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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
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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 • 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 Diabetes non-compliant w/hypertension Diabetes / no complications No diabetes Diabetes non-compliant w/CVD Diabetescompliant w/CVD Prediabetes Diabetes compliant 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 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 2 3 4a 5 4b 6 7 8
GE’s Onsite Screening Events • 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
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 3 Access Tools (Shipped To Participant) Enroll Online 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