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Successful Strategies to Increase Employee Utilization of Health Benefits

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

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Successful Strategies to Increase Employee Utilization of Health Benefits

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  1. Successful Strategies to Increase Employee Utilization of Health Benefits

  2. Cancer Screening at Caterpillar Michael Taylor MD FACP Medical Director for Health Promotion Caterpillar Inc June 18, 2009

  3. Caterpillar Inc Self-Insured 150,000 covered lives $650M annual spend on health care Average age of employee 41 Annual turnover <10%

  4. Best Return Better Return Minimal Return Risk/CostSharing Healthy & productive workforce Quality Productivity as a Business Advantage

  5. Health Promotion Program Health Risk Assessment* Online tools* Health Promotion exams* Food Services Management

  6. Health Promotion Program Tobacco cessation program Onsite health coaches* Lifestyles for Health Work.Life.Solutions

  7. Principles of screening Follow expert guidelines for recommendations Remove all financial barriers Measure participation Track outcomes Screen for cervical, breast and colon cancer

  8. Cervical Cancer Screening Age 18-65, 46% have been screened in 3 yrs 55 new cancers in 2008 Prevalence 7/1000

  9. 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

  10. 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

  11. 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

  12. Composite measure8 measures Appropriate indication for screening Appropriate patient selection (ASA class) Document cecum reached Void of serious complications

  13. Composite measure8 measures Assess quality of bowel prep Withdrawal time recorded Polyp type and size reported-7 parameters Appropriate follow-up recommendation

  14. Quality measures Need to achieve all 8 measures Currently, 50% of exams meet composite 10-80% range Will become basis for tiered payments

  15. Quality measures Composite measured for all colonoscopies Implement process for all Public reporting Outcomes based P4P

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