1-hour Massage Certificate (200)

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Prize Levels per Total Points Accrued per Benefit Plan Year Cont.

• Gold: 805-950 points– In addition to a Wellness Champion t-shirt, individuals in this category will be entered

into a drawing for one of the prizes listed below:• $75 gift card to healthy food store/restaurant/fitness store (100)• 17-week Weight Watchers Pass (100)• 3-month YMCA Pass (100)

• Platinum: 955 or more points– In addition to a Wellness Champion t-shirt, individuals in this category will be entered

into a drawing for one of the prizes listed below:• Wii Game Console plus 1 fitness game (75)• $100 gift card to a healthy food store/restaurant/fitness store (75)• 6-month YMCA Pass (75)

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Summary Points

• Our new wellness program will commence May 1, 2013.• All employees will be encouraged to obtain biometric numbers and

complete the annual health assessment. (Voluntary Program)• Employees with zero risk based on the 2013 health assessment will be

exempt from additional wellness activities, but they are still encouraged to participate.

• To be eligible for a premium discount in May 2014, employees with low, moderate or high risk factors will have to:(1) obtain their biometric numbers, (2) complete the annual health assessment, and (3) earn at least 500 wellness points through thirteen (13) options.

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Recent Awards/Recognition

• Houston’s Healthiest Employer Award• American Heart Association Fit Friendly Award• Poster Presentation – Texas Public Health

Association• Oral Presentation – National Wellness Conference

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Houston’s Healthiest Employers Award5,000+ Employees

1. Harris Health System2. The Methodist Hospital System3. BP America Inc.4. Houston Independent School District

5. City of Houston6. ConocoPhillips7. Chevron Corporation8. Harris County9. Cameron International Corporation10. Klein Independent School District

Note: As selected by the Houston Business Journal

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Change is evolutionary, not instantaneous.