St. John 
helps workers become healthier 
The St. John Providence Health System 
has improved its financial health in part by pioneering its own wellness plan 
for a small group of employees who account for 50 percent of its health care 
spending. 
After facing 8 percent annual hikes in health costs for its 
17,000 employees, the Warren-based health system launched a program in 2006 that 
includes providing resources such as disease education and free nurse managers 
to help the employees control their chronic conditions. 
The program has 
lowered the group's health care costs 22 percent and kept its net health care 
costs per employee flat in the past four years, the health system said.More and 
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"Health care 
leaders, we have to lead the way to figure out the way to drive down (health 
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are intended for the young generation. which includes five health systems and 
31,000 employees. 
The voluntary program has saved Ascension Michigan an 
estimated $8 million to $9 million since 2006 because hospitalizations and use 
of the emergency room have been reduced, Maryland said. 
With such 
success, St. John has turned its health enhancement program into a potential 
revenue maker, inking contracts so far with three Metro Detroit businesses, said 
Dr. Andrew Vosburgh, St. John's corporate medical director for associate health 
and wellness and medical director for the system's health plan. 
"We're 
actually selling to businesses to give them the opportunity to try to control 
some of their costs," he said. 
The use of wellness programs continues to 
grow nationwide as employers look to help control health care costs. 
A 
recent study by the Vitality Group, an incentive-based wellness program, found 
wellness programs with positive incentives to exercise can help spur behavior 
changes that lower health care costs over time. 
Two years ago, St. 
John's program was rolled out at other Ascension systems in Michigan. St. John 
CEO Maryland said it's being replicated nationally among St. Louis-based 
Ascension's locations in 20 states. 
To date, St. John's program has been 
implemented at one health system in Pensacola, Fla., and will be expanded to 
five other health systems in 2012 and additional systems in 2013 and 2014, said 
Steve LeResche, vice president of communications for Ascension Health. 
St. John's health enhancement program began after Vosburgh said an 
analysis of health insurance claims found 3.4 percent, or about 1,100 of St. 
John's employees, were responsible for half of the system's spending on health 
care. 
Vosburgh said he asked to fund a program specifically around the 
needs of high-risk employees. St. John invited about 550 workers with chronic 
diseases such as high blood pressure and diabetes to participate, and about 25 
percent have, he said. 
The health enhancement program includes assigning 
employees to a primary care doctor who oversees their care, engaging employees 
to make lifestyle and behavioral changes, and monitoring progress, Maryland and 
Vosburgh said. 
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