A BETTER WAY TO TAKE CARE OF BUSINESS How to use this presentation

A BETTER WAY TO TAKE CARE OF BUSINESS How to use this presentation When presenting this deck, emphasize that we can serve as a strategic health partner to help small businesses address health issues in their workforce, especially chronic diseases. Choose the slides you want to present, including 1 of the 2 cover options, and the options in the Appendix. Update the Table of Contents. NOTE 1 Delete this and other unwanted slides before presenting. 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

A BETTER WAY TO TAKE CARE OF BUSINESS The value of integrated chronic disease management for small businesses kp.org/choosebetter 2019 Kaiser Foundation Health Plan, Inc. All Rights Reserved.

ALTERNATE COVER PHOTO A BETTER WAY TO TAKE CARE OF BUSINESS How integrated chronic disease management can keep your small business healthy kp.org/choosebetter 2019 Kaiser Foundation Health Plan, Inc. All Rights Reserved.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Agenda Chronic diseases: A case study for health as a business strategy Kaiser Permanente’s integrated chronic disease management Appendix 4 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

A BETTER WAY TO TAKE CARE OF BUSINESS Chronic diseases: A case study for health as a business strategy 5 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Health care is a crucial business strategy Health care is a big cost for any small business. But poor employee health can affect your bottom line far beyond your premium. Some of the biggest health-related costs for employers come in the form of: Absenteeism Presenteeism3 Disability claims4 1,685 per employee per year1 57.5 days lost on average per person per year 60% of all workerrelated health care and disability payments 10x more cost to employers than absenteeism 6.5 billion in total 8% to 9% of annual payroll2 CDC, February 2, 2017. 2Mercer, Marsh & McLennan, October 2016. 3EHS Today, March 16, 2016. 4Health Affairs, February 2017. 1 6 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Chronic diseases and your small business Chronic diseases can have a significant impact on your employees’ quality of life and on your workforce productivity. They’re also a primary driver of health care costs. 7 Anxiety Depression Asthma Diabetes Cancer Hypertension Cardiovascular disease Mental health conditions Chronic obstructive pulmonary disease (COPD) Obesity 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Chronic diseases affect a majority of adults In the U.S., 6 in 10 adults live with a chronic disease x2 x2 x2 x2 42% have 2 or more 1 8 RAND, accessed April 10, 2019. 4/10/24 2019 Kaiser Foundation Health Plan, Inc. 1

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Chronic diseases are a primary driver of health care costs 90 % of the nation’s health care costs are spent on chronic physical and mental conditions Source: CDC, accessed April 10, 2019. 9 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Chronic diseases also drive disability leave costs In a 5-year study: 25.5% of employees took disability leave, yet they accounted for more than 50% of all health care payments. Employees who took disability had a much higher rate of chronic diseases compared to those who took no disability leave. Source: Health Affairs, February 2017 10 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Employees 25.5% Health care payments 50.5% Employees who took disability leave Employees with no disability leave

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Why it matters: preventing and managing your employees’ chronic diseases Preventing chronic diseases, or effectively managing their symptoms, can help restore your employees’ quality of life. It also increases your productivity, and reduces health care costs for both you and your employees. 11 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS How care engagement benefits your workforce When your employees with chronic conditions are more engaged in their health, they’re more likely to: Get regular care and adhere to treatment Actively monitor their conditions The result? Your employees feel healthier and you have a more productive workforce. 12 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS How the right health partner can help Your health partner should: Provide easy-to-use health resources for both you and your employees Track your workforce’s health engagement to develop your workforce health strategy Show how your health savings translate into work hours saved each year 13 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

