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CHAMP Wellness Incentive Points Program

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Page 1: Microsoft® Office PowerPoint® 2003 Training › assets › lks › files › ...•70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors,

CHAMP Wellness Incentive Points Program

Page 2: Microsoft® Office PowerPoint® 2003 Training › assets › lks › files › ...•70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors,

I. What is the Incentive Points Program?

II. Why is an Incentive Points Program Important?

III. How to Participate in the Incentive Points Program.

IV. Explanation of Incentive Points Programming Tiers.

V. Explanation of Health Reimbursement Account earning potential.

VI. Review of the Incentive Points offered.

VII. Incentive Points Program FAQ’s.

VIII. Cerner Health Incentive Points Program Site Review.

IX. Q & A

Training Agenda

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An Incentive Points Program allows individuals that participate in the health care plan to earn rewards for participating in a wide variety of health improvement initiatives.

What is the Incentive Points Program?

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• 70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors, we can improve overall health.

• Behavior change is most effectively created when internal, external and environmental influencers are working together. Incentives are a key external influencer.

• Incentives can provide effective motivation to drive participation in behavior change programs, potentially increasing participation rates by more than 100 percent.

• By participating, you can reduce future risk of health problems and maintain your current health.

*CDC April 2008 www.cdc.gov/nccdphp_updated April 2008

Why is an Incentive Points Program Important?

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• An Incentive Points Program allows employees to earn valuable rewards for taking steps to improve and/or maintain their health.

• An Incentive Points Program provides an easy-to-use online points tracking system.

Why is an Incentive Points Program Important?

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In order to participate in the Incentive Points Program You Must be:

1. A City of Lawrence employee that is a member of the Health Care Plan.

2. Have a Cerner Health Account.

How to Participate in the Incentive Points Program

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Incentive Points Program Tiers

The CHAMP Wellness Incentive Points Program is composed of 3 tiers. The activities you complete October 1, 2012 thru September 30, 2013 will award your Health Reimbursement Account (HRA) money in January

2014.

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Tier 1 - Participation Requirements

All participants must complete Tier 1. No HRA Money will be awarded if Tier 1 is incomplete. Tier 1 includes your:

• Personal Health Assessment (PHA)

• Labs & Biometrics

• First Advisor Visit

Incentive Points Program Tiers Cont’d

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Tier 2 - Non-Tobacco Declaration

Must certify that you have been tobacco free for the past 12 months.*

Completion of Tier 2 awards you $150 in HRA Money.

Incentive Points Program Tiers Cont’d

*Tobacco free would include the occasional celebratory tobacco product (i.e. wedding, birth of child, etc…) up to 4 times per year. Tobacco free would not include regular and ongoing (Daily, weekly, monthly) use of tobacco products.

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Tier 3 – Wellness Activities

Completion of Tier 3 awards you $150 in HRA Money.

•Points are awarded based on your participation in various wellness activities. You can mix and match combinations of 5, 15, and 30 point activities.

•You will have several options to earn points. Several of the options made available to you will be based on the answers you provided when taking the Personal Health Assessment, so not everyone will have the same point options made available to them. For example, someone who answered on the PHA that they regularly take their medications will not be able to get points for regularly taking medications.

•A maximum of $150 can be earned in Tier 3. Earning < 150 points = $0 HRA money; earning ≥ 150 points = $150 HRA money.

•You do NOT have to complete Tier 2 in order to receive $150 for completion of Tier 3 (or vice versa).

Incentive Points Program Tiers Cont’d

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You have the potential to earn up to $300 in HRA money if you complete all three tiers.

Explanation of HRA Earning Potential

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Review of Incentive Points Offered

Annual Routine Physical 30 points

Complete a

Mammogram as

Recommended

30 points

Complete a PAP Screen

as Recommended 30 points

Complete a Colonoscopy

as Recommended 30 points

Get an Annual Flu Shot 30 points

Complete a Dental

Check-Up Twice a Year 30 points

Complete a Vision Exam

as Recommended 30 points

Prevention & Screening Complete a Prostate

Screening as

Recommended

30 points

Successful Completion

of a Tobacco Cessation

Program

15 points

Wear Seat Belt

(& helmet if applicable) 15 points

Take Folic Acid as

Recommended 15 points

Complete Nicotine

Replacement Therapy 5 points

Took Current

Medications

as Prescribed

5 points

Track Your Weight 1point/pound

lost

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Review of Incentive Points Offered

