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Yes, tobacco surcharges are legal. Under the Affordable Care Act (ACA), group health plans and self-insured employers can charge tobacco users up to 50% more for their health insurance premiums than non-tobacco users. This is referred to as a tobacco surcharge.

Yes, clients using Pivot Breathe typically see a 5-10X increase in enrollments compared to other tobacco cessation solutions. However, actual client numbers may vary and will be based on defined, specific goals.

Our dedicated Member Enrollment Marketing team develops both turn-key and custom marketing programs. These include evergreen resources to introduce Pivot Breathe as a wellness benefit offering, seasonal campaign updates to keep Pivot Breathe top of mind throughout the year, and innovative solutions to drive best-in-class results. Learn more about how we support enrollment.

Yes! Pivot Breathe makes such an undertaking easier by offering the option to bill its services as claims to health plans. This enables employers to save valuable wellness dollars for other wellness-related services. Our partnership with Change Healthcare grants us access to over 2,400 health plans, allowing for quick smoking cessation program implementation. To learn more, check out this resource.

The Pivot breath sensor measures the amount of carbon monoxide in your exhaled breath*. (CO is one of the toxins in cigarette smoke.)Using the breath sensor takes approximately 30 seconds. You’ll inhale then blow into the sensor, and the results can be viewed directly on the sensor. For the best experience, you can pair the sensor to the app to learn even more!The more you use your sensor, the more you’ll understand your CO levels and how they are affected by your smoking. You can set up your sensor to remind you to give samples with vibrations or beeps.*Indications for use: The Carbon Monoxide Breath Sensor System is a breath carbon monoxide monitor intended for single-user use by people who smoke cigarettes to inform the user about how breath carbon monoxide levels are affected by smoking behavior.  The device is not intended to be used with other inhaled products.

Pivot offers two solutions to elevate your employee and member benefits:Pivot Breathe: A comprehensive program designed to help people quit tobacco and nicotine use.Pivot Flex: A supportive program focused on helping people to strengthen their response to stress, leading to a more resilient workforce.

Pivot Breathe supports customer needs by providing HIPAA-compliant reporting to successfully manage a reasonable alternative program. Pivot provides our best practice recommendation based on a subset of activities an individual should complete over a period of time to meet certain requirements to remove the surcharge. Pivot Breathe offers comprehensive demographic and reasonable alternative reporting to clients. This includes detailed information on enrollments, tobacco behaviors, engagement, progress in quitting tobacco, satisfaction scores, and more! Learn more in this blog.

Pivot solutions have been developed to help your members and employees make impactful changes that have a direct impact on the reducing healthcare costs, associated with chronic conditions. In particular, a claims study demonstrated that Pivot Breathe showed meaningful ROI within the first year, with returns increasing to 600% in year 2.

Pivot has 6 peer-reviewed publications that provide evidence-based support for Pivot Breathe. These studies were conducted in the United States and included heavy smokers. To align with the general U.S. population of smokers, these studies included individuals along the entire spectrum of readiness to quit; most participants were not ready to quit smoking at study entry. For more information visit https://pivot.co/resources-clinical-studies.

The Pivot breath sensor measures the amount of carbon monoxide in your exhaled breath*. (CO is one of the toxins in cigarette smoke.)Using the breath sensor takes approximately 30 seconds. You’ll inhale then blow into the sensor, and the results can be viewed directly on the sensor. For the best experience, you can pair the sensor to the app to learn even more!The more you use your sensor, the more you’ll understand your CO levels and how they are affected by your smoking. You can set up your sensor to remind you to give samples with vibrations or beeps.*Indications for use: The Carbon Monoxide Breath Sensor System is a breath carbon monoxide monitor intended for single-user use by people who smoke cigarettes to inform the user about how breath carbon monoxide levels are affected by smoking behavior.  The device is not intended to be used with other inhaled products.

While employers and health plans cannot force someone to stop smoking, most offer smoking cessation programs as part of their well-being benefit options -  to support and provide resources to help people who smoke quit. Sometimes, these programs are a means to offset a tobacco surcharge that is in place.

At Pivot, we recommend a comprehensive and targeted communication strategy, to ensure you reach members and employees when they are motivated to make a change. In close collaboration with your Marketing and Client Success team, we work with you to customize a strategy that works for you and your organization. Examples include emails, break room posters, intranet announcements, and more. Pivot-led strategic support leads to a 5-10x increase in enrollment.

The average Pivot implementation takes 30 days or less, start to finish. Your team will receive support from Pivot's Client Success team throughout the low-lift implementation process.

Pivot provides aggregate quarterly and annual reports to organizations on enrollment, engagement, outcomes and goal progress. Outcomes include reduction in tobacco consumption, quit rates, NPS and Satisfaction Rates. Individual data is kept anonymous.

Hidden costs include higher property insurance, the effects of secondhand smoke, increased distractions for all employees and reduced producitivity - adding up to $5,000 per person who smokes per year. In addition, workers exposed to secondhand smoke may file compensation claims for health-related issues.

A resilient workforce is vital because it can mitigate the negative effects of stress on employees' mental and physical health, creativity, focus, and productivity. It can lead to happier, more agile employees and can ultimately contribute to the success of the organization.

Workers often avoid revealing their tobacco use due to concerns about workplace reputation, avoiding health insurance surcharges, maintaining personal privacy, not wanting to be treated differently or nagged to quit. Almost 72% of workers admitted to concealing their tobacco use from employers.

Smoking cessation in the workplace is essential because healthier employees lead to a more productive work environment, fewer sick days, lower healthcare costs, and improved workplace relations and morale.