City of Irving Wellness Program: I Win. I Win TMHRA Annual Conference April 29-May 1, 2015

Transcription

1 City of Irving Wellness Program: I Win I Win TMHRA Annual Conference April 29-May 1, 2015

2 Overview: Why I Win? Rising healthcare cost Needed ways to mitigate post-retirement healthcare cost following GASB 45 requirement Create a culture that rewards personal responsibility Aging workforce now is ripe for retirement City s costs will continue to grow faster if not controlled I Win was a solution that combines incentives with personal responsibility and cost-fairness Needed to position the City for possibility of healthcare reform (Affordable Care Act) and other pressure points 2

3 I Win Program Model Physical Fitness Component I Win Rewards In Employees Pay check Credit for Retiree Health Ins. Prem. Biometrics Component 3

4 Physical Fitness Test Physical fitness test meter run - Bench press - Mile and a half run - Push-ups - Sit-ups - Vertical jump Results are set based gender and age, using Cooper Clinic s norms 4

5 Biometric Test Biometrics wellness wellness points - Blood pressure - Body fat percentage - Cholesterol - Fasting glucose - Triglycerides - Waist measurement Must be tobacco non-user 5

6 Wellness Points Accumulate 200 or more I Win points through: - Attend speaker forums, lunch and learns - Do Fun Runs/Walks - Go to the gym or recreation centers and exercise - Join exercise groups walk, jog, bike - Participate in team sports - Preventive exams, flu shots, biometric tests - Weight loss or maintain ideal weight levels All activities must be documented and verified 6

7 Impact To Employee Pay Physical Fitness and Biometric Rewards - Level 1/Score 8 = $150 per month - Level 2/Score 6 = $100 per month - Level 3/Score 4 = $50 per month Wellness Paid Day Off The Roadrunners! City of Irving employee walking group 7

8 Benefit Upon Retirement Retiree health insurance premium credit - Biometrics wellness scores - Physical fitness test scores Retiree Premium Credit Reward - Level 1/Score 8 = 150 credits per month - Level 2/Score 6 = 100 credits per month - Level 3/Score 4 = 50 credits per month 8

9 City s Retiree Health Insurance Liability has been Reduced $60,000,000 A 25-year projection of City s retiree insurance liability has been reduced from $52.3M to 19.0M* $50,000,000 $40,000,000 $52.3M 2009 $30,000,000 $20,000,000 $10,000,000 $26.4M 2010 $26.5M 2011 $19.0M 2012 $ *2011 an actuarial valuation by GRS 9

10 City s Retiree Health Insurance Liability has been Reduced Other initiatives that helped reduce retiree insurance liability by more than $33 million include: Offering monthly fixed subsidy towards retiree premium through age 65 based 5 to 9 years of service 10 to 19 years of service 20 years or more $75 per month $300 per month $400 per month I Win fitness or biometric test credit towards retiree premiums 10

11 Employees Earning Biometric or Physical Fitness Pay

12 Employees Who Earned Wellness Day Off

13 Wellness Points Earned Annually 200, , , , , ,000 80,000 60,000 40,000 20, ,321 37,574 61, , , ,

14 Results Summary of Key program metrics currently 1,699 full-time employees ,142 1,380 1,291 Completed biometric screening annually Earned I Win physical fitness or biometric testing rewards 11,321 37,574 61, , , ,121 Wellness points earned annually $52.33M At the end of Earned wellness day off $26.38M At the end of 2009 $26.51M n/a $19.04M n/a I Win, along with other cost containment initiatives implemented by the Irving, helped reduce City s retiree health insurance liability from a high of $52.33 million in n/a n/a Average Risk Factors measured by the biometrics test per employee tested. 14

15 Results I Win program has been recognized 2009 Texas State House of Representatives Proclamation 2009 Received Texas Governor s Recognition 2009 Recipient of American Heart Association Gold Level Fit Friendly Workplace Award 2010 Worksite Innovations Award 2010 Recipient of American Heart Association Everson Walls Life Style Change Award 2010, 2011, 2012,2013 and 2014 Recipient of American Heart Association Platinum Level Fit Friendly Workplace Award City of Irving 2014 American Heart Association Award Presentation 15

16 Results I Win program has been recognized 2012, 2013, 2014 and 2015 Healthiest Employer award 2011 Presented at GFOA national & Webinar conferences 2011 Received the GFOA Award for Excellence 2011 Featured in GFOA White Paper on Healthcare Cost Containment Requested by 52 public and private sector employers and organizations 16

17 Success Stories Maria W. Lost over 50 lbs (got off medications for high blood pressure and diabetes) Teresa K. Lost over 105 lbs (lowered blood pressure and cholesterol) Rosie Lost 35 lbs (eliminated medication/runs 5k races) TJ Found cancer through Health Fair screening Fred Lost 175 lbs (A1C diabetes went away) Joseph Lost 115 lbs (pre-diabetes diagnosis went away)

18 Looking Ahead Challenges The need to address dependents health issues Managing catastrophic medical claims cost The need to keep things fresh for maintained engagement Address ways to engage non-office employees more Maintain separation from medical plan to avoid ACA incentive limitations