BMI in Healthy

Range 30 points

Triglycerides in

Healthy Range 30 points

Blood Pressure

in Healthy

Range

30 points

Bad Cholesterol

in Healthy

Range

30 points

Results Incentives

BMI

Improvement

5% Imp. = 15 points

10% Imp. = 30 points

Triglyceride

Improvement

5% Imp. = 15 points

10% Imp. = 30 points

Blood

Pressure

Improvement

5% Imp. = 15 points

10% Imp. = 30 points

Bad

Cholesterol

Improvement

5% Imp. = 15 points

10% Imp. = 30 points

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Review of Incentive Points Offered

Follow Up

Second Follow-Up With

Advisor 30 points

Recommended Follow-Up

With Primary Care

Physician (PCP)

30 points

Recommended Follow-Up

with PCP/Chiropractor for

Neck and/or Back Pain

Management

15 points

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Review of Incentive Points Offered

Exercise

Start Tracking

Your Steps

300,000 steps/month = 15 points

200,000 steps/month = 10 points

100,000 steps/month = 5 points

Physical

Activity

480 min. of physical activity/month = 10 points

240 min. of physical activity/month = 5 points

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Review of Incentive Points Offered

Attend One Nutrition Class

Attend One Healthy Cooking Class

Attend CPR Certification Class

Attend One Health & Wellness Seminar or

Webinar

Attend One Tobacco Cessation Course

Attend One EAP Offered Course

Wellness Classes (5pts each)

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Review of Incentive Points Offered

CIGNA Disease Management Program Participation

CIGNA Lifestyle Management

Program Participation

6 weeks Participation with

Metabolic Research Center

6 weeks Participation with Slim 4 Life

6 weeks Participation with Jenny Craig

6 weeks Participation with Nutrisystem

6 weeks Participation with Weight Watchers

6 weeks Participation in other WellCare Clinic

Recommended Program

Condition Management (15pts each)

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Review of Incentive Points Offered

12 Consecutive Weeks of Participation in an

Ongoing Fitness Program

Gym Membership or Work with Personal Trainer

3x/Week for 12 Consecutive Weeks

Bike to Work on Average of 2x/week for 12 Non-

Consecutive Weeks

Exercise Your Heart (30pts each)

Eat a Healthy Diet (15pts each)

Daily Logging of Nutrition and Exercise for

6 Consecutive Weeks

Purchase of Fresh Fruits and Vegetables on at least

15 Different Occasions

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Review of Incentive Points Offered

Participate in Organized Events (5pts each)

Participate in One Community Walk Event

Participate in One Community Run Event

Participate in One Community Bike Event

One Self-Defense Class

Attendance at One CHAMP Wellness Event

Participation in Sports League for 6 weeks

Participation in Weekly Fitness Class for at least 30

minutes/week for 6 weeks

Participate in President’s Fitness Challenge

for 6 weeks

Participate in Walk Kansas

Participate in Organized Events (15pts each)

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Incentive Points Program FAQ

Q: What do I do if my points aren’t adding correctly?

A: Contact the Human Resources division at (785) 832-3203.

Q: Can I participate in the incentive points program if I am a tobacco user?

A: Yes! If you’re a tobacco user, you can complete tier 1 and tier 3 of the program and earn $150 HRA money. You do not have to complete tier 2 (the non-tobacco declaration) to complete tier 3.

Q: Do my points rollover to the following year?

A: No, points expire at the end of the plan year.

Q: How do I prove my BMI, blood pressure, triglycerides, or bad cholesterol has improved in order to receive points?

A: Contact the LMH WellCare Clinic (785-505-3112) to set up an appointment with an advisor. Once your improvement has been verified by the advisor, the WellCare Clinic staff will import your points for you.

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Incentive Points Program FAQ cont’d

Q: What do I do if I forgot my Cerner Health username or password?

A: If you forgot your username, just log in using the email address you used to create the account. If you forgot your password, navigate to http://cernerhealth.com and click on the ’Forgot Password?’ link.

Q: How do I prove what I have reported is accurate?

A: Employees must complete and sign a participation form certifying the points recorded were earned by performing the activities associated with each point value.

Q: Do I have to pay to participate?

A: There is no cost payable to the City of Lawrence to participate in the program. However, some of the activities you can receive points for may have their own individual costs.

