Helping employers rethink health and care

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1 Helping employers rethink health and care Success through seamless collaboration 2800 Rockcreek Parkway Kansas City, MO

2 Working together, we can create a healthier future. Imagine a day when: n Your health care costs are under control n Your employees are significantly healthier, happier and more productive n Your health benefits are a recruiting advantage n Your employees health is a differentiating asset for your company manage health care strategically. Every company has distinct goals and challenges, and finding the most effective solution for your employees can be difficult. By taking a comprehensive approach, with the right partner, you can succeed at bending the health care cost trend and improving the health, happiness and productivity of your workforce. Health care is too important to stay the same. Within a year, we went from selecting Cerner as a partner to experiencing significant savings in our health program. By combining occupational health, primary care and wellness, Cerner has made it easier for me, and our employees, to get the most from our health care dollars. Nancy Fox, Vice President, Deffenbaugh Industries Employers are trying to understand how to create a culture of health and strategically manage the current and future health care needs of their employees. At Cerner, we partner with each client to customize health management solutions to precisely match your unique needs. From on-site health centers and pharmacies to health and wellness management programs, Cerner works with employers to bend their health care cost trend, increase employees productivity and improve the overall health of employees and their families. More than health care, a culture of health. It seems like health care costs are on a neverending upward trend, and the future is uncertain. To grow and be competitive, businesses have to Cerner s legacy of delivering effective workplace health care programs for our clients positions us as an industry leader that can immediately step in and help you reach your goals. Our flexibility and willingness to explore customized solutions sets us apart in the industry. At Cerner we have embraced the culture of health. Our own associates serve as our testing ground for new ways of creating healthier employees. We use what we learn with them to create effective, customizable solutions for our clients. Cerner is changing the way people use and share information, pay for health and care, and think about employee health. Let us partner with you to create your own culture of health. Choose from our wide array of established options, or work with us to create something uniquely yours. 3 1

3 Client Partner: Deffenbaugh Waste and recycling 800 employees in Kansas City, MO Cerner services: The full range, including a 24-hour on-site health center and pharmacy, wellness promotion, drug and alcohol screenings, DOT and HPE physicals, workers compensation, OSHA log maintenance, occupational health, safety training and support. Technology solutions including electronic medical records. Deffenbaugh s health care costs were increasing in double digits every year. The company wanted a comprehensive, proactive approach that would save money and improve their employees health. Cerner could do it all, and they understood Deffenbaugh s 24/7 industrial workforce. The employees worked around the clock and in the field. Cerner identified and addressed the company s unique health, access and education challenges. The results, according to Deffenbaugh, have been amazing. There are cost savings in every category. Employee utilization and satisfaction are high, and the many programs and services are completely integrated. Cerner also does a great job of managing and analyzing all the company s health-related information. Cerner has enabled us to offer our employees lower-cost health care options, tied with education, so they can make smarter consumer choices when they need health care. They ve also been an instrumental partner in identifying health risks in our population and bringing us innovative ways to reduce those risks. Nancy Fox, Vice President, Human Resources 2 Cerner provides turnkey solutions. We will be responsible for and oversee almost all facets of the set-up, staffing and ongoing management of on-site health centers, allowing you to focus on your core business objectives rather than health care oversight. Rethinking health one company at a time. Cerner s health care management solutions work because they are built on a foundation of wellness. Our model: seamless collaboration and complete customization. You can benefit from any one of our services. But you maximize return on investment by embracing an entirely new approach to health care. Commit to creating a culture of health and we re with you every step of the way. Together, we ll create a plan that s uniquely yours, a perfect fit for your goals and your population. On-site health center The Cerner on-site health center provides a wide range of health services that may be customized to your employee group and, if desired, their spouses, dependents and retirees. Our employer-sponsored health centers combine a focus on the person with information technology to provide an outstanding experience and positive health outcomes. On-site pharmacy We will determine the best pharmacy solution for your employees, whether stand-alone or integrated into your on-site health center. The Cerner on-site pharmacy offers large employers a full-service pharmacy at or near the worksite. With minimal investment, you can reduce prescription drug costs by up to 30 percent. 3 Wellness management Through personal health assessments and biometric screenings, employees can clearly identify their health risks and create a personal health improvement plan in conjunction with their health advisor. Individuals with chronic conditions can enroll in condition management programs to help them aggressively adhere to evidence-based practices and be more in charge of their health. Everyone can participate in healthy activities and earn incentives. Organization discovery Cerner evaluates the dynamics that support or impede your population s health across nine dimensions. The result is a Roadmap for Health a set of recommendations leveraging current partnerships and investments customized to support your organization s health goals, improve health outcomes, and stabilize health care costs. Health competitions Cerner s weight loss and fitness competitions enable employees to have fun while taking action to improve their health. We will design, implement and manage competitions to fit your employee population. Health information can be shared and tracked for incentive programs as well.

