06-13-16 Regular Meeting of the La Porte City Council

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The Sample Company uses a participatory strategy rewarding employees for healthy behaviors. Employees can earn up to $100 for participation in the wellness opportunities. Although the Sample Company has developed a platform to encourage, develop, and maintain healthy lifestyles, participation in the programs has been minimal (less that 13% of employees participated in Biometrics in 2013). Short Term Strategies: Maintain a participatory wellness program. To increase engagement, revise the incentive structure to include a health insurance premium reduction between $25 and $50 per paycheck for employee completion of Health Assessment, Biometric Screening and Health Coaching is recommended. Establish a health insurance premium reduction for non-Tobacco Users. A per paycheck reduction between $25 and $50 for employees, retirees and spouses is recommended. Include spouses in Wellness Program and rate differential / incentive structures starting in 2016 for premium reduction in 2017. Re-launch the Sample CompanyP MotivateMe incentive platform and Zensey digital engagement platform. Implement and incentivize use of Cigna Healthy Baby program to target expectant mothers and high risk pregnancies. Establish plan participation and performance criteria to measure the short and long term success of the Wellness Program. Example: - Annual Participation: Minimum of 50% of population participates in one core program annually. - Biometric Participation: 80% of population participates in Biometric Screening and Health Risk Assessment. - Health Risk Reduction: Annual health risk shift of 2+% is defined as a decrease in the high-risk cohort or those with Metabolic Syndrome. Baseline biometric measurement in 2015 and compare to biometric measurement in 2016 (Cigna will provide reporting if screenings are provided by Summit Health). - Return on Investment (claims or risk factor models): 0.5:1 at the end of first year of full program implementation. 2:1 at the end of the second year. Re-evaluate disease management strategies and participation incentives for programs. Long Term Strategies: Consider moving from a participatory approach to wellness to a results based approach, providing incentives to participants who meet pre-established biometric criteria centered on risk for Metabolic Syndrome. Consider on-site or near-site physician services to enhance primary and preventive care utilization. Evaluate targeted coaching and educational programs for employees with high risk health conditions (ex. Diabetes) and incentive programs for participation.