Wellness Is A Business: Jump on Board Entrepreneurial Style

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TM turn it on. Tuesday 07.16.13 4:00pm 5:15pm 2013 National Wellness Conference Wellness Is A Business: Jump on Board Entrepreneurial Style Presented By: Linda Howard, JD, CHC, CWC Sponsoring Organiza<on: Na<onal Wellness Ins<tute Loca<on: University of Wisconsin, Stevens Point, WI 2012 Alturna<ve Fitness, LLC

Where Are We Going Today? q The Industry q Intellectual Property q Business Law q Business Opportunities 2

The Wellness Industry q Multidimensional and holistic, integrating physical, mental, spiritual, and social approaches q Complementary and proactive, not only treating illness, but more importantly, focused on preventing sickness and improving overall quality of life q Consumer driven, relying on consumer choice rather than patient necessity Source: Major study conducted by SRI International (SRI), released at the 2010 Global Spa Summit (GSS) 3

Wellness A $1.9 Trillion Global Market Beauty & An<- Aging $679 Billion Fitness & Mind Body $390 Billion Healthy Ea<ng/Nutri<on & Weight Loss $276 Billion Preven<ve/Personalized Health $243 Billion Complementary & Alterna<ve Medicine $113 Billion Wellness Tourism $106 Billion Spa $60 Billion Medical Tourism $50 Billion Workplace Wellness $30 Billion Source: 2010 Global Spa Summit SRI Interna<onal s 2010 Report, Spa & the Global Wellness Market: Synergies and Opportuni<es 4

Reasons for Industry Growth The market Baby boomers Generation X Health condition Environment First Lady Michelle Obama Media (Doctors, Dr. Oz and cooking shows) Charismatic personalities (Oprah, Tony Robbins, and Deepak Chopra) 5

Intellectual Property Trademark Logos Marks Slogans and Taglines Font Treatments Copyright Ar<cles Whitepapers Forms Website Content Audio/Video Work for Hire Website Design Website Architect/ Code Logo Design Audio/Video 6

Wellness Business Opportunities 7

Opportunities Must Do Ear Hustling Plugging into Current Events Exploring Other Worlds Distinguishing Yourself 8

Niche Markets Creating a Niche From Your Life Experiences Ethnic Marketing Physician Wellness Program Executive Wellness Program 9

Tell Your Story 10

Ethnic Marketing and Cultural Sensitivity Ethnic marketing Health Disparities Culturally-Sensitive Wellness Programs 11

Lifestyle Medicine Complementary Services Family/Caregiver Wellness Services Disease Management Smoking Cessation Moderating Alcohol Consumption Health Risk Assessments Affordable Care Act (ACA)/ Annual Wellness Visit Expectations 12

What do we need to do to prepare for lifestyle medicine Speak the language Have a codes of ethics/conduct Understand privacy laws Resource: Exercise is Medicine - Health and Fitness Professional s Action Guide. exerciseismedicine.org 13

Worksite Wellness Programs Show ROI Low hanging fruit 14

What Do We Need to Do for Worksite Wellness Programs? Show ROI Low hanging fruit 15

