Free Wellness from your Insurance Carrier

Posted on November 24th, 2010 in Brokers, Employee Benefits, Employee Relations, Insurance Carrier, Wellness Programs

In the past few years, many health insurance carriers have begun offering wellness tools to their customers – often at no additional cost.  It has a lot of appeal to overworked HR managers who often have little training or experience with wellness.  Here’s why it’s appealing:

  1. It’s “free”  (I would bet the farm the costs are baked in somewhere)
  2. It looks sexy
  3. It’s integrated with the health plan
  4. It’s reportedly “turnkey”

In reality, expecting these free wellness tools to get results is like dropping your child off at the school library (complete with computers, phones, books, etc) each fall and expecting an honor student when you pick them up the next year.  Much of the information and supplies are there, but there is no curriculum, no motivation, no regular accountability, celebration, no social support, etc.  Students need teachers.  Athletes need coaches.  I don’t recall John Wooden winning 10 championships over the phone.

Then why do they offer it?  I recently read a great blog entitled, “Ten Reasons Why Fully Insured Commercial Health Insurers Don’t Offer Worksite Wellness Programs For Their Customers”.  I probably would have called it, “Why Wellness from Most Insurers Is Only Window Dressing”.  As health insurance carriers consider how to grow their profits, there are quite a few factors that impact profits ahead of wellness.  In a webinar where Andrew Sykes, a well-known actuary, spoke about the carriers’ motivation for wellness, he assured the audience that carriers were truly serious about wellness.  They want sexy wellness tools to attract and retain their clients who are interested in wellness.  However, they really don’t care if the tools get results. After all, what’s their motivation for reducing claims?  When claims go up, their revenues and profits go up proportionately.  Their motivation for doing wellness is more likely customer loyalty – like frequent flyer programs.

Where does wellness stack up on the priority list as carriers try to boost profits?  Number FIVE.

1. More accurate underwriting

2. Better provider network with deeper discounts

3. Favorable plan designs that shift cost to employees

4. Efficient claims management

5. Wellness tools or budget

Unfortunately, many employers take the easy bait, and they loose several years of progress before they learn that wellness from carriers is only one-size-fits-all tools. It doesn’t do much to gain the trust of employees either, who are wary of carriers gaining more information about them.  Once again, there are no free lunches…



Healthcare Reform. Opportunities for Brokers?

Posted on October 28th, 2010 in Brokers, Corporate Health Partners, Employee Benefits

ChaosSeveral years ago, I realized that where there’s chaos, there’s opportunity.  For visionary leaders who can anticipate their clients’ changing needs in a chaotic situation and adapt faster than the competition, there is vast opportunity.  However, those leaders who spend their time grieving over the good old days can become obsolete, along with their business.

There is certainly a lot of chaos in the world of employee benefits, now that the Patient Protection and Affordable Care Act is being implemented. What’s worse, the Act is still evolving!  Besides the many provisions that have been left to various agencies to spell out, Henry Aaron recently reported in the New England Journal of Medicine that PPACA contains “64 specific authorizations to spend up to $105.6 billion and 51 general authorizations to spend ‘such sums as are necessary’ over the period between 2010 and 2019.” However, Congress must specifically appropriate these funds before they can be spent.

I have talked to a lot of benefit brokers and read a number of articles and blogs about what the PPACA chaos means to the broker community.  Responses have ranged from “There’s no future for brokers so I’m starting a new business” to the boast by one broker in a recent issue of Employee Benefit News that “My business could grow by100%”! The article suggests that this kind of growth comes at the expense of other brokers who are slow to respond and are weeded out.

An article in the October issue of American Agent and Broker shows point by point that there’s considerable upside for brokers who evolve to seize the opportunities.  One thing seems certain – the Affordable Care Act is making health insurance even more demanding and less affordable for employers.  The brokers who will come out ahead are those who can plan more strategically to control costs and take more of the load off of their clients’ HR Departments while executing those strategic plans.

I concur with Beverly Beattie’s advice in Employee Benefit News, “As pressure mounts to find optimum value and affordability in an organization’s program, coupled with uncertain residual effects of reform, we believe a well thought out benefit strategic plan will include the intelligent integration of technology, education, communication, utilization management and promotion of health and wellness.”



Employer Solutions for Worksite Smoking Cessation

Posted on September 15th, 2010 in Employee Productivity, Smoking Cessation

There is a lot of information on the web about smoking, tobacco use, and the obvious health risks and costs.  However, what do you do when you manage a company that desperately wants to offer their employees the best benefits at a rate they can afford?  One valuable solution is to develop a tobacco policy.  Here are the types of ways you can transform your culture into a tobacco free zone:
Find out local and state laws that will support your decision to be smoke free.

Talk with your broker to determine if your health insurance carrier will offer a special tobacco policy/rate (usually a higher premium for tobacco users).

Conduct a worksite assessment to see how many tobacco users are at work.  Become knowledgeable on tobacco use in its relation to loss of productivity, extra costs in medical expenses, more lost days of work, increase in injuries, and slower recovery.  Use this knowledge to gain support of others you need to join your cause.  Offer tobacco cessation programs and coaching to current users.
Have your worksite wellness team join your charge!  Don’t have one?   Ask me how I can help!
The latest tobacco related news is that on June 21, 2010, the law takes effect that packaging of tobacco products, “Under the FDA’s new regulation, tobacco manufacturers may no longer use words like “light” “low” or “mild” to describe their products”.  Many packs of cigarettes are now color coded instead, and they are not allowed to have self-serve style displays, all cigarettes must be sold “behind the counter”.  These new laws are directed at young consumers.   Will senate bill 55, now law…do much to deter young consumers from smoking?
We will be posting updates in the coming weeks and months on our progress at a larger company that is just now embarking on becoming smoke free.  The background:  The company has implemented health risk assessments and have a significant number of tobacco users.  They have developed a team and contacted their broker.  They have just conducted open enrollment, communicating that tobacco users will receive a higher fee on their health insurance beginning in October.  Health coaching and smoking cessation program communication is being promoted HEAVILY in July, and will begin in August.
If you don’t know already, Great American Smoke Out! Is scheduled for November 19, 2010.  This day will be a smoke free day!  Get materials and information for your worksite by clicking  here.





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