Heartland Health

Wellness Connections

May 2008

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Em

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2001 2002 2003 2004 2005 2006 2007 2008

Eligible Participants

Heartland Wellness Connections Participation

Wellness Center Usage

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Dis

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January February March April

200620072008

Personal Training

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January February March April

2006

2007

2008

Wellness Member Risks 2007

0%

10%

20%

30%

40%

50%

60%

Wellness Members 41% 54% 5%

Wellness Center Users 20% 57% 23%

High Risk--5 or More Risks

Medium Risk--2-4 Risks

Low Risk--0-1 Risk

Highest Risks for Our Members

0%

10%

20%

30%

40%

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90%

Fruits/Veggies Exercise Weight

Total Members Rescreens Ambassadors Fitness Center

Ambassadors Continue to Lower Risks

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Low Medium High

20072008

Wellness Average Member Medical Claims- Full Year

$0

$1,000

$2,000

$3,000

$4,000

$5,000

$6,000

$7,000

$8,000

Cla

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Claims Dollars $7,340 $7,023 $7,483 $6,426 $6,858 $7,335 $4,727

Non WellnessWellness Members

High Risk Medium Risk Low RiskWellness

Center UsersAmbassadors

Average Partial Year Claims

$0$500

$1,000$1,500$2,000$2,500$3,000$3,500$4,000$4,500$5,000

Non Wellness Wellness

Claim Dollars

Wellness Average Member Pharmacy Claims

$0

$200

$400

$600

$800

$1,000

$1,200

$1,400

Cla

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Claim Dollars $1,003 $918 $1,203 $676 $1,214 $859 $1,009

Non Wellness Members

Wellness Members

High Risk Medium Risk Low RiskWellness

Center UsersAmbassadors

Wellness Coaching Employee Claim Dollars

$0

$5,000

$10,000

$15,000

$20,000

$25,000

$30,000

$35,000

Active NonActive

Med Claims

Rx Claims

Wellness Member Average Absenteeism

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140.00

Hou

rs

06 Hours 44.44 44.91 32.52 52.71 39.97 32.08 0.20

07 Hours 60.53 59.75 48.44 61.73 58.64 56.16 61.74 68.72 137.3

Non Wellness Members

Wellness Member

Ambassadors High Risk Medium Risk Low RiskWellness

Center UsersNew Members Health Coach

Six Years Later…Risk Factors present at HRA screening

2001 2007 % Improvement

Blood Glucose 26% 5% 520%Stress 34% 9% 377%Blood Pressure 25% 11% 227%Dietary Fat 67% 39% 71%Tobacco 8% 6% 33%Fruit/Veg 92% 73% 26%Exercise 65% 56% 16%

Heartland Health employee Wellness Connections members measured in 2001 and again in 2007 (same employees) demonstrated significant reduction of health risk factors e.g. stress and exercise. These concepts are promoted in the market and community.

Worker’s Compensation Claims• People that have a work related injury also have an

average of $10,593.76 in submitted claims.• People that do not have a work-related injury had an

average of $6,227.57 in submitted claims.• Fitness Center users had $0 in worker’s

compensation claims submitted in 2007, as in 2006.• Of the Wellness members who had a worker’s

compensation claim…averaged a total claim of $710. Non-wellness members who had a worker’s compensation claim averaged a total claim of $2,411.

Worker’s Compensation ClaimsContinued…

• People who had a worker’s compensation claim with days away AND restricted days ALSO had an average of $18,201 in submitted claims and an absenteeism rate twice that of the average employee.

• Low Risk Wellness members averaged $243 in worker’s compensation costs per claim… non wellness members averaged over $2,400. Medium risk Wellness members averaged $520, high risk members averaged $900. All well below non-wellness members.

Current Initiatives

• Coaching Program

• Online Passport

• Scorecard Changes

• BMI

• Top 100 Employees

• Goal Oriented Programming

• Medically Managed Weight Management