Tool Descrip,on Where to Find it Health Plan Cost Calculator to es<mate the health- related costs to employers, such as medical costs, absenteeism, and lost produc<vity related to health issues. It factors in the size and demographic of the employee popula<on to calculate the cost. hdps://secure.hhcfounda<on.org/dframe/default.aspx (ACOEM & NCBH) Alcohol Abuse Calculator to es<mate healthcare savings related to alcohol use. hdp://www.alcoholcostcalculator.org/roi/ (George Washington Medical Center) Obesity Calculator to es<mate healthcare costs related to obesity. hdp://apps.nccd.cdc.gov/dnpaocc/companyprofile.aspx (CDC) www.businessgrouphealth.org/healthtopics/ obesitycostcalculator.cfm (Business Group on Health) Depression Calculator to es<mate healthcare costs related to depression. hdp://www.depressioncalculator.com/welcome.asp (PhRMA) www.depressioncalculator.com Physical Inac<vity Calculator to es<mate healthcare savings related to physical ac<vity and fitness. hdp://www.ecu.edu/picostcalc/ (East Carolina State) Diabetes Calculator to es<mate healthcare savings related to diabetes. www.diabetesarchive.net/advocacy- and- legalresources/ cost- of- diabetes.jsp (American Diabetes Associa<on) www.ahrq.gov/popula<ons/diabcostcalc/ (Agency for Healthcare Research and Quality) Migraine Calculator to es<mate healthcare savings related to migraines. www.migrainecalculator.com/welcome.asp (The Pharmaceu<cal Research and Manufacturers of America (PhRMA)) Tobacco Calculator to es<mate healthcare savings related to tobacco use. 16 www.businesscaseroi.org/roi/default.aspx (American Health Insurance Plan)

Low Hanging Fruits Program for pregnant women designed to reduce the number of high-risk pregnancies. Provide prenatal care and offer incentives for compliance with recommended care throughout the pregnancy. Stress reduction program. Stress is directly linked to a number of somatic complaints, such as insomnia, muscle tension, aches and pains, joint pain, headaches/migraines, gastrointestinal disturbances (diarrhea, constipation, and nausea), fatigue, loss of sex drive, high blood pressure, weight loss or gain, hormonal disturbances, a compromised immune system, asthma, and recurrent skin problems (acne, eczema, psoriasis, etc.). Stress reduction programs reduce somatic complaints, which can account for as much as 25% of primary care visits in the country. 17

Fitness Health Club Partnerships Legislation Supporting Physical Activity Personal Health Investment Today (PHIT) Act of 2013 pay for various physical activity-related expenses, such as health club memberships, using pre-tax dollars (HSA). Workforce Health Improvement Program (WHIP) Act/ Healthy Lifestyles and Prevention America Act (HeLP Act) Provide businesses with tax credits to pay for employee wellness programs. Fitness Integrated with Teaching Kids Act (FIT Kids Act). Amends the No Child Left Behind (NCLB) Act. Authorize a grant program to promote physical education, activity, fitness and nutrition; to ensure healthy students 18

Fitness Government Funding and Grants Supporting Physical Activity and Wellness Carol M. White Physical Education Program (PEP) PEP provides grants to local educational agencies (LEAs) and community-based organizations (CBOs) to initiate, expand, or enhance physical education programs for students in kindergarten through 12th grade. Community Transformation Grant (CTG) Program The Secretary of Health and Human Services acting through the Director of the Centers for Disease Control and Prevention awards CTG grants to state and local governmental agencies and community-based organizations for the implementation, evaluation, and dissemination of evidence-based community preventive health activities 19

Affordable Care Act (ACA) New Wellness Program Provisions Grants for Small Businesses Increased Incentives for Employees Medicare Annual Wellness Visit 20

Other Opportunities Medical Tourism Anti-Aging and Beauty Bundling Accessibility 21

Law Will Not give specific legal advice Will discuss potential legal issues è Goal is to encourage you to: q have solid well-drafted agreements q know when to seek legal advise 22

Company Formation q Types of Entities Sole Proprietorship Limited Liability Company Corporation Partnership Low-Profit Limited Liability Company q Separate Bank Accounts q Business License q Doing Business as (DBA) Names 23

Legal Agreements and Forms q Client Agreements q Lease Agreements q Work for Hire Agreements q Releases q Waivers q Confidentiality Agreements q Non-Compete Agreements q Commercial Lease Agreements 24

Potential Legal Issues q Liability related to recommendations or diagnoses q Breach of contract related to coaching agreements q Violations of group health insurance laws related to employer sponsored incentive programs q Potential violations of state or federal privacy laws 25

Risk Management Liability Insurance Waivers Releases Client Agreements 26

27

Contact Detail Linda Howard Alturnative Fitness, LLC lhoward@alturnative.com www.alturnative.com 28