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Anthem HRA Biometric Screening 2011

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Anthem HRA Biometric Screening 2011 Powered By Docstoc
					                                                                                                                              As of October 1, 2011




Wellness: Health Risk Assessment and Biometric Screening
    Vendor Questionnaire
    Wellness issues important to you – brought to you by McGohan Brabender.
Company Information

Company Name                                                Anthem Blue Cross and Blue Shield
Contact Name(s)                                             Marcus Taylor
Direct Phone number(s)                                      513-445-0233
Email Address(es)                                           marcus.taylor@anthem.com
Web Address                                                 www.anthem.com
                                                            Our online MyHealth Assessment was launched in October 2005.
                                                            Our paper-based Insight health assessment was launched in 1993 . Our Biometric
What year did your business begin administering Health Risk Screenings were launched in 2003.
Assessments & Biometric Screenings?
                                                            Additionally, 94% of hospitals and approximately 83% of physicians contract directly
                                                            with Blue Cross and Blue Shield Companies. Current membership in Blue Cross and
                                                            Blue Shield licensed networks exceeds 102 million. Blue Cross and Blue Shield PPO
                                                            networks are locally owned and operated and are not rented networks. All networks
                                                            are fully developed and provide quality benefits for medical care and services. We
Geographic Region Served by State and Counties (unless      will work with McGohan Brabender to resolve any network issues where employees
you are a national organization)                            are located.
Administration
                                                            We were in compliance with the provisions of the HIPAA Privacy Rule by the required
                                                            date of April 14, 2003. Compliance efforts included, but were not limited to, the
                                                            appointment of a Privacy and Security Officer, establishment of a Privacy and
                                                            Security Office, and creation of an infrastructure designed to support on-going
                                                            compliance requirements throughout the company, including the adoption of policies
                                                            and procedures and the training of all associates.
                                                            Our company has adopted policies and procedures that meet compliance with the
Explain your HIPAA compliance                               HIPAA Privacy regulation including the granting of the following individual rights:



                                                            The right to place restrictions on the use and disclosure of PHI for treatment,


                                                            The right to receive confidential communications at an alternate address or location.

                                                            The right to voice a complaint pertaining to privacy policies and procedures.

                                                            Privacy notices are distributed to all fully insured subscribers describing the
                                                            company’s use and disclosure of Protected Health Information. These notices are
                                                            available on our company’s website.                                                  Our
                                                            company and its affiliates are committed to delivering excellent service. Part of that
                                                            commitment includes compliance with and support of the HIPAA Privacy mandate.
                                                            Most importantly, we are committed to protecting member and patient privacy and
                                                            safeguarding related health information.
Is there a maximum participation size you are willing to    Not Applicable.
quote? If so, what size?
                                                            There may be a minimum requirement of 50 employees to offer this program. We
Is there a minimum participation size you are willing to    welcome the opportunity to work with McGohan Brabender to specifically address your
quote? If so, what size?                                    needs and goals.
                                                            We offer the MyHealth Assessment questionnaire free online, or as a hard copy,
                                                            paper-based version. The hard copy assessment is available at an additional cost.
How is the HRA administered (on-line, paper or both)?
                                                            The online MyHealth Assessment is available in both English and Spanish, at no
                                                            additional cost. The paper-based Insight health risk assessment, powered by
                                                            independent vendor HealthFitness, is available in English only. There are additional
                                                            costs associated with offering paper-based assessments.
What languages are the HRA available in?




