ben leedle slides: new metrics for a new era

8/7/2019 Ben Leedle slides: New Metrics for a New Era

1/20

TrademarkTM Gallup-Healthways Well-Being Index. All rights reserved.

Copyright 2010 Gallup, Inc. All rights reserved.Copyright 2010 Healthways, Inc. All rights reserved.

Well-Being in the United Kingdom:

Future Implications

London, United Kingdom

April 12, 2011


2/20

Summary of Key Findings To Date

Overall Well-being

Emotional Health

Physical Health

Healthy Behaviour

Work Environment

Basic Access

ERVisits

Hos

pAd

mits

BedDay

s

PharmC

osts

Med

Cos

ts

STDisDay

s

STDisC

osts

JobPe

rf(m

gr)

JobPe

rf(self)

Pres

enteeism

Abse

ntee

ism

Enga

gemen

t

Satisfaction

Intentto

Stay

Medical Cost Performance Withdrawal

Checkmarks show significant correlations. Symbols indicate predictors from multiple regression analysis that emerged as significant,

controlling for other domains, p < .05. Life Evaluation represents global well-being, and so it was not included in the more specific regression

Well-Beingis Related to

Health, Productivity and WorkWithdrawal Outcomes


3/20

Individuals Experts Social Connections Environment Policy

Improving Well-Being

Social

Financial

Community

Physical

Emotional

Career

Well-being is bigger

than Physical Health

www.healthways.com 3


4/20



What is the Cost of DoingNothing?



5/20

Science of Behaviour-Condition Relationships


Complex behaviourcondition relationships

e.g. A (simplified) example of mapping physical activity to coronary artery disease


6/20

First Order Impacts Between Behaviours-Conditions


Poor diet SmokingAlcohol

use

Poor SoCcompli-

ance

StressInsufficient

sleepPoor

hygiene

Lack ofhealth

screening

Diabetes CADHyper-tension

Dyslipi-demia

Obesity Cancer Asthma Arthritis Allergies SinusitisHeartfailure

COPDChronic

kidney dzDepressionInactivity Back pain

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

--

-

-

-

-

-

-

-

Inactivity

Poor diet

SmokingAlcohol

use

Poor SoC

compliance

Stress

Insufficientsleep

Poorhygiene

Lack of healthscreening

Back pain

Diabetes

CAD

Hypertension

Dyslipidemia

Obesity

Cancer

Asthma

Arthritis

Allergies

Sinusitis

Heart failure

COPD

Chronickidney dz

Depression

Modifiablebe

havioursan

dCondition

s...

are converted into model inputs

First-order impacts between modifiable behaviours and conditions


7/20

Building the Simulation Engine

7www.healthways.com

Demographic

Segmentation

Initial Participant

Characteristics

Modifiable

Behaviours Conditions Participation

Modifiable

Behaviours

Chronic

Conditions

Value Creation Baseline HWAY Impact

Medical Cost

Productivity

Intervention

Impact

Customizable

Inputs

Assumptions Based

Epidemiological EngineAssign Initial Member

Level Characteristics

Assign Cost to

Severity of ExistingConditions

Managing principal, leadinghealthcare research

companyHealthcare economic,Harvard University

Epidemiologist, Harvard School ofPublic Health

Health Policy expert, Harvard MedicalSchool

Health management expert, JohnsHopkins Bloomberg School of Public

Health

Clinical and health psychologist,University of Rhode Island

CEO, leading behaviour changecompany Economist, Cornell University

Health policy expert, HarvardMedical School

Productivity expert, CornellUniversity

External Experts Had Significant Input on Model Development


8/20

Deploying the Simulation Model


Vetting with the Framingham Heart Study

Segment Average risk Low risk Average risk Low risk

Male 35-44 6.00% 3.50% 6.93% 3.60%

Male 45-54 12.50% 5.00% 13.80% 6.38%

Male 55-64 18.50% 8.00% 24.28% 11.13%

Female 35-44 1.50% 1.50% 3.00% 1.23%

Female 45-54 6.50% 4.00% 9.15% 5.28%

Female 55-64 12.00% 7.50% 20.23% 10.25%

Framingham Risk Scores Simulation Risk ScoresTen-year risk projection comparison

for the onset of coronary heart disease

Overall, our model, built on national

datasets (NHIS, MEPS, BRFSS) and

epidemiology data, projects similar to

slightly aggressive risk scores in

comparison to Framingham.

