Q4 2013
Transcription
Q4 2013
tpaT day a publication of EBMS Symmetry Harmony Stability Equilibrium Clarity 4th Quarter 2013 Synergy Rhythm In This Issue: The Place to Be p2 Maher Named CIO p3 New Medical Director p3 miHealth Manager to be Released Shelley Van Atta, Strategic Marketing & Public Relations EBMS and Dossia have announced an expanded partnership to launch the miHealth Manager system to all EBMS clients. The announcement comes out just one year after EBMS, Dossia and partner organizations were chosen by the US Department of Health and Human Services to lead a national pilot project to transform the healthcare delivery system through innovative technology. Using Dossia’s cutting-edge online platform, including gaming technology to optimize consumer engagement, EBMS and Dossia launched miHealth Manager. miHealth Manager is an electronic portal that integrates personal health information and multiple user-engagement components, to offer a personalized, user-friendly experience. In addition to the consumer-facing portal, EBMS has added the Dossia Dashboard, pairing miHealth Manager’s personal health management platform with real-time data analytics and evidence-based health rules to drive targeted and personalized health intervention. City of Billings and EBMS employees were the first employee groups to test miHealth Manager. Because of their overwhelmingly positive response to the site, and EBMS clients’ ongoing interest in wellness resources and tools that help build a healthy workforce, EBMS will expand the miHealth Manager platform to all clients as a part of its administrative services agreements beginning November 1. The immense popularity of miHealth Manager stems from its ability to provide patients and their multiple providers an opportunity to electronically access and manage in tandem, 24/7, the personal healthcare information of patients and their families. Dossia’s user-friendly social technology makes accessing personal health information easy and fun. Features of miHealth Manager include: • Health Risk Assessment – an evidenced-based, user-friendly questionnaire that identifies, stratifies, and targets individuals at risk. • Applications – members can install health apps that interest them from the marketplace to assist them in managing their health. • Profile completeness – by completing the profile completeness task list, users will be very familiar with the systems’ capabilities and will know exactly where to find the application or functionality they need. • Challenges – With miHealth Manager’s social component, individuals can take on challenges in which they commit to carrying out a variety of health-oriented actions or complete activities set forth by their employer. Users who participate in group challenges are able to cheer each other on through Dossia’s social networking capabilities. • News Feed – is constantly changing and updating in order to drive frequent engagement with the site. Employers can effectively reach and engage their members with targeted messaging, such as reminding employees to get a flu shot or to attend an upcoming health fair. Newsletter Staff Alice Jagiello, Editor Katherine Meyers Janean Honadel Alyssa Francis Stacey Loucks Julie Mogan Jen Robbins Shelley Van Atta Kathi Schweigert Jessa Remington Kerri Patterson Linsey Bishop Office Locations Montana 2075 Overland Avenue, Billings, MT 59102 Colorado 5995 Greenwood Plaza Blvd, Greenwood Village, CO 80111 Oregon 1001 SW 5th, Ste 310, Portland, OR 97204 Self-funding Is The Place To Be! Stacey Loucks, Compliance Officer Granted, the Affordable Care Act (ACA) provides all of us with administrative headaches, additional work and increasing costs. However, self-funding remains the “place to be” during these uncertain times in the health care industry. Something to keep in mind while you wade through all of the information surrounding ACA is that this is not the first time we have experienced health care reform. Each decade has brought about a new way of financing and delivering health benefits. The common thread during each phase of reform is that, even though the intent may be good, health care costs have increased. Employers then look for ways to control costs for the health benefits they offer employees, often leading to selffunding. Employers want to attract and keep exceptional employees and maintain the current culture of providing valuable benefits for their employees while remaining cognizant of the cost of doing so. Employees often feel entitled to receive health care and other benefits from their employer. Self-funded plans have historically experienced a slower increase in plan costs. Employers are shifting to focusing on participant engagement and health improvement and the ACA provides for an expansion of wellness programs. Employers with self-funded plans are provided with integrated, dynamic data aggregation tools, rather than disconnected carrier data, to focus on the best opportunities to reduce unnecessary costs. The national health care trend average was 10.5% for the period 2007 to 2011 (Aon Hewitt Health Care Survey). EBMS self-funded plans experienced an average inflation of 6.5% for the same period. Employers