 3931 South Dixie Drive / Dayton, Ohio 45439
                                                                                                                           As of October 1, 2011




                                                         We offer cholesterol screenings via finger stick through our Worksite Wellness
                                                         program. Finger-stick cholesterol screenings include total, HDL, LDL and triglycerides.
Do you provide fasting blood draws or finger sticks?     Blood glucose can also be performed.
                                                         Our Worksite Wellness programs bring a multidisciplinary team of health education
                                                         specialists. We offer seminars, health screenings and other services designed to help
                                                         your employees take an active role in healthy lifestyles.                       The




How are the biometric appointments scheduled? Example:
paper, telephone, email or on-line                       employee productivity


                                                         offer a comprehensive list of services with multi-media delivery options allowing you to
                                                         build a customized wellness program to identify, engage and measure the health of
                                                         your employee population. The services and resources can be implemented on a one-
                                                         time basis or as quarterly or year-round offerings.                              We
                                                         contract with outside vendors, Body Techniques and HealthFitness, to provide the
We can provide a paper template if needed.               following services available through our Worksite Wellness solution:
                                                         Wellness Planner Online                                                               Our
                                                         online scheduler allows your employees to schedule an appointment for health
                                                         screening, well advisor session, therapeutic massage, flu shot clinic or enroll in a
                                                         health seminar. The Wellness Planner Online is a value-added solution to enhance
                                                         employee participation, monitor pre-event activity and maintain a steady event day
                                                         flow-through rate. We must receive an eligibility list in order to initiate the Wellness
                                                         Planner Online.
                                                         Health Screenings (Biometric)
                                                         We offer the following cholesterol, blood pressure, body composition/body mass index

                                                         Know Your Numbers

                                                         Blood Pressure

                                                         Know Your Numbers Plus                                                           Total

                                                         cholesterol and high density lipids (TC/HDL)




                                                         Weight Management Screening
                                                         Body Mass Index (BMI)



                                                         Lipid Panel with Blood Pressure and Body Mass Index (BMI)
                                                         Members receive a Results Scorecard with relevant health information related to their
                                                         screening results. A typical screening averages about 20 minutes to complete.
                                                         Wellness Planner Online
                                                         Our online scheduler allows employees to schedule an appointment for health
                                                         screening, well advisor session, therapeutic massage, flu shot clinics or enroll in a
                                                         health seminar. The Wellness Planner Online is a value-added solution to enhance
                                                         employee participation, monitor pre-event activity and maintain a steady event day
                                                         flow-through rate. We must receive an eligibility list in order to initiate the Wellness
                                                         Planner Online.




 3931 South Dixie Drive / Dayton, Ohio 45439
                                                                                                                                As of October 1, 2011




