quick guidewellness - onlife health · − one point of contact for billing, reporting and data....

Wellness

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Table of contents

Wellness Overview What is Wellness?.......................................................3 Program Benefits for You. For Employers.....................5 Qualifying Customers..................................................7 Clients........................................................................9 Competitors...............................................................11

Products and ServicesMember Portal..........................................................13 Health Risk Assessment............................................15Biometric Screenings................................................17 Health Coaching.......................................................19 Incentives.................................................................21Health and Wellness Challenges...............................23 AlwaysOn® Mobile App.............................................25 Onlife SyncTM............................................................27 Worksite Assessment and Onsite Services.................29

Administration and SupportReporting..................................................................30 Communications.......................................................33 Account Administration.............................................35 Pricing......................................................................36 Performance Guarantees...........................................39Sales Support...........................................................41

Onlife differentation

1. Experience: 20 years

2. Loyalty: 95% client retention

3. Affiliation: Blue Plans

4. Book of Business: Among the largest with 10+ million eligible lives

5. Scale: Large, complex implementations as well as <2,000 lives

6. Outcomes-based: Evidence-backed programs, data driven

7. Personalization: Portal, coaching, mobile, data integration, incentives

8. Big Data: Sophisticated analytics, predictive modeling

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What is Wellness?

2 wellnesstoolbox.com

Wellness is a state of physical and mental soundness.

Wellness programs are structured member-benefit options designed to:

• Assess members’ health and well-being.

• Identify health risks of individuals and across populations.

• Provide interventions and reasonable alternatives that promote healthy lifestyles, improve quality of life, and manage or mitigate chronic conditions.

• Create healthier and more engaged employees resulting in a more competitive workforce.

By law, participation in corporate wellness programs must be voluntary.

3

Benefits of a Comprehensive

Wellness Program


A great reflection on you You bring an essential element of

Total Population Health Management.

You are seen as a partner rather than a vendor, offering self-funded clients additional ways to manage risk and reduce costs.

You seamlessly integrate wellness into your product bundle.

− One point of contact for billing, reporting and data.

− Integration with other providers such as pharmacy, CM, and DM.

Great for employers

1. Improves the workforce − Healthy workers are more engaged,

satisfied and productive. − Reduced absenteeism and presenteeism. − Higher retention and morale.

2. Aids in recruitment (Employer of Choice)

3. Financial benefits − Better health outcomes. − Lower claims costs. − Helps control stop-loss premium rate increases. − Corporate tax advantages.*

* The expense of an employer-provided wellness program for employees is deductible as a business expense (26 U.S. Code section 162). Additionally, some states have implemented annual tax credits for employers with wellness programs.

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Qualifying Potential

Customers


PotentialClient Profile

1. Self-funded

2. 5,000+ covered lives

3. Concentrated or dispersed workforce

4. White collar or blue collar

5. Union or non-union

6. Just beginning or mature with wellness

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Clients


Sectors:

Size: • Smallest 1,700 lives

• Largest 8.6 million lives

• Median 37,000 – 50,000 lives

Geographic Dispersion: Southeast, Northeast, Midwest, South, West

Types of Workforces: Professional, blue collar, manufacturing, industrial, education, union, nonunion

Health Issues Addressed:

HEALTH PLANS

HEALTHCARE

EMPLOYERS

HEALTH TRUSTS

GOVERNMENT

MUNICIPALITIES

EDUCATION

ENERGY

CORRECTIONS

RETAIL

• Blood Pressure • Cholesterol • Diabetes • Men’s and

Women’s Health• Nutrition

• Physical Activity • Sleep Health • Stress Management • Tobacco Cessation • Weight Management

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Competitors


TIER 1, TIER 2

• Redbrick Health

• HealthFitness

• Healthyroads

• Healthways

• Virgin Pulse

EMERGING

• Hubbub Health

• Vivarae

• Welltok

• Sonic Boom

MAJOR CARRIERS

• Aetna Health Connection

• Cigna Healthcare

• Humana Vitality

• Optum Health

Major competitors

Ninety-two percent of large employers offer workplace wellness programs. With 8,600+ providers, competition is fierce.

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Member Portal and Engagement Hub


Simple Administration

Personalized to Individual Members

1. Syncs activities through the mobile app.

2. Permits new services to be easily plugged in and promoted.

3. Configures to an organization’s groups and individual members.

4. Accommodates multimodal channels (web, text, email, phone) to reach members based on their preferences.

5. Access aggregate reports.

6. Download roll-out materials and on-going communications.

• Take a health assessment.

• Set and track goals.

• Earn and track incentives.

• Easily connect with a health coach.

− secure, in-app messaging

− one-click calling

• Participate in self-directed programs.

• Find health-related articles.

• Participate in health challenges.

