Koop Award Winner Nationwide Mutual with Kathleen Herath

Kathleen Herath AVP — Health and Productivity Nationwide Nationwide Case Study July 13, 2011

auto and homeowners insurance insurance for motorcycles, boats, vehicle fleets, businesses and mobile homes home equity and home mortgage lines of credit traditional life and variable life insurance annuities retirement plans mutual funds specialty investments business cost management health and productivity management (NBH) excess and surplus insurance Nationwide – Who We Are Diversified insurance and financial services organization My life. My choice. My health. Nationwide Internal Health and Productivity

My life. My choice. My health.
A program of engagement not compliance
Relies on trusted advisor relationship to help associates better monitor and maintain their health
Integrated services revolve around associate
Features strong leadership and communications support
Outreaches to the right associates at the right time; when they’re most likely to make changes
Referral pathways built between all offerings to increase participation
Associates seen in the clinics can be enrolled directly into telephonic courses, disease management, behavioral health etc.
Associates on disability can be enrolled directly into disease management (same nurse), screened for depression, etc.
Allows for continual monitoring of successes and key learnings for program improvements
My life. My choice. My health. Nationwide Internal Health and Productivity

NBH Health Portal
My Health website
Associate Resources
Brown Bag Lunches
Healthy Resource Link
NBH Lifestyle Behavior Coaching Telephonic and web-based coaching courses as well as self directed modules of learning NBH Disease Management CAD, CHF, Diabetes, Maternity Management, Oncology (others courses available with self-referral (i.e. Asthma, Depression, Back Pain)
NBH Health Assessment
Includes:
Domestic violence and depression outreach questions
Health Screening for health assessment biometric data
NBH Absence Management
TOPS (Time Off Planning Service) — absence tracking system (captures 100% of all absences, medical or otherwise)
STD/LTD Appreciative Inquiry
Pandemic/Communicable Illness Tracking
FMLA/State FMLA and State Disability
Nationwide Associate
Behavioral Health
Work Place Onsite Counseling (10 sites)
Domestic Violence/Depression Referrals
Community Based Counseling
24-hour Telephonic Counseling
Convenience Services
Dedicated Website with robust services
Occupational Health Primary Care Centers
Clinical Services
Dedicated Lactation Areas
Free Onsite Flu Shots
Ergonomic Evaluations
Educational Seminars
Mobile Mammography
Allergy Shots, First Aid
Health Fairs, Health Screenings
Executive Health Physical Program
Health Plan and Design
Wellness Incentives
STD/LTD Participation in Disease Management Requirement
100% Preventive Care Coverage
Sick Leave changed to PTO/STD model
Concierge Services
Health Advocacy
Life Resource Counselors
Wellness Center
Free Onsite Fitness Centers
NBH Walking Program
Fitness Center Discounts w/Payroll Deductions
The My Health Model My life. My choice. My health. Nationwide Internal Health and Productivity

Incentives and Outcomes My life. My choice. My health. Nationwide Internal Health and Productivity $25 HRA deposit $25 HRA deposit $260 HRA $260 HRA or HSA $260 decrease on the cost of health care coverage $260 decrease on the cost of spouse health care coverage Year 1 Requirements Incentive Requirements Requirements Requirements Requirements
Health Assessment with a coaching call
Wellness program
Incentive Incentive Incentive
Health Assessment
Wellness program
$260 HRA deposit $260 decrease on cost of healthcare coverage
Health Assessment
Wellness program
Incentive
Health Assessment
Wellness program
Spouses Included for health assessment
Health Assessment
Wellness program
Spouses Included for health assessment and wellness program
$260 HRA or HSA $312 decrease on the cost of health care coverage $312 decrease on the cost of spouse health care coverage Year 2 Year 3 Year 4 Year 5

My Health Promotion Variety of communication materials used – brochures, table tent, posters, dedicated web site and buttons. Consumerism –message educates associates about how much Nationwide cares about them Associate Testimonials – associates share their success stories, which are featured on posters, single page handouts and a dedicated web page. Materials change each year – while the My Health branding remains constant, material content is updated with each year’s launch. Leadership Call to Action – working with leadership to create a call to action, followed by leadership support. My life. My choice. My health. Nationwide Internal Health and Productivity

Dedicated website – used to communicate and promote all aspects of My Health. My Health Champions – support and spread the program efforts across all demographic and geographical locations. Healthy Holiday Challenge – encourage associates to continue their healthy lifestyle choices/changes during the holiday season. My life. My choice. My health. Nationwide Internal Health and Productivity

Learnings for Keeping Communications Fresh
Leverage key insights from program champions
“ Get to the point” with your message
Use a mix of communications (print, electronic, brown bag luncheons, video, face-to-face meetings)
Share employees’ success stories
Leverage current trends and share relevant information
Introduced a new search engine for helping associates locate local farmers markets
Look for ways to leverage health messages in other company sponsored programs
Diversity & Inclusion
Life Insurance Sales