A BETTER WAY TO TAKE CARE OF BUSINESS Kaiser Permanente’s integrated chronic disease management 14 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS The power of an integrated approach to chronic disease management 15 Integrated care and coverage Focused on prevention Connected teams Data-driven outcomes 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS A skilled partner in chronic disease care Preventive care and proactive disease management are central to our approach to high-quality health care. 16 Early detection Prevention Proactive chronic disease management Employee engagement 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Our integrated approach produces proven results Our Preventing Heart Attacks and Strokes Everyday (PHASE) program helped control blood pressure in 82% of members with diabetes ― 20% higher than the national level.1 A team-based, preventive approach to managing blood pressure, cholesterol, diabetes, and other chronic conditions helped reduce severe heart attacks by 72% over 15 years.2 1 17 Rena et al., American Journal of Medicine, March 2018. 2Solomon et al., Journal of the American College of Cardiology, August 2016. 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS A leader in high-quality care for chronic diseases We’re leading the nation in 30 effectiveness-of-care measures. HEDIS recognizes us as the top performer in 8 categories directly related to chronic diseases. Those include 4 categories related to controlling high blood pressure and comprehensive diabetes care. Ratings are determined by real-world clinical data. SOURCE: NCQA Quality Compass, 2018. 18 4/10/24 2019 Kaiser Foundation Health Plan, Inc. HEDIS effectiveness-of-care measures Kaiser Permanente Closest competitor

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Our research drives evidence-based best practices When your employees enter our chronic disease management programs, they’ll receive care that’s based on evidencebased research. Since 2007, in fact, our researchers have published 3,291 journal articles on 4 key chronic conditions: heart disease, obesity, diabetes, and mental health. 19 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS A wide range of disease management programs are available Asthma Geriatrics Breast cancer Heart failure Cardiovascular disease HIV/AIDS Cervical cancer Hypertension Chronic kidney disease Obesity Chronic obstructive pulmonary disease (COPD) Osteoporosis Chronic pain Venous thromboembolism Colon cancer Depression Diabetes 20 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Rare diseases Region-specific programs (such as the sickle cell program in Georgia)

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS kp.org: A convenient hub for managing health Tools and resources for members Total Health Assessment Health and drug encyclopedias Symptom checker Healthy lifestyle programs Health videos Total Health Radio online radio show and podcast 21 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS No-cost tools and resources at kp.org/choosebetter Interactive toolkits and guides Starting a workforce health program Tobacco-free campus toolkit Workforce health resource guide Walking for workforce health toolkit Healthy meetings guide Rest and Revive sleep management toolkit Maintain Don’t Gain toolkit 22 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Finding Balance stress management toolkit

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES Questions? 23 4/10/24 2019 Kaiser Foundation Health Plan, Inc. A BETTER WAY TO TAKE CARE OF BUSINESS

A BETTER WAY TO TAKE CARE OF BUSINESS Appendix 24 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Building a culture of well-being at work Challenges Perceived barriers Expense Limited staff Privacy issues High turnover Advantages Fewer barriers to implementation An intimate work culture Change is more evident Productivity is impacted Financial incentives Adapted from Leading By Example: The Value of Worksite Health Promotion to Small- and Medium-Sized Employers, Partnership for Prevention, 2011. 25 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Keys to creating a healthy workplace Leadership that’s actively engaged A culture of health and caring A worksite that promotes healthy decisions A strong communication plan An evaluation plan with goals and objectives 26 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

A BETTER WAY TO TAKE CARE OF BUSINESS Diabetes: A chronic disease management case study 27 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Diabetes is an all-too-common chronic disease 30.3 million U.S. adults are now living with diabetes1 Another 84.1 million have prediabetes2 Unplanned, missed days of work due to diabetes cost employers more than 20 billion each year3 CDC, accessed April 10, 2019. 2See note 1. 3Gallup-Sharecare, November 13, 2017. 1 28 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Managing diabetes: a comprehensive approach Diabetes is a complex disease. It takes a multidisciplinary team of experts to support lifestyle changes and avoid complications. Primary care doctor Foot doctor Dentist Health coach Diabetes educator Pharmacist Eye doctor Registered dietitian nutritionist Source: CDC, March 28, 2018. 29 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS A personalized care experience Through our program, members with diabetes are supported by: A multidisciplinary care team In-person education classes Behavioral counseling Medication management Comprehensive online wellness programs One-on-one nutrition counseling Culturally responsive care Supplies Remote glucose monitoring 30 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Telephone-based health coaching

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Diabetes prevention resources available at Kaiser Permanente Food and activity diary Fitness videos Online healthy lifestyle program Weight-loss podcast Weight management and exercise classes Gym discounts 31 4/10/24 2019 Kaiser Foundation Health Plan, Inc. One-on-one wellness coaching Online information and resources

