Thank you so much for joining us this afternoon

so that developing public private partnerships

to improve employee health and population health webinar.

00:13 I would like to introduce my colleague Christa Singleton

who is the senior medical advisor with the Centers

for Disease Control and Prevention (CDC).

She's going to share with you her insight

and kick off our presentation.

Christa, thank you for joining us today.

00:27 Christa Singleton: Good afternoon, everyone.

00:31 Keeping America safe, healthy, and secure is critical

to building a healthy workforce, a healthy economy,

and to building healthy communities.

00:41 CDC is well known for its scientific expertise around new

and reccurring infectious diseases.

00:48 It may not be as well-known that CDC

and our state and local public health colleagues have immense

expertise in developing evidence-based interventions

that affect the health conditions

and behaviors of their communities.

01:04 As our country's healthcare system continues

to transform and explore new access and payment models,

in 2015 and 2016 01:14 CDC began to explore opportunities

to improve access, quality, and the utilization

of evidence-based prevention interventions that have both.

And I'll stress the keyword both - health and cost impact.

01:34 That exploration resulted in the creation

of the 6 18 Initiative, which is an effort to help purchasers -

and by purchasers we mean employers - 01:45 Payers,

both public and private,

and healthcare providers spend smarter

and better invest in population health.

These interventions are evidence-based interventions

01:59 that can be used, particularly for employers,

to support their employee population health.

02:05 Our work at CDC in the early days

of the 6 18 framework was

with pairing public health departments

with Medicaid departments.

02:14 And over the last year we have started a deeper dive

into a deeper and richer engagement

into the employer perspective to further fill

out the 6 18 Initiative.

02:25 Why employers might you ask?

As over 55% of the country receives their health insurance,

and therefore their access to health care

from employer sponsored health insurance,

02:37 We CDC have realized the opportunity

to help build upon public's health insure

and assure public health role to partner with the private sector,

particularly with employers

to improve population health in their communities.

02:54 For our state and local health departments today,

we hope that you will find concrete

and operational recommendations to help advance your work

with the private sectors.

03:04 For employers, employer collaboratives,

and private sector entities with us today,

we hope that you will find the public health partnerships

examples today of interest and an opportunity

to build upon further 03:18 Public Health population

collaboration in your area.

Our agenda today will highlight the importance

of developing health department/employer partnerships

using the health and cost framework

of the 6 18 Initiative.

03:34 We look forward to hearing,

not only hearing 03:36 Examples from our colleagues

at Leavitt Partners, the St. Louis Business Health Coalition.

The Missouri Department of Health and Senior Services,

but examples from those of you in attendance as well.

03:48 With that, and I turn to my colleague Chris Miles

with Leavitt Partners to begin our presentation, Chris.

03:54 Chris Miles: Thank you very much, Christa.

03:56 Really appreciate that.

Why don't we go ahead and start by talking about the importance

of state health department/employer

partnerships.

04:07 Employers are key stakeholders

who can positively impact population health via their

employees, dependence, and the broader community

with state health department support.

04:19 Cultivating relationships and partnerships

between public health and the private sector is critical

to enhancing, not just the 04:26 wellbeing of employees,

04:28 but the community and population as a whole.

The reach of improved employer health is broad -

a few examples: 04:37 On-site

or near-site clinics increase access to care in some cases,

for the employees and dependents at that employer,

and at other times are open

to the larger population beyond just employees.

04:52 With respect to transportation,

some employers offer financial incentives

around transportation reimbursement,

for example subsidized bus and train passes.

05:04 With respect to food, some employers may offer access

to healthy meals to take home to their broader family.

05:13 And from a housing perspective,

employers have implemented initiatives to help employees

with down payments for homes, how to create a budget

to save for a first home.

05:26 And we know that these social factors can affect

life-long wellbeing.

This presentation will lay

out why state health departments may want to partner

with businesses, how to find them, and what to communicate.

05:45 Developing cross sector partnerships is key

to changing health outcomes and improving the vitality

of the community and workforce.

05:55 State health departments and employers are all

in the health business.

Employers may not naturally identify as such, but they are

because it is to their competitive advantage.

06:13 Employers often measure their business financials,

which are impacted by insurance costs,

productivity satisfaction, retention, and engagement.

06:25 For example, a national business group

on health Optum Survey highlighted that employees

who reported high wellbeing scores reported higher levels

of job performance than those who had fair, or poor wellbeing.

06:43 Improving health, safety, and wellbeing,

is good for business, good for employees,

and good for the community.

06:56 With the cost of benefits increasing,

employers may be likely to react positively

to state health department initiatives and recommendations.

07:06 A Leavitt Partners 2018 survey indicated that 90%

of employers believe emphasizing wellness

and prevention will contain costs.

07:17 What types of programs might those be?

Well according to the National business group on health,

58% of large employers provided access to health

and lifestyle coaching through telehealth services in 2018,

07:32 with 9% adding this service in 2019.

Large employers are also directly contracting with ACOs

and high-performance networks, which increased from 3%

in 2018 to 11% in 2019.

07:50 Employers may benefit from the types

of health care costs containment

and employee wellbeing strategies

that state health departments can provide.

08:00 The advent of value-based care

and increasing healthcare premiums and out

of pocket costs are on the top of many employers minds,

which makes them interested in addressing wellness.

08:14 Self-funded employers, which are those

that are financially responsible for the health care claim costs

of their employees 08:22and eligible dependents,

are generally larger organizations

and usually have access to claims data

and are better positioned to be able to assess the impact

of programs on prevalence, risk factors, etc. 08:38

Yet many do not have the capacity or expertise

to effectively implement evidence-based strategies

to improve employee health,

which is where state health departments can assist.

08:54 For example, corporate social responsibility

initiatives are a possible means of engaging employers

on this topic, in addition to the direct

and indirect financial benefits they receive.

09:10 Employees report, however,

that they do not have consistent access to services

that could help them manage their health.

09:21 CDC's 6 18 Initiative offers resources and framing

for state health departments to use with employers

to help them meet the needs of their workforce and community.

Additional resources may be found

in the customizable slide deck for state health departments,

available on the CDC 6 18 website.

09:45 Now let's go ahead and talk

about state health department outreach to employers.

10:02 Leveraging existing connections to employers

and business influencers may help state departments