TI Automotive is a leading tier 1 supplier of brake and fuel lines to the automotive industry.
Approximately half of the cars built every year rely on TI Automotive's brake, fuel, and/or power train technology. TI Automotive employs over 23,000 in 28 countries and 4,200 employees in 29 US facilities.
After company-wide health claims review, TI Automotive confirmed that cardiovascular disease (CVD), which includes heart disease and stroke, was their greatest direct cost burden.
Shock claims further demonstrated a dominance of CVD and CVD drugs represented the top three prescription drug costs.
TI Automotive set forth with a company-wide strategy to reduce the burden of CVD by identifying employees at highest risk for CVD through evidence based on-site health screening and directing them to risk reduction interventions to remove them from harm's way. TI Automotive achieved 96% participation in the Cardiovascular Risk Reduction process by requiring participation as a pre-requisite for enrollment in their “premium insurance plan”, making screening and risk reduction mandatory within that plan. Employees who choose not to participate still have access their “standard insurance plan” which has a deductible $750 higher than the “premium plan.”
Accurate measurements are essential. TI Automotive knew that if they could not measure their health improvement efforts, they could not manage or improve them. Of the initial 281 participants screened at the pilot site in 2004, 8 previously undiagnosed diabetics were uncovered, 33 were found to be pre-diabetic, 13 were found to have critically high blood pressures, and 35 qualified for and enrolled in the Risk Reduction Program© via elevated Total and LDL Cholesterol.
At the conclusion of the risk reduction intervention, cholesterol averages decreased by 18%, 88% participants were removed from “high risk” group and 40% lowered their risk to a “low risk” category without medication demonstrating that, in most cases, elevated cholesterol is influenced by diet and not genetics. 2006 year-end numbers for the initial site revealed a 29% “decrease” in health care costs compared to an historical 13% average annual “increase” - without cost shifting or financial adjustment.
TI Automotive expanded the risk identification and risk reduction program to 26 North American locations with similar outcomes. The question remains, is the change sustainable? Yes - at TI Automotive 88.5% of participants have sustained their lower risk status for more than 3 years. TI Automotive's average health care cost increase was reduced from a three year average of 13% before implementation to a following 3% average after program implementation.
Watch a video with Terri Forman, former TI Automotive HR Director in which she discusses how incentives were used to increase engagement. http://www.vimeo.com/19599401