A partnership of ADVANTAGE CareSelect with Roche to support
Providers caring for members with Diabetes
The Past, Present and Future
• 11.3% of those 20+ in the US have diabetes1
• Estimated to grow to 33% by 20502
Millions of People with Diabetes
120
100.0
64.0
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20.6
23.5
25.6
18.0
2002
2005
2007
2011
0
2008
0% – 6.3%
6.4% - 7.5%
7.6% - 8.8%
8.9% - 10.5%
2050
≥ 10.6%
1 CDC’s National Diabetes Fact Sheet, 2011
2 Centers for Disease Control and Prevention, Jan. 2006, http://www.cdc.gov/media/releases/2011/p0126_diabetes.html accessed October 12, 2011
3 Centers for Disease Control and Prevention http://apps.nccd.cdc.gov/DDT_STRS2/NationalDiabetesPrevalenceEstimates.aspx?mode=DBT
Accessed October 12, 2011.
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Costs have and will continue
to increase.
Projected at
$680 billion
(in 2007 dollars)
$174 billion
$455
Direct costs:
Excess medical expenditures
resulting from diabetes
$132 billion
$92
$116
$40
$58
2002
2007
$225
Indirect costs:
Reduced productivity
associated with disability,
work loss or premature
mortality
2050
American Diabetes Association: Economic costs of diabetes in the U.S. in 2007
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Why focus specifically on Diabetes?
• Incidence is exploding
• #1 contribution to healthcare spending growth1
• Only 54.1% of adults between the ages of 40-59 have Hba1c <7%2
• Self management behaviors have a profound impact
1 Thorpe K et al., “Chronic Conditions Account for Rise in Medicare Spending from 1987 to 2006,” Health Affairs, April 2010: 718-724; Health Care Advisory Board interviews and analysis.
2 AHRQ 2010 National Healthcare Quality & Disparities Reports. Accessed on 5/18/11 at http://www.ahrq.gov/qual/qrdr10/#Diabetes.
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LifeMap combines high-touch
and high-tech to engage people with diabetes
•
•
•
•
Goes beyond diet, exercise and diabetes basics
Incorporates evidence-based methods
Personalizes the experience to each member
Incentives members for enrollment and progress
− $10 Visa Card for enrollment before February 20, 2012
− Periodic acknowledgements of progress
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LifeGuides are teamed with members
All LifeGuides are hired with specializedEnvironment:
backgrounds
Factors like work and the stress of
• Healthcare
competing demands
• Counseling
Helps members overcome these
• Education
barriers and enable them to fit
• Experienced service center professionals
diabetes into their everyday life…
not fitting their life into diabetes.
LifeGuides complete extensive training in:
• Diabetes management
• Emotional intelligence
• Motivational interviewing
• Assessment integration
• Discovering the uniqueness of each member
• Validated health coaching methods
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LifeGuides and members interact by phone and through a secure web portal
Environment:
Scope:
Factors like work and the stress of
• Develop and reach goals competing demands
• Explore pros and cons Helps members overcome these
barriers and enable them to fit
• Anticipate and overcome barriers
diabetes into their everyday life…
• Drive confidence
not fitting their life into diabetes.
• Provide general education
LifeGuides do NOT practice medicine:
• No medication change
• No changes to diet or exercise regimen
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LifeGuide and Member Interaction Example for Opt-IN Participation
Welcome Call
Follow up
Calls
Web Portal Interactions throughout LifeMap experience
Second Call
• Welcome Call: (20 min.) Enroll, answer questions, build rapport, complete assessments,
schedule 2nd call
• Second Call: (40 min.) Motivational interviewing, goal setting, review portal interaction, answer
questions, build rapport
• Follow up Calls: (10-15 min.) Motivational interviewing, goal setting (average membership
Roche Confidential
anticipated
to be 4-6 months)
LifeMap Web Portal
The way members
communicate with
their LifeGuide
outside of live
conversations
80 education
modules tailored
to their
LifeScape
(PAM®)
activation level
https://mylifemapsitedemo.insi
gniahealth.com/sign_in_roche
.aspx
Where goal setting,
tracking and program
participation take place
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Patient Activation Measurement (PAM) Assessment
• Patient Activation Measurement (PAM) History
• Used by over 25 million patients
• Evaluated in more than 65 peer reviewed studies in the last six years
• Developed and tested by Dr. Judith Hibbard at the University of Oregon
• How it works
• 10 questions assessing knowledge, skills and confidence
• Given at the start of the LifeMap experience and periodically throughout to
guide interactions, determine web portal content and gauge progress
• Places members in one of 4 Levels of Activation
PAM is a registered trademark of Insignia Health, LLC
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A PAM score is predictive of future utilization and outcomes for diabetes
patients
PAM is a registered trademark of Insignia Health, LLC
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The LifeMap experience is a patient
engagement program driven by the
member.
Sparking
aspirations
Making
discoveries
Motivational
interviewing
Celebrating
success
LifeScape
assessment
Building blocks to:
• Personalization
• Differentiation
• Engagement/retention
Educational
modules
Evidence based foundation leading to outcomes
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The LifeMap experience was developed by
Roche, a leader in diabetes care
• Over 1 million conversations annually with people with diabetes
• Full-time access to an online community of people with diabetes
• Partnerships with leading physicians and educators to create innovative
diabetes management solutions for patients and healthcare providers
• Manufacturer of diabetes-related products for over 35 years
• The global leader in blood glucose monitoring
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Identifying patients and enrolling them in LifeMap
Eligibility:
• Candidates identified through claims and Case Management
information with Diabetes or pre-diabetes on a blood glucose lowering
medication
• Selected from ADVANTAGE CareSelect Files
• Additional candidates can be referred by PCP
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We are Here to Assist You
If you have any questions, please feel free to reach out to:
Dr. John T. Hinton
Senior Medical Director, Vulnerable Populations
317-810-4469
jhinton@advantageplan.com
Diane Butler, BSN, RN
Manager of Medicaid Disease/Care Management
317-810-4479
dbutler@advantageplan.com
Roche LifeMap
phone: 1-888-444-1174.
We’re here to help you make the LifeMap experience successful for your patients.
A personalized, guided experience for living
a fuller life with diabetes.
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