• Bring your own device and track activities by syncing 80+ fitness devices and mobile apps.

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Health RiskAssessment


Our HRA is developed internally using scientific technology and advanced branching logic to evaluate lifestyle and health risks.

Biometric screening data is integrated into the HRA to supplement the clinical profile of each user.

Various delivery options:• Online• Mobile• Paper

Can be taken in English or Spanish. For other languages, use of the AT&T Language Line is available.

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BiometricScreenings


Biometric screenings are conducted by medical professionals who measure physical characteristics such as height, weight, resting pulse, waist circumference, and collect blood samples (finger stick or venipuncture) to evaluate:

wellnesstoolbox.com

• Total cholesterol• HDL and LDL

cholesterol• BMI

• Glucose• Blood Pressure• Hemoglobin A1C• Cotinine

Screening events can be arranged at the worksite or employees can have them done at other locations such as an onsite clinic, convenience/urgent care center, or their physician’s office.

After the screening, results are reported back to participants. They receive points upon having the results loaded into their health profile.

Employers receive aggregated population reports. 17

HealthCoaching


Applying behavioral interviewing techniques and evidence-based methods, coaches work with members in many areas.

Core Programs• Weight management• Nutrition• Physical activity• Tobacco cessation• Stress management• Blood pressure

management• Cholesterol

management

Extended Programs• Asthma• Autoimmune Disorders• Back Health• Bone Health• Celiac Disease• Diabetes• Diverticular Disease

• GERD• Inflammatory Bowel

Disease• Irritable Bowel

Syndrome• Maternal-Child Health• Menopause• Metabolic Syndrome• Migraine• Preventive Health• Food Allergies• Lactose Intolerance• Gluten Insensitivity• Weight Gain• Bariatric Surgery• Sports Nutrition• Sleep 19

Incentives


Incentives increase engagement and uptake in wellness programs.

Without them, our research shows that HRA participation peaks between 10 percent and 15 percent. With the right mix of incentives, that number can grow to 70 percent or higher.

1. We analyze population metrics and recommend the optimum blend of incentive types and values for both participatory and outcomes-based programs.

2. We customize schedules to groups.

3. We measure organizational culture and advise how it can impact uptake.

4. We handle administration and fulfillment.

5. We arrange group or individual discounts on wearables.

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Health andWellness

Challenges


Challenges make getting healthy fun by combining elements of motivation, accountability, competition, camaraderie and recognition.

We offer a variety of health challenges ranging in duration from weeks to months.

Each challenge is aimed at improving

1. Physical activity.

2. Weight management.

3. Nutrition.

4. And more. Members can

1. Participate individually or as a team.

2. Sync fitness devices to track progress.

3. Share activities online or through mobile apps.

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AlwaysOn® Mobile App


Easy.Convenient. Free.

Members can connect with their wellness plan anytime, anywhere.

1. Fully configurable to client’s service bundle and branding.

2. Secure and HIPAA compliant.

3. Connects members with a health coach, health assessment, and all portal content.

4. Intuitive and engaging.

5. iOS and Android.

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Onlife SyncTM


Benefits employers:

• No need to purchase, distribute or maintain fitness devices because members can bring their own.

• Verifiable data validates that activities are actually being done.

• Bulk discounts are available to organizations that would like to provide or standardize the devices their participants use.

Benefits members:

Onlife SyncTM makes it easy to keep track of what counts. Our integration engine automatically gathers member data and makes it available across multiple platforms (portal, mobile app, coaching platform, incentive system, etc.).

Sync 80+ fitness devices

and apps

Tracks their activity of choice – running, walking,

swimming or cycling

Members can purchase discounted

activity-tracking devices directly from the member portal.

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OtherServices


Onthemark® Worksite AssessmentNo two organizations are the same. As an optional service, we provide a comprehensive worksite assessment to gauge a company’s culture of health. In customizing a solution, we consider:

• Policies and programs (i.e., no smoking policy).• Physical environment.• Demographic profile.• Leadership commitment. • Internal communications.

The assessment includes surveys, interviews, focus groups and workplace audits. From the findings, specific recommendations are tailored to the needs of the client and the population.

Onsite ServicesWe are pleased to provide services for employees at their worksites.

• Health coaching• Health education seminars• Biometric screenings • Fitness Center management• Health fairs• Group fitness programs 29

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Reporting

STANDARD REPORT

SATISFACTION REPORT

RISK MITIGATIONREPORT

BIOMETRICSSUMMARY

• Health assessment completion

• Coaching metrics

• Prevalence information

• Portal tracker usage

• Self-directed course usage

• Device integration usage

• Health challenge participation

Participant satisfaction

Year-over-year health risk comparisons

Population distribution by healthy, at risk, and unhealthy categories per biometric category

NAME METRICS FREQUENCY

Updated weekly accessible on demand

Quarterly

Annually

Annually

Ad hoc reports by request. These typically include analyses of sub-groups (by demographic, region, line of business, etc.), and mining data for targeted intervention recommendations.

