Health Risk Assessment: Your Questions Answered

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Health Risk Assessment Your Questions Answered
Rhonda K. Jaster, MPH Prevention Specialist
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Arkansas Public School Employees / State
Employees Health Insurance

• Largest state-based insurance plan
• Approximately 130,000 lives
• Self-insured plan with traditional benefits
  structure
• No preventive benefits up to 2004
• Aging work force with chronic illnesses
• Escalating health insurance premiums
• In 2004 the Arkansas Health and Life Insurance
  Board made a positive decision to begin
  incorporating a long-term management strategy for
  disease prevention / health promotion

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Strategy of Change

• Three phases currently undertaken
• 1. Awareness Health Risk Appraisal (2004)
• Tobacco, obesity, physical activity, safety belt
  use, binge drinking
• 2. Support New benefit incorporation
  (2004/05/06)
• Includes first dollar coverage of evidence-based
  clinical preventive services, tobacco cessation
  program (prescriptions and counseling), weight
  management
• 3. Engagement Healthy lifestyle discounts
  (2005/06)
• 10 or 20 monthly premium discount

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Monitoring Health Risks

• Use of the HRA to identify medical and pharmacy
  costs related to self-reported health risks
• Up to 20 discount on combined risk factor score
• Encourage individuals to better manage their
  health risks
• Informed EBD Board of prevalent risk behaviors
  and associated costs

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Self-reported HRA Results (2006)

• Response rate 54.9
• Eligible 85,896
• Completed 46,959

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Average Individual Cost Comparison
Average cost for HRA respondents (2,660)
Avg cost for those with no risks 2,009
Avg cost for those with any of the three risk
factors 3,014
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Identified Risk Factors
HRA Respondents
No Risks 11
All Daily Cigarette Smokers12.0
7.1
1.5
2.3
1.1
10.1
19.4
8.7
All Obese 31.5
All Physical Inactivity 21.4
Self-report Health Risk Assessment Survey -- Fall
2006, n46,959 BMI calculated from self-report
height and weight
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Individual Cost by Risk Factor(s)
HRA Respondents
No Risks 2,009
C Cigarette Use (daily) O Obesity P
Physical Inactivity
C 2,280
All Daily Cigarette Users2,622
CP 2,883
CO 2,991
COP 3,731
O 3,068
P 2,768
OP 3,720
All Obese 3,264
All Physical Inactivity 3,210
Self-report Health Risk Assessment Survey -- Fall
2006, n46,959 BMI calculated from self-report
height and weight
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Wellness Program Options

• Reviewed and suggested potential health behavior
  change programs
• July 1, 2006 implemented phased weight management
  and nutrition benefit
• UAMS College of Pharmacy is in the process of
  conducting a process evaluation on member
  satisfaction
• Return on investment study is planned

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2007 HRA

• User friendly, quick, easy questions
• Web supplies a comprehensive wellness report
  following completion
• Phone version also available however no immediate
  report or discount information
• Open to ASE members 10/01/07 10/31/07
• Existing employees MUST complete by 10/31/07 in
  order to be eligible for any discount on Plan
  Year 2008
• New employees, or enrollees have 30 days after
  their effective date to complete
• 30 days! Even in months with 31 days!

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Arbenefits.org or 800-763-4674
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LOG IN
SSN xxx-xx-xxxx DOB mm/dd/yyyy
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Discounts

• AASIS agencies
• Discounts loaded to AASIS November 17
• HIRs cannot update HRA codes in AASIS
• HIRs should notify EBD if a member has a plan
  change which resets HRA code to 1
• HIRs resets HRA code in AASIS to 1
• EBD resends correct HRA code to AASIS upon HIR
  request
• Non-AASIS agencies
• Weekly HRA-completed report each Friday
• Primary HIR receives report via email

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Thank you

• Further information contact
• Rhonda Jaster
• ph 501-683-0179
• rhonda.jaster_at_dfa.state.ar.us