4 Client Partner: Centene Health care 800 employees in St. Louis, MO Cerner services: On-site health center, including urgent care. Wellness promotion. Drug testing. Technology solutions, including electronic medical records. Centene wanted to improve the health of its employees and, as a result, experience some cost savings. Cerner created an outstanding experience for Centene through collaboration and customization. Rather than cookie-cutter choices, Cerner offered a program designed with Centene s needs and strategic goals in mind. And when Centene said it wanted to reach out to the community with its onsite health center, Cerner was on board, starting with the companies that share Centene s building. Next up: businesses within a one-mile radius. Centene s employees have had an outstanding experience, as well. They love their health center and have embraced wellness programs. As a result, the company has saved money through decreased claims and increased productivity. Cerner was approachable and flexible. Every time we had a suggestion or an idea, they never said, No, we couldn t do that, or, No, we haven t done that. They said yes. Yes, we think we could do that, and, Yes, we could work with you to see what that might look like. Bob Sanders, Senior Vice President, Compensation and Benefits Outstanding experience. Long-term results. Outstanding employee experience Cerner believes that every individual we serve, regardless of whether we serve them online or in person, deserves an outstanding experience with us. By providing outstanding experiences, we build trust and loyalty that can be used to influence and promote healthy behaviors. Cerner orients its programs and services around the person. In fact, we ve spent more than 30 years advocating for person-centric health care. In doing this, we partner with you to help your employees navigate the complexities of health and care. n Cerner s no-wait model allows clinicians to spend the right amount of time with each individual, emphasizing wellness, personal responsibility and long-term solutions. Both our providers and the care suite environments in which they work enhance a spirit of partnership between the person and the entire care team. n The best staff for your employees: Quality people: Across all of our services, our clinicians and staff are dedicated to providing world-class customer service. Screening and training: From clinicians to health advocates, our careful screening process enables us to recruit and hire the most highly qualified practitioners. And we follow that up with comprehensive and ongoing training. We ensure that staff members have the language skills and cultural perspective to make your health center the preferred venue for your employees. n We ve used state-of-the-art technology to create the optimal experience for employees, one that is: Empowering: With Cerner Health, an online personal health record, employees can easily manage all of the many pieces that make up their health story. Employees can track medications, medical conditions, allergies, weight and blood pressure and connect health devices with their Cerner Health personal health record. Convenient: Through a patient portal, individuals may connect with their care team online, schedule appointments, conduct electronic visits or even securely message providers with open-ended questions or more specific ones such as refill requests. Ensuring quality care: By using technology such as electronic medical records, our staff and clinicians have the most relevant clinical and financial information about individuals at the right time. Outstanding employer experience Cerner is committed to providing an outstanding experience for employers. When you choose Cerner, the partnership begins. From program design to site implementation, to day-to-day administration and management, we work side by side with our clients to identify new opportunities to improve health. Consistency, flexibility and responsiveness are the keys. This borderless collaboration ensures success for our clients and their employees and, ultimately, a healthier future for everyone. Cerner believes providing an outstanding experience in every service we offer will build the loyalty and trust necessary to influence healthy behaviors. 4 5

5 Cerner 5,000 employees in Kansas City, MO (9,500 worldwide) Two on-site health centers including primary care, electronic visits, urgent care and occupational health. Two on-site pharmacies. Robust wellness programs, including condition management and weight loss competitions. Two free fitness centers. Technology solutions including electronic medical records, patient portal and personal health platform. Since Cerner enacted its own health plan, we have embraced a culture of health and reaped tremendous rewards. Central to our living lab approach is the belief that we manage health at the individual level. Cerner Health, our online personal health record, is integrated into everything we do. Employees are engaged and can make smart health and consumer choices because they have information to help them whether it s the results from their health screening, activity tracking or recommendations on lower-cost medications. We use what we learn from our employees to improve programs. Insight drives innovation, and innovation, insight. The National Business Group on Health has twice awarded us a Best Employers for Healthy Lifestyles Platinum award. Since 2004, we have held employee health care cost increases to 3.5 percent or less, compared to the U.S. average of 9 percent. At Cerner we are in the unique position where our day-to-day innovations meet day-to-day lifestyles. It isn t just the company but also individual associates who have embraced a culture of health. It s motivating to hear how their efforts are improving their quality of life, helping to prove that together we can make a difference. Jeff Townsend, Executive Vice President Empowering with insight. Enabling action. Employers and individuals alike are searching for a way to create meaning out of health care data that is all too often kept in silos and used for transactional purposes. Effective strategic planning to achieve healthy employees requires the ability to integrate information at both the employer and individual level and transform that information into action. Cerner s robust reporting capabilities integrate information from multiple sources, including claims, clinical, wellness and human resources. Our monthly, quarterly and semi-annual reports enable establishment of priorities and strategies that will have the most impact on your health objectives. We use our actionable insight to continuously identify existing and future opportunities for you to be able to address and avoid the personal and financial costs of poor health. We use this same insight to help individuals more deeply understand how they can create a healthier future and create and track their performance against their personal health improvement plan. 6 Cerner believes we can create unique insight into health by combining information from multiple sources that currently act in a vacuum and enabling individuals and employers to act on that insight. 7