Q: Can my spouse and/or dependent participate in this program?

A: No.

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Incentive Points Program FAQ cont’d

Q: Can temporary employees, volunteers, or seasonal employees participate in this program?

A: No.

Q: If I am a new regular employee how do I sign up to participate in the CHAMP Wellness Incentive Points Program?

A: Please contact the City of Lawrence WellCare Clinic by calling 785-505-3112 to schedule an appointment.

Q: Will the information I report through the Incentive Points Program remain confidential?

A: Yes! The WellCare Clinic staff are the administrators of the incentive points program. All medical and wellness staff are employees of Lawrence Memorial Hospital. All medical records are obtained and maintained by Lawrence Memorial Hospital in compliance with HIPAA. Lawrence Memorial Hospital is a medical provider and operates under strict adherence to confidentiality and privacy laws.

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Incentive Points Program FAQ cont’d

Q: Do I have to see a certain medical provider to earn points?

A: Unless specified otherwise, you can earn points for seeing both network and non-network providers. However, we recommend you visit network providers whenever possible as network providers typically cost less. One exception is that to receive points for a second follow-up visit with an advisor, you must see a LMH WellCare clinic advisor.

Q: What is the time frame?

A: The activities you complete October 1, 2012 thru September 30, 2013 will award you HRA money in January 2014.

Q: Do I need to submit proof every time I complete a wellness activity?

A: To receive points for a wellness activity, you need to log that activity on your Incentive Points Program account, (accessed by clicking the WellCare Clinic logo at lmh.org).

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Incentive Points Program FAQ cont’d

Q: My “Wellness Evaluation” activities are only worth one point. Does that mean they earn me $1?

A: No - “wellness evaluation” activities are a requirement for participation in the incentive points program. You will not receive any HRA money if all you do is complete these. Any points that appear to be associated with these program requirements simply serve to visually illustrate on your dashboard when you have completed the requirements.

Q: I already have 150 points in Tier 3, can I continue to log my activities?

A: Yes and we encourage you to do so. However, the money awarded in the incentive points program is the same. Once you have obtained 150 points, the program’s Tier 3 award amount is $150 regardless of amount of points in excess of 150 you log.

Q: I have completed my PHA and biometrics, why doesn’t that progress show on my “Wellness Evaluation” tracking bar on my dashboard?

A: Your “Wellness Evaluation” tracking bar will only be full once you have completed all three participation requirements: PHA, labs and biometrics, and your first advisor visit.

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Incentive Points Program FAQ cont’d

Q: I have special health circumstances that prevent me from completing wellness activities as provided to earn 150 points. How can I participate in the program?

A: We have included a variety of wellness activities such that individuals of all ages, regardless of their health situation, can easily earn 150 points. However, the WellCare Clinic staff can at any time arbitrarily award points for healthy activities based on their discretion. Please contact the WellCare Clinic staff at (785) 505-3112 to arrange for an alternate medically appropriate activity.

Q: Do I need to log my activities as I complete them, or can I just log them all at the same time?

A: We recommend you log your activities as you complete them to increase accuracy of the records you are submitting. Activities need to be completed and logged by September 30, 2013.

Q: How do I know if my fitness program, event, webinar, etc. qualifies to earn points?

A: Please use your best judgment. If you have any specific questions or concerns about an activity’s validity, please contact Human Resources at (785) 832-3203.

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Review of Cerner Health Incentive Points Program Web Site

Cerner Health Incentive Points Program Web Site

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Review of Cerner Health Incentive Points Program Web Site

To Login to Your Cerner Health Account Go to: www.lmh.org and click

on the LMH logo on the right hand side of the screen.

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Review of Cerner Health Incentive Points Program Web Site

Click on the Sign In With Cerner Health icon at the bottom of the

screen.

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Review of Cerner Health Incentive Points Program Web Site

Enter your email or username and password if you already have an account in the section titled “I Already Have an Account.” If you do not have an account enter your email in the “I Need an Account” section to sign

up to participate.

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Review of Cerner Health Incentive Points Program Web Site

If you already have a Cerner Health Account the following screen will appear. Under the field titled Actions there is a link called SELF-REPORT. Click on the link to self-report

points in each area you wish to enter points in.

Please keep in mind that fraudulent reporting of incentive points constitutes insurance fraud. The City of Lawrence, Kansas would aggressively pursue any fraud under this program as we would with fraudulent filing of health care claims.

