EBPA Annum presentation 12072017€¦ · d Z > P l v } Á o P v h v , o Z ] u ] v v µ u , o Z U î ì í ó

REINVENTING TREATMENTFOR HEAVY DRINKING

EBPA MeetingDec. 7, 2017

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The Largest Acknowledged and Untreated Health Epidemic

© Annum Health, 2017

Private & Confidential

Heavy Drinking Among Women At All-Time High, Despite Health

ConsequencesNovember 30, 2017

America's Dark Future: Deaths from Booze, Drugs, Suicide Could

Spike 60 Percent Next DecadeNovember 21, 2017

The Nation's Top Cancer Doctors are Asking People to Drink Less in an Unprecedented Warning

November 9, 2017

There Are Medications That Can Treat Alcoholism, but Doctors

Rarely Use ThemOctober 30, 1017

New Study Says Heavy Drinking Has Become a ‘Public Health Crisis’October 27, 2017

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32 Million At-Risk & Heavy Drinkers



“Excessive alcohol consumption is very common in America, but quality treatment is scarce. It’s time we treat heavy drinking like the public health epidemic it is.”

—Mark Willenbring, Annum co-founder in Real Clear Health

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$249 Billion Total Annual Economic Loss


$82 billion lost each year due to impaired workplace performance and absenteeism.


In the absence of a viable alternative, employers treat this as a write off.

$28 billion spent each year on health care costs

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Heavy Drinking a Major Contributor to Costly Chronic Diseases


Elevates the Risk of:• Cardiovascular disease and

high cholesterol

• Diabetes

• Depression

• Breast cancer, head and neck cancer, esophageal cancer and other cancers

• Alzheimer’s Disease and other dementias

• Accidents, injury & trauma

“Excessive alcohol consumption is the third leading preventable cause of death in the United States”

— National Institute on Alcohol Abuse and Alcoholism

$316

$249 $245

$210

$157

Cardiovascular Alcohol Use Diabetes Depression All Cancers

Cost in Billions

Source: CDC

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Current Offerings are Inconvenient, Ineffective, Stigmatizing and Expensive



Annum Solves for Two-Thirds of the Barriers Keeping People in Need Out of Treatment

1% 21%

19%

20%

8%

31% Other

Inaccessibility

Stigma

Cost

Ineffectiveness

Not interested

U.S. adults who need treatment but go without cite the following reasons for not seeking it:

Source: Substance Abuse and Mental Health Services Administration

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The Modern Alternative To Traditional Rehab


Tech enabled, cost effective and results oriented• Mobile Delivery

Accessible everywhere

• Personal ChoiceQuit or cut back

• Proven MedicationSupports personal goals

• Full Year TreatmentPrivate, continuous, practical

• Employer FundedMeasurable outcomes & ROI

No labels, no steps, no meetings and no rush


The Annum Solution

Private and Convenient

8© Annum Health, 2017

Single Platform – Complete Solution

Provider Platform Ensures Consistent,

National Quality

App is the Participant’s Single Point of Contact


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The Participant’s Journey



Lapse-management is included throughout the full year of support

Billing trigger

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Universal engagement eliminates stigma by reaching out to every employee, informing them of the new benefit and offering a friction-free path to

quitting, cutting back or just learning more.


Annum will also provide employer partners with customized internal marketing materials to enhance engagement.

No One is Singled Out; Turnkey Implementation

Population Health Approach to Engagement

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In-house Call Center Digital Marketing Customized Marketing

Our multi-channel approach is customized for each population.

Ready to Deliver Timely, Effective and Affordable Care to People Who Need It?

DISCUSSION & NEXT STEPS

12© Annum Health, 2017

Appendix

Engagement WaterfallOur NetworkAUD Identification Test (AUDIT-10)A Time Tested ApproachOur LeadershipSelected Bibliography

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Engagement WaterfallA Company with 10,000 Employees



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Annum Network

Annum Training, Manualized Protocols & Clinical Supervision

PhysiciansPrimarily emergency & urgent care physicians with telehealth experience

• Licensed in state where treating participants

• Carry their own insurance & HIPAA trained

Licensed Clinical Social Workers (LCSW)Background in evidence-based approaches and teletherapy

• Licensed in state where treating participants

• Carry their own insurance & HIPAA trained

CoachesMasters level in Social Work and/or Psychology

• Familiarity with CBT and Motivational Interviewing

• HIPAA trained

All providers use Annum’s proprietary end-to-end platform


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Alcohol Use Disorder Identification Test (AUDIT-10)


1. How often do you have a drink containing alcohol?

(0) Never (Skip to Q9-10) (3) 2-3x/week

(1) Monthly or less (4) 4+ times/week

(2) 2-4x/month

6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?

(0) Never (3) Weekly

(1) Less than monthly (4) Daily

(2) Monthly

2. How many drinks containing alcohol do you have on a typical day when you are drinking?

(0) 1-2 (3) 7-9

(1) 3-4 (4) 10+

(2) 5-6

7. How often during the last year have you had a feeling of guilt or remorse after drinking?



(2) Monthly

3. How often do you have six or more drinks on one occasion?



(2) Monthly

Skip to Q9 & Q10 if total score for Q2+Q3=0

8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?



(2) Monthly

4. How often during the last year have you found that you were not able to stop drinking once you started?



(2) Monthly

9. Have you or someone else been injured as a result of your drinking?

(0) No

(2) Yes, but not in the last year

(4) Yes, during the last year

5. How often during the last year have you failed to do what was normally expected from you because of drinking?



(2) Monthly

10. Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?

