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GE Health Care Resources. Diabetes Prevention Program. If the Current Trend Continues…. UHG BOB indicates increased treatment costs: $6,663 PMPY average cost increase for diabetes $889 PMPY average cost increase for prediabetes Costs are directly related to progression in severity - PowerPoint PPT PresentationTRANSCRIPT
GE Health Care ResourcesDiabetes Prevention Program
Progressive Cost of Diabetes Per Member Per Year2
Series1$0
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
$18,000
$20,000
$2,784$3,673
$4,592$5,595
$6,195
$13,093
$17,762
No diabetes
Diabetes / no complications
Diabetes non-compliant
w/hypertension
Diabetes non-compliant
w/CVDPrediabetes
Diabetes compliant
w/hypertension
Diabetescompliant
w/CVD1. UnitedHealth Group’s commercial book of business, 2008 2. UnitedHealthcare 2008 analysis for Diabetes Health Plan for several large employers; Medical only (no Rx)
If the Current Trend Continues….• UHG BOB indicates increased treatment costs:• $6,663 PMPY average cost increase for diabetes• $889 PMPY average cost increase for prediabetes
• Costs are directly related to progression in severity• A non-compliant individual with diabetes and related complications
has potential to cost 9Xs more than a non-diabetic individual1
Confidential – Internal Use Only Diabetes Prevention and Control Alliance – United HealthCare Services, Inc. 2012
Based on GE population in seven DPCA markets:Minneapolis, Phoenix, Cincinnati, Dayton, Dallas, Milwaukee, Jacksonville
Diagnosed Diabetic8%
Not at Risk66%
Not yet diagnosed, but at risk
21%
At risk & diagnosed with prediabetes
5%
GE’s Risk Profile based on Predictive ModelingProfile included approximately 30,000 GE members in DPCA markets
Touch 2: Outreach by DPCA call
center
Follow up calls to enroll in DPP
DPCA sends welcome kits
Welcome letter & program overview
DPCA collects eligibility and
claim dataCapture data; obtain electronic eligibility file
DPCA Deploys OptumInsight
Impact analytics
Uses data to identify eligible participants
“Welcome aboard” calls to enrollees
YMCA Coach confirms first session at the Y or at work
Report program results
Provide reports on participation and outcomes
DPP weekly sessions
The 16-sessions cover weight loss, healthy eating, risk reduction, lifestyle change & behavior modification
Touch 1: Outreach to eligible
participantsLetter sent & invites sent to attend on-site events
Touch 2: GE promotes &
hosts screeningsOnsite events… staffed with Y Coaches…ability to enroll at event
1
7
6
5
4b
4a
3
2
8
GE’s Employee Engagement Process
GE’s Onsite Screening Events
Employees
Screened
Tested in Normal Range
(below 5.7)
Tested in Prediabetes
Range(5.7 – 6.4)
Enrolled in DPP at
screening
“Interested” &
enrolled later
Total Enrolled
1000 50% 40% 40% 10% 50%
• DPP program is ongoing at several GE locations• 150 employees currently in program
• 80% of GE employees who attend the first session go on to complete the program
• 50% of participants achieved desired weight loss goal within 20 weeks:• 30% lost 5% - 9% of their body weight• 20% lost greater than 9%
GE screening experience
Instant screening results and ability to enroll on the spot The risk quiz lets employees self-select Allowed for “teachable moments” Many did not know they were at risk…thought “everything was
fine” Semi-Truck encouraged participation
Communications
DPCA Model and Benefits to GE
• DPP participation and testing events are claim-based (no admin fees, start up costs or invoices)
• Turn-key A1c testing event administration• Pay for performance reimbursement schedule
• No payment for failure
• Positioned as a provider in GE’s network • Growing network of DPP vendor partners
• DPP at the worksite
• Addition of virtual DPP which will increase program reach
Next Steps…..pilot virtual program
Welcome Kit & Instructions + Electronic Scale + 16 online episodes + Online Support & Social Network
Months 1 – 5: View Episodes & use Online SupportMonths 6-12: Online Support Available
Enroll Online Access Tools(Shipped To Participant)
ParticipateVirtually
1 2 3
Enrollment begins on March 25th!
Promotion began on 3/21:• Posters• Table Tents• Brochures• E-Cards (3/21, 3/25 & 4/16)• Postcard mailing (3/25 & 4/1)• Onsite Screenings (week of 4/1
& 4/8)• Digital videos
Communications/Promotion of virtual program