Questions???

Why Wellness? Are You Feeling Lucky? Karen Hewitt, MBA May 6, 2011

4 Blue Cross Blue Shield of Massachusetts Cover Illustration, The Economist, Dec 13, Reference: Slide From Presentation entitled Antipsychotic Agents and Metabolic Syndrome by David C. Henderson, M.D MGH Harvard Medical School The Evolution of Us

5 Blue Cross Blue Shield of Massachusetts Major Cost Drivers in Healthcare The CDC states that many chronic diseases can be eliminated or prevented by addressing these three risk factors Poor Diet Smoking Inactivity Addressing these Factors would prevent 80 % of Heart disease cases 80% of type II diabetes cases 40% of cancer cases Reference: Preventing Chronic diseases in the united states and abroad. Center for prevention and health services. Issue brief. December 2006 Reference: Reference: Massachusetts: Burden of Chronic Diseases. CDC 2008

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8 Major Cost Drivers in Healthcare Lack of Regular Exercise, Poor Diet, Obesity and Smoking are the major levers to address a reduction of our medical spend on Chronic diseases. Risk Factors for Chronic Diseases in MA 59% of Adults and 15% of High School students in MA were overweight or Obese 49% of Adults in MA were not engaged in enough physical activity 73% of Adults in MA diets had less than 5 fruits and vegetables per day 16% of Adults and 18% of High School students reported being smokers 26% of Adults reported having High Blood pressure 36% of those screened had high cholesterol 7% reported having Diabetes (non-pregnancy related) “If current trends continue, 1 in 3 Americans will develop diabetes sometime in their lifetime, and those with diabetes will lose, on average, 10–15 years of life.”

9 Blue Cross Blue Shield of Massachusetts Our Solutions to Improve Health and Reduce Costs Work with Employers to offer programs and interventions that address the lifestyles and behaviors that lead to chronic diseases. As a health insurer we align our strategies to address the problem earlier in the continuum long before it shows up in our claims When considering our members’ health; we take a proactive vs. reactive approach! This strategy allows us reduce risks that lead to chronic disease and high costs. “Although Chronic diseases are among the most common and costly health problems, they are also among the most preventable.” Reference:

10 Blue Cross Blue Shield of Massachusetts An Employer Experience Gateway Health Group Patrick W. Meagher Assistant Superintendent for Business & Finance Carver Public Schools

11 Blue Cross Blue Shield of Massachusetts Gateway Health Group Wellness Incentive Program Colonoscopy: $50 gift card Mammogram: $25 gift card Biometric Screenings: $50 gift card raffle —Cholesterol and Blood pressure

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13 Blue Cross Blue Shield of Massachusetts Results 78 employees participated in the program  67 had a mammogram  60 entered the screening drawing  29 had a colonoscopy