Incidence Impact Employer Actions · 2019-02-22 · pharmacy bene˜ts, detail regarding top drugs...
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TM Minnesota Health Action Group Resources Fact Sheet: How Employers can Stop Diabetes In its Tracks www.mnhealthactiongroup.org/wp-content/uploads/2015/11/Fact-Sheet-11.13.15.pdf FAQs: Be Part of the Solution with the National Diabetes Prevention Program www.mnhealthactiongroup.org/wp-content/uploads/2015/11/FAQs-11.13.15.pdf Diabetes Glossary of Terms www.mnhealthactiongroup.org/wp-content/uploads/2015/11/Glossary-of-Terms-11.13.15.pdf PREVENTING DIABETES WHEN POSSIBLE, TREATING EFFECTIVELY WHEN NECESSARY Incidence One in 11 Americans has diabetes (that’s more than 29 million people). Another 86 million U.S. adults are at high risk of developing diabetes, also called prediabetes. Impact Diabetes remains the costliest traditional therapy class for payers for the fifth consecutive year. From 2014 to 2015, there was a 14% increase in costs, driven equally by increases in use and cost of medications in the class. Action Group members say this is a top claims driver, and existing and emerging treatments threaten to drive costs to never-before- seen heights. Employer Actions The Action Group has a long history of collaborating with Minnesota leaders and diabetes stakeholders to increase the scope of efforts to reduce the impact of diabetes in Minnesota. www.mnhealthactiongroup.org @actiongroupmn Also, connect with us on LinkedIn Understand your situation. Obtain timely and actionable clinical and utilization management reporting related to diabetes care—including total costs and rate of increase, breakout of expenditures for both medical and pharmacy benefits, detail regarding top drugs and spend, medication adherence rates and trends for individuals with diabetes, as well as co-morbidities (e.g., patients with diabetes who also have vascular disease or are obese). Use plan design levers. Consider adding the National Diabetes Prevention Program (NDPP) as a covered benefit, or implement other value-based designs to improve health and reduce total costs. Consider innovative vendors. An array of new digital and high-touch solutions are available to improve engagement and health outcomes. Educate and engage plan participants. Provide information and resources to empower employees and help them use benefits wisely. Also, provide information to increase patient engagement, including education and support for appropriate medication use and adherence. Information from vendors, manufacturers, and independent resources, such as Consumer Reports’ Choosing Wisely®, can help educate and engage participants.
Transcript of Incidence Impact Employer Actions · 2019-02-22 · pharmacy bene˜ts, detail regarding top drugs...
TM
Minnesota Health Action Group Resources
Fact Sheet: How Employers can Stop Diabetes In its Trackswww.mnhealthactiongroup.org/wp-content/uploads/2015/11/Fact-Sheet-11.13.15.pdf
FAQs: Be Part of the Solution with the National Diabetes Prevention Programwww.mnhealthactiongroup.org/wp-content/uploads/2015/11/FAQs-11.13.15.pdf
Diabetes Glossary of Terms www.mnhealthactiongroup.org/wp-content/uploads/2015/11/Glossary-of-Terms-11.13.15.pdf
PREVENTING DIABETES WHEN POSSIBLE, TREATING EFFECTIVELY WHEN NECESSARY
IncidenceOne in 11 Americans has diabetes (that’s more than 29 million people). Another 86 million U.S. adults are at high risk of developing diabetes, also called prediabetes.
ImpactDiabetes remains the costliest traditional therapy class for payers for the �fth consecutive year. From 2014 to 2015, there was a 14% increase in costs, driven equally by increases in use and cost of medications in the class. Action Group members say this is a top claims driver, and existing and emerging treatments threaten to drive costs to never-before-seen heights.
Employer Actions
The Action Group has a long history of collaborating with Minnesota leaders and diabetes stakeholders to increase the scope of e�orts to reduce the impact of diabetes in Minnesota.
www.mnhealthactiongroup.org @actiongroupmn Also, connect with us on LinkedIn
Understand your situation. Obtain timely and actionable clinical and utilization management reporting related to diabetes care—including total costs and rate of increase, breakout of expenditures for both medical and pharmacy bene�ts, detail regarding top drugs and spend, medication adherence rates and trends for individuals with diabetes, as well as co-morbidities (e.g., patients with diabetes who also have vascular disease or are obese).
Use plan design levers. Consider adding the National Diabetes Prevention Program (NDPP) as a covered bene�t, or implement other value-based designs to improve health and reduce total costs.
Consider innovative vendors. An array of new digital and high-touch solutions are available to improve engagement and health outcomes.
