Health Management Survey Findings: Employers in Brazil, with Some Comparisons with US Employers August 2011

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1 Health Management Survey Findings: Employers in Brazil, with Some Comparisons with US Employers August The Benfield Group, LLC

2 2 Background Survey designed by Benfield and CPH Health Fielded by CPH Health for approximately four weeks 44 Respondents Benfield ran similar survey of US about 27 employers with Brazil Operations (some findings included) Benfield regularly surveys US over 110 jumbo employers about health management strategies and tactics. Comparisons have been provided where relevant

3 3 Company Description Select which option best describes your company.

4 4 Number of Employees How many employees does your organization have in Brazil?

5 5 Type of Insurance What kind of health plan is available to employees?

6 6 Number of Sites in Brazil How many sites does your organization have in Brazil?

7 7 Industry Type What is your organization s industry? *Others include: Finance, Health Care, Manufacturing, Mining/construction/wholesale, Retail, State/Local/Government, Transportation/Communications/Utility, Technology

8 8 Workforce Type How would you characterize your organization s Brazilian workforce?

9 9 Average Age of Workforce About what is the average age of your Brazilian workforce?

10 10 Job Function of Respondent Which category best describes your job function?

11 11 Most decisions by respondents are made independently of parent companies and corporate headquarters. N= 44 Which statement best describes your company s approach for managing health and health benefits?

12 12 The Majority of Respondents are Fully Insured. Which statement best describes how you purchase health benefits?

13 13 Two-Thirds of Respondents have worksitebased health clinics. Does your company have any worksite-based health clinics in Brazil?

14 Company Employees run Most Respondent On-Site Clinics. Who is primarily responsible for running your worksite-based clinic(s) in Brazil? 14 *Third Party Clinics include: multidisciplinary team of health/occupational health provider /

15 15 The majority of Brazilian employers do not offer worksite-based pharmacies. Does your company have any worksite-based pharmacies in Brazil?

16 On-site pharmacy operation is evenly split between employees and third party vendors. Who is primarily responsible for running your worksite-based pharmacy(s) in Brazil? 16 *Third Party Clinics include: contract / technical Nursing

17 17 A healthy workplace culture is the overall most important goal. Assuring access to care and managing costs are of the most extreme importance. How important are these health management objectives as they pertain to employees and their families in Brazil?

18 18 US Companies have Similar Priorities for their Brazil Operations How important are these health management objectives as they pertain to employees and their families in Brazil? N=21

19 19 A number of employee behaviors challenge employers. Stress is considered the most challenging. Evaluate the importance of the following challenges related to employee and dependents health.

20 20 Cancer, Obesity, Diabetes, Heart Disease and Depression are Respondents Most Important Diseases How important is managing these disease states among your Brazilian employees?

21 US Employers Also Rate Diabetes, Obesity and Heart Disease High, but Cancer and Depression are Lower on the List Diabetes Obesity Cardiovascular Disease Hypertension Back Pain/Other Musculoskeletal High Cholesterol Cancer Smoking Cessation Depression Asthma Congestive Heart Failure COPD Metabolic Syndrome Repetitive Stress Injury Inf luenza Allergy Women s Health Men s Health Gastro-Intestinal Conditions Migraine Sleep Disorders Arthritis Osteoporosis Deep Vein Thrombosis Fertility 21 43% 42% 26% 23% 23% 20% 20% 16% 14% 14% 14% 12% 10% 7% 6% 41% 79% 19% 76% 23% 69% 29% 67% 30% 64% 35% 57% 41% 54% 43% 52% 48% 48% 48% 45% 51% 45% 47% 59% High Importance 61% 59% Medium Importance 63% 69% Top 5 from 2009 (n=91) 70% Cardiovascular Disease 73% Diabetes 69% Hypertension 62% High Cholesterol 65% Obesity 72% 66% n=111 respondents

22 22 62% of respondents consider it very-to-extremely important to have information about the health of its employees. How important is it for your company to have information about the health of its employees in Brazil?

23 23 44% of respondents indicate knowledge of how other employers manage health is very or extremely important. How important is it for you to have information about how other employers in Brazil manage the health of their employees and their families?

24 24 But, only 28% of Respondents Claim to be at least Very Knowledgeable about how other employers are managing health. How strong is your knowledge about how other employers are managing the health of their Brazilian employees and families?

25 25 71% of Respondents think it is Very or Extremely Important to have information about the quality of medical services available to their employees. How important is it for your company to have information about the quality of medical services available to employees in Brazil? N=

26 26 73% believe they are Very or Extremely knowledgeable about the quality of medical services available to their employees. How strong is your company s knowledge about the quality of medical services available to employees in Brazil? N=

27 27 More than half of respondents are Very or Extremely Interested in learning more about launching a health and productivity movement in Brazil. How interested would you be in learning more about a multistakeholder collaborative to launch a health and productivity movement in Brazil?

28 28 Respondents are very-to-extremely interested in another of programs sponsored by pharmaceutical manufacturers. Community health initiatives and health screenings ranked highest with employers. Community health initiatives Health screenings Physician/provider education initiatives Disease management programs Support for health data analysis Case studies about what other employers in Brazil are doing to manage health Sponsor meetings for employers in Brazil to share information and learn about initiatives to manage employee health Health risk assessments Health education programs 65% Indicate your level of interest in your having access to these types of programs, sponsored by pharmaceutical and medical device manufacturers.

29 29 A large portion of respondents do not participate in a forum where they can exchange ideas and network with peers. Do your HR, benefits and corporate medical professionals with duties for Brazil participate in a forum where they can exchange ideas and network with professionals with similar duties?

30 30 The use of brokers is highly common among respondents. Does your organization use a broker to assist with its Brazilian health and benefits functions?

31 31 Respondents use Brokers Predominantly to select health and wellness vendors and analyze data for strategic planning Indicate the level of assistance you receive for your Brazilian operations from your employee benefits consultant or broker.

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