Fields Employer Based Population Health Management Flashcards
Cummins only has 1 insurance plan to worry about
Cummins only has 1 insurance plan to worry about
Employers of Cummins
- self insured global employer
- over 60k covered lives
- 22k in Southeastern IN
Negotiated with Express Scripts to finance the addition of RPh
Negotiated with Express Scripts to finance the addition of RPh
Meeting the population at work
- health & safety fairs
- annual wellness screenings
- mass immunization events
- lunch time education sessions
- complete health improvement program (CHIP)
- prescription drug abuse program
- union leader interactions
- vendor collaboration
- teaching ZUMBA
Redefining the population into tribes
teaching everyone in the department about lifestyle changes
- very hard if only 1 person to change if everyone else is not
Cummins LiveWell Center
- teaching kitchen in front of building
- dietician
- physical therapy
- occupational therapy
- CAM
Impacts of Cummins Onsite Pharmacist on Drug Adherence
- Cummins SE is higher than peer comparisons
In 2020, 27.8% of adult diabetics in US had A1c ≥ 8%
94-96% of patients at Cummins had A1c < 8%
281,880 - 963,000$ saved per year
High-Cost Claim Intervention
- 4% of the claims accounted for 99.3% of the cost for Metformin accounting for 753,000$ per year
422,127$ client savings in 1 year moving from high-cost metformin to less expensive formulations
Annual Eye Exams
Q4 of 2022: 48.72%
Q1 of 2023: 72.61%
required reaching out to Anthem rep to find providers who were in network to allow for resources
Advocacy for Population at Cummins
- extended preventative coverage policy for smoking cessation meds from a 60-day supply once in a patient’s lifetime to cover for 6 months of therapy each year
- exceptions to patients on insulin pumps that only work with specific CGMS
- grandfathering of patients on brand name Synthroid with exclusion of coverage change
