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Jeff wells
- 1. Well made simple. 1 Leading the Way: Why Employers Are Changing the Healthcare Landscape. IndianapolisHR Indiana 2018 | August 22, 2018|
- 2. Well made simple. 2 Annual Healthcare Spend by 20251 Shortage of Primary Care Providers by 20302 Wasted Healthcare Spend +30% +100K+$5 trillion
- 3. Well made simple. 3 As of 2012, 50% of Americans had one or more chronic conditions which drive 86% of overall healthcare costs. We believe that addressing the underlying causes of chronic conditions is the most effective way to influence changes in health and cost. Understanding Root Cause Poor Diet Physical Inactivity Smoking Lack of Health Screening Poor Stress Management Poor Standard of Care Insufficient Sleep Excessive Alcohol Consumption 8 Risks & Behaviors Diabetes Coronary Artery Disease Hypertension Back Pain Obesity Cancer Asthma Arthritis Allergies Sinusitis Depression Congestive Heart Failure Chronic Obstructive Pulmonary Disease Chronic Kidney Disease High Cholesterol 15 Chronic Conditions 86%Of total costs for all chronic illnesses nationwide Driven By Caused By 2010 World Economic Forum Centers for Disease Control and Prevention website. Nov 2017.
- 4. Well made simple. 4 How to Think About Cost - Catastrophic incidents/risk - Healthcare policy changes - Higher cost healthcare innovations WHAT WE CAN’T CONTROL - Diverting high-cost visits (e.g., avoidable ER) to high-value primary and urgent care - Directly lowering cost on pass-through expenses (e.g., labs and pharmaceuticals) - Improving population-based wellness outcomes (e.g., diabetes) - Facilitating low-cost, high-quality specialist referrals WHAT WE CAN CONTROL When it comes to healthcare, there are the things you can control, and the things you can’t.
- 5. Well made simple. 5 Consequences of Poor Health & Impact to Employers Average annual employer-sponsored family premiums cost employers more than $12,000 a year A1c People with diabetes have healthcare costs 2.3 times greater than those without diabetes1 Hypertension Reduced blood pressure decreases the likelihood of stroke, heart disease, and kidney disease.2 Cholesterol People with high cholesterol have about twice the risk of heart disease as people with lower levels4. Estimated healthcare spending to treat diabetes: $245 billion Estimated healthcare spending to treat hypertension3: $42.9 billion Heart disease and strokes cost5: $320 billion 1.American Diabetes Association – The Cost of Diabetes, 2. CDC: High Blood Pressure FAQs 3. Agency for Healthcare Research Quality – Expenditures for Hypertension, 2010, 4. CDC – Cholesterol Fact Sheet 5. CDC Foundation – Business Pulse: Heart Health (Direct healthcare spending ) (Includes care costs & lost productivity )
- 6. Well made simple. 6 2.0 2013 2014 2015 RelativePrice(1.00=Medicare) The Price Gap is Continuing to Widen 2016 2017 2.5 3.0 3.5 4.0 4.5 Source: White, 2017, Hospital Prices in Indiana. Community Health Systems (CHS) / Lutheran Overall Indiana University Health Ascension Franciscan Alliance Community Health Network Parkview Health
- 7. Well made simple. 7 Access Issues Exhibit ES-1: Projected Total Physician Shortfall Range1 Population growth, aging: By 2030, population of Americans aged 65 and older will grow by 55 percent Shrinking supply of current providers: 1 in 3 practicing physicians is over 65 and approaching retirement Limited supply of medical residencies: BBA of 1997 20,000 2015 2020 2025 2030 Year 40,000 60,000 80,000 100,000 120,000 ProjectedShortfallofPhysicians 104,000 40,800 2030 Range 1. 2017 Update The Complexities of Physician Supply and Demand: Projections from 2015 to 2030 IHS for AAMC 2. Kaiser Family Foundation: State Health Facts, 2014-2016
- 8. Well made simple. 8 Outcomes of successful top talent 21% Teams with high employee engagement rates are 21% more productive. More productive 2.3X Highly engaged employee orgs have 2.3x higher 3- year revenue growth than orgs with low employee engagement. Greater growth 18% Customer retention rates are 18% higher on average when employees are highly engaged. Higher retention rate 27% Employees who are engaged are 27% more likely to report “excellent” performance. More likely to report excellence 1. Gallup: Managing Employee Risk Requires a Culture of Compliance, March 2016, 2. UNC Kenan-Flagler Business School: Focusing on Employee Engagement, 3. Colloquy: For Loyal Customers, Look to Your Employees, Feb. 2014, 4. Gallup: Well-Being Enhances Benefits of Employee Engagement, Oct. 2015
