GE Health Care Resources
Diabetes Prevention Program
If the Current Trend Continues….
• UHG BOB indicates increased treatment costs:
•
•
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$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
Progressive Cost of Diabetes Per Member Per Year2
$20,000
$17,762
$18,000
$16,000
$13,093
$14,000
$12,000
$10,000
$6,195
$8,000
$6,000
$4,000
$2,784
$3,673
$4,592
$5,595
$2,000
$0
No diabetes
Prediabetes
Diabetes non-compliant
Diabetes / no
Diabetes nonw/hypertension
complications
compliant w/CVD
Diabetes
Diabetes compliant
compliant
w/CVD
w/hypertension
1. UnitedHealth Group’s commercial book of business, 2008
2. UnitedHealthcare 2008 analysis for Diabetes Health Plan
for several large employers; Medical only (no Rx)
GE’s Risk Profile based on Predictive Modeling
Profile included approximately 30,000 GE members in DPCA
markets
At risk & diagnosed
with prediabetes
5%
Diagnosed Diabetic
8%
Not yet diagnosed,
but at risk
21%
Not at Risk
66%
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
GE’s Employee Engagement Process
1
DPCA collects
eligibility and claim
data
Capture data; obtain
electronic eligibility file
2
DPCA Deploys
OptumInsight Impact
analytics
Uses data to identify
eligible participants
5
3
Touch 1: Outreach to
eligible participants
Letter sent & invites sent to
attend on-site events
DPCA sends welcome
kits
Welcome letter & program
overview
4a
Touch 2: Outreach by
DPCA call center
Follow up calls to enroll in
DPP
6
4b
“Welcome aboard” calls
to enrollees
YMCA Coach confirms first
session at the Y or at work
7
Touch 2: GE promotes
& hosts screenings
DPP weekly sessions
Onsite events… staffed
with Y Coaches…ability
to enroll at event
The 16-sessions cover weight
loss, healthy eating, risk
reduction, lifestyle change &
behavior modification
8
Report program results
Provide reports on participation
and outcomes
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
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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
1
2
Enroll Online
Access Tools
3
(Shipped To Participant)
Participate
Virtually
Months 1 – 5: View Episodes & use Online Support
Months 6-12: Online Support Available
Welcome Kit & Instructions + Electronic Scale + 16 online episodes + Online Support & Social Network
Enrollment begins on March 25th!
Communications/Promotion of virtual program
Promotion began on 3/21:
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•
•
•
•
•
•
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