What America

1
What Americas Healthiest Companies Do Differently

• Assurant MVP Roundtable October 10th, 2006

2
Objectives

• Introduce the theory of the compression of
  morbidity.
• Explore the secrets of Americas Healthiest
  Companies

3
Coming to Terms

• The Compression of Morbidity

4
Unhealthy Lifestyles
5
Expenditures In Perspective

• 1.9 trillion annually is 5.2 billion a day.
• If the dollars were laid end-to-end, the distance
  would cover 368,244 milesenough distance to
  circle the earth nearly 19 times.

6
Expenditures In Perspective

• 1.9 trillion annually is 5.2 billion a day.
• If stacked, 3.8 billion would reach more than
  257 miles highthe equivalent distance of 1,000
  Sears Towers.

7

• If health care costs continue unabated, medical
  care by mid- century will absorb almost one-third
  of the economy...It will mean a massive transfer
  of the nations incomewhether profits, wages, or
  tax dollars to medical care.

8
Lifestyle and Chronic Disease

• Unhealthy lifestyles lead to chronic
  diseasesmoking, poor nutrition, physical
  inactivity, and alcohol consumption account for
  800,000 deaths annually.
• Chronic disease related to lifestyle account for
  70 of the nations medical costs.
• 50 of premature deaths in the U.S. are related
  to modifiable lifestyle factors.
• About 108 million people in the United States
  have at least one chronic disease such as heart
  disease, diabetes, asthma, hypertension, or
  osteoarthritis.
• Less than 1 of total expenditures are targeted
  for prevention

9
Healthy Lifestyle
10
Area Under the Curve
11
The Coming Storm

• Its 2030you see a country where the collective
  population is older than that of Florida today.
  You see a country where people in wheelchairs
  will outnumber kids in strollers. You see a
  country with twice as many retirees but only 18
  more workers to support them. You see a country
  with large numbers of impoverished elderly
  citizens languishing in understaffed,
  overcrowded, substandard nursing
  homes... -Laurence Kotlikoff

12
Objectives

• Introduce the theory of the compression of
  morbidity.
• Explore the secrets of Americas Healthiest
  Companies

13
Benchmark 1Healthy Companies Have Senior-Level
and Management Support
14
A Principal Case for Wellness

• CEO J. Barry Griswell Before and After

• Weight 297 246
• Total Cholesterol 204 182
• Triglycerides 130 61
• LDL (Bad Chol) 131 104
• HDL (Good Chol) 47 66

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A Principal Case For Wellness

• CEO J. Barry Griswell

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Benchmark 2Healthy Companies Have Cohesive
Wellness Teams
17
Big Idea!

• Having a great idea or being a charismatic
  visionary is time telling. Building an
  initiative that can endure beyond the presence of
  any single leader and through different and
  difficult cycles is clock building.
• -Built to Last Successful Habits of Visionary
  Companies

18
United Nations
19
Benchmark 3Healthy Companies Collect Data to
Drive The Health Management Initiative
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Theory Into Action

• Dont be buffaloed by experts and elites.
  Experts often possess more data than judgment.
  Elites can become so inbred that they produce
  hemophiliacs who bleed to death as soon as they
  are nicked by the real world.
• -Colin Powell

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Business Data

• Demographic Information
• Health Risk Appraisals
• Health Screening Data
• Employee Interests
• Health Knowledge

• Modifiable Medical Claims
• Disability
• Absenteeism
• Facility Assessment
• Culture Audits

22
Benchmark 4Healthy Companies Carefully Craft
An Operating Plan
23
Failing to Plan

• After struggling 1,450 miles in the worst
  conditions on earth, it is clear that we will not
  reach our destination. If we had just managed
  350 yards a day more, we would have, however,
  achieved our lifes dream. As it is, we will
  now gladly end our lives here. Its not that we
  failed, but that we so very nearly succeeded.
• --Robert F Scott, Antarctic Explorer, 1913

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The Seven Elements of a Comprehensive Operating
Plan

• Vision Statement
• Goals
• Objectives
• Marketing
• Timeline
• Itemized Budget
• Evaluation plan

25
Benchmark 5Healthy Companies Choose
Appropriate Interventions
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Programming Paradigm
High-RiskStrategy Manage Disease
Health Risk Appraisal
Moderate RiskStrategy Improve Health
Low-RiskStrategy Maintain Health
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Benchmark 6Healthy Companies Create Supportive
Environments
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Creating Supportive Environments
29
Benchmark 7Healthy Companies Consistently
Evaluate Outcomes
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Summary of Findings
N42 Studies
Source Proof Positive An Analysis of the
Cost-Effectiveness of Wellness, 2003
31
Testimonial

• We spend about 550 million a year on
  healthcareIts a huge number. Weve had several
  outside experts estimate that our wellness
  program saves us about 40 millionIts one hell
  of an investment.
• -Dick Davidson CEO, Union Pacific Railroad

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The Seven Benchmarks

• Capturing Senior Level Support
• Creating Cohesive Teams
• Collecting Data
• Crafting an Operating Plan
• Choosing Appropriate Interventions
• Creating Supportive Environments
• Carefully Evaluating Outcomes

Capture Senior Level Support
Carefully Evaluate Outcomes
Create A Cohesive Wellness Team
Create A Supportive Environment
Choose Appropriate Interventions
Collecting Data
Crafting An Operating Plan
33
Objectives

• Introduce the theory of the compression of
  morbidity.
• Explore the secrets of Americas Healthiest
  Companies