We build on this type of detailed-level

data to create population views in the

World Economic Forum Kiosk

Application

Simulation model developed by BCG and Healthways, with support of WEF

Goals

To suggest to leadership ways of thinking about well-being as a

corporate strategic topic

To assess the healthcare and productivity costs associated with the

most costly chronic conditions and behaviours

To show how the presence of a comprehensive well-being programwould affect future healthcare costs and productivity


9/20

Health Status/Risk Matrix United Kingdom


A Populations Health/Risk profile determine most future costs

HealthDo they have more, less, or average amounts of chronic conditions (like obesity,diabetes, cancer, etc.)?

RiskAre they more, less, or equally likely to engage in risky behaviours (like smoking,

poor diet, poor stress management, etc.)?

RiskSta

tus

Health Status

United

Kingdom

High

Low

Healthier Sicker


10/20

Medical Cost Simulation United Kingdom


Medical Costs grow over a five-year horizonIllustrated here on a per person basis

Without intervention, chronic conditions can be expected to progress aggressively

Costs are driven both by the communitys demographics and its Health/Risk profile

14.6%Increase


11/20

Lost Productivity Cost United Kingdom


Lost Productivity Cost grows over a five-year horizonIllustrated here on a per person basis

The same conditions that require medical expenditures also contribute to

lower productivity while an individual is at work.

9.0%Increase


12/20

Medical Cost/Health Condition United Kingdom


Medical Costs by Health Condition

Illustrated here on a per person basis

The top five conditions account for about 73% of all medical expenses


13/20

Lost Productivity Cost/Health Condition UK


Lost Productivity Costs by Health ConditionIllustrated here on a per person basis

Obesity alone is responsible forover one-third of all productivity loss

The top five conditions account for about 72% of all productivity loss


14/20

Opportunity for Doing Something UK


Five-Year, Cumulative Cost Savings through Interventions in Modifiable Behaviours

218

.4Bi

llion

Medical Costs reduced by: 15.47%Lost Productivity Costs reduced by: 7.87%

Total Costs reduced by: 11.11%

25% Reduction in Per Capita Risk Factors


15/20



The Most Difficult Change isPossible!



16/20

Impacting the Enrollment Trend

16

HistoricCo

achin

gEnrollment

LifeMatters

E

nrollmen

t

www.healthways.com

-


17/20

Well-Being and Life Evaluation

At T2, more participants reported a higher standing on Cantrils Life Evaluation ladder.

T2T1



18/20

T2

Well-Being and Emotional Health

The basic premise of Life Matters was that improved emotional health would result in

improved physical health. To date, participants who have completed Life Matters reported

standing on a higher rung on the emotional health ladder at T2 than at T1.

T1



19/20

Well-Being and Physical Health

Similar to the emotional health ladder, participants reported an improved

standing on the physical health ladder at T2.

T2T1



20/20

Conclusions

www healthways com 20

High Costs of Doing Nothing Different

Both medical and productivity costs impose heavy financial burdens on communities

and companies Without interventions, these costs can be expected to grow and compound

The Primary Sources of These Costs are Known

Chronic conditions cause people to seek care (medical costs) and reduce their ability to

work (productivity) While behaviours do not have costs associated with them, the conditions they create

and exacerbate can have substantial costs

Intervening in Modifiable Behaviours Reduces Costs

Curtailing or eliminating behavioural risks can reduce costly chronic conditions Addressing risks before they become conditions can be a significant source of savings

ben leedle slides: new metrics for a new era

Documents