Custom reports, such as monthly reports for Wellness Champions, may incur additional charges.

RETURN ONINVESTMENT

PROGRAMPARTICIPATION

HEALTH ASSESSMENTSUMMARY

HEALTH ASSESSMENTRESPONSESUMMARY

Economic impact of health outcomes and productivity improvements

Participants who have earned incentives

Health risks of the population

Response summaries of each question in the HA

Annually

Annually

Annually

Annually

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Communications


Evidence shows that a strong organizational culture, leadership support, and effective communications drive uptake in wellness offerings.

To help promote a culture of health, each client receives an Engagement Toolkit and Communications Calendar. Customizable pieces available from the ondemandTM website include:

• Newsletters• Brochures• Email templates• Posters• FAQs• Social media

messaging

• Newsletters

• How-to guides• Activity guides• Educational handouts• Wellness Champion

leadership training• And more

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Administrative Services


Member-facing services

• Coaching Center and Participant Center hours (Central Time)

− Mon.-Fri. 7 a.m.-10 p.m. − Sat. 9 a.m.-4 p.m. − Dedicated 800 telephone number

Client-dedicated team

• Implementation and Account Management infrastructure consist of the following individuals assigned to each client.

− Account Executive – the primary point of contact regarding plan design and execution

− Account Implementation Manager – oversees the implementation process by leading a cross-functional team to administer and ensure quality delivery of every program launch

− Wellness Program Administrator (recommended) – provides oversight for other aspects of wellness programming

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Pricing

BASIC SERVICES

• Personalized Web Portal − Health Risk Assessment and Processing − Searchable Health Content − Health Tracking Tools − Health News − Self-Directed Programs

• OndemandTM Client Engagement Toolkit • AlwaysOn® Mobile App • Device Integration • Account Management, Reporting

and Communications• Wellness Program Administrator

ADVANCED SERVICES

• Coaching − Outreach to Members − Unlimited Inbound Calling − Toll-free Access − Secure Email − Text Message Reminders − Onsite Coaching• Biometric Screenings• Health Challenges+

Per Eligible Member

Per Month (PEMPM)

Per Participant

+Implementation fee

OTHER SERVICES

ONTHEMARK® WORKSITE ASSESSMENT

PAPER HRAs

CUSTOM REPORTS

ADDITIONAL EXECUTIVE REPORTS

CUSTOM COMMUNICATIONS

TRAVEL AND MATERIALS At Cost

Annual fee

Per surveyPer hour

Per extra report

Per hour

Other Pricing Considerations

• Will consider fixed-price arrangements with multi-year contracts

• Shared savings models

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Performance Guarantees


1. Contact Center − Average speed of

telephone answer − Call abandonment

rate

2. Health Assessment completion rate

3. Return on Investment

4. Participant Satisfaction

5. Client Satisfaction

6. Initial Engagement

7. Coaching − Self-directed

programs

8. Sustained Engagement − Coaching − Self-directed

programs

9. HRA Outcomes

10. Implementation Satisfaction

We typically put 10 percent of our fees at risk. ROI performance guarantees relating to HA and Health Coaching are provided for 5 key groups of a client’s choosing. Client requirements apply.

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Additional Help


We are happyto assist yoursales effort by:

• Working with your team to identify target opportunities in your current book of business.

• Accompanying you in client meetings acting as subject matter experts or helping with Q&As.

• Complementing your internal training by making our consultants available for onsite learning.

• Assisting with market intelligence and wellness alternatives that can differentiate your breadth of services.

• Helping with RFP completion for services relating to health, wellness, and well-being.

We’re available to answer any of your questions. Please contact us at [email protected] or by calling 888-676-3975.

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Appendix Account management, 35Biometric screenings, 17Clients profiles, 7, 9 sectors, 9Communications, 33Competitors, 11Culture of health, 29Data integration, 27Health challenges, 23Health coaching, 19 coaching center hours, 35Health conditions, 9, 17Health Risk Assessments, 15, 12Incentives, 21Member portal, 12Metrics, 30-31Mobile app AlwaysOn®, 12Onlife Health clients, 9 competitors, 11 differentiation, 1Onlife Sync™, 27Onsite services, 29Onthemark® Worksite Assessment, 29Performance guarantees, 39Portal, 12Pricing, 36-37Reporting, 30-31Sales support, 41Total Population Health Management, 5Wearables and devices, 12, 17, 21, 27Wellness benefits for health plans and employers, 5, 27 defined, 3 integration, 5, 27 tax deductibility of programs, 5 voluntary participation, 3

quick guidewellness - onlife health · − one point of contact for billing, reporting and data....

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