Objectives. Present a process for

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1 W E L L N E S S C O U N C I L O F A M E R I C A N AT I O N A L T R A I N I N G S U M M I T

2 Objectives Present a process for determining the ROI of a self-care program. Offer up 22 ways to help your employees cut costs and save money on health care. Identify seven websites that every employee should know about.

3 Part I Present A Process For Determining The ROI Of A Self-Care Program

4 Medical Self-Care And ROI In a cursory literature review of workplace-based medical self-care initiatives, employers have documented ROI from 3:1 to as much 19.86:1.

5 Calculating MSC ROI Part 1: Calculate The Cost of The Self-Care Guides Publication Quantity Price Each Cost Per Employee (Name Here) 150 $8.49 $8.49 Cost Per Employee Over 3 Years $2.83 per person per year The total cost of the guides is $1, Source: Don Powell, AIPM

6 Calculating MSC ROI Part 2: Determine Utilization & Cost Assumptions The average cost for a physician visit is $121 and the average cost for an ER visit is $560. For the first year, it s estimated that 25% of the households will avoid one unnecessary physician visit = 37.5 visits saved ( ). For the first year, it s estimated that 5% of the households will avoid one unnecessary emergency room visit = 7.5 visits saved ( ). Source: Don Powell, AIPM

7 Calculating MSC ROI Part 3: Calculate Projected Cost Savings* Physician visit savings = $4,538 ($ visits) Emergency room visit savings = $4,200 ($ visits) Total savings = $8,738 Per Member/Employee savings = $58.25 Return on Investment = 6.9 to 1 in the first year ( $8,738 / $1,274 ) Return on Investment = 20.6 to 1 over the 3 years ( $26,213 / $1,274 ) Source: Don Powell, AIPM

8 Colleen Reilly `` Self-Care: What America s Healthiest Companies Do Differently

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10 Part II Present 22 Ways To Help Your Employees Cut Costs And Save Money On Health Care

11 22 Ways 1To Help Your Employees Cut Costs And Save Money On Health Care Encourage Your Employees To Wash Their Hands

12 Simple Things More than 20,000 deaths could be avoided each year, simply by washing hands. U.S. Navy researchers found they could reduce the number of respiratory illnesses in young recruits by 45%, just by ordering the recruits to wash their hands five times per day. Another study found that teaching elementary school kids about the importance of proper hand washing can reduce school absenteeism by half.

13 22 Ways 2To Help Your Employees Cut Costs And Save Money On Health Care Promote Daily Walking

14 Exercise Is Medicine Osteoporosis Prevention of Weight Gain Risk of Disease Diabetes Mellitus CHD Musculoskeletal Injury Functional Health Status Stroke Activity

15 22 Ways 3To Help Your Employees Cut Costs And Save Money On Health Care Advocate Personal Health Records

16 Remember This 95% of an individual s diagnosis will be based upon the information contained in their personal health record!

17 22 Ways 4To Help Your Employees Cut Costs And Save Money On Health Care Make Securing A Great Primary Care Doc A Priority

18 The Average Number Of Days To See A Primary Care Doc

19 22 Ways 5To Help Your Employees Cut Costs And Save Money On Health Care Give Everyone A Medical Self-Care Book

20 Medical Self-Care Saves Money! Approximately of 30% of all ER visits are deemed to be unnecessary $1,265 per visit. More than 30% of all physicians visits are entirely unnecessary $120 per visit.

21 22 Ways To Help Your Employees Cut Costs 6 And Save Money On Health Care Zero-In On Annual Preventive Care

22 Would You Believe? Less than half of all adults make it a point to get an annual preventive exam even though most of them are already paid for.

23 22 Ways 7To Help Your Employees Cut Costs And Save Money On Health Care Find The Closest, Lowest-Cost Urgent- Care Facilities That Are In Your Network

24 Do The Math Average cost of innetwork ER is about $1,000 A typical visit to an urgent care is $71 A trip to a convenience care clinic is $33 Kiplinger Reports

25 22 Ways 8To Help Your Employees Cut Costs And Save Money On Health Care Be A Champion For Your Insurer s Websites

26 It s All There Specific fees for physicians Retail prices for procedures Exactly how much you ll pay on your plan s coinsurance Whether or not you ve met your deductible

27 22 Ways 9To Help Your Employees Cut Costs And Save Money On Health Care Circulate A List Of Your Insurer s Covered Medications

28 Is Your Drug Covered? 70 million Americans take at least one prescription every day buying an uncovered drug can cost you hundreds in unnecessary expenses!

