|Featured Articles November 2010, Vol. III, No. 7|
|Health Dialog Introduces Shared Savings Model for Telephonic Care Management|
Health Dialog has introduced a shared savings model for its care management program that offers clients a no-risk approach to reducing medical cost trend. Through this new offering, Health Dialog will provide clients with health management services, including health coaching and decision-support, and will measure savings through a randomized controlled trial (RCT) methodology. Savings demonstrated by the RCT will be shared. A randomized controlled trial of the program was recently published in the New England Journal of Medicine, noting that the intervention netted savings of $6 per member per month.
RCT methodology is the gold standard for measurement in medical research, as it minimizes bias and maximizes validity. Under the shared savings model, all results will be reviewed and validated by a mutually agreed-upon third party.
The Health Dialog program enables high-touch health coaching with high-technology systems to deliver services that cover over 65 conditions, including chronic diseases and conditions with high stakes decisions.
"Health plans and large employers have frequently questioned the value of telephonic health management programs due to inconsistent measurement of savings and return on investment," said David Wennberg, MD, MPH, chief science officer at Health Dialog. "Our Shared Savings model uses the best available measurement methodology combined with risk-free financing to ensure our clients can confidently implement care management solutions."
|Quotable: HRA Functionality|
"Initially, HRAs were geared toward individuals learning their numbers and self-care.
It then migrated into increased functionality to inform and invite members to
special care management programs. For example, if the individual indicated they were
diabetic, had high blood pressure or had coronary artery disease (CAD), the plan sponsor,
if they had programs to address those issues, could inform and invite them to the program.
Plan sponsors could be employers, health plans or even outside third-party care management
vendors. The output from HRAs can even be printed out, faxed or e-mailed to the memberís
PCP. This improves the coordination and quality of care."
|Patients with CIGNA CDH Plans More Engaged in Health Coaching, See Decrease in Care Costs|
When Americans participate in health coaching and DM programs, substitute generic medications for brand name drugs and avoid unnecessary trips to the ER, their total medical costs went down 15 percent an average $358 per person in the first year according to a new multi-year study comparing the healthcare claims experience of 897,000 CIGNA customers in consumer-driven health (CDH) plans, PPOs and HMOs.
The 2010 Fifth Annual CIGNA Choice Fund Experience Study findings show individuals covered by CIGNA Choice Fund CDH plans improve their costs without compromising care by becoming more engaged in improving their health and by becoming informed healthcare consumers:
According to CIGNA Chief Medical Officer Jeffery Kang, M.D., "Given the right incentives, the right health improvement programs, useful cost and quality information, and easy-to-understand correspondence, individuals are making rational, wise and successful healthcare decisions."
|Shared Savings in the Medical Home|
|The patient-centered medical home is at the heart of Mesa County, Colorado's shared savings model, explains David West, M.D., a hospitalist, family physician and healthcare consultant from Grand Junction, Colorado. Dr. West describes how the shared savings model can be adapted across markets, including the conditions and factors that must be present for this approach to be feasible. He also shares a unique provider incentive that is keeping hospital stays of Medicare patients at less than one-third the national average, one factor that has the nation touting this area as a model for efficient healthcare delivery.|
|New Chart: Case Management ROI|
An increase in healthcare case management programs is significantly influencing medication compliance, hospital readmission rates and healthcare costs. We wanted to see what return on investment has been generated by healthcare case management programs.
Click here to view the chart.
|Increasing Engagement to Improve ROI|
Question: How has your corporation increased engagement in your wellness program?
|HCH Readers Save 10% on Coaching Resource|
Launching a sustainable health coaching initiative requires planning, training, education
and evaluation, not to mention creative use of incentives. The Guide to Health Coaching
defines the role of the health coach in population health management, provides tactics to
motivate individuals to adopt healthier lifestyles, and offers an inside look at health coaching
at the Mayo Clinic, including the clinic's use of health IT and incentives to encourage repeat
and long-term participation. Q&A chapter answers more than 50 questions on health coaching.
|2010 Benchmarks in Health Coaching|
This white paper captures the ways in which 161 organizations are implementing health coaching in 2010 including the top three areas targeted by health coaching as well as the financial and clinical outcomes that result from this health improvement strategy. These benchmarks are based on organizations' responses to the Healthcare Intelligence Network August 2010 e-survey on health coaching.