                                                              Yes, follow-up screenings to ensure we appropriately screen members who are
                                                              required to fast. By Utilizing our online scheduling tool, we can automatically send
                                                              reminders to participants who have signed up for fasting screenings so that they
Are you able to provide follow up screenings for any          remember they need to fast prior to the screening. These reminders can help reduce
employees that did not comply with the fasting guidelines? If the need for follow-up sessions available at an additional cost. There is a 40 ppt
yes, how?                                                     minimum for any follow up screenings and a 6 wk lead time.
                                                              As test results cannot be fully interpreted without knowledge of the patient’s clinical
                                                              condition and treatment, we do not contact members. All lab results are reported to
                                                              the ordering physician. Results are received by the physician via courier delivery, fax
                                                              or internet. If a result is deemed a priority value, these are communicated as soon as
                                                              possible after they are obtained and confirmed in order for the provider to determine
                                                              the clinical implications and possible need for immediate intervention. There is no
                                                              ordering physicain - these are screenings only. There is no physican review. There
                                                              are protocols in place if screening values are way out of range and the member is in
What are the follow-up procedures for critical lab results?   danger.
Do you have the technology to interface results with health   Not applicable, we are a health insurance company.
insurance carriers? If yes, which ones?
Communication & Reporting
                                                              Immediately following the onsite screenings, your employees view an educational
                                                              DVD that explains the components of the screening in which they just participated.
                                                              They then receive their results scorecard, which is reviewed by a screening staff
                                                              member.
                                                              Additionally, when our Worksite Wellness services are enhanced with Wellness
What follow-up does the employee receive? (consultation,      Advisors, participants receive one-to-one targeted health education that includes
paper report, health coaching, individual/group meetings,     information on conditions and treatment options. Well Advisors refer participants to
online resource). What is the turnaround time for the         physicians and/or other programs that focus on managing conditions and encouraging
employee to receive the results?                              appropriate behavior and lifestyle management.
                                                              Yes, Members receive a summary report that they can share with their treating
                                                              physicians. Sharing the report keeps the physician informed and provides the
Do you include a physician copy?                              opportunity to take a proactive treatment approach.
                                                              We have staff who speak additional languages, including Spanish. In addition, our
                                                              nurses have the ability to communicate via the Network Services Language Line to
What spoken languages can the follow-up be delivered in?      members speaking virtually any language.
                                                              An annual aggregate health assessment data report is provided for the Healthy
What interpretation/analysis will the employer aggregate      Lifestyles One-on-One and Healthy Lifestyles Complete product levels. Additional
report include? Predictive Modeling tools? ROI projection or charges apply for Healthy Lifestyles Online product level reporting or for reporting
analysis?                                                     prior to the annual report.
                                                              We can support employer sponsored communication campaigns through posters, e-
What are your pre-HRA communication materials used to         mail blasts, payroll and at-home messaging. Communication content is customizable
promote the testing? Example: posters, payroll stuffers, etc. and we can provide you with sample customizations upon request.
Health Fair Support
                                                              Our one-hour seminars are available on a variety of topics designed to engage
                                                              members based on health needs and interests. For multiple sites health seminars
                                                              may be delivered using telephone conferencing with web-based technology. All health
                                                              seminars can be combined or offered with other onsite Worksite Wellness events.
                                                              Seminar topics include:                                                     Managing
                                                              High Blood Pressure                                                       Members
                                                              learn how to prevent and control high blood pressure by understanding the risk factors
                                                              and lifestyle behaviors that affect it.                                  Cholesterol
Beyond an HRA and biometric screening, what educational Counts                                                                      Members learn
pieces can you bring on-site to make this event become a      about the different types of blood cholesterol and what can be done to keep levels
health fair?                                                  healthy.
                                                              Quit Smoking                                                                    This
                                                              session provides an overview of the benefits of quitting, key factors that increase the
                                                              likelihood of success in quitting, and provides members with resources for when they
                                                              are ready.                                                                     Weight
                                                              Management                                                                   This
                                                              session provides an overview of the facts about weight management, including what it
                                                              takes to get to a healthy weight and stay there.                               Eating for
                                                              a Healthier You                                                            Members
                                                              learn the best way to give their bodies the balanced nutrition needed to stay healthy
                                                              by eating a variety of nutrient-packed foods every day while staying within daily calorie
                                                              needs.




 3931 South Dixie Drive / Dayton, Ohio 45439
                                                                                                                              As of October 1, 2011




                                                             Stress Management through Therapeutic Massage
                                                             Therapeutic massage provides your employees with a five-minute neck and shoulder
                                                             chair massage, a five-minute back and shoulder table massage, or a five-minute foot
                                                             and leg reflexology massage. Ten-, fifteen- and thirty-minute appointments are also
                                                             available. Relaxation techniques and breathing exercises are shared with members
                                                             as they experience the benefits of stress reduction first hand. Members walk away
                                                             rejuvenated and energized, and have a better understanding of the opportunities for
                                                             relieving stress and reducing ergonomic strain.
                                                             Fall Season Influenza Vaccinations
                                                             Onsite flu shot clinics provide your employees with convenient access to flu shots
                                                             during the months of November, December, and January. Registered nurses
                                                             administer the flu shots. Flu shot clinics are dependent on flu serum availability and
                                                             delivered in accordance with the Centers for Disease Control and Prevention
                                                             recommendations.
                                                             Satisfaction, Quality, Outcomes
                                                             Participant Satisfaction and Engagement Survey
                                                             Our participant survey is incorporated into the delivery of all of our services to
                                                             evaluate program quality, health awareness, motivation to change, and physician
                                                             communication. The satisfaction and engagement survey report can be used to
                                                             assess the impact of the worksite wellness services from year to year and serve as a
                                                             tool to plan future wellness programs. We deliver reports within 20 business days
                                                             after the service date.
                                                             Participation rates can vary widely by client and population, with the intensity of
                                                             program promotion and employer-sponsored incentives playing significant roles in the
                                                             achievement of higher involvement levels. The Wellness Planner Online, a web-
What are the costs of those educational pieces?              based scheduler, serves as a member engagement tool to monitor pre-event activity.
Pricing
                                                             We offer a comprehensive list of services with multi-media delivery options allowing
                                                             you to build a customized wellness program to identify, engage and measure the
Are there price breaks based on quantity? If so, at what     health of your employee population. We are willing to discuss on a case by case
quantity of tests are there breaks?                          basis.
                                                             Minimum Requirement: Requires 6-8 weeks, 50 person minimum participation, and (3)
Final all inclusive price per person?                        consecutive hours per site per day per therapist


