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Driving Innovation In the Health Care Marketplace:

A CEO Report

Realogy Holdings Corp

Realogy Holdings Corp. believes that a healthy workforce can be a competitive advantage. With more than 11,000 employees in more than 1,000 locations, communications regarding health and wellness can be both a challenge and an
opportunity. We look for opportunities to educate our employees both on what drives medical costs and how they can lead healthier lives.

Beginning in 2010, we started educating our employees on the top 10 drivers of our health care costs as a self-insured company. This includes sharing comparisons to the prior year as well as highlighting those medical indications that can be detected in an annual physical and those that are weight related. Several years prior to the federal mandate to provide preventative care, Realogy began covering 100 percent of all preventative care in an effort to go beyond just biometric screening. We enhanced this effort by providing paid time off as an incentive for employees to get their annual physical. The participation rate for annual physicals among our employees has more than doubled in the past two years.

For the past four years, Realogy has used our iThrive wellness initiative to help improve our employees’ overall health and well-being. The campaign includes monthly newsletters and videos with health, wellness, dietary and financial advice directed to our employees and, in certain circumstances, their covered dependents. Weight loss and walking contests keep people active. Fitness centers in our larger locations provide easy access both to exercise equipment and exercise classes. Finally, our smoking cessation programs have helped hundreds of employees quit the habit while bringing the percentage of smokers well below national averages and resulting in a reduction in smoking-related illnesses among our employees.
The outcomes of Realogy’s wellness programs over the past four years are encouraging and include:

  • Actual medical cost increases significantly below national averages for four years running (including one year with a reduction in total costs); and
  • Stable costs to our employees resulting in no increases for the majority of our employees in two of the last three years and average increases measured in single-dollar increments.

As we look to the future, we will continue this high level of engagement to ensure that our employees and their families know that Realogy is behind them in support of healthier lifestyles.


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BRT companies provide health coverage to more than 40 million Americans. We help American workers and their families remain healthy, receive quality treatment when necessary and achieve better health outcomes. The private-sector innovations in the insurance marketplace that enable us to provide these services to our employees and their families serve as models for public programs — but additional reforms are necessary.

This report highlights the innovations we have made and the public policy changes we believe would drive value by promoting health and improving outcomes.