Overview Health Statistics ACA Framework for wellness Employer Strategies Wellness Bill and...
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Transcript of Overview Health Statistics ACA Framework for wellness Employer Strategies Wellness Bill and...
Overview
•Health Statistics
•ACA Framework for wellness
•Employer Strategies
•Wellness Bill and California Climate
U.S. Healthcare Facts
•While 70% of healthcare costs are preventable, only 1% of healthcare costs are invested in prevention & wellness.
•U.S. accounts for only 5% of the world’s population yet we consume 1/2 of all the prescription drugs manufactured world wide!
•Nearly one-third (31%) of us are clinically obese (body mass index of 30% or more).
Obesity leads to lots of ills, from heart attacks, strokes and diabetes. The annual costs for treating diabetes alone exceed $200 billion.
Obesity Trends* Among U.S. AdultsBRFSS, 1985
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
BRFSS, Behavioral Risk Factor Surveillance System http: //www.cdc.gov/brfss
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 1995
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2005
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2008
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Framework
• Health Insurance/Wellness Copays• http://www.healthcare.gov/prevention/index.
html
• Provider Reimbursements
• Spurring innovation
Startup Incubators & Open Data Initiatives
Quantify self New EMR
Provider/Patient R/shipsSelf-DiagnosisMental Health
Enhanced Care DeliveryGet in shape
FoodQ&A
Find/Rate a DoctorPaying Bills
Cost TransparencyClinical Trials
Children
• healthdatapalooza.org• hhs.gov/digitalstrategy/open-data
Employer strategies (small business <50)
• Tiered contribution structures tied to:• Financial (or other) incentives
• Annual physical exam• Biometric screening
• Team contests;• Walk-a-thons
• Healthy Snacks
Wellness in California Insurance Market
• Rating (providing discounts) for smokers vs. non-smokers (allowed in ACA) was disallowed in California under AB 1083 last year.
• SB 189 (Monning) in Senate Health committee review now will greatly restrict wellness initiatives allowed by Federal ACA.
• Good intentions: avoid discrimination• Bad law: wrong approach