9 th Annual Employer Leadership Summit April 22, 2016

1. 9th Annual Employer Leadership Summit April 22, 2016

2. Happy Earth Day!When was the first Earth Day celebrated? • April 22, 1942 • The Vernal Equinox, 1974 • April 22, 1970 • The Spring Solstice, 1968 1

3. Which film won for Best Picture at the 88th Academy Awards ceremony February 28? • The Big Short • Bridge of Spies • Brooklyn • Mad Max: Fury Road • The Martian • The Revenant • Room • Spotlight 1

4. Which film do you think should have won for Best Picture at the 88th Academy Awards ceremony February 28? • The Big Short • Bridge of Spies • Brooklyn • Mad Max: Fury Road • The Martian • The Revenant • Room • Spotlight 1

5. What percent of Minnesota employers who participated in this year’s Minnesota Health Action Group Survey say they are considering changing health plan vendors for 2017? • 4% • 10% • 25% • 50% 1

6. According to Minnesota employers surveyed, they cover, on average, _____% of the single coverage premium and ______% of family coverage. • 77% for single coverage; 70% for family coverage • 82% for single coverage; 75% for family coverage • 85% for single coverage; 81% for family coverage • 71% for single coverage, 80% for family coverage 1

7. What is the number one health plan and contribution design tactic surveyed Minnesota employers say they are using to control trend increases? • Consumer education • Consumer-directed health plans • Dependent eligibility audits • Additional health plan options • Increased deductibles and copayments 1

8. The two most common services Minnesota employers have been purchasing to help employees manage their health and health care are: • Free Fitbits and health club memberships • Disease management and telemedicine • Telemedicine and free Fitbits • Destination medicine treatment options and nurseline services 1

9. Virtual health care is taking off as an alternative and more efficient option for care. The revenue for virtual consultations, which was less than $100 million in 2013, is estimated to reach how much by 2018? • $13.7 billion • $15.6 billion • $8 billion • $10.8 billion 1

10. Roughly 12% of U.S. health care spending is for care in the last year of a person’s life. Compared to other nations, Americans spend more for hospital visits near end-of-life. What is the average per-person cost for people 65+ in their last 180 days of life? • $22,150 • $18,500 • $15,800 • $17,920 1

11. La Crosse, Wisconsin, has been called “the best place to die in America” because of its successful campaign to promote advance care planning. What percent of the adult population in La Crosse has a health care directive in place? • 88% • 96% • 50% • 79% 1

12. Over 80% of Americans say that if they were seriously ill they would want to talk to their doctors about end-of-life care. What percent have actually had that talk? • 7% • 15% • 27% • 35% 1

13. Over 90% of Americans say talking with their loved ones about end-of-life care is important. What percent have actually done so? • 10% • 27% • 37% • 50% 1

14. Recognizing that we can do more together than any of us working alone, within two years, what do you believe is a reasonable to goal to set for the number of Minnesotans who have advance care directives (currently at 36%), which is below the national average? • 45% • 60% • 75% • 90+% 1

15. Cesarean delivery is the most common operating room procedure in the U.S. • True • False 1

16. The average cost of a hip replacement in the U.S. is $65,000. How much is it in Europe? • $85,000 • $60,000 • $32,000 • $13,000 1

17. What is the likelihood of surgery for workers with back injuries who visit a surgeon or medical doctor as a first point of care? • 42.7% • 68% • 22.2% • 10.6% 1

18. Specialty pharmacy continues to be the largest driver of rising drug costs for Minnesota employers surveyed, coming in at what trend rate? • 8% • 15% • 25% • 30% 1

19. What percent of Minnesota employers who participated in The Action Group’s 2016 Annual Employer Benefits Survey offer incentives for participating in wellness programs? • 52% • 74% • 81% • 89% 1

20. Consumer-directed health plans are driving people to educate themselves about health care, treatment options, and costs. According to surveys, people with CDHPs are more likely than others to: • Check whether the plan covers care • Ask for a generic drug instead of a brand name • Develop a budget to track expenses • All of the above 1

21. Annual premiums for employer-sponsored family health coverage reached ______ this year, with workers paying, on average, ________ toward the cost of coverage: • $13,512/$3,212 • $17,545/$4,955 • $14,520/$4,200 • $18,951/$6,834 1

22. Relative to a year ago, how likely is your organization to pursue one or more innovative solutions that you’ve never tried before (e.g., medical tourism, home doctor visits, financial fitness, advance directives education)? • Highly likely • Somewhat likely • Not very likely • Highly unlikely • Not sure 1

23. As you evaluate potential innovative solutions, what is the biggest barrier to be addressed?  • Results not proven • Cost to implement • Administrative complexity • Other competing priorities • Not sure how to compare options with so many new things coming to market 1

24. Telemedicine has been around for about _______ years: • 5 years • 12 years • 40 years 1

25. Between 2013 and 2015, more than ______ additional Americans reported that smartphones and apps changed the way they manage their health and wellness, representing a ______ percent increase in adoption.   • 8 million, 14% • 24 million, 22% • 42 million, 70% • 68 million, 82% 1

26. About what _____ percent of Americans using both a fitness device and a smartphone app to manage their health and wellness say they are healthier now than before these tools were available? • 25% • 38% • 61% • 78% 1

27. About ____% of boys and _____% of girls born in 2000 will develop type 2 diabetes. • 10% / 22% • 5% / 10% • 30% / 40% • 50% / 50% 1

28. About 86 million Americans have prediabetes. This is the equivalent of everyone in the top 100 U.S. cities, plus everyone in Minnesota, Wisconsin, North and South Dakota, and Illinois. True or false? • True • False 1

29. Who won the Action Group's Innovator’s Award in 2015? • Artemis Health • Jiff • Perk Health • Omada Health • RetraceHealth 1

30. As I leave this Summit, I am most excited about taking action to: • Promote Advance Care Planning within my organization and community • Use the strategies from the Care Delivery Learning Networks to be a more effective purchaser • Join a future Care Delivery Learning Network to help shape new ideas and strategies • Implement one of the innovative solutions profiled today to help address the health care challenges facing my organization • Continue new networking relationships initiated at today’s Summit 35% 7% 2% 29% 27% 1

31. If I were to write the “headline” for today’s Summit, it would be: • “Summit Participants United Behind Advance Care Planning” • “Innovators Steal the Show at Health Care Summit” • “Professor Schondelmeyer Recognized for Helping Employers Become More Effective Purchasers” • “Health Care Summit Abuzz with Valuable Networking” • “While Others Talk Big, Summit Participants Focus on Action and Solutions to Today’s Health Care Challenges” 12% 23% 2% 6% 58% 1

32. Which 2016 presidential campaign slogan best captures the content of today’s Summit: • Heal + Inspire + Revive • Fresh Ideas for America • Telling It Like It Is • New Possibilities, Real Leadership • From Hope to Higher Ground • #It’sInOurHands 1