value the personalized attention, flexibility and expertise in plan design and administration available to their self-funded plan. The ACA includes mechanisms that give greater flexibility to those employers that want to keep control of their benefit plan through self-funding. A value-based plan design can steer participants to lower cost alternatives. ERISA permits multi-state employers that self-fund their employee benefits to offer the same benefits to their employees in each location rather than purchasing multiple policies. Self-funding health benefits offers relief from some of the ACA provisions that may increase costs for fully-insured plans. The following provisions do not apply to self-funded plans: • Insurers must use 80% of all premiums on consumers’ medical claims and improvements in the quality of care or issue rebates to consumers. • Insurers must use a modified community rating and can only vary premium pricing based on a few criteria like location, age and smoking status. • Insured plans must include a minimum package of essential health benefits. The advent of the federally facilitated state exchanges has faced some challenges. The sign-up process has been fraught with difficulty for consumers attempting to explore their options or sign up for benefits. This frustration felt by consumers, in addition to the limited funding mechanisms, has led some to doubt the exchanges’ ability to provide value and long-term stability. Due to the uncertain political scene, many employers have taken the stance that they will remain steady and continue to reward their employees with a health plan that is not subject to the ups and downs of the insurance industry and a political agenda. Employers are focused on providing their employees with the tools to take ownership of their own health. Despite the additional administrative requirements and regulatory fees, self-funding will continue to thrive in the current health care environment. Maher Named Chief Information Officer Shelley Van Atta, Strategic Marketing & Public Relations Susan Maher, the former Chief Information Officer for Salud Family Health Centers in Colorado, is the new Chief Information Officer for EBMS. With 28 years of information technology leadership experience, the last 18 of which were spent in healthcare, Susan brings to EBMS a formidable background in creating strategic IT direction in alignment with business, IT implementation, organizational restructuring, and project advising. Her corporate experience and strategic consulting skills have given Maher “a 360˚ view of the opportunities and challenges in healthcare-related IT, as organizations evolve and change.” In addition to providing leadership to the EBMS Information Technology Department, Susan will ensure that EBMS’ IT strategic plan complies with EBMS’ corporate strategic plan, leading to streamlined processes, sound IT applications, and plans for future implementation. She also will maintain oversight as the HIPAA Security Officer to ensure HITECH compliance, noting that she is proud of EBMS’ “exemplary track record of data security, which has been praised by industry and government regulators for going above and beyond to assure the highest of standards.” A native of Detroit, Maher attended Metropolitan State College, in Denver, Colorado. Ragar Joins miCare as Medical Director Shelley Van Atta, Strategic Marketing & Public Relations EBMS miCare is pleased to introduce Todd J. Ragar, M.D., as the new Medical Director. Dr. Ragar brings 17 years of practice as a family medicine physician. A native of Glendive, Montana, Dr. Ragar says he and his family are delighted to return to Billings, where he practiced from 2000 to 2011, after spending the past few years overseas. He looks forward to re-joining the Billings medical community through the miCare Medical Clinics. Dr. Ragar is a graduate of the University of Montana, where he met his wife, Alexandra McCready. They have two children: Maia, 13, and Myles, 10. Dr. Ragar graduated from the University of Washington School of Medicine. “I look forward to serving in the miCare Medical Clinics and to being part of their future expansion,” said Dr. Ragar. “Working as a primary care physician not only is my field of medical expertise, but it is where miCare makes the greatest impact on the health and wellbeing of our patients. Primary care is where miCare excels, and I am excited to help build on the clinics’ established successes through the miCare tradition of cost-effective and personalized medical services.” Dr. Ragar says that as he looks forward to being Medical Director of the miCare Medical Clinics, “I know I have large shoes to fill with Dr. James’ departure.” “I welcome Dr. Todd Ragar, who will become an integral part of our miCare Medical Clinics,” said Jarrod Weenum, EBMS Director of miCare and Prescription Services. “We know that with his sound medical guidance and outstanding medical expertise, he will build on the current accomplishments as we take miCare to the next level of success.” p3 Strategic Planning p4 Promotions and Title Changes We enjoy celebrating the growth of our professional staff at EBMS. Please help us congratulate the following