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Innovative Use of Data Mining/Warehousing for Employee Activation

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LisaSchmidt

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Innovative Use of Data Mining/Warehousing for Employee Activation Business Health Agenda March 13, 2009 Lisa R Schmidt, CEBS System Director, Health, Welfare and Wellness Benefits
Reflection
Our Belief ,[object Object],[object Object],[object Object],[object Object]
Providence’s story ,[object Object],[object Object],[object Object],[object Object],[object Object]
Providence’s story ,[object Object],[object Object],[object Object],[object Object],[object Object]
Providence’s case for wellness ,[object Object],[object Object],[object Object],[object Object],[object Object]
For Every 100 Employees ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],* Source: National Health Center for Health Promotion and Disease Prevention
Selling wellness as an employee strategy ,[object Object],[object Object],[object Object]
Cost shifting, or total population health management? ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],New Organizational Philosophy Our Approach-Thomson Reuters NetEffect
What we learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What we learned ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Cost of Obesity (in millions) Providence employee benefit plans-2007 paid claims *$370 per member per year cost for conditions related to being obese
Medical Cost Trend Alaska ,[object Object],[object Object],[object Object],MM $18 MM increase $1 MM increase Oregon MM $59 MM increase $4 MM increase California $21MM increase Washington MM MM $59 MM increase $4 MM increase $2 MM increase $9 MM increase $10MM increase $28 MM increase $28 MM increase
Chronic Conditions ,[object Object],[object Object],CAD: Coronary Artery Disease; CHF: Chronic Heart Failure Self-insured data only – Thomson Risk Profiler paid claims 6/06 – 5/07
Lifestyle Related Conditions ,[object Object],[object Object],Self-insured data only – Thomson Risk Profiler paid claims 6/06 – 5/07
Segment the Population: 2007 Chronic Disease Acute Conditions Moderate Risk Low Risk Catastrophic Illness High Risk Low Risk ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Maintain Health Manage Health Improve Health Percentages in orange represent Watson Wyatt’s NDC norms Source: Providence medical claims data incurred August 1, 2006, through July 31, 2007, and paid through September 30, 2007 ,[object Object],[object Object],Illness Burden Allowed PMPY 0.57 $534 1.45 $3,875 3.09 $18,564 8.85 $93,191 Risk Reduction/ Self-Care Disease and Case Management Prevention/Early Detection/ Self-Care
Your Health Rewards Program ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Plan redesign 2009 ,[object Object],[object Object],[object Object],[object Object]
Introducing ProvSelect HSA
Health Assessment participation ,[object Object],[object Object],[object Object],[object Object]
Health Assessment participation ,[object Object],[object Object],[object Object]
Results of Work to date ,[object Object],[object Object],[object Object],[object Object]
What’s next ,[object Object]
Other possibilities ,[object Object],[object Object],[object Object]
Questions??

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Innovative Use of Data Mining/Warehousing for Employee Activation

  • 1. Innovative Use of Data Mining/Warehousing for Employee Activation Business Health Agenda March 13, 2009 Lisa R Schmidt, CEBS System Director, Health, Welfare and Wellness Benefits
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  • 14. Cost of Obesity (in millions) Providence employee benefit plans-2007 paid claims *$370 per member per year cost for conditions related to being obese
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