Download - Obesity in america for hr prof
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Obesity in AmericaA Growing Epidemic
Workplace Strategies & Solutions
UniqueU Medical Weight Loss & Wellness
Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD
513-984-2700
www.UniqueU.com
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-CERTIFIED WELLNESS PROVIDER
-MEMBER OF AMERICAN COLLEGE OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINES, HEALTHY WORKFORCE NOW
PROGRAM.
MEMBER OF THE FOUNDATION FOR WELLNESS PROFESSIONALS
UniqueU’s Corporate Wellness Training
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Overview 1/3 of U.S. population is obese 2/3 of U.S. population is overweight or obese 74% Increase over 10 year period Costs U.S. companies $13 billion/year Employers, and employees, have important roles
in addressing this epidemic
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Outline
Obesity: scope of problem Contribution to rising healthcare costs What is obesity? Role in chronic disease, disability Workplace strategies and trends Return on Investment Case Study Individual Assessments Wellness Programs Questions/discussion
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Obesity on the Map
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Obesity Has a Hefty Price Tag ~$117 billion in 2000 ($61 billion
direct and $56 billion indirect)
6-10% of U.S. health care spending
Health costs >30% higher than normal weight individuals
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More on the Bottom Line
Costs companies >$13 billion annually More than twice as many sick days Disability, workers compensation Self esteem, emotional factors affect productivity Costs of accommodations, chairs, keyboards
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Definitions of Obesity
Classification BMI (kg/m2) Comorbidity Risk
Underweight < 18.5 Low*
Normal range 18.5 to 24.9 Average
Overweight 25.0 to 29.9 Increased
Obese class 1 30.0 to 34.9 Moderate
Obese class 2 35.0 to 39.9 Severe
Obese class 3 (Morbidly obese)
40.0 Very severe
*risk of other clinical problems increased
Calculate your own BMI: http://www.nhlbisupport.com/bmi/
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Apples and Pears
Waist circumference is tied to cardiovascular risk
Tipping Point:
Men: >40 inches
Women: >35 inches
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Diabetes Coronary artery disease Peripheral artery disease Stroke Hypertension Hyperlipidemia Arthritis Obstructive sleep apnea Pulmonary disease PCOS/infertility Dysmenorrhea
Pregnancy complications Gallbladder disease GERD Skin infections Urinary incontinence Depression Eating disorders Social stigma Cancers: breast, endometrial,
colon, prostate, gallbladder, kidney, esophagus…
Increase in all causes mortality
Obesity Major Player in Many Diseases
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7 preventable & reversible conditions with weight-loss
Hypertension Dyslipidemia Type II Diabetes Heart Disease Sleep Apnea Certain Cancers Metabolic Syndrome
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Why Workplace Solutions?
Workplace can be part of the problem Employees willing to pay for it An ideal opportunity for social reinforcement
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Workplace involvement pays off
Wellness programs with onsite or online wellness coaches are effective
Incentives Ongoing reminders through newsletters, posters,
speakers Weight management support groups
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The Hard Return on Employee Wellness Programs?
(Berry, Mirabito, Baun)
“Employee wellness programs have often been viewed as a nice extra, not a strategic imperative. But the data show otherwise. The ROI on comprehensive, well-run employee wellness programs can be 6 to 1”.
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The Hard Return on Employee Wellness Programs?
(Berry, Mirabito, Baun)
Our extensive research on workplace wellness has led us to arrive at this definition of it: an organized, employer-sponsored program that is designed to support employees (and, sometimes, their families) as they adopt and sustain behaviors that reduce health risks, improve quality of life, enhance personal effectiveness, and benefit the organizations bottom line.
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Case Study
Health costs >30% higher than normal weight individuals
• Brennan Scanlon, Scanlon & Associates Employee Benefits Broker
• Develop a Case Study, using past patient data from UniqueU, wherein obesity related conditions were actually reversed. What difference would that make to a companies health care premiums & claims costs?
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Case Study Census
• Brennan took a random sample from 32 Unique U patients grouping them together by professional class
• Approximately 7 of them had one of more of the conditions that can be reversed with weight loss.
• UniqueU reduced their BMI to a level that can reverse these conditions
• Brennan then proposed before & after scenario’s to medical carrier underwriters of this group
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Case Study 1
22%
0
200
400
600
800
1000
1200
1400
1600
EE EE+S EE+C FAM
WithConditions
WithoutConditions
$457.24 $1,005.01 $771.82 $1,411.50 $374.79 $823.78 $632.64 $1,156.97
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Case Study 1- Additional premiums due to conditions
Employee Employee/Spouse Employee/Children FAM
• Bi Weekly $41.23 na $69.59 $127.27
• Monthly $82.45 na $139.18 $254.53
• Annually $989.40 na $1,670.16 $3,054.36
• Total additional premium annually-company
• $46,401.48
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Case Study 2
49%
0
200
400
600
800
1000
1200
1400
1600
1800
EE EE+S EE+C FAM
WithConditions
WithoutConditions
$507.74 $1,017.02 $964.17 $1,624.76 $338.49 $744.68 $643.14 $1,083.17
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Case Study 2- Additional premiums due to conditions
Employee Employee/Spouse Employee/Children FAM
• Bi Weekly $84.87 na $160.75 $271
• Monthly $169.25 na $321.57 $541.59
• Annually $2,031 na $3,858.84 $6,499.08
• Total additional premium annually-company
• $97,485.24
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Claims: Including deductible, coinsurance & copays
• Office Visits• Specialist Visits• Emergency Visits• Diagnostic Testing• Inpatient Services• Outpatient Services• Medical Devices• Medicines• Labs
• Hypertension• Dyslipidemia• Type II Diabetes• Heart Disease• Sleep Apnea• Certain Cancers• Metabolic
Syndrome
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Related Medicines
• Benicar• Coreg• Synthroid• Zoloft• Wellbutrin• Meloxicam• C Pap• Insulin
• Plavix• Ramipil• Glimpiride• Synthroid• Metformin• Meloxicam• Tricor• Lipitor
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Premiums + Claims
• Case Study 1
• $80,427
• Case Study 2
• $131,511
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Large Group Scenario Estimates
• 128 Employee Company
• $321,708 to $526,044
• 258 Employee Company
• $643,614 to $1,052,088
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What can reducing Body Mass Index (BMI) mean
for probability ofChronic Disease?
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Wellness Tax Credits & Grants
IRS Publication 502
Deductible Medical Expenses may include but are not limited to:
Payments to participate in a weight loss program for a specific disease or diseases, including obesity, diagnosed by a physician.
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Blueprint for Health
The American College of Occupational and Environmental Medicine has developed a software program that is statistical driven to determine total cost impact from health related conditions from over 2 million employers
in the United States. Some criteria measured include:
-Absenteeism / Presenteeism
-Chronic Health Related Conditions (Physical and Psychological)
-Productivity
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-INDIVIDUAL COMPANY ASSESSMENT AND NEEDS.
-DATA COLLECTION FOR STATISTICAL ANALYSIS.
-OPERATIONAL PLAN, BASED ON INDIVIDUAL NEEDS.
-INTERVENTION.
-PERIODIC EVALUATION AND REFINEMENTS, BASED ON STATISTICS AND MEASURING RETURN ON INVESTMENT.
Elements of a Well Designed Wellness Program:
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Questions?
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ConclusionTake action and contact our practice
for a complementary Wellness Consultation for your company.
UniqueU Medical Weight Loss & Wellness
Dr. Dan Buchanan, DC and Dr. Jim Lutz, MD
513-984-2700 / www.UniqueU.com