employees on their recent promotions and/or position/title changes! Many exciting changes have occurred at EBMS in 2013. The strategic planning process is one of those changes. Greg Davison of ArchPoint Consulting is now facilitating the strategic planning process. Greg is recognized as a result-driver, resourceful problem-solver and decision maker. Greg excels in helping businesses refocus their business objectives, optimizing organizational structures and executing strategic business plans that result in improved levels of performance and profitability. In September the leaders who participate in the strategic planning process were interviewed by ArchPoint consultants either in person or by phone. Questions focused on growth, operations/productivity and leadership/culture. The leaders then met in Red Lodge for a two-day planning session to develop the strategic and operating plan for 2014. Six strategic objectives were established including Leadership Culture, People & Process, People & Culture, Channel Communication, Vision and Growth. Action plans will be developed prior to the team’s meeting in December. Christina Mill Claims Support Clerk to Claims Examiner Jaylyn Waggener Claims Specialist—Voids/Refunds to Claims Examiner Stephanie Long Client Service Representative to Claims Examiner Erin Jimison Lori Shelton, Corporate Trainer, and Jo Anne Hartin, Claims Examiner, participated in a mock disaster exercise at the 27 Street Post Office on August 13. It was held to test the preparedness of the various organizations that would be involved in an Anthrax threat. Participants were “exposed” to anthrax and had to go through decontamination (thus the beautiful Smurf outfits) and then were transported to the Public Health’s POD for “medication.” Organizational Development Coordinator to Strategic Account Executive Mayla Smith Client Service Representative to Claims Examiner Lori Shelton Claims Review Specialist to Corporate Trainer Julie Mogan Claims Examiner to Human Resources Assistant Carol Schell Anniversaries We truly value our experienced and dedicated team members! Please join us in celebrating the following employees’ anniversaries! Happy Anniversary to all of you! Employee Name Start Date Department Title Sandy Martin-Funches 9/15/1999 Claims Member Advocate Sue Corie 10/1/1990 Claims Claims Review Specialist--Portland Patty Zimmerman 10/1/2001 Support Services Receptionist Shelly Jones 10/4/2010 Client Services Client Service Representative Marilyn Bartlett 10/8/2007 Executive Chief Financial Officer Jackie Lansing 10/8/2007 Claims Senior Claims Consultant Client Services Representative to Provider Services Specialist Noni Ramage Stop Loss Specialist to Client Service Representative 2 The toughest part of getting to the top of the ladder is getting through the crowd at the bottom. – Unknown Anniversaries New Employees Justin Bough Employee Name Start Date Department Title Rhonda Thomas 10/8/2008 Client Services Senior Lead Client Service Representative Jo Anne Hartin 10/11/2004 Claims Claims Examiner Brenna Yarina 10/11/2005 Legal Corporate Legal Assistant Darci Roskelley 10/12/1998 Quality Assurance QA Specialist--Salt Lake City Judi Martin 10/12/2000 Account Management Client Success Manager Judy Rauser 10/13/1999 Claims Claims Support Clerk I Joe Tochihara 10/17/2007 Provider Services Provider Services Lead Alyssa Francis 10/18/2010 Information Services Project Manager Meagan Long 10/18/2010 Account Management Assistant Account Manager Lisa Joki 10/21/1994 Finance Lead Finance Specialist Pam Castle 10/22/2012 Provider Services Provider Services Specialist I Lisa Frank 10/22/2012 Eligibility Eligibility Administrator 2 Melissa Mathews-Roe 10/22/2012 Claims Claims Examiner Christina Mill 10/22/2012 Claims Claims Examiner Jodi Chavez 10/29/2001 Claims Sr. Stop Loss Analyst Clarice Hoffman 10/29/2007 Support Services Flex Check/Support Clerk Melissa Hammons 10/29/2012 Claims Sr. Stop Loss Analyst Kerri Patterson 11/1/2002 Consumer Reimbursement Consumer Reimbursement Account Coordinator Meghan LaCroix 11/5/2007 Claims Claims Examiner Julie Vaskey 11/6/2000 Information Services Project Coordinator Kathy Garretson 11/11/1992 Support Services Receptionist Meagen Fehlauer 11/12/2012 CareLink Disease Management/Wellness Assistant Mark Smidt 11/13/2000 EBMS Re Director EBMS Re Gloria McKay 11/15/1993 Claims Claims Examiner Sherri Healy 11/15/2010 Client Services Client Services Representative 2 Dagmar Schobert 11/15/2010 Client Services Client Service Representative Alyson Borth 11/18/2002 Claims Member Advocate Erin Ryman Linda Miller 11/18/2002 CareLink Disease Management/Wellness Assistant George Ehrlekrona 11/19/2007 Information Services EDI Specialist Karesha Bailey 11/24/2008 Finance Finance Specialist Account Management Strategic Account Manager Lisa Berendt 11/25/2004 Claims Plan Design Specialist Todd Porter 11/26/2001 Information Services IS System Administrator Debbie Taylor 11/28/2006 Claims Claims Registrar Debbie Hatwigg 11/29/2002 Client Services Client Service Representative Greg Helsel 12/1/1998 Consumer Reimbursement Consumer Reimbursement--Denver Kassi McBeth 12/4/2012 Client Services Client Service Representative