Integrating Behavioral Health Occupational Health Worksite Disability and Disease Management Health Assessments Wellness Programs My life. My choice. My health. Nationwide Internal Health and Productivity

Benefit Design Best Practices
Highest level of specialty
Partial disability plan provision
Changes to work unit budget process
Disease Management
HSA / HRA incentive structure
Preventive Dental Care Preventive

Integrated Scorecard Measurement
Health Plan prior year/current year/trend
Enrollment
Claims
Cost (including pharmacy)
Hospital Days/ER Visits/Urgent Care/PCP Visits/Specialist Visits
Participation
Nurse Advisor
Web Based Information
Health Risk Assessment/ Lifestyle Behavior Change
Disability Management; STD/LTD/WC/FMLA/Disease Management
Associate Assistance Program
Occupational Health Clinics
Satisfaction
Nurse Advisor
Web based Information
Health Risk Assessment/Lifestyle Behavior Change
Clinical and Utilization Values
Nurse Advisor
Health Risk Assessment/Lifestyle Behavior Change
Savings/ROI
Nurse Advisor
Lifestyle Behavior Change

CARE Report: Business Leader C A R E Claims Cost Absence & Productivity Losses Risk Profile Education and Enrollment My life. My choice. My health. Nationwide Internal Health and Productivity

State of Health *”Do Nothing” annualized each year Low-Risk 1.0 and High-Risk 0.4 source Oswald Companies,

State of Health Comparison Year 1 to Year 5 Trend Year 1 - Nationwide Associate “State of Health” 45% 23 % 26% Low Risk High Risk Moderate Risk Chronic Disease 6% Maintain Health Improve Health Manage Health Year 5 - Nationwide Associate “State of Health” 61.0% 24.1% 8.8% Low Risk High Risk Moderate Risk Chronic Disease 6% Maintain Health Improve Health Manage Health My life. My choice. My health. Nationwide Internal Health and Productivity

EAP
Productivity
Biometrics
Lifestyle
Absence and Disability
Outcome Data

Our Best Practices
Focus on the associate experience
Ease of use for population; referral pathways between programs and integrated services that revolve around associate
Create programs that address the holistic view of an employee’s health and absence activity
Associate surveys show satisfaction improved, enrollment rates increased, outreach completed earlier and disability durations have decreased
Use your employees to improve the employee experience
Evaluate outcomes for both risk reduction and claims savings
Increased employee understanding of condition and benefits
Improved outcomes along the entire health continuum
Integrate behavioral health into all aspects of the programs

Nationwide Health & Productivity Awards
2010
National Business Group on Health - 2010 Best Employers for Healthy Lifestyles - Platinum Award Winner
This award, by the National Business Group on Health, acknowledges and rewards organizations that have responded to the urgent need to improve their workers' health, productivity and quality of life.
APEX Award for Health & Productivity Innovation
The Apex Award program recognizes the best designed health care benefits strategies and programs of innovative employers, brokers and consultants who are working to improve the health care experience for consumers.
Sharp Brains Brain Fitness Innovation Silver Award
The Awards celebrate outstanding pioneers applying neuroplasticity-based research and tools in the ‘real world’. Recognizes organizations devising and implementing results-oriented, scalable initiatives demonstrating commitment to the brain fitness of organization clients, members, patients, students or employees.
American Heart Association's Start! Fit-Friendly Company - Platinum Achievement
Platinum-level recognition is for companies that fulfill all the gold-level criteria and demonstrate at least one behavior change specified, achieve at least one cost savings outcome specified and have achieved a positive return on investment.
2009
C. Everett Koop National Health Award
The most prestigious award for health improvement programs, requiring strong documentation of both health improvement and cost savings. Given to work site programs that have soundly documented improved health and decreased medical costs
Platinum-level recognition is for companies that fulfill all the gold-level criteria and demonstrate at least one behavior change specified, achieve at least one cost savings outcome specified and have achieved a positive return on investment.
Integrated Benefits Institute & National Business Coalition on Health Award for Employer/Employee Innovation in Health & Productivity
Recognizes leadership in the area of health and productivity and honors an employer that has worked with its employees to develop, implement and measure an innovative health and productivity initiative.
2008
National Business Group on Health - Best Employers for Healthy Lifestyles - Gold Award

Thank You Contact information: Kathleen Herath [email_address] 614.249.4058 linkedin.com My life. My choice. My health. Nationwide Internal Health and Productivity

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Koop Award Winner Nationwide Mutual with Kathleen Herath

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Koop Award Winner Nationwide Mutual with Kathleen Herath — Presentation Transcript