Eating Mud Pies Isn t the Biggest Worry: Addressing Children as 25% of Employer Health Care Costs. April 30, 2012

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1 Eating Mud Pies Isn t the Biggest Worry: Addressing Children as 25% of Employer Health Care Costs April 30,

2 About the National Business Group on Health Representing about 342 mostly large employers 67 of the Fortune 100 NBGH is the nation s only non-profit organization devoted exclusively to: Finding innovative and forward-thinking solutions to large employers most important health care and related benefits issues Speaking for large employers on national and state health issues

3 NEW Child & Adolescent Products Health Tips: Childhood Cancer: How Employers Can Help Meet the Needs of Parents and Children Health Tips: Reducing Teen and Unplanned Pregnancy to Strengthen the Future Workforce Health Tips: The Expansion of the HPV Vaccine Recommendation to Boys: Implications for Employers Health Tips: Helping Employees who have Children with Special Health Care Needs Health Tips: Preterm Birth and Elective Labor Induction Prior to 39 Weeks Health Tips: Employers Addressing Anxiety in Child & Adolescent Dependent Populations

4 NEW Child & Adolescent Products (Continued) Maternal and Child Health Plan Benefit Model Evidence-Informed Coverage and Assessment Issue Brief: Incorporating Children Into the Corporate Culture of Health Pop Quiz: 8 Things Employers Need to Know about Child & Adolescent Health >> Benefits & Health Topics >> Publications >> berryman@businessgrouphealth.org

5 Speakers Joseph F. Hagan Jr, M.D., FAAP, Hagan, Rinehart & Connolly Pediatricians; content expert and co-author, Bright Futures Dan Conti, Ph.D., Managing Director, Employee Assistance & WorkLife Program, JPMorgan Chase & Co. 5

6 Don t eat Mud pies--if only it were that simple The Case for Preventive Health Care for Infants, Children and Adolescents Joseph F. Hagan, Jr, MD, FAAP Co-editor, The Bright Futures Guidelines, 3 rd Ed. Clinical Professor in Pediatrics, University of Vermont College of Medicine 6

7 Webinar Goals The why, what and how of preventive health care services for youth Emerging issues in child & adolescent health The Bright Futures Guidelines, 3 rd Ed. and the Affordable Care Act of

8 Disclosures Neither Dr. Hagan nor any of his family have financial relationships to disclose. No off label uses of drugs or devices will be discussed. I am one of the editors of The Bright Futures Guidelines. Today s webinar is not promotional. I will give a balanced presentation about well child care using the best available evidence to support my conclusions and recommendations. 8

9 What s Bright Futures? Bright Futures is a set of principles, strategies and tools that are theory - based, evidence - driven, and systems - oriented, that can be used to improve the health and well-being of all children through culturally appropriate interventions that address the current and emerging health promotion needs at the family, policy, community, and health systems levels. 9

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11 Preventive Healthcare: WHY? Improve health Disease free Emotionally competent Prolong life Reduce costs Affordable Care Act of

12 Preventive Healthcare: WHAT? Disease detection Disease prevention Health Promotion Anticipatory Guidance 12

13 Preventive Healthcare: HOW? Screening for healthy development Screening for health problems Screening for behavioral health problems Anticipatory guidance 13

14 Preventive Healthcare: HOW? Screening should be evidence based Screening might be evidence informed Systems of care are necessary to address problems detected Family Centered Medical Home Community health partners Employers as health partners 14

15 New Morbidities Overweight and Obesity Stunningly increasing prevalence Mental health ~20% of youth affected Others: Substance use and abuse Food insecurity Family violence 15

16 Lofty Goals How can it be done? Can it be effective? Follow-up Referral Community support Employer support Is it effective? YOU BE THE JUDGE. 16

17 Context The 18-month-old requires gentle transitions, patience, consistent limits, and respect. One minute he insists on independence; the next minute he is clinging fearfully to his parent. 17

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21 In summary We believe preventive care is essential to individual health and to the health of the community Healthy children generate less healthcare cost Healthy children are to be our future healthy workforce 21

22 Reference Hagan JF, Shaw JS, Duncan PM, eds Bright Futures: Guidelines for Health Supervision of Infants, Children and Adolescents, Third Edition. Elk Grove Village, IL: American Academy of Pediatrics or 22

23 The EAP and Child & Family Issues Dan Conti, Ph.D., Managing Director, Employee Assistance & WorkLife Program, JPMorgan Chase & Co. National Business Group on Health Webinar 23

24 EAPs: Current Status While utilized by the vast majority of employers, EAPs have various organizational models & levels of engagement within companies EAPs are marketed as enhancing performance of the workforce by helping employees solve problems that impair their productivity Standard coverage includes the employee and all covered dependents EAPs are increasingly integrated with work-life resources and wellness programs Offerings include much more than clinical counseling CDHPs and the Mental Health Parity Act (2008) are expected to increase utilization of EAP clinical services 24

25 EAPs: Response to Children & Family Issues Resources available Clinical counseling Individual, couple or family modalities available Clinical consultation Child care resources Education resources (e.g., finding a specialized after-school program through college planning) Legal assistance 25

26 Determining Exact EAP Utilization for Child & Family Issues is Difficult Presenting Problem / Assessed Problem reporting Child & family issues may be integral to problem but not recorded (e.g., Marital/couple issue, grief & loss, financial problem, etc.) EAP provider claims usually do not require CPT code Even when child issue is never mentioned, reducing parental stress has impact on child & family functioning 26

27 Utilization of EAP Services: Child & Family Issues 27

28 Utilization of EAP Services: Child & Family Issues 28

29 Factors affecting EAP Utilization for Child & Family Issues Workforce demographics Women employees are much more likely to use EAP services, particularly for child & family issues Overall, our experience is that women = 68% of callers to EAP; on child & family issues, women = 75% of callers Marketing Is EAP marketed as a resource for children & family issues? Beyond MH issues Beyond workplace productivity issues Integration with wellness program provides a key message of use before crises occur 29

30 Question & Answer Portion To submit a question: 1. Type it in the question box in the lower right-hand side of your web page 2. Type it in the chat box in the lower right-hand side of your web page 3. Follow the operator s verbal instructions on how to ask a question through the phone

31 Contact Penney Berryman, MPH Senior Analyst National Business Group on Health Phone:

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