Cathy Bentz 12/6/1999 Plan Documents Plan Document Specialist Andrea Pluhar 12/6/1999 Claims Director Claims Cherish LaFurge 12/9/2002 Claims Claims Examiner Lori Shelton 12/9/2002 Human Resources Corporate Trainer Mary Deal 12/10/2008 Client Services Client Service Quality Trainer Sherrie Grauman 12/13/2010 Claims Claims Support Clerk II Sheila Hutchinson 12/13/2010 Provider Services Provider Services Specialist I Sally Schanz 12/15/2003 Claims Claims Examiner Rod Kastelitz 12/16/1991 Executive Vice President of Sales Sandra Meide 12/17/2007 Claims Claims Support Clerk I Trenay Hart 12/17/2011 miCare Physician Assistant Josh Bestrom 12/17/2012 Information Services IS Programmer Analyst Jaime Solis 12/17/2012 Client Services Client Service Representative Karen Howell 12/19/2005 Marketing Printing Operations Specialist Katrina Wagner 12/20/2002 Eligibility Eligibility System Specialist Julie Nelson 12/20/2004 Account Management Client Success Manager Kris Pendill 12/23/2002 Provider Services Provider Services Specialist I Jordan Drake 12/27/2010 Provider Services Provider Services Specialist I Jamie Vashus 12/27/2010 miRx Pharmacy Clinical Manager Billie Weston 12/29/1997 Strategic Account Manager Angela Carlton 12/29/2008 Eligibility Eligibility Administrator 2 Jaime Holly 12/29/2008 Claims Senior Claims Consultant Tammy Christensen 12/31/2012 Director Eligibility Services Executive Account Management Eligibility Client Services Client Service Representative Julie Angle Client Services Client Service Representative Nilo Cabrera IS Lead Project Manager Casandra Perea Client Services Client Service Representative Christina Johnson miRx Pharmacy Technician Janet Biggs miRx Pharmacy Clerk Patricia Duletsky Finance Finance Specialist Marianne Brenden Claims Claims Review Specialist p5 Schwabacher Training Workshop Kathi Schweigert, Claims Business Analyst p6 Promotions and Title Changes Continued Laura Rookhuizen Director of Health Risk Management to Director of CareLink Misty Horton Client Service Representative to Sr. Lead Client Service Representative On September 10 and 11, EBMS hosted training workshops presented by Karen Schwabacher of Schwabacher Health Insurance Consulting. Staff members from various departments, including Claims, Eligibility, Plan Documents, Legal and Quality Assurance, attended a number of workshops over the course of the two days. Karen is a dynamic and energetic presenter. She previously presented training to the EBMS staff in 2002 and it was good to have her back again. EBMS is always on the look-out for informative presentations for the staff. Lifelong learning is a commitment that everyone should make. Workshop topics included Coding and Billing Issues; Partnerships: Administrators, Stop Loss Carriers and Vendors; Third Party Liability: An Under-Tapped recovery; Infusion Therapy, Implantable Devices and More; Inhospitable Hospital & PP Oh No Issues; Fraud and Abuse; Plan Language and Eligibility. Some comments from the follow up survey of participants included: • “Lots of interesting information was provided.” • “Not only did I learn a lot, but it validated what I thought I already knew.” • “It makes a person think about all of the different scenarios that can happen. Good speaker and excellent concrete examples.” Mary Deal Sr. Lead Client Service Representative to Client Services Trainer Lisa Frank Eligibility Administrator 1 to Eligibility Administrator 2 Achievers Jo Anne Hartin, Claims Examiner, became a Certified Professional Coder in June. Jo Anne satisfied all the requirements and successfully passed the examination given by AAPC. The new designation certifies that Jo Anne is on the level with the thousands of other coders nationwide who have passed the exam and who have significant practical coding experience. Congratulations, Jo Anne! Situational Leadership Jessa Remington, Employee Relations Coordinator EBMS is excited to announce the adoption of a new leadership training program called Situational Leadership. According to the Center for Leadership Studies, “The Situational Leadership® Model is a powerful, yet flexible tool that enables leaders to diagnose the variables of any given situation and adapt their management styles to the behavioral needs of the individual or group they are trying to influence.” A select group of EBMS managers and supervisors attended a Building Leaders workshop on September 18, which was presented by Chris McLean, Master Trainer and Senior Consultant with The Center for Leadership Studies. Leaders learned about the model and how to apply it in different scenarios. They also received the results of a self-assessment, which provided an enlightening picture of how often they were matching their leadership styles to the needs of the individuals or groups they were trying to influence prior to receiving the training. The same group of leaders will be reconvening on November 15th for a recap of what was learned and a discussion of how they have been able to apply the model. EBMS will continue to provide on-going training on the Situational Leadership model to a variety of audiences within EBMS and with differing focuses, such as how it can be applied to managing