Experience. Wellness. Everywhere.

October 2013Employer Worksite Wellness Webinar

Experience. Wellness. Everywhere.

Month Webinar Topic Date and TimeJanuary 2013 Wellness – An Overview of Well onTarget 1/29

10-11 AM

February 2013 Wellness – An Overview of Well onTarget 2/26

10-11 AM

March Thrive to Stay Alive: Happiness in the Workplace 3/19

10-11 AM

April Wellness Incentives in Workplace Cultures: Best Practices 4/23

10-11 AM

May Rescheduled 5/28

10-11 AM

June Creating a Culture of Wellness at Your Worksite: An Overview of Well on Target Consulting Services

6/25

10/11 AM

July Blue Care Connection 7/23

10-11 AM

August Employee Resources: Exploring Be Smart. Be Well. and Blue365

8/27

10-11 AM

September Reframing the Well-Being Value Proposition for Sustainable Results

9/26

10-11 AM

October The ondemand Portal: A Closer Look at Reporting and Online Challenges

10/22

10-11 AM

November/December TBD 12/10

10-11 AM 2

2013 Campaign Schedule

2

Experience. Wellness. Everywhere.

To do everything in our power to stand with our members in sickness and in health

INSPIRINGSIMPLY

our purpose

Experience. Wellness. Everywhere.

October 2013Agenda

Introduction

ondemand Portal – Christina Papirnik

Lifestyle Management Programs – Monica Rinehart

Questions

Survey4

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Blue Care Connection®Lifestyle Management,Weight Management & Tobacco Cessation, Leading Indicators & MetS programs5

*Additional costs and conditions apply.

Care Coordination and Early InterventionTargeting Leading Indicators, early identification and outreach, pre-admission / post-discharge counseling, reducing avoidable events

The New BCCThe Next Generation of Blue Care Connection®

Catastrophic IllnessEnd of LifeHigh-Risk OB & Neonatal Intensive CareEnd Stage Renal DiseaseTraumatic InjuryComplex Care CoordinationBehavioral Health (BH) Co-management

AsthmaCardiovascular Condition Clusters COPDDiabetesPersonalized MessagingLeading Indicators Low Back PainSpecial Beginnings®´ MaternityCo-morbidity ManagementBH Co-management – 6 conditions

New

► Early identification►Personalized

Messaging►Multi-Condition

Approach► Results

Wellness / Preventive InitiativesBlueResourceSM CommunicationsBLUE 365 Member Discount ProgramWorksite Wellness*Fitness Program*

Authorization / notification / concurrent review ONLYBH Co-management

Metabolic Syndrome MgmtLeading Indicators of MetS, Diabetes and CADAlternative Treatment Options/Shared Decision ToolsMetS Program Buy-up*Health AssessmentWell on Target Weight ManagementSmoking Cessation24/7 NurselineEAP*

Experience. Wellness. Everywhere. 6

Lifestyle Management

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Priorities • Personalized Telephonic coaching with Wellness Coaches

• Member driven goal setting, treatment planning, and individualized education and support

• Motivational and Behavioral Coaching

• Referrals when appropriate to other medical management programs

• Motivational toolkits mailed to members when enrolled and working with a licensed Wellness Coach

• Licensed Clinical Social Workers

• Licensed Master Social Workers

• Licensed Professional Counselors

• Registered Dietitians

• Exercise Physiologists

Complex / CatastrophicWell Members Moderate- Risk High-Risk

• Wellness and Preventive Care

• Lifestyle Management Programs

• Utilization Management• Pre-certification

• Condition Management

• Enhanced Case Management

Low- Risk

Tobacco Cessation: Support for members who want to quit smoking

Weight Management: Support for a Healthier You

Lifestyle Management

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Self-Paced Approach (online enrollment)• Online tools and resources via the Well on Target Portal• Secure e-mail outreach to keep members on track• Life Points are awarded for taking healthy actions. Points are assigned

to actions that have been proven to have a positive impact on health.• Blue 365 Member Discount Program: offers new features and

discounts on fitness gear, family activities, healthy eating options and much more, from top national and local retailers including: Davis Vision, TruHearing, TruVision, Jenny Craig, Life Time Fitness and Proctor & Gamble.

Complex / CatastrophicWell Members Moderate- Risk High-Risk

• Wellness and Preventive Care

• Lifestyle Management Programs

• Utilization Management• Pre-certification

• Condition Management

• Enhanced Case Management

Low- Risk

Tobacco Cessation: Support for members who want to quit smoking

Weight Management: Support for a Healthier You

Lifestyle Management-Metabolic Syndrome (MetS)/Leading Indicators

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• We know some health indicators can lead to more serious diseases. Enhanced program analytics identify Metabolic Syndrome and its leading indicators that signify critical risk factors that lead to Metabolic Syndrome, diabetes and coronary artery disease, if left untreated.

Complex / CatastrophicWell Members Moderate- Risk High-Risk

• Wellness and Preventive Care

• Lifestyle Management Programs

• Utilization Management• Pre-certification

• Condition Management

• Enhanced Case Management

Low- Risk

Metabolic Syndrome and Leading Indicators

2 or more of: • Fasting Blood Glucose• Hypertension • High Triglycerides• Low HDL• Waist Size

ELSM Outreach Criteria• Member identified from Health Assessment (HA), Integrated Predictive Model, self-referrals,

biometric / worksite wellness events and other BCC programs (Internal Referrals).

• HA/Biometrics*Tobacco Cessation Trigger:

• Positive response to tobacco use.

• Appropriate readiness to change

• HA / Biometrics *Weight Management Triggers:

• Overweight: Body Mass Index (BMI) ≥ 25 – 29.99

• Obese: Respondent with a BMI ≥ 30

• Appropriate readiness to change

• Integrated Predictive Model Triggers:

• Obesity, Tobacco Use Disorder, Hyperlipidemia, Hypertension, Pre-Diabetes, or Diagnosis of Metabolic Syndrome

• Leading Indicators of conditions above (must meet 3 or more triggers for outreach)

Experience. Wellness. Everywhere. 10

Blue Care Advisor/Coach Interdisciplinary Timeline

Lifestyle Management Coach Advisor’s Follow-up Timeline(Typical 9 Month Total Engagement)

NOTE: Actual Follow-up

-

Schedule determined by member needs

1mo1mo1mo1mo1mo1mo1mo 1mo1moBCA/CoachEnrollment

#2#1 #3 #4 #5 #6

Experience. Wellness. Everywhere. 11

Lifestyle Management

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Summary• Lifestyle Management includes:

• Weight Management• Tobacco Cessation• Metabolic Syndrome

• Telephonic coaching with members to help them incorporate healthy lifestyle changes that will have a lasting impact

• Incorporate and utilize online tools and resources to optimize member success.

Complex / CatastrophicWell Members Moderate- Risk High-Risk

• Wellness and Preventive Care

• Lifestyle Management Programs

• Utilization Management• Pre-certification

• Condition Management

• Enhanced Case Management

Low- Risk

QUESTIONS?

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