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The Changing Landscape of
Employer Health Benefits — The
Transition From Cost to Value
#WFwebinar
	
   	
  
	
  	
  
Speaker: Thomas Parry
President
Integrated Benefits Institute
Moderator: Kellye Whitney
Associate Editorial Director
Workforce magazine
The Changing Landscape of
Employer Health Benefits — The
Transition From Cost to Value
#WFwebinar
	
   	
  
	
  	
  
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Kellye Whitney
Associate Editorial Director
Workforce magazine
The Changing Landscape of
Employer Health Benefits — The
Transition From Cost to Value
#WFwebinar
	
   	
  
	
  	
  
Thomas Parry
President
Integrated Benefits Institute
The Changing Landscape of
Employer Health Benefits — The
Transition From Cost to Value
The Changing Landscape of Employer Health Benefits
-- From Cost to Business Value --
Thomas Parry, Ph.D.
President
Integrated Benefits Institute
A New Employer Setting
•  Responding to the ACA: Why stay in?
•  Show the C-suite the value of improved
workforce health
•  Dead end: attempting to control claims costs in
separate program silos
•  Looking for best strategies to improve
workforce health, reduce lost time, enhance
productivity and impact business
•  Limited data, time and dollars
Where Employers Started: Cost Shifting
Health CostsPlan Design
Trying to Get on the Front End of Cost
Treatment
Health CostsPlan Design
Chronic Health
Conditions
Health Risks
Understanding Outcomes
Treatment
Health CostsPlan Design
Chronic Health
Conditions
Health Risks
Work Absence/
Disability
Work
Performance
Lost Productivity
Next: Encompassing a Broader View
Treatment
Health CostsPlan Design
Chronic Health
Conditions
Health Risks
Work Absence/
Disability
Work
Performance
Lost Productivity
EE Health
Behaviors &
Engagement
Corporate
Culture &
Structure
Business
Performance
Wellbeing
What’s at Risk for
Employers?
The True Costs of Health
•  10,000 life manufacturing company
•  71% male
•  19% of employees 55 years or
older
•  61% skilled/semi-skilled laborers
Healthcare Costs – The Traditional View
Health Costs – Adding Lost Time Costs
The Total Costs of Health
Full Cost Components
Number of Chronic Conditions
Chronic Conditions & Treatment
Chronic Condition Prevalence
-- Top Five --
Lost Productivity Costs: Top 5 Chronic
Conditions
$5.5
$4.3
$3.8
$3.2
$3.0
Chronic Conditions & Co-Morbidities
Linking Healthcare to
Productivity Outcomes
Going Beyond Medical & Pharmacy
to Absence and Presenteeism
$0
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
$400,000
Costper1000EEs
Medical Pharmacy Absence lost prod Presenteeism lost prod
Co-Morbidity and Lost Time
IBI Research: Making
Health the CFO’s
Business
Principal Findings
•  CFOs are key participants in benefits
decisions
•  Health is an organizational priority
•  Productivity is critical to the bottom line,
but the role of health is less clear
•  CFOs understand that health impacts
performance
•  Internal information is most credible
•  Critical information for health-investment
decisions is lacking
The Impact of a Health-Focused
Culture
•  Improving health is seen as very important
to productivity
•  Health’s impact on business goes beyond
healthcare costs and includes sick leave,
“opportunity costs” of health, turnover, and
absence payments
•  Broader information available to make
investment decisions: EE satisfaction, health
risks, performance impact, ROI
Strength of Health Culture
The Impact of a Health-Focused
Culture
•  Improving health is seen as very important
to productivity
•  Health’s impact on business goes beyond
healthcare costs and includes sick leave,
“opportunity costs” of health, turnover, and
absence payments
•  Broader information available to make
investment decisions: EE satisfaction, health
risks, performance impact, ROI
Linking Health & Financial Performance:
Putting Results in the CFO’s Terms
•  Healthcare costs
•  Sick days
•  Turnover
•  “Opportunity costs”
•  Absence payments
Broad Information is Useful
… But Not Very Available
MGM Mirage Case Study
IBI Health & Productivity
Snapshot Results
1.8 lost
days per
FTE/Year
6.2 lost
days per
FTE/Year
Lost worktime = 8
days per FTE/Year
or $2,598 per FTE/
Year in Lost
Productivity
Lost-Time Improvement’s Impact
on EBIDTA
Reducing 1 lost day/FTE =
$15 MM to EBIDTA* from
Productivity Gains
*Earnings before Interest, Depreciation, Taxes and Amortization
The Bottom Line
Savings $15.0 MM
Wall-Street Multiple 10.7X
Outstanding Shares 284.3 M
Gain in Stock Price $ .56/share
Principal Owner (56%) $90 MM
One Day of Productivity Improvement
The Challenge of “Big
Data” to Employers
Workforce Key Health Dimensions*
Ø  Financial (cost)
Ø  Program participation
Ø  Biometric screening
Ø  Health risks
Ø  Utilization
Ø  Preventive care
Ø  Chronic conditions
Ø  Lost worktime
Ø  Lost productivity
Ø  Employee engagement
* Thomas Parry and Bruce Sherman, A Pragmatic Approach for Employers to Improve Measurement in
Workforce Health and Productivity, Population Health Management, Vol. 15, No. 2, 2012
The Temporal Dimension
Leading indicators
ü  Health risks
ü  Biometrics
ü  Chronic condition prevalence
Treatment indicators
ü  Preventive care
ü  EE engagement
ü  Health services utilization
ü  Program participation
Lagging indicators
ü  Financial
ü  Lost worktime
ü  Lost productivity
Dimensions & Dashboard Metrics
Dimension Summary Metric
Financial Program cost/EE
Program participation EEs participating/All EEs
Biometrics EEs reaching target/All EEs
Health risks # of health risks/EE
Utilization # EEs getting care/All EEs
Preventive care # EEs getting screened/All EEs
Chronic conditions # EEs w/ chronic conditions/All EEs
Lost worktime # of lost workdays/EE
Lost productivity Lost productivity $/EE
Employee engagement Engagement score/EE
Thinking about Metrics as
Hierarchies
Dashboard
metrics
Component
metrics
Contributing
metrics
For more information:
Thomas Parry
tparry@ibiweb.org
415-222-7282
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The Changing Landscape of Employer Health Benefits — The Transition From Cost to Value

