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 individual 1

Progressive Cost of Diabetes Per Member Per Year 2

$20 000 $18 000 $16 000 $14 000 $12 000 $10 000 $8 000 $6 000 $4 000 $2 000 $0

$2 784 $3 673 $4 592 $5 595 $6 195 $13 093 $17 762 No diabetes Prediabetes Diabetes / no complications Diabetes non-compliant Diabetes compliant w/hypertension w/hypertension Diabetes non compliant w/CVD Diabetes compliant w/CVD 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 3

Touch 1: Outreach to eligible participants

Letter sent & invites sent to attend on-site events 4a

Touch 2: Outreach by DPCA call center

5

DPCA sends welcome kits

Welcome letter & program overview 6

“Welcome aboard” calls to enrollees

7 Follow up calls to enroll in DPP 4b

Touch 2: GE promotes & hosts screenings

YMCA Coach confirms first session at the Y or at work

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

1000

Tested in Normal Range (below 5.7)

50%

Tested in Prediabetes Range (5.7 – 6.4)

40%

Enrolled in DPP at screening “Interested” & enrolled later

40% 10%

Total Enrolled

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

Enroll Online

2

Access Tools (Shipped To Participant )

3

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