Obesity in America A Growing EpidemicWorkplace Strategies & Solutions UniqueU Medical Weight Loss & Wellness Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD 513-984-2700 www.UniqueU.com
UniqueU’s Corporate Wellness Training -CERTIFIED WELLNESS PROVIDER-MEMBER OF AMERICAN COLLEGE OF OCCUPATIONAL ANDENVIRONMENTAL MEDICINES, HEALTHY WORKFORCE NOW PROGRAM. MEMBER OF THE FOUNDATION FOR WELLNESS PROFESSIONALS
Overview 1/3 of U.S. population is obese 2/3 of U.S. population is overweight or obese 74% Increase over 10 year period Costs U.S. companies $13 billion/year Employers, and employees, have important roles in addressing this epidemic
Outline Obesity: scope of problem Contribution to rising healthcare costs What is obesity? Role in chronic disease, disability Workplace strategies and trends Return on Investment Case Study Individual Assessments Wellness Programs Questions/discussion
Obesity Has a Hefty Price Tag ~$117 billion in 2000 ($61 billion direct and $56 billion indirect) 6-10% of U.S. health care spending Health costs >30% higher than normal weight individuals
More on the Bottom Line Costs companies >$13 billion annually More than twice as many sick days Disability, workers compensation Self esteem, emotional factors affect productivity Costs of accommodations, chairs, keyboards
Definitions of ObesityClassification BMI (kg/m2) Comorbidity RiskUnderweight < 18.5 Low*Normal range 18.5 to 24.9 AverageOverweight 25.0 to 29.9 IncreasedObese class 1 30.0 to 34.9 ModerateObese class 2 35.0 to 39.9 SevereObese class 3 40.0 Very severe (Morbidly obese) *risk of other clinical problems increasedCalculate your own BMI: http://www.nhlbisupport.com/bmi/
Apples and PearsWaist circumference is tied to cardiovascular riskTipping Point: Men: >40 inches Women: >35 inches
Obesity Major Player in Many Diseases Diabetes Pregnancy complications Coronary artery disease Gallbladder disease Peripheral artery disease GERD Stroke Skin infections Urinary incontinence Hypertension Depression Hyperlipidemia Eating disorders Arthritis Social stigma Obstructive sleep apnea Cancers: breast, endometrial, Pulmonary disease colon, prostate, gallbladder, PCOS/infertility kidney, esophagus… Dysmenorrhea Increase in all causes mortality
7 preventable & reversibleconditions with weight-loss Hypertension Dyslipidemia Type II Diabetes Heart Disease Sleep Apnea Certain Cancers Metabolic Syndrome
Why Workplace Solutions? Workplace can be part of the problem Employees willing to pay for it An ideal opportunity for social reinforcement
Workplace involvement pays off Wellness programs with onsite or online wellness coaches are effective Incentives Ongoing reminders through newsletters, posters, speakers Weight management support groups
The Hard Return on Employee Wellness Programs? (Berry, Mirabito, Baun) “Employee wellness programs have often been viewed as a nice extra, not a strategic imperative. But the data show otherwise. The ROI on comprehensive, well-run employee wellness programs can be 6 to 1”.
The Hard Return on Employee Wellness Programs? (Berry, Mirabito, Baun) Our extensive research on workplace wellness has led us to arrive at this definition of it: an organized, employer-sponsored program that is designed to support employees (and, sometimes, their families) as they adopt and sustain behaviors that reduce health risks, improve quality of life, enhance personal effectiveness, and benefit the organizations bottom line.
Case Study Health costs >30% higher than normal weight individuals• Brennan Scanlon, Scanlon & Associates Employee Benefits Broker• Develop a Case Study, using past patient data from UniqueU, wherein obesity related conditions were actually reversed. What difference would that make to a companies health care premiums & claims costs?
Case Study Census• Brennan took a random sample from 32 Unique U patients grouping them together by professional class• Approximately 7 of them had one of more of the conditions that can be reversed with weight loss.• UniqueU reduced their BMI to a level that can reverse these conditions• Brennan then proposed before & after scenario’s to medical carrier underwriters of this group
Case Study 11600140012001000 With800 Conditions600 Without Conditions400200 0 EE EE+S EE+C FAM $457.24 $1,005.01 $771.82 $1,411.50 22% $374.79 $823.78 $632.64 $1,156.97
Case Study 1- Additional premiums due to conditions Employee Employee/Spouse Employee/Children FAM Bi Weekly $41.23 na $69.59 $127.27 Monthly $82.45 na $139.18 $254.53 Annually $989.40 na $1,670.16 $3,054.36Total additional premium annually-company • $46,401.48
Case Study 21800160014001200 With1000 Conditions 800 Without600 Conditions400200 0 EE EE+S EE+C FAM $507.74 $1,017.02 $964.17 $1,624.76 $338.49 $744.68 $643.14 $1,083.17 49%
Case Study 2- Additional premiums due to conditions Employee Employee/Spouse Employee/Children FAM• Bi Weekly $84.87 na $160.75 $271• Monthly $169.25 na $321.57 $541.59• Annually $2,031 na $3,858.84 $6,499.08• Total additional premium annually-company • $97,485.24
Claims: Including deductible, coinsurance & copays• Office Visits • Hypertension• Specialist Visits • Dyslipidemia• Emergency Visits • Type II Diabetes• Diagnostic Testing • Heart Disease• Inpatient Services • Sleep Apnea• Outpatient Services • Certain Cancers• Medical Devices • Metabolic• Medicines Syndrome• Labs
Related Medicines• Benicar • Plavix• Coreg • Ramipil• Synthroid • Glimpiride• Zoloft • Synthroid• Wellbutrin • Metformin• Meloxicam • Meloxicam• C Pap • Tricor• Insulin • Lipitor
Premiums + Claims• Case Study 1 • $80,427• Case Study 2 • $131,511
Large Group Scenario Estimates• 128 Employee Company • $321,708 to $526,044• 258 Employee Company • $643,614 to $1,052,088
What can reducing BodyMass Index (BMI) mean for probability of Chronic Disease?
Wellness Tax Credits & Grants IRS Publication 502Deductible Medical Expenses may include but are not limited to: Payments to participate in a weight loss program for a specific disease or diseases, including obesity, diagnosed by a physician.
Blueprint for HealthThe American College of Occupational and Environmental Medicine hasdeveloped a software program that is statistical driven to determine totalcost impact from health related conditions from over 2 million employers in the United States. Some criteria measured include: -Absenteeism / Presenteeism -Chronic Health Related Conditions (Physical and Psychological) -Productivity
Elements of a Well Designed Wellness Program: -INDIVIDUAL COMPANY ASSESSMENT AND NEEDS. -DATA COLLECTION FOR STATISTICAL ANALYSIS. -OPERATIONAL PLAN, BASED ON INDIVIDUAL NEEDS. -INTERVENTION.-PERIODIC EVALUATION AND REFINEMENTS, BASED ONSTATISTICS AND MEASURING RETURN ON INVESTMENT.
Conclusion Take action and contact our practicefor a complementary Wellness Consultation for your company. UniqueU Medical Weight Loss & Wellness Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD 513-984-2700 / www.UniqueU.com