(0) No

(2) Yes, but not in the last year

(4) Yes, during the last year

Score: 5-10: At-risk Drinker (20% AUD) • 11-15: More At-risk Drinkers (40+% AUD) • 16+: High probability of moderate (90+% AUD)

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A Time-Tested Approach


Safe, Effective Medicine.

“[M]edications... have been shown to help patients reduce drinking, avoid relapse to heavy drinking, achieve and maintain abstinence, or gain a combination these effects.”

Combining Medicine and Therapy.

”Moderate alcohol dependence can be treated with greater effectiveness when [medicine] is used in conjunction with weekly outpatient cognitive behavioral therapy.”

Offering a Choice to Quit or Cut Back.

”Allowing patients to choose their treatment goal increases the success rate.”

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Current Offerings Inconvenient, Ineffective, Stigmatizing and Expensive



"I first looked for help with drinking when I was 27. All I could find were 12-step programs, which immediately turned me off. If a private, affordable and non-judgmental program like Annum had been available to me back then, I'd like to think that I might have pursued treatment much sooner, before my drinking spiraled so completely out of control. Instead, I struggled for so long and wasted too many years of my life because I did not want to be labeled an alcoholic or ask for help." — Andrew Michinard, The Alcoholic Next Door

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Our LeadershipOur Leadership

Michael B. Laskoff, Co-Founder and Chief Executive OfficerMichael is an expert healthcare innovator and experienced entrepreneur. Prior to co-founding Annum Health in 2016 to meet the urgent health and economic need for a scalable, evidence-based treatment for heavy drinkers, Michael founded AbleTo. Now a recognized telehealth leader, AbleTo uses behavioral change to reduce medical expense and improve health outcomes. As CEO, Michael raised three rounds of venture funding and secured health plan partnerships to cover over 30 million people.

Lauren Wolfe, PsyD, Co-Founder and Chief Clinical OfficerDr. Wolfe is a licensed clinical psychologist, a certified tobacco treatment specialist and the associate training director of the Health Psychology Program at California Pacific Medical Center in San Francisco. Her keen interest in leveraging technology to improve upon and scale evidence-based treatments for heavy drinking and smoking is informed by a career that has spanned both the health and tech sectors. Dr. Wolfe was trained at the Veterans Health Administration (VA) focusing on addiction treatment and earlier in her career was the director of strategic accounts at Tanium, a global leader in cybersecurity.

Mark Willenbring, MD, Co-Founder and Chief Medical Officer Dr. Willenbring is a psychiatrist who has been pioneering new ways to treat alcohol and drug use disorders for over 35 years. While leading the Division of Treatment and Recovery Research at the National Institute on Alcohol Abuse and Alcoholism at the National Institutes of Health from 2004-2009, Dr. Willenbring was responsible for overseeing research on alcohol use disorder at universities around the United States. Respected as a master clinician, a visionary, and a scientist, Dr. Willenbring frequently offers guidance on the national and international stage regarding the interpretation and implementation of new scientific findings related to addiction treatment.


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Selected Bibliography

van Amsterdam J. (2013). "Reduced-risk drinking as a viable treatment goal in problematic alcohol use and alcohol dependence." The Journal of Psychopharmacology, (27), 987-997.

Anton, R.F., et al. (1999). “Naltrexone and Cognitive Behavioral Therapy for the Treatment of Outpatient Alcoholics: Results of a Placebo-controlled Trial.” American Journal of Psychiatry, 156(11), 1758-64.

Centers for Disease Control and Prevention (2017). “Chronic Disease Prevention and Health Promotion.” 28 June 2017, www.cdc.gov

Centers for Disease Control and Prevention (2016). “Depression.” 30 March 2016, www.cdc.gov/

Hingson, R.W., et al. (2017). "Drinking Beyond the Binge Threshold: Predictors, Consequences, and Changes in the U.S." American Journal of Preventive Medicine, 52(6), 717-727.

Glaser, G. (2015, accessed 2017, May 12). "The Irrationality of Alcoholics Anonymous," Atlantic Monthly [Online]. www.theatlantic.com

Bush, D.M. and Lipari, R.N. (2015, accessed 2017, May 12). Substance Use and Substance Use Disorder by Industry [Online]. www.samhsa.gov

NIAAA – National Institute on Alcohol Abuse and Alcoholism. (2005, accessed 2017 May 5). Helping Patients Who Drink Too Much –A Clinician’s Guide [Online]. www.niaaa.nih.gov

Sacks, J.J., et al. (2015). “2010 National and State Costs of Excessive Alcohol Consumption.” American Journal of Preventive Medicine, 49(5), 73-9.

SAMHSA – Substance Abuse and Mental Health Services Administration. (2014, accessed 2017, May 8). Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings [Online]. www.samhsa.gov

SAMHSA. (2015, accessed 2017, May 4). National Survey on Drug Use and Health: Detailed Tables [Online]. www.samhsa.gov

Shield, K. D., Parry, C., & Rehm, J. (2014). Chronic Diseases and Conditions Related to Alcohol Use. Alcohol Research࣯: Current Reviews, 35(2), 155–171.


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Annum Health • 335 Madison Ave, 16th Fl., New York, NY 10017 • www.annum.com

Documents

EBPA Annum presentation 12072017€¦ · d Z > P l v } Á o P v h v , o Z ] u ] v v µ u , o Z U î ì í ó