Diabetes is a top cost driver for employers nationally. Due to the frequency of adverse events for members with diabetes, the flagship Abacus employer health management solution is the Good Health Gateway® Diabetes Care Rewards Program*. The program requires adherence to evidenced-based care for members with diabetes and supports the members with tailored messages and financial incentives. This behavioral approach includes support with a diabetes health educator and bi-annual visits with the member’s primary care physician to ensure compliance. Members must be up to date with all screenings and exams to be in compliance with the program and receive incentives.
Commercial Case Study
Health and wellness services have been a part of the corporate culture for this nationally dispersed financial services company for many years. An in-depth analysis revealed that claims costs and rates of hospitalizations for health plan members with diabetes were escalating far beyond other conditions for this company.
The level of participation and compliance in the Diabetes Care Rewards Program have both been consistently at 50%. This is over three times the national average for a disease management program. In four out of five years, during the measurement period, the program decreased diabetes claims costs trends. In the most recent year alone, the program generated a 13 to 1 ROI from $1.6 million in savings! The graph on the right shows how over five years the overall medical and pharmacy claims trend for the overall employer population was 26.3% while the trend for members with diabetes was minus 7.3%!
Hospital Case Study
Hospitals deliver care but are also large employers as well. To support employees with diabetes and increase those members’ engagement with in-house hospital resources, like a Center for Diabetes or an on-site pharmacy, many hospitals utilize the Abacus Diabetes Care Rewards Program to motivate members to manage their condition.
Municipal Case Study
The most consistent result with the Abacus Diabetes Program is a reduction in hospitalizations. The chart on the right shows the programs impact on hospital admissions per 1,000 for members with diabetes at this large City (includes all the unions in the intervention). Many municipal employers maintain high rates of employee retention, and that long employee relationship emphasizes the need to support employees and their dependents in maintaining their health over time. To enrich benefit offerings to the members and to drive down claims for one of the major cost drivers for the City, Abacus launched the diabetes program.