change. Through a continuing emphasis on this model, we hope to develop a shared language on how leadership develops individuals and moves EBMS forward. Kind words can be short and easy to speak, but their echoes are truly endless. – Mother Teresa Project Management: An opportunity to enhance and succeed at organization initiatives Alyssa Francis, Project Manager The Project Management Institute defines a project as a “temporary endeavor…with an ongoing work effort [that] is generally a repetitive process because if follows an organization’s existing procedures.” The utilization and oversight of project management enables and allows organizations the opportunity to take part in lean methodologies and efficiencies. Project management is a set of guidelines to prepare, plan and control projects from inception to implementation. There are two steps to a project manager’s success; the first step to project success is stakeholder and high-level management and the second is the implementation of a project management team and the integration of that team into an organization’s culture. EBMS has upgraded our project management team (PMT) adding a Lead Project Manager, Nilo Cabrera, and a Project Coordinator, Julie Vaskey. The project team now consists of four team members including Project Managers Lacey Wattles and Alyssa Francis. Benefits of project management include methods of measureable cost savings, appropriate resource allocation to projects and initiatives, and delivering projects on time and on schedule. Exploration and examination of business success can be attributed to the use of project management methodologies and frameworks. Project management is built upon specific frameworks that guide and instruct project personnel on the initiation to the implementation of a project. Birnberg states that “a project manager is a businessman, a psychologist, an accountant, a technician, part designer, part nuts-and-bolts [comprising] a truly rare combination of skills.” Projects are initiated by the needs of the organization. These needs are defined by the operations and/or technical staff based on the requirements of the organization or specific department(s). With the growth of the team and the utilization of project management throughout the organization, the PMO and management teams had the opportunity to take part in a project management seminar/training in September. This was an 8-hour class taught by Sheila McGinnis, PhD, from City College in Billings. This training was developed to “support growth of EBMS’s organization-wide project management (PM) capacity. Two facilitated workshops provided EBMS leadership and the EBMS project management team brief overviews of current PM practices followed by discussions and applications designed to define the EBMS approach to PM practice.” Topics included a background of project management as a profession and what the responsibilities of a project manager. Significant time was spent reviewing the phases of project management such as initiating the project, planning the project, working through the implementing/execution phase, and controlling the project’s outcomes. A project manager spends a minimum 75% of their time planning. Randolph and Ponser state that project managers are effective because they “firstly plan, then they manage the plan and then they continue to plan/manage, plan/manage until they get the job done.” The PMT had the opportunity to review the types of documentation required to complete and close a project. This training also took into account the ‘people factor’ of project management; the teamwork that is put into developing and implementing a project. Randolph and Posner state that “the most overlooked, yet fundamental, aspect of project management is that a project manager cannot implement a project alone.” Teamwork is dynamic and takes a competent communicator to work with all aspects of the business as well as internal and external customers. How do you define the success of a project? Kupakuwana and Van der Berg define success as a project that is completed on time, on budget, and to specifications. It must result in a satisfied end customer; a profitable product for the customer. The training examined how a Project Manager and the organization can work together as partners to initiate and implement a successful project. The training provided education and a summary of project management to the organization and to the team. The takeaways from this seminar will support the PMO’s success as well the projects and teams they manage currently and in the future. Sources: Barber, E. & Warn, J. (2005). Leadership in project management: From firefighter to firelighter. Management Decisions, 43(7), 1032-1039. Retrieved from www.search.prooquest.com Kupakuwana, P.S. & Van der Berg, G.J.H. (2005). The goalposts for project success have moved: A marketing view. Cost Engineering. 47(5), 28-34. Retrieved from www.search.proquest.com Muller, R., Gluckler, J. & Aubfy, M. (2013) A Relational Typology of Project Management Offices. Project management Journal. 