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 • 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 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: • • • • • • • 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