Slide 1

Report
Carol Calvin RN MS CPHQ
UnitedHealthcare
Current U.S. Healthcare situation unsustainable
Achieving individual health ownership may help.
80% Increase in family
coverage costs since 20031
Patients who leave their doctor’s
appointment not knowing what they were
told or what they are supposed to do5
52% Estimated U.S. population
100,000 Number of deaths every
expected to have diabetes/ prediabetes by 20202 (UnitedHealth
Group)
41% Consumer health care
decisions that are less than
optimal4
2
3 Centers
50%
year linked to poor health literacy6
50%
Medications not taken as
prescribed.1
50-75% Healthcare costs
25-30% Employer health care
driven by lifestyle decisions3
costs due to avoidable diseases
1 2013 Kaiser/HRET Survey of Employer Health Benefits. 2 UnitedHealth Center for Health Reform & Modernization study “The United States of Diabetes: Challenges and Opportunities in the Decade Ahead.”
for Disease Control, “Healthy Communities,” www.cdc.gov/chronicdisease/resources/publications/aag/healthy_communities.htm. 4,8 UnitedHealthcare Consumer Activation Index 2011. 5&6 AHIP Coverage 2013. 7 Annals of Internal
Medicine. Interventions to Improve Adherence to Self-administered Medications for Chronic Diseases in the United States: A Systematic Review. Dec. 4 2012, Vol 157, No. 11.
2
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Defining health risk factors
Risk factors are behaviors or conditions that increase your chance of
developing a disease. Many risk factors are related. For example, if someone
is not physically active, that person is more likely to become overweight and
more likely to develop high blood pressure
Modifiable Risks
Non-Modifiable Risks
Tobacco Use
Age
Physical Inactivity
Sex
Poor Diet
Race and ethnicity
Overweight and obesity
Family history
High blood pressure
Genetics
Type 2 Diabetes
Multiple risk factors
3
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Progression of Modifiable Health Risks
Chronic disease
Preventable
Events
•
•
•
•
•
Stroke
Heart Attack
Blindness
Amputations
ESRD
progression happens
gradually. Population
data demonstrate how
conditions worsen
CAD or CHF with
Diabetes
Diabetes with
Hypertension and
Comorbidities
Diabetes
• Diabetes + CAD
• Diabetes + CHF
year-over-year
• Diabetes + Hypertension
• Diabetes + Renal Failure
• Diabetes, may also have
obesity and hyperlipidemia
Metabolic Syndrome Proxy
• 2 or more of hypertension,
hyperlipidemia, pre-diabetes, obesity
Early Risk
• Hypertension, Hyperlipidemia.
• Pre-diabetes, Obesity
Healthy
4
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
• Healthy
• unknown health risks
Health Decisions impact costs heath care
Health decision
Potential impact on
health care costs*
Lose significant weight
$2,5001
More effectively
manage
a chronic illness
$2,4092
Stop smoking
$1,6883
Select a specialist rated
on quality and
efficiency
$1,026
savings/episode4
1. National Institute of Health (National Institute of Diabetes, Digestive and Kidney Disease).
2. UnitedHealthcare Book of Business data, 2007.
3. OptumHealth savings study.
4. UnitedHealthcare client study 2003-2005, 2006 claims data.
5. World Health Organization (WHO), Preventing Chronic Diseases: A Vital Investment, Geneva:
2005
* potential health care savings per individual per year
5
Lifestyle Behaviors & Health
50 - 85% of all diseases are associated
with modifiable health risks – and are
therefore preventable;
80% of all heart disease, stroke, type 2
diabetes and up to 40% of cancer could
be prevented if people;
(1) ate healthier;
(2) exercised more;
(3) stopped using tobacco 1
1. World Health Organization (WHO), Preventing Chronic Diseases:
A Vital Investment, Geneva, 2011
6
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Health behaviors and longevity
People who
Live an extra
Are vegetarian
1.5 years
Exercise regularly
2.4 years
Eat nuts five times a week
2.5 years
Have normal blood pressure
3.7 years
Do not have diabetes
6.6 years
Maintain normal weight
11 years
7
Confidential Property of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Tools
to improve
healthoverview
ownership
UnitedHealth
wellness
Awareness
• Annual Wellness Exam
• Biometric Screening
• Health Assessment
Education
Create
Awareness
Encourage
&
Reward
Support
Behavior
Change
Educate &
Inform
• Newsletters
• Videos
• Articles/Tips on Bulletin Boards
• Onsite Seminars
• Webinars and Podcasts
Behavior Change Support
• Coaching Programs
• Disease Management
• On-Site Support Groups
• On-Site Fitness Equipment
• Health & Wellness Discounts
• Wellness Challenges
• Environmental Enhancements
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Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

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