6 Client Partner: Toyota Industrial Equipment Mfg. Inc. Forklift manufacturing Real alignment. Real change. The problems employers have (rising expenses, declining health) cannot be solved simply by implementing services. Employers, employees and providers alike need to have aligned incentives to create change on a personal level, as well as across the health care system. For employers, this means having the right incentives in place to promote health. Benefit plans should be designed to reward individuals for healthy behaviors and make it easy to make the right health decisions. Cerner isn t merely focused on managing costs as they rise, but rather on addressing the root of the problem by helping improve the health status of all members. We collaborate with employers to determine the best incentive structure for their employees. Cerner s incentive management system can combine participation- and outcomes-based incentives that evolve and mature over time to continuously raise expectations of how employees should invest in their health. By offering strong incentives that reward healthy behaviors, employees and employers alike can achieve significant savings on health improvement. Cerner s rewards program enables employees to earn and track points during the year that can result in significant savings on their health benefit premiums and money added to their health savings accounts. Cerner believes transformative change is possible when individuals, employers and providers have aligned and integrated incentives to promote health associates in Columbus, IN Cerner services: On-site health center including primary care, pediatrics, occupational health and physical therapy. Pharmacy. Wellness promotion. Drug testing. Technology solutions including electronic medical records. Toyota s goal of reducing workers compensation costs led to exploring on-site care. It found Cerner knew the business best. Cerner was the only company that brought a complete game plan to the table, addressing all of Toyota s objectives. One real success has been the on-site pharmacy, because Toyota saw how to align its interests with those of its associates and care providers. Providers are able to give appropriate care and then direct individuals to low-cost medications available right on-site. In addition to commonly prescribed medications, the health center dispenses condition-management medications when associates participate in required consultations. Associates appreciate the health center, and Toyota has seen dramatic savings in its total health care costs. Overall, the company is confident in Cerner s commitment to improving the health of its population. Our associates like the convenience and speed of our health center, and the high quality of services. They can go during the workday. It makes them happy. They can see a doctor and get the medication they need. From our standpoint, we ve saved an hour and a half of time they would be gone from the facility. So it benefits everybody. Tim Hollkamp, Manager, Human Resources

7 Getting healthy. Having fun. In an increasingly social environment, Cerner knows that individuals become more engaged in their health when it is social, fun and competitive. So we re changing the way people think about health. Cerner fosters individual engagement through weight loss challenges, steps competitions and wellness incentives using web-based applications that integrate information into Cerner Health, an online personal health record. While weight loss and steps competitions have been around for a long time, Cerner enables another layer of sustained engagement by facilitating the competition through these web-based applications, high-tech weigh-in kiosks and devices that integrate the competition-related activity with an individual s personal health record. Employees can access results and track incentives at any time with their Cerner Health account. Cerner believes people are more engaged in their health and wellbeing if opportunities to improve their health are fun, competitive and leverage technology. KC Slimdown Challenge Client partner: 85 employers Kansas City area More than 5,000 individuals Employers are major stakeholders in the health of their employees, but many are struggling to shift the focus from care to health. To address this issue, Cerner created the KC Slimdown Challenge. The 10-week weight loss competition was open to companies large and small. For the 85 that signed on, it provided the infrastructure to add an easy wellness program that would motivate employees in a fun and exciting way. Employees weighed in at participating companies and at YMCAs. They had free access to the Cerner Health personal health record to track and manage their health, even after the competition was over. The 5,000 participants lost more than 23,000 pounds, an average of nearly 5 per person, with Hallmark coming out on top. Cerner was excited and humbled to have the chance to make a positive health impact in our own community. This was a great experience for our company, reinforcing how important it is to lead a healthy lifestyle. Also the exposure to the Cerner personal health accounts was a way to show our employees the future of health care and how being accountable to yourself can oftentimes be the motivation needed to accomplish your goals. Our goal was 10 pounds per person. And we did it. Our 48 employees lost an average of 10.5 pounds over the 10-week period. Blaine Weeks, CFO, Geiger Ready Mix, Leavenworth, KS

8 Creating a culture of health is a journey. Take the first step with Cerner. Cerner is redefining health care through partnerships with businesses that want to change the way they think. Transformative change doesn t happen overnight. But taking the first step on the journey isn t as hard as you may think. We ll take it together. What Cerner can do for you: end the health care cost curve B n Improve the health of employees and their families n Increase employee productivity n Improve employee satisfaction n Provide a positive return on investment n 12 Any one of Cerner s health services can be that first step on a path to controlling costs and improving employee health, productivity and satisfaction. Together we can improve the quality of life for your employees, and address the real challenges related to paying for health care. Cerner will partner with you to transform health care from a problem into an opportunity. Healthy living. It s our business. It s our mission. employerservices@cerner.com /

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