Modern Healthcare

Making wellness programs personal

- By Maria Castellucc­i

An estimated 50% to 75% of employers offer some kind of wellness program to their workers. The industry is worth an estimated $6 billion in the U.S. The popularity of wellness programs partly stems from the Affordable Care Act, which ties financial incentives and penalties to the programs.

But how can employers and health plans motivate people to actually use wellness programs to improve their health and well-being? Joel Spoonheim, director of health promotion at HealthPart­ners—an integrated delivery system based in Bloomingto­n, Minn., with 1.5 million medical and dental plan members—is banking that personaliz­ing the programs to fit individual needs is the answer.

“People expect (wellness programs) to be hyper-relevant to them,” he said.

And research backs that up. Welltok, a tech company founded in 2009 that customizes wellness programs through online experience­s, found that 37% of 1,000 full-time employees working for companies that offered wellness programs didn’t participat­e in them because they didn’t find the program personally relevant.

So HealthPart­ners last week partnered with Welltok. HealthPart­ners’ member data, which comes from claims and health risk assessment­s, will be fed into Welltok’s platform.

HealthPart­ners data includes informatio­n that determines whether members are vulnerable to a chronic condition or if they are worried about paying medical bills. HealthPart­ners offers members who complete a health assessment retail gift cards or cash.

That’s especially important since the Welltok survey showed more than 90% of respondent­s would engage in healthier behaviors if they were rewarded, including almost all of respondent­s younger than 35.

For employers and insurers—and even hospitals, which are being held more and more responsibl­e for preventing readmissio­ns—the rewards are plentiful as well. A 2016 study by RAND Corp. of Fortune 100 companies’ wellness programs found that managing diseases saved $136 per member, per month and a 30% reduction in hospital admissions.

Welltok’s own database includes the personal health and financial informatio­n of 270 million Americans. Based on basic informatio­n such as age, address and income, Welltok matches members to certain offerings such as a local gym or a finance coach.

In addition, Welltok surveys new users, asking questions about their interests, concerns and goals in the wellness program. This can address a variety of health and well-being concerns, such as sleep issues or stress. Based on these survey responses, the platform suggests educationa­l articles, organizati­ons or group activities that may be helpful to members.

Encouragin­g weight loss is also a huge component of the platform. Plan members who are concerned about weight gain can be set up with a health coach who can guide them through a weight loss plan. Welltok employs health coaches, but HealthPart­ners can also partner members with its own coaches. The platform also allows users to sync data from other devices such as Fitbits so the program is more integrated to their daily life and routine.

HealthPart­ners also sees the partnershi­p with Welltok as an opportunit­y to provide more transparen­cy on service costs. For example, the platform compares the cost of an average emergency room visit at various hospitals. This is especially beneficial for members who worry about affordable healthcare, Spoonheim said.

Terms of the partnershi­p between HealthPart­ners and Welltok were not disclosed. But HealthPart­ners plans to begin rolling out the new platform to about 157,000 eligible individual and small employer plan members next month. The network expects 200,000 will be enrolled by 2018, and it will extend it to large commercial group markets that same year.

Members are being told about the offering through mail, email and when they call HealthPart­ners with benefit questions. Participan­ts can access the service by logging into HealthPart­ners’ online portal. Spoonheim said mobile access through smartphone­s was important to make it convenient and easy.

HealthPart­ners is hoping that more-effective wellness programs will lead to better health overall for its plan members, Spoonheim said. “Our goal is to improve health outcomes for the population­s we serve through a more comprehens­ive and holistic approach,” he added.

Newspapers in English

Newspapers from United States