Everyone is concerned about increasing health care costs. This interactive session will review the various triggers that drive health care and insurance costs and cover the major communication and engagement strategies that companies use to reduce their trend. Case studies to be discussed include wellness, employee engagement and communication, benefit plan design and consumerism. Successful benefit incentive programs that support communication programs and have a quantifiable return on investment will also be discussed.

1. Employee Engagement: Your Tool for Tackling Health Care Costs June 26-29, 2011 Las Vegas, Nevada

6. Where do we spend money?

27. Facility Costs Medical Provider Community Hospital St. Mary’s Hospital Waukesha Memorial Total Price $7,400.00 $14,350.00 $12,800.00 Discount Rate 10% 15% 11% Actual Discount $740.00 $2152.50 $1408.00 Discounted Balance $6660.00 $12,197.50 $11,392.00 Applied to Deductible ($500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $1232.00 $2338.90 $2178.40 Member Responsibility $1732.00 $2,838.90 $2,678.40 Employer Cost $4,928.00 $9,358.60 $8,713.60

29. Facility Costs Medical Provider Endoscopy Center Regional Hospital Hospital Surgery Center Total Price $1,640.00 $2,945.00 $7,500.00 Discount Rate 35% 35% 35% Actual Discount $574.00 $1,030.75 $2,625.00 Discounted Balance $1,066.00 $1,914.25 $4,875.00 Applied to Deductible (500) $500.00 $500.00 $500.00 Member Co-insurance (20%) $113.20 $282.85 $875.00 Member Responsibility $613.20 $782.85 $1,375.00 Employer Cost $452.80 $1,131.40 $3,500.00

30. Potential/Actual Savings Procedure Providers Potential Savings Actual Savings Colonoscopy Dr. Maltz – Mayfair Digestive Center; Dr. Guda – Center for Digestive Health; Dr. Kumar – St. Luke’s Hospital $1,577 $0 Colonoscopy Dr. Kluiber – Northshore Surgical Center Estimate Only Estimate Only Hernia Repair Dr. Beckman – Community Memorial Hospital; Dr. Beckman – Froedtert Memorial Hospital; Dr. Armstrong – Wheaton Franciscan $7,832 $7,832 Mammogram Aurora Medical Center; St. Joseph’s Hospital; St. Mary’s Hospital $51 $51 MRI Center for Diagnostic Imaging; Open Advanced MRI; Smart Choice MRI $886 $657 TOTAL $10,346 $8,540

31. Cost Comparison Requirement

38. Beliefs drive Behaviors