Employer Healthcare Summit

On Wednesday, February 18th Mohawk Industries will host the next EmployersLikeMe Summit at their headquarters office in Calhoun, GA.

Registration will be limited so please save the date and registration info will be sent to our Employer network soon.

We have several ideas about topics for the Summit but we’d like to give you a chance for input.  Take a moment and take our one question survey at:  https://www.surveymonkey.com/s/elmsummitfeb2015

Protected: Southeast Georgia Business “Wellness” Program

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Wellness Scoring and Premium Reward

The VNS Wellness program is designed to identify and assist our employees with known and unknown chronic illnesses.

The purpose is to 1) promote employee participation in building healthier lifestyles as well as provide education and management of chronic medical conditions and 2) reassign some risk from VNS to us as employees who are unwilling to manage our health which creates a financial cost to employees who are taking care of managing their health.

I. Tobacco Use
To everyone’s knowledge tobacco use represents an historic illness and healthcare cost citing at least one source by researchers the average excess health care costs of smokers – who have higher rates of lung disease, heart disease and other illnesses, is $2,055 annually.

Tobacco use will have an additional surcharge of $50 per month. This surcharge is similar to the spousal surcharge that is currently being assessed for spouses who have an opportunity to utilize their employer’s health insurance program but elect to use VNS’ instead.

If you smoke, dip or use tobacco products and are insured by VNS’ health insurance program you can avoid the surcharge by 1) enrolling in the plan’s tobacco cessation program and 2) sign an affidavit that you agree not to smoke during the plan year.

II.Introduction to Scorecard
The VNS Wellness program focuses on five defined health benchmarks: blood pressure, body mass index (BMI), cholesterol, triglycerides, and diabetes management. Any five of these categories, if unmanaged, could result in significant health issues and extensive health costs.

III. How it will Effect an Employee Directly
Basically, everyone’s premium insurance will be increasing with the start of the new policy year January 1, 2014, by $1,300,yet everyone also has the ability to eliminate the premium increase up to 100% by participating in the Wellness program and improving your health.

For each benchmark met, a $10 credit per pay period will be applied to individual’s premium up to (5 categories x 26 pay periods) or $1,300 in premium reduction. We will also allow where borderline results are achieved a $5 premium reduction.

IV. Review Scorecard
Scorecard will be completed and reviewed with you by your CHP (Community Health Partners) coach. These scorecards will not be shared with anyone from VNS. This information is strictly confidential. The only information that will be transmitted to VNS is the premium reduction credit amount that will be used to reduce an employee’s payroll contribution withheld for health insurance coverage. The premium reduction credit amounts will be submitted to Human Resources.

If anyone exceeding their BMI achieves a 10% weight reduction during the program year, you will be eligible for the 10 points and $10 premium reward in the BMI category.

If your point score is 50 or less CHN will enroll you in a continuing education and coaching  session such as they have done this past year. If you score higher than this, you can also request more frequent coaching if there is a goal you would like to achieve with respect to your health.

V. Reasonable Alternative Standard (RAS)
An employee can contact their CHN health coach, request an RAS form and take the form to their own physician to develop a plan to achieve an improved target within a six-month period. The plan must be approved by the employee’s physician and CHP. If approved, the employee can qualify for the reward upon successful completion of the RAS program.

VI. Contested Results
For any contested biometric result that the employee feels is incorrect such as “White Coat Syndrome”, etc., the employee will be allowed to retake the contested test with their own physician at the employees cost. The test taken with the employee’s physician must be subsequent to the date the employee took the CHP test they are contesting.

VII. Improved Health Status
Every employee will be allowed to take a re-test once a year if they feel they have improved their health conditions and can now attain a reward level that they could not meet from the annual tests taken in October/ November. The re-test must be scheduled with CHP and can be taken from March through September of the plan year to qualify for the premium reward.

Wellness Program Requirements and Incentives

Pharmacy Webinar Audio Available

Good news! If you missed the Pharmacy webinar with Barbara Barrett (Langdale Industries) sharing her experiences on Pharmacy benefits, you can hear the audio of the session at your leisure.

Just go to: https://www1.gotomeeting.com/register/918900616

The recording is audio only. If you’d like a PDF copy of the slides just email Don at ude.hcetagnull@stteb

Thanks again to Barbara Barrett for an excellent presentation!

South Georgia Employer Healthcare Workshop – Quick Notes

South Georgia Employer Healthcare WorkshopThanks to the Douglas Employer’s Committee at the regional Georgia Department of Labor office in Douglas, Ga.  The employers who lead the committee and the DOL staff that supports them are simply outstanding.  They led a team, including the local Douglas-Coffee County Chamber of Commerce, that made the Workshop a pleasure to deliver.  And I must add a special thanks to South Georgia State College who provided the beautiful venue at Engram Hall and an expert conference team that made the day perfect, including a delicious and health conscious lunch.

There’s that old saying… “You should’ve been there!”  I can’t possibly recreate the rich discussions, the very personal stories that were shared or just the passion that was palpable but here are a few thoughts: [Read more…]

Join us for the South Georgia Workshop

April 17, 2014

Online Registration is now closed, but on-site registration will be available the day of the workshop.  Contact Don Betts at 912.381.9003 or ude.hcetagnull@stteb if you have questions.

Employer Healthcare Workshop

April 17th at Engram Hall on the South Georgia State College Campus [Read more…]

Affordable Care Act Panel

EmployersLikeMe Friends:

Next week we’re heading to Savannah for the EmployersLikeMe Summit.  So far 75 of your colleagues are coming and they represent 245,256 covered lives in their health plans.  That’s a perfect sized group; small enough that everyone can participate but large enough to have lots of good experience in the room.

No doubt, one of your biggest challenges is the rollout of the Affordable Care Act. [Read more…]

Are Employers Using Telehealth

Last day for early bird registration:  www.employerslikeme.org

EmployersLikeMe Friends:

Are employers using telehealth concepts and procedures to save money and improve care access?  Or maybe the correct question is are health providers in Georgia capable of providing quality care using telehealth? [Read more…]

On-Site Clinics

EmployersLikeMe Friends:

On-Site Clinics are a hot topic.  They are used by a variety of employers and in a variety of ways to improve care access and employee health and productivity.

EmployersLikeMe has identified 66 On-Site Clinics in Georgia so far.  About 15 of these are associated with local governments and the rest with private employers. [Read more…]