How an Innovative, Behavioral Science Approach Increases Patient Engagement, Improves Health, and Reduces Diabetes Cost Trend

Managing the Burden of Diabetes
Among Employers and Employees

Given the unrelenting obesity epidemic, diabetes will continue as one of the most prevalent and disabling chronic conditions in America.  Like many other chronic diseases, diabetes has a major impact on productivity, disability, and health care costs.  Unfortunately, diabetes cannot be cured or managed by pharmaceuticals alone.  Effective diabetes management requires the active engagement and participation of the patient with their doctor.  The American Diabetes Association (ADA) has specified a clear set of evidence-based care standards that all patients with diabetes should follow annually.  Unfortunately, despite these proven effective care guidelines, most people with diabetes have very low adherence to recommended standards of care (i.e. “gaps in care”) as well as low rates of compliance with regular blood glucose testing and recommended medication use

 

National Diabetes Statistics

%
Non-Adherent with
Care Standards
%
Non-Adherent
with Medication Regimen
%
Have other
Chronic Conditions
%
Claims Attributed to
Members with Diabetes

Proving the hypotheses
a compared controlled study of effectiveness

Scientific Validation

Abacus Health Solutions conducted a comparative controlled study of the Program’s effectiveness. A retrospective, pre-post-comparative study was conducted using propensity score matching to compare utilization and cost data between individuals enrolled versus a matched group of individuals eligible but not enrolled in the Program from 2010 to 2017.

 

A cohort of 3,318 members was identified; 1,659 of which were enrolled in the Program and the control cohort consisted of another 1,659 individuals that were eligible for the program but did not enroll and were matched on several demographic and health status and health risk variables, like age, gender, location and insulin use, as well as, the Elixhauser Comorbidity Index (a measure of a person’s risk of hospital admission calculated based on the presence or absence of a set of chronic medical conditions) helped ensure we were comparing members who had similar health risks and illness severity prior to program implementation.

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The Results

Clinical MeasurementHbA1c Reduction

21% Decrease in members with HbA1c >9

Service UtilizationPhysician vs Hospital Visits

54% Increase in physician visits
40% Decrease in hospital admits
44% Decrease in hospital days

Increase TestingClosing Gaps in Care

54% Increase in HbA1c testing
9% Increase in Lipid testing
37% Increase in Albumin testing

Decrease in Medical Spending PMPMParticipants vs Non Participants

$1,395.60 Decrease in PMPY medical spending

High Cost Claims AvoidanceGreater Than $200,000 per claim

$16 Million savings in participants vs non participants 

Abacus Scientifically Validates Diabetes Care Program Results

Using over a decade’s worth of program data, Abacus has scientifically proven the effectiveness of the Diabetes Care Rewards Program including nearly a $1,400 annual medical claim savings.

COVID19 Update
Abacus Health

Maintaining the health and safety of our employees and program members is our top priority during this public health crisis.

The Abacus Health HelpLine is fully operational. HelpLine Advocates are available to answer member’s questions about our programs, assist with program enrollment and schedule a time for members to speak with our clinical staff.  Additionally, our entire staff is fully operational and operating remotely.

Due to the ongoing challenges some members are facing in scheduling and keeping appointments with their Providers, extensions are available by calling the HelpLine.  This ensures that our members continue to have access to their much-needed incentives. We will continue to evaluate this as needed. We understand that not all areas of the country are experiencing healthcare system challenges, so we encourage members to call their doctor to determine if they should keep their scheduled appointment.

Our program members are encouraged to take advantage of the valuable resource they have in our Nurses, Diabetes Educators and Pharmacists. Members can schedule a call with one of our clinicians by calling 800.643.8028.

Practice Social Distancing and Be Safe