Texas Instruments               Evaluation Summary

Texas Instrument’s self-insured; self-administered health plan design has promoted shared accountability and kept health care costs below medical CPI and national averages.  Per capita cost per employee for TI was $2,861 as compared to the national average of $3,980 for 1996.  TI divested several of its business groups in 1997.  Total U.S. employee population was reduced to 19,000 from 35,000.  Health care cost for 1997 rose 7.3%.  Increased utilization is correlated to the divestitures as a response to this business decision.  Increased 3-year rolling average cost for 95-97 was impacted primarily by the elevation of costs in 1997.

Our demand management initiatives have demonstrated improved health consumer and self-care decision-making skills.  Utilization of the Healthwise Self-Care Handbook reference has reached 67% of total population.  Survey results indicate projected savings for avoided doctor and ER visits of $2M.  Informed Choice, our 24-hour nurse counseling service, has demonstrated an ROI of 3.25:1 for services provided in 1997.  Contract to date avoided costs for use of medical care services is estimated at $1.5M.  Estimated lost-on-the-job time saved for 1997 is 264 days and $42K.

Preventive health screening is integrated into our TI health plan with no deductible, no co-pay.  On-site preventive health screening services provided from 1995 – 1997 have referred a total of 2,052 males and females for diagnostic follow up.  Numerous participants have experienced life saving benefits resulting from early detection of cancer and cardiovascular disease.  Savings accrued from 1995-1997 on-site services, contracted below negotiated rates with network providers, have totaled $294K.

Our smoking cessation support service for 1995 – 1996 achieved a documented 27% and 26% quit success rate for respective years measured at one-year follow-up.  Results for 1995 and 1996 participants produced a 3.45:1 ROI.

Our Employee Assistance Program offers brief counseling support of 1-5 months to assess and resolve personal problems.  Utilization of solution-based face-to face counseling for 1997 was 5.5%.  Of those seeking counseling services 58% presented for emotional stress and 25% for relationship issues.  Treatment outcome measures to assess emotional health improvement yielded significant results at the .01 confidence interval.  Results showed participants attribute improvement in their mental health and well being to the psychological treatment they received from EAP and referred mental health counseling.

Our worksite flu immunization program is targeted at reducing lost work time by reducing the incidence of flu for all site populations.  To reach this goal a target threshold of 36% penetration of site populations was set and surpassed in 1997 with 6,954 employees participating.  Published research findings demonstrated this intervention to achieve 43% fewer sick days, 25% fewer episodes of upper respiratory illness and $47 savings for every employee immunized.