- 9. Well made simple. 9 Emerging Solutions for Employers Wellness & Lifestyle • Nutrition • Fitness/Movement • Stress/Mindfulness • Sleep Targeting Chronic Conditions • 117 million have at least 1 chronic condition1 • 1 in 4 adults have more than one condition1 • 2030: Adults 65+ will grow by 55%2 A Redefined Primary Care Model • Outcomes focused • Patient-centric care, experiences • Whole-health approach Importance Care Navigation / “Consumerism” • More consumers health cost aware • 40% enrolled in HDHPs3 • 20M+ enrolled in HSA accounts4 1. CDC: Chronic Disease Prevention and Health Promotion, 2. Beckers Hospital Review: 15 Things to Know About the Physician Shortage, 3. CDC: National Center for Health Statistics: National Health Interview Survey Early Release Program, June 2017, 3. Employee Benefit Research Institute, HSA Account Balances, Contributions, and Other Vital Stats, 2015
- 10. Well made simple. 10 — Employer Success Story. 26,596 Patient visits 78.6% Employee engagement 82.8 Patient visit NPS score 6,450 Health coaching appointments Reduction in medication and laboratory costs Reduction in non-emergent ER visits 16.9% 2.7% Reduction in total urgent care visit spend 312 A1c Points reduced across 5,757 patients 3,106 LDL points reduced across 417 patients Throughout 2017, OurHealth created patient experiences that helped lead employees to healthier outcomes.
- 11. Well made simple. 11 Risk-Adjusted Engaged vs. Non-Engaged Expected Ratio Costs in the non-engaged were 3% (2016) to 8% (2017) lower than expected. Simply put, the engaged cohort saved more money. This translates to a two-year trend medical and drug savings of $2.6M over the non-engaged, or an average of $420 PMPY. $2,700 $2,900 $3,100 $3,300 $3,500 $3,700 $3,900 $4,100 $4,300 2015 2016 2017 PMPY(RiskAdjusted) Engaged Actual Non-engaged Actual Engaged Expected Non-engaged Expected
- 12. Well made simple. 12 — Patient Engagement Analysis. Do employer-sponsored primary care clinics improve health outcomes and save employers healthcare dollars? Employer 1: A municipal organization in the Southeast with approximately 7,000 employees. Employer 2: A manufacturer in the Midwest with approximately 750 employees. Employer 3: A utility system operations organization with locations in the Midwest with approximately 700 employees. 3 employers 20K patients 3+ years of data
- 13. Well made simple. 13 Health Improvements: LDL Cholesterol Total Cholesterol Hemoglobin A1c Reduced Reduced Reduced 18,200 points 8,800 points 1,250 points When patients engaged with employer-based primary care services 3x or more during analysis period, they experienced significant improvements Cumulative total reductions
- 14. Well made simple. 14 — Prediabetes Facts: 15-30% 1 in 3 Americans has prediabetes Don’t know they have it Will develop Type 2 diabetes +$7,900 Type 2 diabetes costs $7,900 more per patient per year
- 15. Well made simple. 15 47.4% of patients of 3,052 identified with prediabetes HbA1c (5.7 to 6.4) reduced their values to optimal levels (<5.7)
- 16. Well made simple. 16 of prediabetics improved to optimal range = 47.4% $ 1.7M Total $ 562 PMPY
- 17. Well made simple. 17 PercentageChange Provider visits improvement Health Coach visits improvement HbA1c Changes by number of visits Health Coaching: When patients engaged with health coaching and providers more frequently, they saw greater rates of improvement to HbA1c
- 18. Well made simple. 18 Emergency Dept. Utilization: With access to primary care and help managing conditions such as chronic diseases, ER use decreased for engaged patients 22%less Emergency Department: a visit At Resulted in in projected savings $1,500 $650k
- 19. Well made simple. 19 Cost of Care Over a trended and risk-adjusted period (2016-2017), engaged patients saved their employers millions when compared to expected costs. Engaged patients cost expected7%1 Savings Non Engaged $2,600,000
- 21. Well made simple. 21 Thank You OurHealth.org 4151 E. 96th Street, Indianapolis, IN 46250(866) 434-3255