Cost Neutral Wellness. Diane Andrea, RD, LD Wellness Consultant
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1 Cost Neutral Wellness Diane Andrea, RD, LD Wellness Consultant
2 The Bottom Line Unhealthy behaviors Health risks Chronic disease Employeerelated expenses
3 Percent of Chronic Diseases That Are Caused by Poor Lifestyle 71% 70% 82% 91% Sources: Stampfer, 2000; Platz, 2000; Hu, 2001
4
5
6 Risk is Not Static High Risk Moderate Risk 2% - 4% Low Risk
7 Annual Savings High Risk Moderate Risk $153 Low Risk $350
8 62% of employees believe workplace wellness activities are successful in improving their health and reducing health risks.
9 Costs
10 Costs Incentives Biometric screenings Wellness Programs Staffing Wellness vendors
11 Wellness Budget PEPM employees $ employees $ employees $10 Under 50 employees $20
12 Return on Investment (ROI)
13
14 Incentives Expected Participation Trinkets and t-shirts 10-15% Merchandise 15-50% $25-$50 Cash 35-75% Premium reductions 50-80%+
15 Incentives $521 83%
16 Incentives Wellness Based Incentives % of companies Decrease in premiums 61% Cash or gift cards 55% HSA contribution 27%
17 Incentives Start slowly Implement carefully
18 Low Cost Incentives Carrier resources
19 Carrier Resources Imbedded wellness Newsletters 24 hour nurse lines Online portals Smoking cessation programs Health risk assessments Nutritional databases Telephonic coaching
20 Low Cost Incentives Creative In-house resources Community resources Non-tangible rewards
21 Biometric Screenings Blood pressure Cholesterol total, LDL, HDL Triglycerides Glucose Body mass index Waist circumference
22 ROI Program Amount earned for every $1 spent Health Risk Assessments $6.04 Fitness Programs $4.90 Wellness Coaching $4.50 Smoking Cessation $3.50 Flu Shots $2.10 Obesity Management $1.17
23 Cost Shifting Premium reductions for participants in a wellness program.
24 Major Areas to Address Physical Activity Nutrition Stress Reduction Tobacco Cessation
25 Physical Activity Strategies Low Cost Support physical activity breaks Map out on-site trails and walking routes Host walk and talk meetings Post motivational signs at elevators & escalators to encourage stair use Explore fitness center corporate discounts
26 Physical Activity Strategies Low Cost Create a culture that discourages sitting for long periods of time Start employee activity clubs (walking, bicycling, running) Post or distribute community and charity runs, walks, and other activity events
27 Physical Activity Strategies Low Cost Offer on-site space for employees to work out during lunch, before or after work Distribute a newsletter with physical activity tips and strategies Distribute a physical activity log
28 Physical Activity Strategies Low Cost Stairwell challenge Have a Wii Fit competition Smart phone exercise apps Host a fun tournament
29 Physical Activity Strategies Medium Cost Provide bicycle racks in safe, convenient and accessible locations Support recreation leagues Explore subsidized fitness memberships Implement incentive based pedometer program Offer fitness DVD lending library Provide speakers on exercise and offer fitness assessments.
30 Physical Activity Strategies High Cost Provide shower and/or changing facilities on-site Provide on-site fitness opportunities such as personal trainers, fitness classes Provide incentives for participation in fitness related activities Create a walking path at work Provide an on-site exercise facility with on-site child care facility
31 Nutrition Strategies Low Cost Send healthy eating newsletters to employees Promote fruit and vegetable consumption through signs and posters Discourage employee eating at their desk Offer appealing, healthy vending options Work with on-site cafeterias to encourage healthy cooking practices
32 Nutrition Strategies Low Cost Use competitive pricing to make healthy options more economical Adopt a healthy foods policy Promote cooking classes in the community Offer meeting space for weight loss programs
33 Nutrition Strategies Low Cost Promote healthy restaurants and food trucks in the area Provide a healthy recipe library Get rid of candy dishes and replace with healthy options
34 Nutrition Strategies Medium Cost Offer a fruit and/or vegetable tasting party Make water and ice available to employees throughout the day Offer healthy food alternatives at meetings and company events Provide kitchen equipment for employee food storage and preparation
35 Nutrition Strategies Medium Cost Offer fruits and vegetables at the worksite Start a work-site garden Establish workplace policies and appropriate space that promotes and supports breastfeeding Have a dietitian present on healthy eating strategies or label reading
36 Nutrition Strategies High Cost Offer on-site cooking classes Subsidize weight loss programs and offer on-site Provide incentives for participation in weight loss programs Purchase healthy vending machines Offer an on-site farmer s market Put together a healthy cookbook for employees Offer standing desks and stability ball chairs
37 Stress Reduction Strategies Low Cost Offer flexible lunch times Offer job sharing Offer a lunch n laughs program Share lunch with co-workers Post signs that remind employees to relax Schedule fun tournaments
38 Stress Reduction Strategies Medium Cost Post employees nature pictures in a stress-free work zone area Offer stress management workshops Offer an employee assistance program (EAP) to employees and promote it Schedule off-site meetings
39 Stress Reduction Strategies High Cost Provide on-site counselors Provide chair massages on a regular basis Enhance the work environment with light and color Offer a quiet room for employees to decompress Dedicate an employee game room
40 Tobacco Cessation Strategies Low Cost Establish a policy prohibiting tobacco use on company property Provide posters, signs to support the no tobacco policy Promote the Tobacco Quit Line (800-QUIT-NOW) Encourage use of healthcare insurance programs
41 Tobacco Cessation Strategies Medium Cost Offer smoking cessation programs at the workplace
42 Tobacco Cessation Strategies High Cost Offer subsidized tobacco cessation products Provide on-site or individual counseling
43 Educational Strategies Low Cost Flyers/newsletters from carriers Insuring Health Lifestyles weekly information Local Hospitals Community resources Carrier Resources
44 Educational Strategies High Cost On-site Wellness Coordinator
45
46 Wellness Resources: Insuring Healthy Lifestyles A resource guide of wellness related organizations
47 Wellness Resources National Health Observances CDC Workplace Wellness site Wellness Council of America
48 Wellness Resources American Heart Association CDC Healthy Worksite Initiative Lets Move
49 Wellness Resources Daily Challenge WellSteps Wellness Tools ROI Calculator
50 Questions?? Contact Me: Diane Andrea (314)
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