1. Thursday, July 12, 2012
Supreme Court Ruling:
Implications for the Field of Health Promotion
Presented by:
Tracey Moorhead Paul E. Terry, Ph.D.
President & Chief Executive Officer Chief Executive Officer
Care Continuum Alliance StayWell Health Management
www.carecontinuum.org www.staywell.com

2. The voice of wellness, prevention
and chronic care management
Supreme Court Ruling: Implications for
the Field of Health Promotion
Tracey Moorhead, President & Chief Executive Officer
Care Continuum Alliance www.carecontinuum.org

3. The Continuum of Care
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4. SCOTUS: Implications for Employers
• PPACA Implementation ramp up
• Employer-related regulations expected in
coming months:
• Employer play or pay
• Full-time employee methodology
• Exchange Operations
• Auto-enrollment
• Increase in Wellness Incentives
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5. PPACA: Prevention and Wellness
Employers
• Codifies premium discounts, cost-sharing waivers and other
employee rewards up to 30 percent of the cost of coverage
• HHS can increase reward percentage to 50 percent.
• Authorizes $200 million in grants over five years for small business
workplace wellness programs.
• Establishes a 10-state pilot by July 2014 to apply similar rewards
for participating in wellness programs in the individual market.
• Requires report on the effectiveness and impact of wellness
programs due three years after enactment – Care Continuum
Alliance supporting RAND in report development.
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6. SCOTUS: How will Health Plans Respond?
• Plans will likely offer strategies focused on:
 Cost management, limiting care to a narrow
network of providers or price controls
 Care management, requiring or incenting
covered members to utilize health coaching
or care/disease management
 Enhanced customer service
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7. "Supreme Court Ruling:
Implications for the Field of Health Promotion"
Paul E. Terry, Ph.D., Chief Executive Officer
StayWell Health Management
www.staywell.com
1
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8. Our mission & vision
Our mission
Koop Award To help people achieve optimal health through solutions
Winners
that set the standard for quality, effectiveness and value.
2011 2001
Cummins Northeast
2010 Utilities
Volvo 2000
2009 Caterpillar Our commitment to our clients
Alliance Data CIGNA
2008 DaimlerChrysler We partner to ensure high levels of satisfaction and deliver successful
1998
Wachovia
Applied Materials
results defined by our clients and the industry.
2007
Pepsi Chevron
Bottling Group 1997
2006 Motorola
Roche, Inc. 1995
2003 CIGNA
Our commitment to the industry
Fairview Health 1994
2002 Quaker
We will lead research to define best practices, innovate in search of
HMSA excellence, publish outcomes to inform the industry and drive
standardization.
2009 Emerging
Healthcare Trends Our impact
Leadership Award
StayWell enjoys unparalleled long-term relationships with our clients, who
have received industry recognition for their programs.
.
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9. Chief Roberts:
“Put simply, Congress may tax and spend.”
Something for every Individual Social Responsibility
Ideology Responsibility for for Health: A Culture
Health: Employee of Health
Engagement
Not a mandate, • No more “free • No lifetime limits on
but a tax. riders.” coverage.
• HIPAA Incentives for • No pre-existing
achieving a standard. conditions denials.
• Less employer • No premiums based
based coverage? on risk. (Higher
(CBO: 20 million fewer premiums for young,
covered by 2019.) healthy.)
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10. Paul Terry and John Horton
1973, 2010
Richard Nixon: Health Maintenance
Organization Act, 1973
Barack Obama: Affordable Care Act, 2010
.
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11. By LISA ABEND
Beating Butter: Denmark Imposes the World's First Fat Tax
 The tax, the first of its kind in the world, imposes a 16 krone (roughly $3) hike per kilo of saturated fat on
any food that contains more than 2.3%.
 "At the political level there was a high degree of consensus for this law," says Tor Christensen, chief
consultant for Denmark's Ministry of Taxation.
 It's just going to push more people to buy cheaper industrially produced products, rather than good food.
It's insanely stupid. Christian Puglisi, chef of Copenhagen's highly-regarded Relae
.
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12. Health Policy
Progress
Technical, historical, incremental
1973-2012
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13. Effects of Risk Factors on
Monthly Resource Use
(Seniors 65 and Older)
Variable At Risk Not at Sign
Risk Level
Smokers $255 $258 NS
Excess Alcohol $188 $291 NS
Obesity $326 $264 .05
Physical Inactivity $358 $238 .0001
Unhappiness $424 $253 .0001
Terry, Am J Health Promot, May 1998
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14. Adherence to Quality Indicators
55% 56% 55%
18.3%
Recommended Recommended Recommended Counseling/Education
Care Chronic Care Preventive Care
. Source: N Engl J Med 2003; 349:1866-1868 November 6, 2003 8

15. Effective Programs Drive Positive Outcomes
 Grossmeier, J., Terry, P.E., Anderson, D., Wright, S., “The Financial Impact of Population
Health Management Programs, Reevaluating the Literature.” Population Health Management.
Vol. 15, No. 3, 2012. June 2012: P. 129-134.
 Terry, P.E., Seaverson, E., Staufacker, M.J., Tanaka, A., “The Effectiveness of a Telephone-Based
Tobacco Cessation Program Offered as Part of a Worksite Health Promotion Program.”
Population Health Management. Dec. 2010, Volume 14, Issue 7, 2011.
 Terry, P.E., Seaverson, E., Grossmeier, J., Anderson, D. "Effectiveness of a Worksite Telephone-
Based Weight Management Program." American Journal of Health Promotion. January/February
2011, Vol. 25, No. 3. Pp. 186-189.
 Grossmeier, J., Terry, P.E., Cipriotti, A., Burtaine, J., “Best Practices in Evaluating Worksite Health
Promotion Programs” American Journal of Health Promotion: Vol. 24, No.3, TAHP1-9.2010
 Terry, P.E., Xi, M., "An Examination of Presenteeism Measures: The Association of Three Scoring
Methods with Health, Work Life and Consumer Activation" Population Health Management. Dec.
2010, Volume 13, Issue 6.
 Terry, P.E., Seaverson E.L., Staufacker M., Gingerich, S.; A Comparison of the Effectiveness of a
Telephone Coaching Program and a Mail-Based Program, Health Education and Behavior.
October 27, 2010.1177
 Terry, P.E., Fowles, J., Harvey, L., "Employee engagement factors that affect enrollment
compared with retention in two coaching programs-The ACTIVATE Study" Population Health
Management. DOI: 10. 1089, Vol. 13, No. 3, 2010. P.115-122.
See additional StayWell research, publications and reports at www.staywell.com.
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16. Terry, P.E., Anderson, D. R. (2011).
Finding common ground in the use of
Incentives for financial incentives for employee
health management: A call for a
Participation or progress-based approach.
American Journal of Health
Outcomes Promotion, Sept. 2011, Vol. 26, No. 1,
ev-evii.