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Review of Cerner Health Incentive Points Program Web Site

Each area that you choose to Self-Report points in will ask you to confirm the date in which you completed the action or

activities listed in that area. Below is what the self-report points screen looks like for the Non-Tobacco Declaration. On

this screen you would enter the date and then click the Report button.

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Review of Cerner Health Incentive Points Program Web Site

Please make sure to click on and review all of the various areas that you may accumulate points in. Each area is

different, and provides you with various options for reporting activities. For example, when you click on Self Report located

by Preventative Wellness Activities you can select various event types and specific events to report.

Page 33: Microsoft® Office PowerPoint® 2003 Training › assets › lks › files › ...•70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors,

Review of Cerner Health Incentive Points Program Web Site

Below is a list of the Event Types under Preventative Wellness Activities

Page 34: Microsoft® Office PowerPoint® 2003 Training › assets › lks › files › ...•70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors,

Review of Cerner Health Incentive Points Program Web Site

In this example Complete Wellness Classes was selected as the event type and the options for various events that can be selected are

show under the Select an Event drop down box.

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Review of Cerner Health Incentive Points Program Web Site

In the example below the event Attend CPR Certification class was selected. You can see that this event is worth 5 points. You should enter the Date of

the Activity and then click “Report” to report the points.

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Review of Cerner Health Incentive Points Program Web Site

In order to be eligible for the Wellness Activities incentive you only need to accumulate 150 Wellness Activity points, but you

may self-report in as many areas as you like. Once you complete the 150 points you will see the green bar in Tier 3

filled in all the way.

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Review of Cerner Health Incentive Points Program Web Site

Tracking your weight or steps can also earn you points. To track your steps, select the “PARTICIPATE” link to the right of

“Start Tracking Your Steps.”

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Review of Cerner Health Incentive Points Program Web Site

First, select “Approve” to approve the exchange of your confidential step information from the WellCare Clinic to your

Cerner Health account and vice versa.

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Review of Cerner Health Incentive Points Program Web Site

You can earn up to 15 points per month, 60 points total, for tracking your steps. Select “ENTER STEPS.”

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Review of Cerner Health Incentive Points Program Web Site

Select “Add Steps.”

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Review of Cerner Health Incentive Points Program Web Site

Enter the date and number of steps in the designated fields to track your steps.

Page 42: Microsoft® Office PowerPoint® 2003 Training › assets › lks › files › ...•70 percent of diseases are preventable or reversible*. By helping people change unhealthy behaviors,

Review of Cerner Health Incentive Points Program Web Site

To track your weight, select “PARTICIPATE” to the right of “Track Your Weight.”

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Review of Cerner Health Incentive Points Program Web Site

First, select “Approve” to approve the exchange of your confidential weight information from the WellCare Clinic to

your Cerner Health account and vice versa.

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Review of Cerner Health Incentive Points Program Web Site

Select “ENTER WEIGHT.”

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Review of Cerner Health Incentive Points Program Web Site

Select “Add Weight.”

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Review of Cerner Health Incentive Points Program Web Site

After entering your weight, the date, and any comments, select “Save”

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Review of Cerner Health Incentive Points Program Web Site

To, for example, report completion of a vision exam as recommended, select “SELF-REPORT” to the right of

“Complete a Vision Exam as Recommended.”

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Review of Cerner Health Incentive Points Program Web Site

After entering the name of your provider and date of visit, select “Report.”

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Review of Cerner Health Incentive Points Program Web Site

To review a summary of all of the points that you have received click on the Points Tab and the summary will be

provided to you under the Points History section.

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Review of Cerner Health Incentive Points Program Web Site

Before you are awarded any HRA money, you need to complete and sign the CHAMP Wellness Incentive Points

Program Participation Form. The participation form can be found on the "Program Details" tab of your Incentive Points

Program account and must be returned to the Human Resources Division (785-832-3203) by December 20, 2013.

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Review of Cerner Health Incentive Points Program Web Site

To locate the CHAMP Wellness Incentive Points Program Participation Form and other documents related to the

Incentive Points Program scroll to the bottom of the "Program Details" tab to view the documents.

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Review of Cerner Health Incentive Points Program Web Site

The CHAMP Wellness Incentive Points Program Participation Form. Make sure the form is complete and returned to

Human Resources by December 20, 2013.

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Q & A

You may also contact Human Resources at 785-832-3203