transforminghealthcare - indiana health and wellness … · 2019. 9. 16. · effect of mental...
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9/16/2019
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with tailored solutions to activate organizations and patients
TRANSFORMING HEALTHCARE
with tailored solutions to activate organizations and patients
TRANSFORMING HEALTHCARE
Big Picture ImpactNationally
Total cost of health care $14,642 per employee
$15,375
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with tailored solutions to activate organizations and patients
TRANSFORMING HEALTHCARE
Big Picture ImpactNationally
Seeking additional mental health support from their employers 27%
Treatment for the most common conditions is effective 80%
Climate of
Mental HealthIn the Workplace
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“Depression is the leading cause of disabilityworldwide, and is a major contributor to the global burden of disease.”
– US Department of Human Services
“Employees with depression cost employers an estimated $44 billion per YEAR in lost productive time.”
‐ J.F. Marlow, Employee Benefits Journal
“1 in 5 adults will experience mental illness this year.”
‐ National Institute of Mental Health
“The economic costs of mental illness will be more than cancer, diabetes, and respiratory ailments put together.”
– Director, US National Institute of Mental Health at World Economic Forum, January 2015
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Effect of Mental Healthfor your company
• Direct ‐ Behavioral Health Claims, Pharmacy claims, hospitalization
• Indirect‐ Absenteeism, presenteeism, disability, workman’s comp, morale
‐ $79 to $105 billion per year
Calculate Your Costof Mental Health
DF9
The Depression Calculator for Employers
Depression affects more than 16 million Americans, costing the U.S. economy $210.5 billion per year in
absenteeism, reduced productivity and medical costs.
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START
http://www.workplacementalhealth.org/depressioncalculator/
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Slide 5
DF9 Don't think we want to risk using the internet connection to demo this. We should trot out some figures of examplesDavid Fingerhut, 9/2/2019
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The Depression Calculator for Employers
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NEXT
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The Depression Calculator for Employers
The Cost of Depression
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The Depression Calculator for Employers Cost of depression: employees with depression that do not receive treatment miss an average of 31.4 days at work per year and lose another 27.9 in lost productivity.
Traditional Approaches
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EAPPPO
PBM
DF6
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Slide 10
DF6 The end of this slide really is where the "mind the gap" idea came from....and perhaps should be the first time we introduce a "gap"David Fingerhut, 9/2/2019
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Mental Health Parity and Addiction Act
Mental Health: Legislation
DF3DF8
Population: mild to moderate symptoms; behaviorally influenced problems
Location: Co‐located in clinic
Access to Care: Same‐day
Service: Brief (20‐40 minute), short term, prevention
Communication: Collaborative, ongoing communication
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Behavioral Health contrasted with Mental Health Services
Population: Most with mental health doctor, many with serious mental health issues
Location: Separated specialty care clinics
Access to Care: Depends on resources
Service: Comprehensive (60 minute), treatment focus
Communication: consult requests; siloed; internal communication within mental health team
Behavioral Health Mental Health
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Slide 11
DF3 insert a slide on important legislation shaping the current mental health landscape...1. Affordable care act, 2. Mental Health Parity and Addiction Equity ActDavid Fingerhut, 9/2/2019
DF8 Which led to a more preventative approach to health care and mental health careDavid Fingerhut, 9/2/2019
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• Twist on the traditional EAP‐ Fairview in Minnesota
• Onsite provider access
• Engage in screening and prevention
• Alternative location‐ Beacon Care Services in Texas
• Walmart, onsite
• Fee‐for‐service clinic
• Accepts private insurance
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Non‐Traditional Approach“Mind the Gap”
JL4JL5
Online, email, telephonic screening
Internal mental health outreach‐ “OK to Seek Help” campaign
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Non‐Traditional ApproachDigital approaches
Phone app
Toolkits ‐ Team Health in Tennessee
‐ Mind your mind
JL4JL5
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Slide 13
JL4 grab screenshots of these websites - mens mental health as wellJessica Lee, 9/3/2019
JL5 mantherapy , heads up guys,Jessica Lee, 9/3/2019
Slide 14
JL4 grab screenshots of these websites - mens mental health as wellJessica Lee, 9/3/2019
JL5 mantherapy , heads up guys,Jessica Lee, 9/3/2019
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• Veterans Affairs‐ 2002
• New England‐ 2010
• National TeleMentalHealth Centers ‐ 2016
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Innovative ApproachesTelemental Health
DF7
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Innovative ApproachesIntegrating behavioral health services
• Co‐located Collaborative Care Model‐ Veterans Affairs
DF7
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Slide 15
DF7 Should break this slide up a bit into every other non-traditional approach to MH other than the co-located integrated care ones (CCC). Then have a slide following with that informationDavid Fingerhut, 9/2/2019
Slide 16
DF7 Should break this slide up a bit into every other non-traditional approach to MH other than the co-located integrated care ones (CCC). Then have a slide following with that informationDavid Fingerhut, 9/2/2019
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• Co‐located Collaborative Care Model‐ Veterans Affairs
• Primary care mental health integration
‐ Eskenazi and Porter Starke Awards• SAMHSA
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Innovative ApproachesIntegrating behavioral health services
DF7
• Co‐located Collaborative Care Model‐ Veterans Affairs
• Primary care mental health integration
‐ Eskenazi and Porter Starke Awards• SAMHSA
‐ Cerner’s Healthe Living with Rewards• Branching out to provide onsite to external employers
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Innovative ApproachesIntegrating behavioral health services
DF7
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Slide 17
DF7 Should break this slide up a bit into every other non-traditional approach to MH other than the co-located integrated care ones (CCC). Then have a slide following with that informationDavid Fingerhut, 9/2/2019
Slide 18
DF7 Should break this slide up a bit into every other non-traditional approach to MH other than the co-located integrated care ones (CCC). Then have a slide following with that informationDavid Fingerhut, 9/2/2019
9/16/2019
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Employer Movement for 2020Multipronged Approach
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• 33% said they will have a behavioral health counselor onsite
• 9% said they would offer a zero or
limited copay for certain mental health medications
• 48% said they would be running an internal anti‐stigma campaign
• 47% would trainmanagers to
better recognize the signs
National Business Group on Health (NBGH) annual survey, 2019
Foster a Culture of Health
A Unique Approach
Innovative solutions to activate patients and organizations
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Activating patients to take control of their health is the driving force of our successful strategy.
A focus on patient engagement by the health team providers and organization is necessary
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Activate’s Approach to Total Care
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Activate Healthcarekey differentiatorsWe tailor solutions for you.
• Everything fits – clinic design, clinic hours, rollout process.
• You are actively involved in selecting the right providers, which ensures a great fit.
• We hold monthly meetings with provider teams and client, so we can listen and continually improve.
Patient activation is at the center of everything we do.
• We proactively engage people with annual comprehensive health and wellness assessments.
• Proactive care enables serious conditions and risks to be managed early.
• Coaching is part of every visit, so we identify root causes and help change behavior.
• Referral Management and treatment planning
We optimize the whole as an integrated system.
• We provide strategic plans to the organization to change the culture of health.
• We guide the healthcare continuum in the community and enable shared access.
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Activate Healthcare Unique Approach
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Onsite & Near Site Clinic
case study#1 Overcoming Challenges: • Access
• Stigma
• Engagement
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Activate Healthcare Unique Approach
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case study#2
Climate of
Mental HealthIn the Workplace
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Significant concern in the workplace
Underrepresented by viewing claims data alone
Traditional treatment and prevention not fully addressing the issues
No “one size fits all” approach
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THANK YOU
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