Notes
Slide Show
Outline
1
Disease Management Program Overview for the
University of Alaska Staff Alliance
  • Presented by Premera – February, 2007


2
Disease Management Principles and Goals
3
Disease Management History
  • Premera partnered with Healthways, Inc in Dec. 2005 to provide the Healthy Connections Disease Management Program


  • Healthways is the largest Disease Management company; has been in the business the longest


  • The University of Alaska has had Disease Management services since 1995


4
Disease Management Quick Reference
  • The Healthy Connections program provides:


    • More employee/dependent outreach compared to previous programs
    • Better integration with other Care Facilitation and Medical Management programs
    • More engagement of members’ physicians
    • Enhanced clinical measures and reporting
5
Opt-Out Model
  • The Healthy Connection’s program automatically enrolls employee/dependents, to maximize participation
6
Member Identification Process
7
Member Stratification Process
8
Member Interventions
9
Physician Interventions
10
Disease Management Program Packages
11
University of Alaska Opportunity Analysis
Data Observations
12
University of Alaska Opportunity Analysis
Total Cost by Disease Category
13
University of Alaska Opportunity Analysis
Savings and ROI
14
University of Alaska Opportunity Analysis
Recommendations
  • Implement Package C
    • Diabetes
    • Coronary Artery Disease
    • Heart Failure
    • Asthma
    • COPD
    • Impact Conditions
15
 
16
University Activity Report
17
"QUESTIONS"
  • QUESTIONS?