  • 1. #WFwebinar The presentation will begin at the top of the hour. A dial in number will not be provided. Listen to today’s webinar using your computer’s speakers or headphones. The Changing Landscape of Employer Health Benefits — The Transition From Cost to Value
  • 2. #WFwebinar         Speaker: Thomas Parry President Integrated Benefits Institute Moderator: Kellye Whitney Associate Editorial Director Workforce magazine The Changing Landscape of Employer Health Benefits — The Transition From Cost to Value
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  • 8. #WFwebinar         Kellye Whitney Associate Editorial Director Workforce magazine The Changing Landscape of Employer Health Benefits — The Transition From Cost to Value
  • 9. #WFwebinar         Thomas Parry President Integrated Benefits Institute The Changing Landscape of Employer Health Benefits — The Transition From Cost to Value
  • 10. The Changing Landscape of Employer Health Benefits -- From Cost to Business Value -- Thomas Parry, Ph.D. President Integrated Benefits Institute
  • 11. A New Employer Setting •  Responding to the ACA: Why stay in? •  Show the C-suite the value of improved workforce health •  Dead end: attempting to control claims costs in separate program silos •  Looking for best strategies to improve workforce health, reduce lost time, enhance productivity and impact business •  Limited data, time and dollars
  • 12. Where Employers Started: Cost Shifting Health CostsPlan Design
  • 13. Trying to Get on the Front End of Cost Treatment Health CostsPlan Design Chronic Health Conditions Health Risks
  • 14. Understanding Outcomes Treatment Health CostsPlan Design Chronic Health Conditions Health Risks Work Absence/ Disability Work Performance Lost Productivity
  • 15. Next: Encompassing a Broader View Treatment Health CostsPlan Design Chronic Health Conditions Health Risks Work Absence/ Disability Work Performance Lost Productivity EE Health Behaviors & Engagement Corporate Culture & Structure Business Performance Wellbeing
  • 16. What’s at Risk for Employers?
  • 17. The True Costs of Health •  10,000 life manufacturing company •  71% male •  19% of employees 55 years or older •  61% skilled/semi-skilled laborers
  • 18. Healthcare Costs – The Traditional View
  • 19. Health Costs – Adding Lost Time Costs
  • 20. The Total Costs of Health
  • 22. Number of Chronic Conditions
  • 23. Chronic Conditions & Treatment
  • 25. Lost Productivity Costs: Top 5 Chronic Conditions $5.5 $4.3 $3.8 $3.2 $3.0
  • 26. Chronic Conditions & Co-Morbidities
  • 28. Going Beyond Medical & Pharmacy to Absence and Presenteeism $0 $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $350,000 $400,000 Costper1000EEs Medical Pharmacy Absence lost prod Presenteeism lost prod
  • 30. IBI Research: Making Health the CFO’s Business
  • 31. Principal Findings •  CFOs are key participants in benefits decisions •  Health is an organizational priority •  Productivity is critical to the bottom line, but the role of health is less clear •  CFOs understand that health impacts performance •  Internal information is most credible •  Critical information for health-investment decisions is lacking