To include:
  1. Health Risk Assessment                                  Mail based delivery is $21 per participant

  2. Biometric screening:
                                                              Know Your Numbers – Total Cholesterol & High Density Lipids (TC/HDL), Blood
               ·     Fasting Cholesterol screening with Lipid Pressure and BMI -- $40 per participant
               Panel (HDL, LDL, total Cholesterol, total
               Cholesterol/HDL Ration, VLDL, and
               Triglycerides)
                                                              Know Your Numbers Plus – Total Cholesterol & High Density Lipids (TC/HDL), Blood
               ·     Blood Sugar (Glucose)                    Pressure, BMI, and Glucose-- $51 per participant
               ·     Blood Pressure                           Blood Pressure Screening -- $18 per participant
                                                              Buy Up #2 Improved staffing Ratio (per thousand member reduction: std program
               ·     Height, Weight and BMI                   assumes 1 per 12,000) -- $34 per participant
                                                              BMI – Body Mass Index(4 hour minimum) -- $18 per participant
                                                             Total Cholesterol & High Density Lipids (TC/HDL) -- $36 per participant
                                                             Weight Management Screening – BMI, Body Fat and Hip to Waist Ratio -- $26 per
                                                             participant
                                                             Body Fat Screening(4 hour minimum) -- $18 per participant
                                                             Diabetes Risk Assessment with Blood Pressure and BMI -- $19 per participant NO
                                                             LONGER OFFERED


                                                             Lipid Panel (TC/HDL/LDL/Triglycerides) Fasting required. -- $51 per participant
                                                             Lipid Panel with Blood Pressure and BMI Fasting required. -- $56 per participant
Availability and cost of the following additional testing:   We do not currently offer these screenings at our worksite events
  PSA (Prostate Specific Antigen)
  Coloscreen (take home kits?)




 3931 South Dixie Drive / Dayton, Ohio 45439
                                                                                                                          As of October 1, 2011




                                                         We do not currently offer these screenings at our worksite events



  Thyroid Screening (for females)
  Others (please list)
What are the staff travel costs, if any?                 Not Applicable.
Last But Not Least
                                                         Our Worksite Wellness programs bring a multidisciplinary team of health education
                                                         specialists. We offer seminars, health screenings and other services designed to help
                                                         your employees take an active role in healthy lifestyles.                     The




What other things would you like to tell us about your   employee productivity
services?


                                                         offer a comprehensive list of services with multi-media delivery options allowing you to
                                                         build a customized wellness program to identify, engage and measure the health of
                                                         your employee population. The services and resources can be implemented on a one-
                                                         time basis or as quarterly or year-round offerings.                           We
                                                         contract with outside vendors, Body Techniques and HealthFitness, to provide the
                                                         following services available through our Worksite Wellness solution.




 3931 South Dixie Drive / Dayton, Ohio 45439

				
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