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Feature:

Selling Health to High-Risk Workers

  

Feature Contents
Top of Feature

1. TOOL: A Workplace Wellness Checklist
A list of questions to ask yourself about the effectiveness of your wellness program. It includes measuring how comprehensively you evaluate the program; looking at how much support you get from the CEO; and how well you inform your workforce about the program.

2. On-Site Clinic Saves Company $400,000
HR manager Tim Markus says "having a clinic at work removes all the excuses for not taking care of themselves."

3. Incentives Stabilize Health Care Costs
Hoffman has seen a 40 percent decrease in the risk for hypertension.

4. Risk Assessment Pays Off at Johnson & Johnson


5. Benefits & Compensation
Exchange ideas about health plans, retirement, work/life benefits, and employee assistance.


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Risk Assessment Pays Off at Johnson & Johnson


Between 1995 and 1999, medical care costs decreased by $225 per person.
By Sarah Fister Gale
Comments 0 | Recommend 0

Large Company
Name: Johnson & Johnson
Location: New Brunswick, New Jersey
Business: Health-care products manufacturer
Employees: 40,000 in the United States

n 1995, Johnson & Johnson’s health and fitness group took a simple step that catapulted participation in the company’s wellness program from 26 to 90 percent, says Patricia Flynn, vice president of Johnson & Johnson’s health-care system. They offered every employee a $500 health-benefits credit in exchange for completing an annual health-risk assessment before enrolling in the plan.

    The company had offered the assessment optionally for years as part of its wellness program, but it was not until the incentive was attached that employees flocked to it. "People think they are fit and might not want to bother with an assessment," Flynn says. "This incentive got them to do it."

    The assessment is completely confidential and is conducted by a third-party administrator to ensure privacy--an early concern for employees who fear that their information might be used in hiring or firing decisions, Flynn says. "The information gathered is only shown in aggregate to management, while the employees get individual reports on their risk status." Employees can also check an optional box on the assessment to be contacted with information regarding any disease they are at risk for. "So many of them checked the box the first year, that tells me their privacy fears were alleviated," Flynn adds.

    In the past, the company offered incentives for participating in various wellness programs, but now all of their incentive dollars go toward the risk assessment, because they feel it brings the greatest return for the investment. "We are confidant that once employees know what their risks are, then we can make a positive impact on their health," says Jennifer Bruno, director of business planning. Early studies conducted at the company showed that even those employees who took the assessment but had no follow-up support through wellness programs showed improvements in their health, she adds.

    But for Johnson & Johnson, the assessment is just the beginning. The aggregate data helps the health-care group choose the right wellness programs for the exact needs of the population, Bruno says. The program developers aren’t guessing at employees’ health interests or expecting them to know what programs they will benefit from, she says. They use the hard data to guide their wellness program choices. "We are making better use of our health-care dollars, thanks to the assessment information."

    For example, the initial assessment showed that the employees have three areas of risk: high cholesterol, high blood pressure, and inactivity. The company now regularly offers exercise and counseling programs to help employees reduce cholesterol and blood pressure and manage weight. Bruno says there are also subtle additions to the workplace environment that contribute to a healthy culture, such as nutritious choices in the cafeteria, scales in all of the bathrooms, and a non-smoking environment.

    Since the assessment and resulting wellness programs were implemented, costs have decreased significantly at Johnson & Johnson. Between 1995 and 1999, medical-care costs decreased by $225 per person--due to lower administrative and medical utilization--which amounts to an annual total savings of $8.5 million. For those employees who were discovered to be at high risk for a disease and then reduced their risk, the savings is $390 per year, Bruno adds. Preliminary studies show that this level of savings should continue every year. "Because people are becoming aware of their risks earlier, they are taking steps to improve their health," says Bruno, "which means they will use the health-care system less."

Workforce, December 2002, pp. 76 -- Subscribe Now!


Sara Fister Gale is a freelance writer based in Minneapolis. To comment, e-mail editors@workforce.com.

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