29 22 Ways To Help 0Your Employees Cut Costs And Save Money On Health Care Recommend Employees Switch To Generics

30 The Savings Can Be Huge Glucophage «Metformin Prilosec «Omeprazole $4,500! Zocor «Simvastatin Coinsurance is usually lower as well 15% for generics 25% for brand name. Generics can also be safer!

31 22 Ways To Help 1Your Employees Cut Costs And Save Money On Health Care Promote Mail-Order Medications

32 Meds By Mail Many mail order companies often provide a 3-month supply of meds for the same price as a 1-month supply at your local pharmacy. This strategy on Crestor, for example, could save you $1,000 a year.

33 22 Ways To Help 2Your Employees Cut Costs And Save Money On Health Care Encourage Your Employees To Search For Therapeutic Alternatives

34 Huh?? Some brand-name drugs don t have generic equivalents yet but they have a therapeutic equivalent. For example, Mavik (blood pressure med) costs $33 for 30 days supply. Lisinopril is $7. Savings $312 per year!

35 22 Ways To Help 3Your Employees Cut Costs And Save Money On Health Care Advise Employees To Double Up

36 2 Is A Money Saver! If you are taking a 20mg pill twice a day, you may be able to switch to a 40mg once a day. The savings in a typical year could be $500 or more!

37 22 Ways To Help 4Your Employees Cut Costs And Save Money On Health Care Make It A Priority Among Employees To Ask For Samples

38 It Doesn t Hurt To Ask Asking for samples can easily save you more than $100 each year.

39 22 Ways To Help 5Your Employees Cut Costs And Save Money On Health Care Suggest Getting A Prescription For OTC Drugs

40 Prescriptions And OTC You can t use HSA or FSA dollars to buy non-prescription drugs (except insulin). But you can use the money if you get a prescription for OTC drugs from your Doc. The savings could be a $1,000 or more per year. Kiplinger Reports

41 22 Ways To Help 6Your Employees Cut Costs And Save Money On Health Care Encourage Using Dental Schools

42 Dental Schools Rule! To save money on routine dental care head to campus. Many dental schools have great programs for cleanings, fillings and more all under a professors supervision. Typical savings range from $200 $500 annually. Contact your state dental society to find the nearest school.

43 22 Ways To Help 7Your Employees Cut Costs And Save Money On Health Care Exalt Employees Who Ask About Price And Cash Discounts

44 Money Talks Some providers will give you as much as a 20% discount if you pay in cash! This is huge if you are in your deductible phase!

45 22 Ways To Help 8Your Employees Cut Costs And Save Money On Health Care Itemize, Itemize, Itemize

46 It Pays To Check About 80% of doctor and hospital bills contain errors, according to Medical billing Advocates of America. If you need help contact, the Patient Advocate Foundation and they ll review your medical bill for FREE.

47 22 Ways To Help 9Your Employees Cut Costs And Save Money On Health Care Find Fair Prices At Health Care Blue Book

48 Health Care Blue Book Find fair prices Find money saving tips for each procedure Negotiating strategies

49 20 22 Ways To Help Your Employees Cut Costs And Save Money On Health Care Ask About Alternative Facilities

50 Competition Is Good Different facilities charge different prices! In network cost of an MRI at a hospital is $1,145. In network costs of an MRI at an independent radiology facility is $560.

51 21 22 Ways To Help Your Employees Cut Costs And Save Money On Health Care Offer Your Employees A High-Deductible Plan

52 Jeff Rubleski `` How To Structure Your Benefit Plan To Promote Self-Responsibility

53 22 Ways To Help Your Employees Cut Costs And Save Money On Health Care Encourage Employees To Check Their Medical Records

54 Medical Records Are A Big Deal Errors in your medical records can cost you big time! To learn more, log on to annualmedicalreport.com. portrayal_of_mib.html

55 Part III Introduce Seven Sites That Can Save Your Employees Big Dollars

56 Seven Sites Every Employee Should Know About EHealthinsurance.com Healthcare.gov Medclaimsliason.com Dentalplans.com Drugstore.com Destinationrx.com Partnershipforprescription.com Assistance

57 Objectives Present a process for determining the ROI of a self-care program. Offer up 22 ways to help your employees cut costs and save money on health care. Identify seven websites that every employee should know about.