Critique

2008 Koop Award Winner

ECA Platinum Wellness Program - Energy Corporation of America

The following are verbatim remarks made by the reviewers:

Program Strengths

A:

• High participation 422/442
• Nurse planning session with each participant occurs yearly
• No increase in HCC for 6 years—also 30-40% below national avg. for HCC
• Health screening, HRA, activity campaigns, health coaching, health education

B:

• For a company of this size, this may be the most comprehensive, well-integrated, strategically sound program I have seen
• Extraordinary participation rates
• Very good risk trends except for weight
• Extraordinary medical cost trends well aligned with program design and participation

C:

• Conflict

D:

• Cost trends flat
• Welcoa platinum
• Good participation – 95%
• Long-term

E:

• 95% participation rate from 88% in 2003
• 20 year program
• Good guiding principles
• No increase in medical costs in 6 years ($5,289/ee/yr)
• Fully funded program is increasing nurse coaching – 2 f/t staff – director and nurse
• 86% participation in PA program
• Participation by employees and spouses
• 50% participation in EAP
• DM program achieved 70% of goal
• Community involvement – 100%
• Tobacco use 12%--> 9% -- 26% quit rate
• Most risk are dropping or remain flat

F:

• Good program overview.
• Good summary of peer-reviewed recognitions.
• Good participation rates.
• Impressive medical cost trend.
• Good health behavior changes.

G:

• This program goes beyond the traditional health risk/behavior offerings and incorporates their benefit design, EAP, a Maternity component, and Community partnering.  They have engaged 95% of the population – families are included.  85% participated in the 8 week walking campaign.
• Annual one-on-one review of HRA by a nurse and behavior change coaching is included.
• Currently targeting obesity with coaching, nutrition counseling and full reimbursement for Weight Watchers and Curves.
• Multiples approaches to incentives – cash toward health care premium, points system