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Virginia Health Care Conference Engaging Consumers to Purchase Value June 6, 2013

Virginia Health Care Conference Engaging Consumers to Purchase Value June 6, 2013. Who We Are. ValueOptions is a health improvement company that specializes in mental and emotional wellbeing and recovery Singular focus on behavioral health Serves 32 million members .

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Virginia Health Care Conference Engaging Consumers to Purchase Value June 6, 2013

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  1. Virginia Health Care Conference Engaging Consumers to Purchase Value June 6, 2013

  2. Who We Are • ValueOptions is a health improvement company that specializes in mental and emotional wellbeing and recovery • Singular focus on behavioral health • Serves 32 million members • Three major market segments: • Commercial market featuring national employers, labor and trust funds and health plans • State and local governments managing Medicaid populations • The Federal government, on behalf of the U.S. military, veterans, employees and their families

  3. Prevalence of Behavioral Health • 25% of all U.S. adults are affected by mental illness in a given year • Nearly 50% of U.S. adults will develop at least one mental illness in their lifetime • In 2010, 15% of the U.S. population met criteria for addiction • Last month, the CDC released a report on childhood mental illness with data showing 20% of U.S. children are affected by mental health issues • Mood disorders such as depression are the third most common cause of hospitalization in the U.S. • Although military members comprise less than 1% of the U.S. population, veterans represent 20% of suicides nationally

  4. Economic Impact of Behavioral Illness Businesses experience direct and indirect costs due to mental illness: • 217 million business days of work loss and work impairment are due to behavioral health disorders • Serious mental illness costs American businesses $193 billion in lost earnings annually • Substance abuse issues cost more than $400 billion in government spending annually • One third of all hospital costs is attributable to addictive illness

  5. Depression Management Case Study(Virginia-Based Employer) • Members identified either through referral by health plan or through ValueOptions’ internal analysis: • 73% Female; 27% Male • Average age was 51 (range of 22 yrs – 72 yrs) • All referrals, whether engaged or not, received relevant information highlighting the importance of integrated care, specific to the individual’s identified medical condition • High-touch engagement by intensive case manager • Engagement dependent upon member willingness to participate

  6. Depression Severity

  7. Effectiveness of Participation PHQ-9 Score Change 3-6 month Pre-Post results PHQ-9 Score Change by Severity 3-6 month Pre-Post results

  8. Cost Savings Comparison of Average Claims Cost Six Months Before and After Referral for Depression Disease Management: Intervention vs. No Intervention • Key findings of this evaluation: • The intervention program is associated with a $1.27 million reduction in total claims costs (medical and behavioral) • Claims cost savings totaled $2.38 for every $1 expended on the program

  9. Member Engagement Case Study #1 • His last PHQ-9 score was 3, indicating no depression • The Challenge: • 52-year-old male • Depression, anxiety and comorbid diabetes, CAD, hypertension and obesity • Limited connection to medical provider • Initial PHQ-9 was 9, one point away from moderate depression • The Solution: • Outpatient support • Parenting group • Phone consultation • Ongoing education and support • Access to a dietician • EAP Legal/Financial services • The Result:

  10. Member Engagement Case Study #2 • The Challenge: • 48-year-old female • Comorbid depression, history of PTSD, diabetes, chronic pain, obesity and gum disease • First PHQ-9 was 16, indicating severe depression • The Solution: • Outpatient therapy and psychiatrist visits • Psychotropic medications adjusted • Self-care support medical conditions • Consult with program dietician • The Result: • Improved blood sugar levels • Weight loss and regular exercise • Reduced pain level • The final PHQ-9 resulted in a score of 6, indicating mild depression

  11. Stamp Out Stigma Campaign • Raise awareness about the high prevalence of mental illness, the need to seek help and the hope for recovery • Launched  internally with green wristbands and pledge • Focuses on the three R’s: Recognize, Reeducate, Reduce • Developed client toolkit to assist customers in launching their own S.O.S programs • Visit www.stampoutstigma.com to view employee stories, learn more about mission and take the S.O.S. pledge

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