44(1), 59-76. Project Management Institute, Inc. (2008) A guide to the Project Management Body of Knowledge (PMBOK Guide) 4th Edition. Newtown Square, Pennsylvania: Project Management Institute, Inc. Randolph, W.A. & Posner, B.Z. (1988). What every manger needs to know about project management. Sloan Management Review, 65-73. p7 Blood Mobile Returns Jen Robbins, Director of Support and Provider Services p8 Kids Corner Sammy Walter is a senior at Senior High and finished fourth at the State golf tournament. She has been offered an academic and golf scholarship at Rocky Mountain College but has not yet decided where she would like to continue her education and golf career. Sammy is the daughter of Chris Walter, Finance Specialist. Austin Walter is a junior at Senior High; he tied for fifth at the State golf tournament. Austin spends every day on the golf course and is looking forward to playing in college and someday working in the world of golf in some capacity. Austin is the son of Chris Walter, Finance Specialist. On October 30, EBMS welcomed the blood mobile for the second blood drive this year. The Billings Blood Bank provides blood not only for our Billings hospitals but other hospitals across eastern Montana and Wyoming. Covering such a large area of need creates a demand for donations in our community. EBMS has made it possible for employees to receive paid leave for volunteering and having the blood mobile onsite has allowed employees the opportunity to volunteer at EBMS. The blood drive was a great success; 20 appointments were filled! If you missed your opportunity to donate, the blood mobile will return in January. Mobile Mammography Returns Meagen Fehlauer, Disease Management/Wellness Assistant The women of EBMS weren’t spooked about getting their mammograms this year! After a successful event last October, the miHealth Committee welcomed back the St. Vincent Mobile Mammography Coach. The Coach, clad in headlight eyelashes, was available on October 30 and 31 to ensure that every woman had the chance to partake in this service. Halloween costumes didn’t get in the way of screenings; during those two days, about 40 mammograms were performed. Healthy snacks, prizes, self-exam cards, and other educational information were provided to all employees to help emphasize the importance of prevention. Thanks to great nurses from St. Vincent Hospital and the added convenience, many women felt that this was their best mammography experience. After two successful years of screenings, EBMS plans to have this unique preventative service return next fall! What Not To Wear… In the Workplace Jessa Remington, Employee Relations Coordinator In a recent survey of 1,000 senior managers at companies with 20 or more employees, 80% of executives interviewed said that clothing choices affect an employee’s chances of earning a promotion. Seventy-two percent of respondents said that clothing choices affect an employee’s promotion chances somewhat, while 8% said that the impact was significant. The executives surveyed also gave some outrageous examples of attire they had actually heard of or seen someone wearing in the workplace. Here were some examples: a space suit, coveralls, pajamas, a wolf mask, a bathing suit and a chicken suit. The survey was developed by OfficeTeam, a leading staffing service specializing in the placement of highly skilled administrative professionals. It was conducted by an independent research firm and is based on telephone interviews with the respondents. If you don’t go after what you want, you’ll never have it. If you don’t ask, the answer is always no. If you don’t step forward, you’re always in the same place. – Nora Roberts Healthy Holiday Tips Linsey Bishop, Wellness Coach With the holidays fast approaching, it can be difficult to stick to healthy habits. With a little extra attention, you can make it through the holidays without losing track of your healthy lifestyle. Holidays are a time to enjoy family, friends, and food. And contrary to popular belief, this can be done. Keep a Healthy Mindset. Keeping the right mindset is key. It may be difficult to lose weight from Thanksgiving to New Years. Strive to maintain your weight during this time. A great holiday motto is “maintain don’t gain.” Each week, try to develop specific, measurable goals to keep on track. For instance, “I will walk 10 minutes for 5 days per week on my lunch break,” or “I will eat one fruit and one vegetable at every dinner.” Maintain Healthy Eating. In preparation for big holiday or party meals, don’t skip other meals. Skipping meals can lead to overeating later. Incorporate strategies to avoid over-consuming. This can include using smaller plates, avoiding seconds, and consuming alcohol in moderation. Holiday meals can be healthy and tasty. Try new recipes that are high in flavor but are also low in fat and added sugar. Visit these websites for healthy holiday recipe ideas: www.cookinglight.com/entertaining/holidays-occasions www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/Recipes/Recipes_UCM_001184_SubHomePage.jsp www.diabetes.org/food-and-fitness/food/recipes/ Make Time for Exercise. As the weather gets cooler, it’s important to brainstorm ideas for incorporating new exercise regimens. Exercise provides many health benefits including: weight control, chronic