Offering rewards can be a great way to increase member engagement for patients with diabetes.
There are three diabetes care measures included in Medicare Part C, but some health plans only incentivize their members to complete one, because they don’t think members will do more.
Consumer engagement company NovuHealth, located in Minneapolis, found that when members are offered a reward for more measures-eye exam, kidney disease monitoring, and blood sugar control-they complete more.
“When plans we work with offered all three diabetic activities in their rewards and incentive program to members who have not historically managed their diabetes, the results were encouraging,” says Cory Busse, senior healthcare engagement strategist, NovuHealth.
For the research, NovuHealth conducted a retrospective analysis of multiple health plans’ member engagement programs, totaling more than 150,000 members during the first 10 months of 2018. Researchers determined that plan members who previously had open diabetic care gaps closed their diabetic gaps-and closed multiple additional gaps-through the engagement programs. Seventy-two percent of participating members completed at least two of the three diabetic healthcare activities; and nearly 40% completed all three.
“Diabetes-related medical costs are high-and rising, so it’s increasingly important that people get the care they need,” Busse says.
The average costs among people with diabetes are 2.3 times higher than people without diabetes, according to the American Diabetes Association. In addition, if left untreated, diabetes can lead to other costly complications, such as heart disease, kidney failure, amputations and more, making it a critical disease to keep under control.
Related: Early Intervention May Help Diabetes Patients
Several studies have documented the effectiveness of early diabetes detection and management, according to Busse. One study found that among nearly 7,000 patients with diabetes, the 3,118 patients who were actively managing their disease cost $100 less per member per month (PMPM) to care for, and received better scores on their HbA1c testing as well as on their lipid, eye, and kidney screenings.
“The key is motivating members to complete these healthcare activities, which means communicating effectively to them and incenting them appropriately,” Busse says.
Other NovuHealth research revealed that Medicare Advantage members who complete an Annual Wellness Visit (AWV) are much more likely to complete other high-value healthcare activities, including diabetic activities:
Members who completed an Annual Wellness Visit (AWV) were:
Based on the study, there are three things healthcare executives should know, according to Busse:
This week on Tuning Into The C-Suite Briana Contreras spoke with Dr. Scott Hayworth, president and CEO of New York-based CareMount Medical. In this interview, the two discussed the importance of patients staying in contact with their doctors for the sake of reducing public health risks and to discuss ongoing care options with them.
Listen
Eric Levin talks PBMs and how Scripta is Tackling the Market's Challenges for Patients
July 22nd 2020MHE's Briana Contreras spoke with CEO of Scripta, Eric Levin. The two discussed the current state of the pharmacy benefit market and how the Scripta organization has been assisting its clients and their prescriptions prior to the COVID-19 pandemic and during.
Listen