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High Deductible Plan—Jan 07 Aetna Network—Jan 09 Your Care—May 09

Strategies Implemented Since 2006. High Deductible Plan—Jan 07 Aetna Network—Jan 09 Your Care—May 09 Comprehensive Health Assessments—June 09 Olathe Works Well Clinic –Sep 09. Comparison of Actual Claims (Medical + Rx) to Projections Based on Mercer National Survey.

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High Deductible Plan—Jan 07 Aetna Network—Jan 09 Your Care—May 09

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  1. Strategies Implemented Since 2006 High Deductible Plan—Jan 07 Aetna Network—Jan 09 Your Care—May 09 Comprehensive Health Assessments—June 09 Olathe Works Well Clinic –Sep 09

  2. Comparison of Actual Claims (Medical + Rx) to Projections Based on Mercer National Survey

  3. Comparison of Actual Claims Medical and Rx Separately

  4. Avoided Retail Costs for Clinical and Wellness Visits

  5. Conservative Estimate of Saved Work Time by Providing Onsite Care for Illness and Injuries: 1929 hours • 1.5 hr of travel time per sick visit • Wellness and Physical visits not included • At $25.25 Average Hourly wage =$48,707

  6. Savings From Improved Health Risk Factors • Employee and Spouse Wellness Program Participants Now • 621 EE’s (69% of eligible) • 107 Spouses (19% of eligible) • 439 Employees in HRA All 3 Years • Yearly Impact in avoided health claims, increased productivity and decreased absenteeism for those 439 repeat participants • $756,042 • $1,723 per participant

  7. Weight Loss 189 of the 439 (43%) Repeat Participants lost at least 2 pounds

  8. Savings From Controlling Pre-Diabetes $517,530 National Summary: The national cost of diabetes in the U.S. in 2007 exceeds $174 billion. This estimate includes $116 billion in excess medical expenditures attributed to diabetes, as well as $58 billion in reduced national productivity. People with diagnosed diabetes, on average, have medical expenditures that are approximately 2.3 times higher than the expenditures would be in the absence of diabetes. Approximately $1 in $10 health care dollars is attributed to diabetes. Indirect costs include increased factors such as absenteeism, reduced productivity, and lost productive capacity due to early mortality.

  9. Savings from Improved Risk Factors

  10. ROI October, 2010-September, 2011 ROI for Year 2: $6.13 for every $1 spent Total Estimated Cost Avoidance Year Two: • Medical and RX Claims: Savings to Mercer Trend $ 1,001,220 • Avoided Retail Costs $ 341,538 • Impact on Risk Factor Reduction • Only Includes Employee Repeat Participants $ 756,042 • Avoided Lost Time Traveling for Off-Campus Care $ 48,707 $ 2,147,507 Delivery Cost October, 2010 through September, 2011: $350,347

  11. Cumulative ROI • Savings (Conservative using Employee Data Only, Mercer Projections) • Clinic Year 1: $1,486,796 • Clinic Year 2: $2,147,507 $3,634,303 • Total Costs (through September, 2011) • Inception through Sep, 2011 $ 778,128 • Includes WINS’ start up costs prior to clinic opening in 09 • Savings after Expenses$2,856,175

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