Healthy Directions A New Approach to Health at Pfizer

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Healthy Directions A New Approach to Health at
Pfizer
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Investing in Keeping People Healthy

• There is a public health benefit
• Lower rates of chronic disease
• Decreased complications
• Increased physical activity
• Improved adherence to physician recommendations
• There is also a business benefit
• Improved productivity
• Reduced absenteeism
• Reductions in other business costs

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A New Approach to Health Care

• Keeping people healthy by investing in prevention
  and effective disease management can improve
  quality of life and keep costs low
• We know it works
• The Asheville Project
• Pitney Bowes
• Florida A Healthy State
• Pfizers approach Healthy Directions
• Senior level leadership is critical
• Partnership for Prevention Leading by Example

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Pfizers Situation
National Prevalence Norm
Hypertension
Diabetes

• Currently offer a generous health benefit and
  many health-related supporting services
• Population below the national norm for prevalence
  in a number of chronic conditions above in
  other key conditions
• Sites and division variation in prevalence and
  medical service utilization
• Low internal knowledge of health trends,
  populations health risks and health behaviors
• Limited engagement in currently offered health
  supportive services
• Per capita cost increasing from 7,850 in 2004 to
  12,659 in 2009 due to chronic condition
  prevalence and utilization patterns
• Lack of connectivity and coordination amongst
  health supportive services and with health
  benefits

Atherosclerotic Coronary Vascular Disease
Fractures and Dislocations
Neurotic Disorders
Major and Minor Traumatic Injury
Pregnancy
Hyperlipidemia
Average ER Visits per 1,000 People
Pfizer Overall 168.9
Projected Medical Plan Expenditures
( In Millions)
Source Ingenix
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What Is Pfizer Healthy Directions?
Health Risk Assessment Personal MedicalData
Health Status
Know Your Health Status
Easy Access to Health and Pfizer Information
Targeted Action to Improve Health Status
Live Advice, Navigation and Issue Resolution
Support
Health Advisor/Advocate
On-Site Services
Convenient Access to Health and Wellness Services
Understand Pfizers Status and Measure Progress
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Why We Implemented This Program

• To live the principles we promote as a company
• To encourage colleagues and family members to
  take responsibility for their health
• To provide tools and resources to help colleagues
  and family members make measurable health
  improvements
• To yield healthy results for colleagues, family
  members, Pfizer and its shareholders
• To improve our health and productivityas a
  company
• To manage health care costs

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Overview of 2005 2006 Results
Objective
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Incentives Helped Drive Year 1 Participation
Actions Incented Launch December 2005

• Results
• Enhanced data/knowledge of health status/risk
  factors for Pfizer
• Increased engagement in and knowledge of healthy
  behaviors

• Take the health risk assessment (HRA)
• Register on/use the website

In mid-2006, the incentive program will expand to
drive participation in broader Healthy Directions
programs that will yield results.
Management Support and Encouragement and
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100 gift card for actives and spouses/partners
who take the HRA
Raffle prizes (primarily health related) for
actives who take the HRA

• Discount on 2006 health benefit premiums
• 20 off 2006 rates for people who take the HRA

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Correlation Between Self Reported Health Status
and Health Care Costs

• Assessed via Health Questionnaire question (69)
  Over the past 6 months, how would you describe
  your overall health?
• Self-reported responses indicate accurate
  correlation between poor health status and
  increase in excess health costs

Baseline Annual Covered Life Costs by Health
Status
N 37,322, HQ completed population only Source
Health Status from HQ as reported by Matria
Self-insured paid claims during baseline period
reported by Ingenix
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Program Goals and Metrics
We Are Here
Year 2
Year 3
Year 1

• Engagement
• Awareness and understanding of program
• Participation in health risk assessment
• Enrollment in programs (risk modification and
  disease management)
• Colleague satisfaction

• Behavior changes,such as
• Increased exercise rate
• Decreased smoking rate
• Increased medication compliance
• Increased preventive care
• Clinical improvements, such as
• Reduction in risk factors
• Reduced blood pressurefor hypertensives
• Reduced blood glucose for diabetics

• Utilization changes, such as
• ER and hospital use
• Physician visits
• Health cost trends, such as
• Total cost below employer norms

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Why This All Matters Success Stories
Healthy Directions was my wake-up call.

• Went to the doctor
• Started exercising 3 times a week
• Joined weight loss program

Screening results showed BMI in the overweight
category andBP 150/90

• Lost 23 pounds
• BP down to 123/80
• Happier and have more energy

RESULTS
ACTIONS
Thanks for implementing Healthy Directions. It
just might have saved my life.

• BP down to 120/80
• Encourages others to get involved in Healthy
  Directions

Discovered dangerously high BP of 170/100 at HD
screening

• Saw doctor
• On medication
• Increased exercising

RESULTS
ACTIONS
You gave me the tools to change my
lifestylebefore I faced issues with my health.

• Enrolled in HD weight loss program
• Learned skills to better manage work/family

RESULT
ACTIONS
Realized she was overweight through screening

• Lost 40 pounds

Im headed in Healthy Directions.

• Cholesterol back to normal
• 6/3/2005 214
• 10/1/2005 170
• Working to sustain it at normal levels with coach

Healthy Directions launched right after annual
physical results showed cholesterol elevated
ACTIONS
RESULTS

• Enrolled in HD Cholesterol program
• Changed diet