GE Health Care ResourcesDiabetes Prevention Program

Progressive Cost of Diabetes Per Member Per Year2

Series1$0

$2,000

$4,000

$6,000

$8,000

$10,000

$12,000

$14,000

$16,000

$18,000

$20,000

$2,784$3,673

$4,592$5,595

$6,195

$13,093

$17,762

No diabetes

Diabetes / no complications

Diabetes non-compliant

w/hypertension

Diabetes non-compliant

w/CVDPrediabetes

Diabetes compliant

w/hypertension

Diabetescompliant

w/CVD

1. UnitedHealth Group’s commercial book of business, 2008 2. UnitedHealthcare 2008 analysis for Diabetes Health Plan for several large employers; Medical only (no Rx)

If the Current Trend Continues….• UHG BOB indicates increased treatment costs:• $6,663 PMPY average cost increase for diabetes• $889 PMPY average cost increase for prediabetes

• Costs are directly related to progression in severity• A non-compliant individual with diabetes and related complications

has potential to cost 9Xs more than a non-diabetic individual1

Confidential – Internal Use Only Diabetes Prevention and Control Alliance – United HealthCare Services, Inc. 2012

Based on GE population in seven DPCA markets:Minneapolis, Phoenix, Cincinnati, Dayton, Dallas, Milwaukee, Jacksonville

Diagnosed Diabetic8%

Not at Risk66%

Not yet diagnosed, but at risk

21%

At risk & diagnosed with prediabetes

5%

GE’s Risk Profile based on Predictive ModelingProfile included approximately 30,000 GE members in DPCA markets

Touch 2: Outreach by DPCA call

center

Follow up calls to enroll in DPP

DPCA sends welcome kits

Welcome letter & program overview

DPCA collects eligibility and

claim data

Capture data; obtain electronic eligibility file

DPCA Deploys OptumInsight

Impact analytics

Uses data to identify eligible participants

“Welcome aboard” calls to enrollees

YMCA Coach confirms first session at the Y or at work

Report program results

Provide reports on participation and outcomes

DPP weekly sessions

The 16-sessions cover weight loss, healthy eating, risk reduction, lifestyle change & behavior modification

Touch 1: Outreach to eligible

participants

Letter sent & invites sent to attend on-site events

Touch 2: GE promotes &

hosts screenings

Onsite events… staffed with Y Coaches…ability to enroll at event

1

7

6

5

4b

4a

3

2

8

GE’s Employee Engagement Process

GE’s Onsite Screening Events

Employees

Screened

Tested in Normal Range

(below 5.7)

Tested in Prediabetes

Range(5.7 – 6.4)

Enrolled in DPP at

screening

“Interested” &

enrolled later

Total Enrolled

1000 50% 40% 40% 10% 50%

• DPP program is ongoing at several GE locations• 150 employees currently in program

• 80% of GE employees who attend the first session go on to complete the program

• 50% of participants achieved desired weight loss goal within 20 weeks:• 30% lost 5% - 9% of their body weight• 20% lost greater than 9%

GE screening experience

Instant screening results and ability to enroll on the spot The risk quiz lets employees self-select Allowed for “teachable moments” Many did not know they were at risk…thought “everything was

fine” Semi-Truck encouraged participation

Communications

DPCA Model and Benefits to GE

• DPP participation and testing events are claim-based (no admin fees, start up costs or invoices)

• Turn-key A1c testing event administration

• Pay for performance reimbursement schedule

• No payment for failure

• Positioned as a provider in GE’s network

• Growing network of DPP vendor partners

• DPP at the worksite

• Addition of virtual DPP which will increase program reach

Next Steps…..pilot virtual program

Welcome Kit & Instructions + Electronic Scale + 16 online episodes + Online Support & Social Network

Months 1 – 5: View Episodes & use Online SupportMonths 6-12: Online Support Available

Enroll Online Access Tools(Shipped To Participant)

ParticipateVirtually

1 2 3

Enrollment begins on March 25th!

Promotion began on 3/21:• Posters• Table Tents• Brochures• E-Cards (3/21, 3/25 & 4/16)

• Postcard mailing (3/25 & 4/1)

• Onsite Screenings (week of 4/1 & 4/8)

• Digital videos

Communications/Promotion of virtual program