Health and Productivity Management

1
(No Transcript)
2
Health Care Costs for Each Person
Centers for Medicare and Medicaid Services
3
Health Care Costs for Each Person
6,423
Centers for Medicare and Medicaid Services
4
U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
US Military uses 3.2
5
In 2001, US Spends More Than the Rest
2001, General Accounting Office, 2004
6
Infant Mortality
2001, General Accounting Office, 2004
7
Life Expectancy in the World
WHO, 2004
8
Life Expectancy in the World
Japan
U.S.
WHO, 2004
9
U.S. Health Care as a Percentage of the GDP
Today 15 of GDP
10
U.S. Health Care as a Percentage of the GDP
11
U.S. Health Care as a Percentage of the GDP
12
U.S. Health Care as a Percentage of the GDP
13
U.S. Health Care as a Percentage of the GDP
14
Doctor Day, January 1, 2226
15
(No Transcript)
16
A Few Facts About Health Care

• The cost of health care will continue to rise
• All health care costs are paid by individuals
• Lower health care cost for companies and
  individuals is a function of shifting who pays a
  greater portion

17

• Pharmaceutical companies
• Canada
• Malpractice and law suits
• High tech equipment
• Medical profession salaries
• Administration
• Waste/fraud
• Poor lifestyles

18
Portion of Health Care Caused by Preventable
Chronic Diseases
19
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
20
Obesity Trends Among U.S. Adults1985
21
Obesity Trends Among U.S. Adults1986
22
Obesity Trends Among U.S. Adults1987
23
Obesity Trends Among U.S. Adults1988
24
Obesity Trends Among U.S. Adults1989
25
Obesity Trends Among U.S. Adults1990
26
Obesity Trends Among U.S. Adults1991
27
Obesity Trends Among U.S. Adults1992
28
Obesity Trends Among U.S. Adults1993
29
Obesity Trends Among U.S. Adults1994
30
Obesity Trends Among U.S. Adults1995
31
Obesity Trends Among U.S. Adults1996
32
Obesity Trends Among U.S. Adults1997
33
Obesity Trends Among U.S. Adults1998
34
Obesity Trends Among U.S. Adults1999
35
Obesity Trends Among U.S. Adults2000
36
Obesity Trends Among U.S. Adults2001
No Data lt10 1014
1519 2024 25
37
Obesity Trends Among U.S. Adults2002
(BMI ?30, or 30 lbs overweight for 54 person)
No Data lt10 1014
1519 2024 25
38
Obesity Trends Among U.S. Adults2003
No Data lt10 1014
1519 2024 25
39
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
40
Obesity Trends Among U.S. Adults2004
No Data lt10 1014
1519 2024 25
41
Obesity Trends Among U.S. Adults2005
No Data lt10 1014
1519 2024 2529
30
42
Percent of adults who are overweight or obese
67
2/3 of adults are overweight or obese
43
Percent of adults who are overweight or obese
81
44
Excess Body Weight and Reduction of Lifespan
-3.1
-3.3
-5.8
-7.1
Ann Intern Med. 200313824-32
45
Diabetes and Reduction in Lifespan
-14.3 yrs
-11.6 yrs
JAMA 20032901884-1890
46
Life Expectancy in the U.S.
2-5 year decline in life expectancy
47
Lifetime Risk of Diabetes for Children Born in
2000
49
Venkat Narayan, JAMA 20032901884
48
Lifetime Risk for Chronic Diseases
49
NCI 2006 Lancet 199935389
49
How People Died in 2003
Cancer 24
Accidents Suicide Infections Kidney failure Lung
failure Others 40
Cardiovascular Disease 36
50
How People Died in 2003
CVD
Cancer
Other
Up to 70 of all causes of death are lifestyle
related and preventable
51
Percent of Chronic Diseases That Are Caused by
Poor Lifestyle
91
82
71
70
Sources Stampfer, 2000 Platz, 2000 Hu, 2001
52
National prevalence of health risks
80
78
CDC, BRFSS, 2002
53
How did we get this way?
54
(No Transcript)
55
5-a-day 1 million
Food Marketing 25 Billion
56
(No Transcript)
57
(No Transcript)
58
(No Transcript)
59
(No Transcript)
60
(No Transcript)
61
(No Transcript)
62
(No Transcript)
63
Texas Double Whopper
64
Employee Health
65
Typical Employee Distribution
30
50
20
66
Typical Employee Cost Distribution
15 of Employees 85 of Costs
85 of Employees 15 of Costs
67
Typical Employee Cost Distribution
59 of next years cost group
68
Employee Health
69
Employee Health and Productivity Continuum
Unhealthy Low Productivity
Healthy High Productivity
70
Health and Productivity Management (HPM)
71
(No Transcript)
72
1,500-3,500 in Excess Claims for Each
Additional Health Risk
Source Dee Edington, Health Management Research
Center
73
California
15
2005 BRFSS
74

• 31 of all cancers

75
If you are a smoker
-14.5 yrs
-13.2 yrs
MMWR 199746444-51
76
11 minutes per cigarette
77
2 per cigarette in health care costs
78

• 4,204 per smoker per year

79
(No Transcript)
80
Average 2003 Medical Care Costs
N1,706
Source StayWell Health Management
81
Average 1997-1999 Medical Care Costs
N43,687
Source StayWell Health Management
82
Days Absent in 2003
N941
Source StayWell Health Management
83
Percent with Workers Comp Claims in 2003
N23,916
Source StayWell Health Management
84
Percent with STD Claims in 2004
N23,916
Source StayWell Health Management
85
Fairview Health Services
-13
-2
15
N3,577
Source StayWell Health Management
86
DaimlerChrysler/UAW National Wellness Program
-4.0
0.0
4.0
N5,390
Source StayWell Health Management
87
What About the Bottom Line?
88
Return on Investment (ROI)
32 studies
14 studies
89
(No Transcript)
90
What caused these savings?
91
Unhealthy behaviors
Health risks
Chronic disease
Health care costs
92
Its All About Behavior Change

• Educate
• Motivate
• Build skills
• Change the environment

93
(No Transcript)
94
(No Transcript)
95
Somewhere in Seattle
96
(No Transcript)
97
(No Transcript)
98
(No Transcript)
99
Why Should I Care?
Morbidity
Lifespan in years
76
0
critical illness
Ann Intern Med, 2003139455-459
100
Morbidity
Lifespan in years
0
?
76
86
critical illness
101
End of Life Benefits
Morbidity
Lifespan in years
10-20 Years
Morbidity
Lifespan in years
102
(No Transcript)
103
(No Transcript)
104
(No Transcript)
105
www.culpritandcure.com