  • 32. The Impact of a Health-Focused Culture •  Improving health is seen as very important to productivity •  Health’s impact on business goes beyond healthcare costs and includes sick leave, “opportunity costs” of health, turnover, and absence payments •  Broader information available to make investment decisions: EE satisfaction, health risks, performance impact, ROI
  • 34. The Impact of a Health-Focused Culture •  Improving health is seen as very important to productivity •  Health’s impact on business goes beyond healthcare costs and includes sick leave, “opportunity costs” of health, turnover, and absence payments •  Broader information available to make investment decisions: EE satisfaction, health risks, performance impact, ROI
  • 35. Linking Health & Financial Performance: Putting Results in the CFO’s Terms •  Healthcare costs •  Sick days •  Turnover •  “Opportunity costs” •  Absence payments
  • 36. Broad Information is Useful … But Not Very Available
  • 38. IBI Health & Productivity Snapshot Results 1.8 lost days per FTE/Year 6.2 lost days per FTE/Year Lost worktime = 8 days per FTE/Year or $2,598 per FTE/ Year in Lost Productivity
  • 39. Lost-Time Improvement’s Impact on EBIDTA Reducing 1 lost day/FTE = $15 MM to EBIDTA* from Productivity Gains *Earnings before Interest, Depreciation, Taxes and Amortization
  • 40. The Bottom Line Savings $15.0 MM Wall-Street Multiple 10.7X Outstanding Shares 284.3 M Gain in Stock Price $ .56/share Principal Owner (56%) $90 MM One Day of Productivity Improvement
  • 41. The Challenge of “Big Data” to Employers
  • 42. Workforce Key Health Dimensions* Ø  Financial (cost) Ø  Program participation Ø  Biometric screening Ø  Health risks Ø  Utilization Ø  Preventive care Ø  Chronic conditions Ø  Lost worktime Ø  Lost productivity Ø  Employee engagement * Thomas Parry and Bruce Sherman, A Pragmatic Approach for Employers to Improve Measurement in Workforce Health and Productivity, Population Health Management, Vol. 15, No. 2, 2012
  • 43. The Temporal Dimension Leading indicators ü  Health risks ü  Biometrics ü  Chronic condition prevalence Treatment indicators ü  Preventive care ü  EE engagement ü  Health services utilization ü  Program participation Lagging indicators ü  Financial ü  Lost worktime ü  Lost productivity
  • 44. Dimensions & Dashboard Metrics Dimension Summary Metric Financial Program cost/EE Program participation EEs participating/All EEs Biometrics EEs reaching target/All EEs Health risks # of health risks/EE Utilization # EEs getting care/All EEs Preventive care # EEs getting screened/All EEs Chronic conditions # EEs w/ chronic conditions/All EEs Lost worktime # of lost workdays/EE Lost productivity Lost productivity $/EE Employee engagement Engagement score/EE
  • 45. Thinking about Metrics as Hierarchies Dashboard metrics Component metrics Contributing metrics
  • 46. For more information: Thomas Parry tparry@ibiweb.org 415-222-7282
  • 47. #WFwebinar         Please complete the webinar evaluation.
  • 48. #WFwebinar         Join our next Webinar! The Recruiter Makeover — 7 Ways Recruiters Can Reinvent Themselves as Marketers Wednesday, August 13, 2014 Webinars start at 2 p.m. Eastern / 11 a.m. Pacific Register for all upcoming Talent Management Webinars at www.workforce.com/webinars