A BETTER WAY TO TAKE CARE OF BUSINESS Personalized care stories 32 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Carla’s story: Overcoming diabetes At home Blood sugar spike Email doctor New prescription Diagnosis: Diabetes ? Foot pain Custom care plan Diet and exercise Depression and vision screenings Prescriptions Eye exam check-in Alert: Due for mammogram Appointment scheduled Now that Carla’s diabetes is under control, her foot pain is gone. She’s exercising more, eating healthfully, is up to date on preventive care, and feeling more engaged at work. 33 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Will’s story: Overcoming diabetes and depression Diagnosis: Diabetes and depression ? Diabetes appointment Nurse reminds Will of his upcoming therapy session MONDAY 26 Feeling exhausted Custom care plan Therapy appointment Talk therapy Diet and exercise Coordinated care with regular check-ins Will mentions side effects Therapist notes it in electronic health record At follow-up, doctor adjusts prescription Will’s depression is in remission, and his diabetes is under control. He’s been complying with his treatment plan, exercising more, and visiting his psychotherapist as needed. 34 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Sydney’s story: Getting high blood pressure under control Diagnosis: High blood pressure ? Automatic electronic health record reminder Sydney is due for a blood pressure screening Follow-up visit Routine checkup Custom care plan Regular screenings Prescriptions Healthy eating classes kp.org registration Doctor updates prescription Sydney fills it at the pharmacy in the same visit 2 months later Refills prescription online Sydney’s hypertension is now under control. She successfully reduced her blood pressure, lost over 20 pounds, and built a sustainable, healthy lifestyle. 35 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS José’s story: Culturally responsive care for diabetes Diagnosis: Diabetes ? Online engagement José uses kp.org/español to manage his health in his native Spanish: Email his doctor’s office View lab results Schedule appointments Custom care plan Frequent urination Diet and exercise Blood sugar monitoring Vision screenings Spike in blood sugar Emails doctor’s office New prescription sent to pharmacy electronically José picks up medication while at a facility for a Spanishlanguage diabetes class José is no longer experiencing frequent urination. His blood sugar is normal. He’s staying fit by playing soccer with his son, and he’s more energized and engaged at work. 36 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

A BETTER WAY TO TAKE CARE OF BUSINESS How telehealth supports chronic disease management 37 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Telehealth and chronic disease management Telehealth is just one example of how our innovative technology, processes, and systems create efficiencies that help control costs. Only 15% At Kaiser Permanente, telehealth is integrated with chronic disease management of doctors nationwide offer telehealth services1 93 % of consumers who’ve used telehealth say it reduced their costs2 Kane and Gillis, Health Affairs, December 2018. 2HealthMine, 2016. 1 38 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Connection to electronic health records gives doctors a complete picture of employee health, improving care quality. Fewer trips to the doctor’s office means employees take less time off work. Convenient preventive care helps identify problems before they become more serious — and more costly. Continuous innovation delivers better care, faster.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Kaiser Permanente members can access a broad range of telehealth care options Phone appointments Video visits Email the doctor’s office kp.org Kaiser Permanente mobile app 39 4/10/24 2019 Kaiser Foundation Health Plan, Inc.

INTEGRATED CHRONIC DISEASE MANAGEMENT FOR SMALL BUSINESSES A BETTER WAY TO TAKE CARE OF BUSINESS Telehealth uses resources more effectively and keeps costs down Phone 6.3 million 30.8 million phone calls in 2018 appointments requested prescriptions filled online 36% 53.5 million 77% 51.6 million of all care touches lab tests viewed Source: Core Value Metrics Report, Kaiser Permanente, 2019. Email 37.1 million member emails in 2018 26 % of eligible members registered Source: Kaiser Permanente Digital Metrics, 2018 Annual Report Video 183,656 video visits in 2018 % 93 satisfaction rate of all care touches Source: Core Value Metrics Report, Kaiser Permanente, 2019. Note: Data does not include Kaiser Permanente Washington. 40 kp.org 4/10/24 2019 Kaiser Foundation Health Plan, Inc. Sources: Kaiser Permanente Digital Metrics, 2018 Annual Report; Eric Wicklund, “Kaiser Permanente Sees Good Results With Video-Based Telehealth,” Mhealth Intelligence, 2018.