successful strategies to increase employee utilization of health benefits
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Successful Strategies to Increase Employee Utilization of Health Benefits. Cancer Screening at Caterpillar. Michael Taylor MD FACP Medical Director for Health Promotion Caterpillar Inc June 18, 2009. Caterpillar Inc. Self-Insured 150,000 covered lives $650M annual spend on health care - PowerPoint PPT PresentationTRANSCRIPT
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June 18-19, 2009 | Hyatt Regency Chicago
Sponsored by
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Successful Strategies to Increase Employee Utilization
of Health Benefits
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Donald Molenaar, MD, MPHMedical Director
Bayer
Bryan Loy, MD, MBAMarket Medical Officer
Humana
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Cancer Screening at Caterpillar
Michael Taylor MD FACPMedical Director for Health PromotionCaterpillar IncJune 18, 2009
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Caterpillar Inc
• Self-Insured• 150,000 covered lives• $650M annual spend on health care• Average age of employee 41• Annual turnover <10%
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Risk/CostSharing
Quality
Healthy & productive workforce
Better Return Best ReturnMinimal Return
Productivity as a Business Advantage
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Health Promotion Program
• Health Risk Assessment*• Online tools*• Health Promotion exams*• Food Services Management
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Health Promotion Program
• Tobacco cessation program• Onsite health coaches*• Lifestyles for Health• Work.Life.Solutions
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Principles of screening
• Follow expert guidelines for recommendations• Remove all financial barriers• Measure participation • Track outcomes• Screen for cervical, breast and colon cancer
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Cervical Cancer Screening
• Age 18-65, 46% have been screened in 3 yrs• 55 new cancers in 2008• Prevalence 7/1000
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Breast Cancer Screening
• For age >40, 60% screened in last 2 yrs• 2711 active cases• Prevalence 49/1000• Incidence declined by 46%* in last 4 yrs
*not yet validated
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Colorectal Cancer Screening
• 38% of those eligible have been screened• On average, 228 new cases in each of last 5 yrs• Quality improvement program started July
2007
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New approach with MDs and hospitals
• Agree on quality measures• Composite quality measure – 8 factors• Global fee paid to hospital• Pilot in our major Illinois markets
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Composite measure8 measures
• Appropriate indication for screening• Appropriate patient selection (ASA class)• Document cecum reached• Void of serious complications
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Composite measure8 measures
• Assess quality of bowel prep• Withdrawal time recorded• Polyp type and size reported-7 parameters• Appropriate follow-up recommendation
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Quality measures
• Need to achieve all 8 measures• Currently, 50% of exams meet composite• 10-80% range • Will become basis for tiered payments
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Quality measures
• Composite measured for all colonoscopies• Implement process for all • Public reporting• Outcomes based P4P
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