TRANSFORMINGHEALTHCARE - Indiana Health and Wellness … · 2019. 9. 16. · Effect of Mental Health for your company •Direct ‐Behavioral Health Claims, Pharmacy claims, hospitalization

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with tailored solutions to activate organizations and patients

TRANSFORMING HEALTHCARE



Big Picture ImpactNationally

Total cost of health care $14,642 per employee

$15,375

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Big Picture ImpactNationally

Seeking additional mental health support from their employers 27%

Treatment for the most common conditions is effective 80%

Climate of

Mental HealthIn the Workplace

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“Depression is the leading cause of disabilityworldwide, and is a major contributor to the global burden of disease.”

– US Department of Human Services

“Employees with depression cost employers an estimated $44 billion per YEAR in lost productive time.”

‐ J.F. Marlow, Employee Benefits Journal

“1 in 5 adults will experience mental illness this year.”

‐ National Institute of Mental Health

“The economic costs of mental illness will be more than cancer, diabetes, and respiratory ailments put together.”

– Director, US National Institute of Mental Health at World Economic Forum, January 2015

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Effect of Mental Healthfor your company

• Direct ‐ Behavioral Health Claims, Pharmacy claims, hospitalization

• Indirect‐ Absenteeism, presenteeism, disability, workman’s comp, morale

‐ $79 to $105 billion per year

Calculate Your Costof Mental Health

DF9

The Depression Calculator for Employers

Depression affects more than 16 million Americans, costing the U.S. economy $210.5 billion per year in

absenteeism, reduced productivity and medical costs.

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START

http://www.workplacementalhealth.org/depressioncalculator/

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Slide 5

DF9 Don't think we want to risk using the internet connection to demo this. We should trot out some figures of examplesDavid Fingerhut, 9/2/2019

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NEXT

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The Cost of Depression

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The Depression Calculator for Employers Cost of depression: employees with depression that do not receive treatment miss an average of 31.4 days at work per year and lose another 27.9 in lost productivity.

Traditional Approaches

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EAPPPO

PBM

DF6

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Slide 10

DF6 The end of this slide really is where the "mind the gap" idea came from....and perhaps should be the first time we introduce a "gap"David Fingerhut, 9/2/2019

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Mental Health Parity and Addiction Act

Mental Health: Legislation

DF3DF8

Population: mild to moderate symptoms; behaviorally influenced problems

Location: Co‐located in clinic

Access to Care: Same‐day

Service: Brief (20‐40 minute), short term, prevention

Communication: Collaborative, ongoing communication

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Behavioral Health contrasted with Mental Health Services

Population: Most with mental health doctor, many with serious mental health issues

Location: Separated specialty care clinics

Access to Care: Depends on resources

Service: Comprehensive (60 minute), treatment focus

Communication: consult requests; siloed; internal communication within mental health team

Behavioral Health Mental Health

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DF3 insert a slide on important legislation shaping the current mental health landscape...1. Affordable care act, 2. Mental Health Parity and Addiction Equity ActDavid Fingerhut, 9/2/2019

DF8 Which led to a more preventative approach to health care and mental health careDavid Fingerhut, 9/2/2019

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• Twist on the traditional EAP‐ Fairview in Minnesota

• Onsite provider access

• Engage in screening and prevention

• Alternative location‐ Beacon Care Services in Texas

• Walmart, onsite

• Fee‐for‐service clinic

• Accepts private insurance

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Non‐Traditional Approach“Mind the Gap”

JL4JL5

Online, email, telephonic screening

Internal mental health outreach‐ “OK to Seek Help” campaign

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Non‐Traditional ApproachDigital approaches

Phone app

Toolkits ‐ Team Health in Tennessee

‐ Mind your mind

JL4JL5

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Slide 13

JL4 grab screenshots of these websites - mens mental health as wellJessica Lee, 9/3/2019

JL5 mantherapy , heads up guys,Jessica Lee, 9/3/2019

Slide 14

JL4 grab screenshots of these websites - mens mental health as wellJessica Lee, 9/3/2019

JL5 mantherapy , heads up guys,Jessica Lee, 9/3/2019

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• Veterans Affairs‐ 2002

• New England‐ 2010

• National TeleMentalHealth Centers ‐ 2016

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Innovative ApproachesTelemental Health

DF7

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Innovative ApproachesIntegrating behavioral health services

• Co‐located Collaborative Care Model‐ Veterans Affairs

DF7

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DF7 Should break this slide up a bit into every other non-traditional approach to MH other than the co-located integrated care ones (CCC). Then have a slide following with that informationDavid Fingerhut, 9/2/2019

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• Primary care mental health integration

‐ Eskenazi and Porter Starke Awards• SAMHSA

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DF7


• Primary care mental health integration

‐ Eskenazi and Porter Starke Awards• SAMHSA

‐ Cerner’s Healthe Living with Rewards• Branching out to provide onsite to external employers

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DF7

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Employer Movement for 2020Multipronged Approach

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• 33% said they will have a behavioral health counselor onsite

• 9% said they would offer a zero or

limited copay for certain mental health medications

• 48% said they would be running an internal anti‐stigma campaign

• 47% would trainmanagers to

better recognize the signs

National Business Group on Health (NBGH) annual survey, 2019

Foster a Culture of Health

A Unique Approach

Innovative solutions to activate patients and organizations

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Activating patients to take control of their health is the driving force of our successful strategy.

A focus on patient engagement by the health team providers and organization is necessary

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Activate’s Approach to Total Care

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Activate Healthcarekey differentiatorsWe tailor solutions for you.

• Everything fits – clinic design, clinic hours, rollout process.

• You are actively involved in selecting the right providers, which ensures a great fit.

• We hold monthly meetings with provider teams and client, so we can listen and continually improve.

Patient activation is at the center of everything we do.

• We proactively engage people with annual comprehensive health and wellness assessments.

• Proactive care enables serious conditions and risks to be managed early.

• Coaching is part of every visit, so we identify root causes and help change behavior.

• Referral Management and treatment planning

We optimize the whole as an integrated system.

• We provide strategic plans to the organization to change the culture of health.

• We guide the healthcare continuum in the community and enable shared access.

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Activate Healthcare Unique Approach

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Onsite & Near Site Clinic

case study#1 Overcoming Challenges: • Access

• Stigma

• Engagement

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Activate Healthcare Unique Approach

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case study#2

Climate of

Mental HealthIn the Workplace

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Significant concern in the workplace

Underrepresented by viewing claims data alone

Traditional treatment and prevention not fully addressing the issues

No “one size fits all” approach

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THANK YOU

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Documents

TRANSFORMINGHEALTHCARE - Indiana Health and Wellness … · 2019. 9. 16. · Effect of Mental Health for your company •Direct ‐Behavioral Health Claims, Pharmacy claims, hospitalization