disease risk reduction and improvement of mental health and mood. Make time to exercise as a family and develop new holiday traditions, such as a family flag football game. For more winter exercise tips visit: www.sparkpeople.com/resource/fitness_articles.asp?id=1594 www.everydayhealth.com/fitness-pictures/winter-fitness-activities-for-the-whole-family.aspx#/slide-1 Manage Stress. This time of year can be very stressful financially and emotionally. Realize that the holidays are stressful for many people, and it is okay to feel this way. Take 5-10 minutes each day for yourself. This time can be spent walking, talking to a friend, reading a book, listening to music, exercising or just breathing. If you feel overwhelmed or stressed, reach out to a friend or family and talk about your feelings. By taking time out for yourself, you will be able to enjoy holiday gatherings and parties. And last, enjoy the holidays and celebrate with friends and family! Source: www.eatright.org Warm up on a cool autumn evening with a savory soup! Spicy Fajita Soup............................................................................... Directions Ingredients 1 In a slow cooker, add the onions, peppers, corn, tomatoes, garlic, 1 tablespoon chili powder, chipotle, and broth. Season with salt and pepper to taste. Cook on low for 4 to 6 hours. • • • • • • • • • • • • • 2 medium yellow onions, sliced 2 green peppers, cored, seeded, and sliced into strips 1/2 cup frozen corn, thawed 1 (14-ounce) can diced tomatoes 1 tablespoon chopped garlic 2 tablespoons chili powder, divided 1 chipotle pepper in adobo sauce, chopped 1 quart chicken broth Kosher salt and freshly ground black pepper 2 cups canola oil, for frying 12 corn tortillas, cut into eighths 1 cup Monterey Jack cheese, shredded 2 scallions, sliced 2 In a deep skillet over medium heat, add the canola oil and heat to 365 degrees F. Fry the tortilla pieces until brown and crispy, 1 to 2 minutes. Drain on brown paper and immediately season with salt and the remaining 1 tablespoon chili powder. Preheat the broiler. 3 Ladle the soup into ovenproof bowls or crocks and top each with 2 tablespoons cheese. Put the bowls on a sheet pan and put under the broiler until the cheese is brown and bubbly, 1 to 2 minutes. Garnish with scallions and serve with chips. p9 Fight the Flu: Get Vaccinated Meagen Fehlauer, Disease Management/Wellness Assistant p10 Kids Corner A group of fourth grade boys from Columbus Elementary School participated in and won the Yellowstone Elementary Cross Country meet on October 8. Chase Anderson is the grandson of Sharon Jacobs, Claims Examiner (the first boy in the back row). Chase placed 25th out of 204 participants; the team had 6 runners in the top 40. The air is turning colder and the holidays are fast approaching, which can only mean one thing. It’s flu season! The flu season in the United States begins in early October and can span through late May. This means we are in the heart of flu season and it’s time to take action against the virus. Hand washing and covering your mouth when you cough and sneeze are great ways to fight the flu. But, the single best way to protect against the flu is to get vaccinated each year. Influenza is a respiratory infection that can cause serious complications, especially for young children, pregnant women and older adults. It’s estimated that about 90% of flu related deaths occur in people 65 years and older. This is why it is important that those at high risk get vaccinated, but it is just as vital that healthy individuals get the flu shot. Most healthy adults may be able to infect others beginning one day before symptoms develop and up to a week after becoming ill. You may be able to pass the flu on before you know you are sick, as well as while you are sick. The symptoms include: • • • Lexi Lewis, a senior at Laurel High School, has taken the soccer field by storm. She claimed the title of most goals scored by any Class A player in her junior year. She was the Rookie of the Year her freshman year. She has certainly earned the right to wear jersey No. 1 during her four years on LHS varsity team. Lexi has been named to the Academic All-State team every year and was selected to the All-State First Team both her sophomore and junior years. In addition to soccer, Lexi plays basketball and is a member of the National Honor Society. Lexi is the daughter of Heather Lewis, Strategic Account Manager. A 100 degree or higher fever or feeling feverish A cough and/or sore throat A runny or stuffy nose • Headache and/or body aches •Chills •Fatigue • Nausea, vomiting, and/or diarrhea Individuals with these symptoms should stay at home, except to receive medical attention. It is also important to note that people who had the flu can still be contagious for up to 24 hours after the fever and symptoms have gone. The CDC recommends that anyone 6 months and older receives a flu vaccine. It takes up to two weeks to build immunity after a flu shot, but you can benefit from the vaccine even if you don’t get it until after flu season starts. New flu vaccines are released every year to keep up with rapidly adapting flu viruses. After vaccination, your immune system