Educate and engage plan participants. Provide information and resources to empower employees and help them use bene�ts wisely. Also, provide information to increase patient engagement, including education and support for appropriate medication use and adherence. Information from vendors, manufacturers, and independent resources, such as Consumer Reports’ Choosing Wisely®, can help educate and engage participants.
National Resources
American Diabetes Association Find employee educational materials, posters, fact sheets and morewww.diabetes.org
Centers for Disease Control National Diabetes Prevention ProgramLearn how this evidence-based program is detecting prediabetes and helping stop diabetes in its tracks www.cdc.gov/diabetes/prevention/index.html
U.S. Department of Health and Human ServicesFind self tests, along with a host of patient education resources www.niddk.nih.gov/health-information/health-communication-programs/ndep/Pages/index.aspx
Choosing Wisely—The Oral Diabetes Drugs: Treating Type 2 Diabetes, Comparing Safety, E�ectiveness and Pricewww.consumerhealthchoices.org/wp-content/uploads/2012/08/BBD-Diabetes-Full.pdf
Choosing Wisely—Best Treatments for Type 2 Diabetes www.consumerreports.org/cro/2012/12/treating-type-2-diabetes/index.htm
Choosing Wisely—Consumer Reports Type 2 Diabetes Fact Sheet www.consumerhealthchoices.org/wp-content/uploads/2016/03/BBDfactsheet-diabetes-EN.pdf
Northeast Business Group on Health: Digital Diabetes Prevention and Management Solutionswww.nebgh.org/wp-content/uploads/2016/03/Digital-Diabetes-Online.pdf
Northeast Business Group on Health: Transforming Diabetes Management: New Directions for Employers www.nebgh.org/wp-content/uploads/2015/05/NEBGH-Diabetes-Report.pdf
About the Minnesota Health Action GroupThe Minnesota Health Action Group is the only Minnesota organization whose sole purpose is to represent the collective voice of those who pay the bill for health care - employers, public purchasers, and individuals. We drive innovation, collaboration and engagement in ways that improve health care and ensure the economic vitality of all Minnesota communities.
New Research Targets Activity for Reducing Diabetes Risk Science Daily, October 21, 2016www.sciencedaily.com/releases/2016/10/161021123123.htm
Insulin List Prices Carry Sticker Shock NBC News, November 2, 2016www.nbcnews.com/business/consumer/insulin-new-epipen-families-facing-sticker-shock-over-400-percent-n667536
Type 2 Diabetes Caused by Buildup of Toxic Fat Medical News Today, November 4, 2016www.medicalnewstoday.com/articles/313889.php
Is Type 2 Diabetes Reversible?Chicago Tribune, November 7, 2016www.chicagotribune.com/lifestyles/health/sc-diabetes-type2-reversal-health-1109-20161107-story.html
Recent Advances From the American DiabetesAssociation American Diabetes Association, Top 17 2015, 2016 advanceswww.diabetes.org/research-and-practice/we-are-research-leaders/recent-advances/
QUESTIONS OR COMMENTS?
Please contact Carolyn Pare ([email protected]),or Deb Krause ([email protected])
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Diabetes in Minnesota Fact Sheetwww.health.state.mn.us/divs/healthimprovement/content/documents/DiabetesFactSheetNew.pdf
Diabetes Explained www.health.state.mn.us/divs/healthimprovement/health-information/disease/ diabetes.html
MN Community Measurement (Health Care Disparities Report)http://mncm.org/health-care-disparities-report/
The Minnesota Diabetes Collective Impact Initiative http://mnhealthactiongroup.org/wp-content/uploads/2013/08/MN-Diabetes-Collective-Impact-Blueprint.pdf
Minnesota Department of Health Diabetes Unit www.health.state.mn.us/divs/healthimprovement/working-together/who-we-are/ diabetes.html
Additional Minnesota Resources
Choosing Wisely Resources
Northeast Business Group on Health Resources
Trending Articles of Interest
WHAT IS OPTIMAL DIABETES CAREAND HOW ARE WE DOING?
Minnesota Community Measurement’s Optimal Diabetes Care measure includes both process and outcome criteria:· HgbA1c < 8 (glucose level)· Statin use (criteria based on age of patient)· Daily aspirin use· Non-smoker status· Blood pressure < 140/90
Diabetes care in Minnesota is consistently improving, but there remains room for improvement. Based on care received in 2006, only 14% of Minnesotans received Optimal Diabetes Care. The most recent data show that 46% received Optimal Diabetes Care statewide. (Note: there have been re�nements in the measure speci�ca-tions over time.) Public reporting is available at www.mnhealthscores.org.
Local and national preventive care guidelines also include annual eye exams for patients with diabetes. Minnesota’s eye exam rates are well below national rates. Public reporting will be available in 2018.
