successful strategies to increase employee utilization of health benefits
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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 - PowerPoint PPT PresentationTRANSCRIPT
June 18-19, 2009 | Hyatt Regency Chicago
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Successful Strategies to Increase Employee Utilization
of Health Benefits
Donald Molenaar, MD, MPHMedical Director
Bayer
Bryan Loy, MD, MBAMarket Medical Officer
Humana
Cancer Screening at Caterpillar
Michael Taylor MD FACPMedical Director for Health PromotionCaterpillar IncJune 18, 2009
Caterpillar Inc
• Self-Insured• 150,000 covered lives• $650M annual spend on health care• Average age of employee 41• Annual turnover <10%
Risk/CostSharing
Quality
Healthy & productive workforce
Better Return Best ReturnMinimal Return
Productivity as a Business Advantage
Health Promotion Program
• Health Risk Assessment*• Online tools*• Health Promotion exams*• Food Services Management
Health Promotion Program
• Tobacco cessation program• Onsite health coaches*• Lifestyles for Health• Work.Life.Solutions
Principles of screening
• Follow expert guidelines for recommendations• Remove all financial barriers• Measure participation • Track outcomes• Screen for cervical, breast and colon cancer
Cervical Cancer Screening
• Age 18-65, 46% have been screened in 3 yrs• 55 new cancers in 2008• Prevalence 7/1000
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
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
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
Composite measure8 measures
• Appropriate indication for screening• Appropriate patient selection (ASA class)• Document cecum reached• Void of serious complications
Composite measure8 measures
• Assess quality of bowel prep• Withdrawal time recorded• Polyp type and size reported-7 parameters• Appropriate follow-up recommendation
Quality measures
• Need to achieve all 8 measures• Currently, 50% of exams meet composite• 10-80% range • Will become basis for tiered payments
Quality measures
• Composite measured for all colonoscopies• Implement process for all • Public reporting• Outcomes based P4P
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