produces antibodies that will protect you from the flu viruses. Each year, people come up with excuses as to why they shouldn’t get the shot. The first reason is that they don’t do needles. Well, there is good news! The vaccine is now available in a nasal spray, which includes the same benefits and protection as the shot. The second excuse is the misnomer that the shot will give them the flu. The vaccine does contain live viruses, but they are weakened, and therefore cannot cause the flu. Serious problems with the vaccine are very rare. The most common side effects are soreness at the injection site or a runny nose with the nasal spray, both of which go away within a few days. So now that you have all the facts, make sure to protect yourself and others by getting the flu shot this year! Sources: cdc.gov, mayoclinic.com, flu.gov Nothing can stop the man with the right mental attitude from achieving his goal; nothing on earth can help the man with the wrong mental attitude. – Thomas Jefferson 1 2013 Block Party Alyssa Francis, Project Manager Just as the tents went up and the tables were set-up, the clouds parted and the barbequing of the burgers began. The annual Relay for Life Block Party was the first fundraiser for the 2014 Relay for Life team. EBMS’ neighboring businesses gathered in the EBMS parking lot to support and celebrate the American Cancer Society and the EBMS Relay for Life team. 2 Participants enjoyed a burger and fixings and a good time. The team, headed by Shelly Roybal-Frazier, coordinated and connected with neighboring businesses. Costco donated the chips and water; the EBMS team provided the desserts. Donations, including extra cash paid and the sale of magnets and bracelets, resulted in a grand total of $1038. Shelley reported that this was about $200 more than last year! The Block Party was a great success allowing the Relay for Life team the opportunity to provide additional donations to the American Cancer Society in their fight against cancer. 1 Jarrod Weenum, Director of miCare and Pharmacy, and Lacey Wattles, Project Manager, enjoy the warm September day and a burger. 2 Relay for Life Team Leader, Shelly Roybal-Frazier Halloween Festivities 1 Sondra Arnold, Controller; Lisa Joki, Lead Finance Specialist; and Karla Stricker, Finance Specialist. 2 The Claims leadership team won the “most original” category; Sheri Houser, Claims Business Analyst; Andrea Pluhar, Director of Claims; Tiffany Johnson, Claims Supervisor; Tara Keehn, Claims Supervisor; Kathi Schweigert, Claims Business Analyst and Supervisor; and the Dealer, Lisa Rel, Claims Supervisor—Specialties. 3 Dale Welzenbach, Lead IS System Administrator. 4 Terry Field, Roxanne Beil and Rhonda Thomas, Client Service Representatives, dressed for the “Best of the West” theme. Terry placed second in the theme category. 5 First place winner of the “Best of the West” theme category was Lisa Elings, Finance Supervisor. 6 What would Halloween be without the Pillsbury Dough Boy—Tom Partlow, CEO? 1 2 3 6 4 5 p11 P.O. Box 21367 Billings, MT 59104-1367 www.ebms.com P 406.245.3575 T 800.777.3575 F 406.652.5380 C R E AT I N G COMMUNITIES, O N E E M P LOY E R AT A T I M E EBMS delivers strategies to transform the health and wellbeing of individuals, organizations and communities. miRx Mail Order Pharmacy Shelley Van Atta, Strategic Marketing & Public Relations Your health is important to us! miRx is here to make sure you stay healthy and to manage your prescriptions in a fast, easy and convenient way that will help you save time and money. miRx is a team of dedicated healthcare professionals who work hard to ensure your prescription benefits are working for you! The miRx goal is to help you understand what medications you are taking and to help you keep on the road to a healthier you. miRx also wants to help lower your costs on your prescription medications. The miRx Mail Order Pharmacy is a fast, inexpensive and convenient way to have your maintenance medications delivered to your home. A maintenance medication is one that is used to treat a long-term or chronic condition such as asthma, arthritis, diabetes, high cholesterol or high blood pressure. Every prescription is evaluated and filled by a highly-trained, caring pharmacist. Enrollment is easy. You must fill out a miRx patient profile if you have not already done so. This form can be obtained online at www.ebms.com and can be submitted via mail or fax. Prescriptions can be directly faxed from your doctor’s office to miRx or a miRx pharmacist can transfer refills from your existing pharmacy. Refer to the enrollment form for additional details. The program covers any prescription medication (up to 90 days) that is covered by your employer’s benefit plan. Please refer to your plan document for specific drug inclusions and exclusions. Due to specific licensing and special handling requirements, some prescriptions will not be available through miRx Pharmacy. For your convenience, miRx Pharmacy currently accepts checks, money orders, and the following credit cards: Visa, MasterCard, Discover or American Express. A successful man is one who can lay a firm foundation with the bricks others have thrown at him. – Sherri Melsby