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America’s Wellness Plan
Individual Choice.
Empowered Consumers.
Community Wellness.
Is our current healthcare system
making us fat?
The Facts

 The health of Americans.
   63% of Americans are overweight or obese
   40% of every dollar spent on food is spent on food prepared
    outside the home
   1 in 4 adults gets no leisure time physical activity
   Between 1987 and 2010, the number of American’s
    diagnosed with diabetes tripled to 20.9 million

 The cost of healthcare.
   Health expenditures in 2010 were nearly $2.6 trillion
   A 10x increase from 1980
The Impact

 Obesity’s Economic Impact:
   $190 billion in annual medical costs
   $5 billion annually in additional jet fuel needed to fly heavier
    passengers
   $4 billion annually for additional gasoline for cars to carry
    heavier passengers
   $30 billion annually for presenteeism
   $6.4 billion annually for absenteeism
The Challenge

 Our healthcare system is not able to address meaningful
  health and wellness at the community level.
   Access varies widely
   Income disparities impact health
   Medical school does not include meaningful training on
    nutrition and exercise
High
                            Deductible
                            Insurance
                              Policy




                 Wellness
                 Spending
                 Account




                                  Wellness Plan




The Solution
America’s Wellness Plan
Wellness Plan

 Serves as “Wellness Home”

 4 tiered plan based on health status
   Determines frequency of health coach meetings
   Each enrollee completes Annual Health Improvement Plan

 Incentives and Measurement
   Enrollees: Premium savings for improved health status
   Wellness Plans: Measured by improvement in enrollees health
    status

 20 Wellness Plans per region; 300 nationwide (procured by
  DHHS)
Wellness Spending Account

 Debit-card for consumers to use for certified health and
  wellness products and services

 All American’s have the same Wellness Spending
  Account – increased consumer power, access and
  equality

 Four WSA Administrators (procured by DHHS)
High Deductible Insurance Policy

 Three Enrollment Tiers determined by Baseline Health
  Status evaluation
   Low risk
   Moderate risk
   High risk

 Ten HDIPs available in each area; 150 nationwide
  (procured by DHHS)

 Consumers choose plan each year
Administrative Components

 Wellness Spending Account Administrators (WSAA): 4
  nationwide (procured by DHHS)

 Enrollment Broker: One per state (procured by states)

 Program Integrity: 15 contractors (procured by DHHS)

 Independent Quality Monitoring and Evaluation: One per
  state (procured by states)
Why?

 The focus of a healthcare system should be to help
  people get healthy and stay healthy

 Surgeries, drugs and medical innovations add costs to
  the system

 Our nation’s ability to thrive is based on our citizens’
  ability to thrive
About the Author

 Joanne M. Frederick is the President and CEO of Market Strategies
  a consulting firm with 20+ years of experience in the public sector
  healthcare marketplace.
    www.msiworld.com

 In 2005, she founded Cybercise, Inc. to help people get more
  exercise.
    www.cyber-cise.com

 In 2012, she published Move.Eat.Be. a six-month wellness program
  designed to help people reclaim their health.
    www.moveeatbe.com

 For speaking engagements, please contact us through:
  https://speakerfile.com/speakers/joanne.frederick

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America's Wellness Plan

  • 1. America’s Wellness Plan Individual Choice. Empowered Consumers. Community Wellness.
  • 2. Is our current healthcare system making us fat?
  • 3. The Facts  The health of Americans.  63% of Americans are overweight or obese  40% of every dollar spent on food is spent on food prepared outside the home  1 in 4 adults gets no leisure time physical activity  Between 1987 and 2010, the number of American’s diagnosed with diabetes tripled to 20.9 million  The cost of healthcare.  Health expenditures in 2010 were nearly $2.6 trillion  A 10x increase from 1980
  • 4. The Impact  Obesity’s Economic Impact:  $190 billion in annual medical costs  $5 billion annually in additional jet fuel needed to fly heavier passengers  $4 billion annually for additional gasoline for cars to carry heavier passengers  $30 billion annually for presenteeism  $6.4 billion annually for absenteeism
  • 5. The Challenge  Our healthcare system is not able to address meaningful health and wellness at the community level.  Access varies widely  Income disparities impact health  Medical school does not include meaningful training on nutrition and exercise
  • 6. High Deductible Insurance Policy Wellness Spending Account Wellness Plan The Solution America’s Wellness Plan
  • 7. Wellness Plan  Serves as “Wellness Home”  4 tiered plan based on health status  Determines frequency of health coach meetings  Each enrollee completes Annual Health Improvement Plan  Incentives and Measurement  Enrollees: Premium savings for improved health status  Wellness Plans: Measured by improvement in enrollees health status  20 Wellness Plans per region; 300 nationwide (procured by DHHS)
  • 8. Wellness Spending Account  Debit-card for consumers to use for certified health and wellness products and services  All American’s have the same Wellness Spending Account – increased consumer power, access and equality  Four WSA Administrators (procured by DHHS)
  • 9. High Deductible Insurance Policy  Three Enrollment Tiers determined by Baseline Health Status evaluation  Low risk  Moderate risk  High risk  Ten HDIPs available in each area; 150 nationwide (procured by DHHS)  Consumers choose plan each year
  • 10. Administrative Components  Wellness Spending Account Administrators (WSAA): 4 nationwide (procured by DHHS)  Enrollment Broker: One per state (procured by states)  Program Integrity: 15 contractors (procured by DHHS)  Independent Quality Monitoring and Evaluation: One per state (procured by states)
  • 11. Why?  The focus of a healthcare system should be to help people get healthy and stay healthy  Surgeries, drugs and medical innovations add costs to the system  Our nation’s ability to thrive is based on our citizens’ ability to thrive
  • 12. About the Author  Joanne M. Frederick is the President and CEO of Market Strategies a consulting firm with 20+ years of experience in the public sector healthcare marketplace.  www.msiworld.com  In 2005, she founded Cybercise, Inc. to help people get more exercise.  www.cyber-cise.com  In 2012, she published Move.Eat.Be. a six-month wellness program designed to help people reclaim their health.  www.moveeatbe.com  For speaking engagements, please contact us through: https://speakerfile.com/speakers/joanne.frederick

Editor's Notes

  1. http://www.kaiseredu.org/Issue-Modules/US-Health-Care-Costs/Background-Brief.aspx
  2. http://www.huffingtonpost.com/2012/04/30/obesity-costs-dollars-cents_n_1463763.htmlhttp://www.reuters.com/article/2012/04/30/us-obesity-idUSBRE83T0C820120430