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2007_NLO_United Against Diabetes - Randy Defrehn - Slide 1

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2007_NLO_United Against Diabetes - Randy Defrehn - Slide 1 2007_NLO_United Against Diabetes - Randy Defrehn - Slide 1 Presentation Transcript

  • United Against Diabetes Presentation to BC/BS Hollywood, Florida – February 22, 2007
  • Brief Update Since we Met with Jim
    • Named campaign United Against Diabetes!
    • Sharpened our target population focus
    • Significantly improved the design of the campaign
    • Developed a great deal of materials, including a web site (which is being tested)
    • Announced campaign in Miami on Nov 14
    • Planned Launch: Washington DC, March 25-28, 2007
  • Today’s Program
    • Part 1: Who we are and what we represent--Randy & Pete
    • Part 2: Our history with diabetes--Steve & Dan
    • Part 3: The scope and plan for the campaign—Knut & Laura
    • Part 4: How we envision Pfizer’s role--Randy
  • Part 1: Who we are and what we represent Randy Defrehn, NCCMP Pete Stafford, CPWR
  • Our Objective
    • To launch a national campaign focusing on preventing and managing diabetes and related risks, including obesity, cholesterol, hypertension and smoking
      • Primarily in Multiemployer Funds
      • Secondarily in other union populations
  • An Initiative of
    • Center To Protect Workers Rights
    • Diabetes Research Institute Foundation
    • Dad’s Day/Dollars Against Diabetes
    • National Coordinating Committee For Multiemployer Plans
  • What is NCCMP?
    • Founded 1974
    • Non-profit membership organization
    • Members:
      • Pension and health & welfare funds
      • Both employers and unions
    • To ensure members a minimum of regulatory or other interference.
    www.NCCMP.Org
  • What is CPWR?
    • Non-profit organization
    • Research and training arm of BCTD
    • Special focus on safety and health
    • 25 million annual budget
    • Research consortium with 32 universities
    • Recognized world-wide
    www.cpwr.com
  • What is DRI
    • Leading center of excellence
    • Basic, pre-clinical, clinical and public health research
    • Leads federation of 11 research centers world-wide
    • Type 1 diabetes: Pioneer in islet cell transplants
    • Type 2 diabetes: Participant in the Diabetes Prevention Program (DPP)
    www.dri.org
  • What is Dad’s Day
    • Founded by Building Trades unions in 1987 to raise money for DRI
    • Annual Dad’s Day nationwide fundraising
    • Golf tournaments and other fundraising events
    • More than $35 million raised to date
    • Goal for 2007: raise 5 million
    www.dadsday.org
  • Roles Access to health funds Funds Advisory Committee Liaison with Pfizer NCCMP Marketing Dad’s Day Patient Support Program, including screening Website & Toll-free Counseling Scientific Advisory Committee DRIF Administrator Public Health Research CPWR
  • Founding Co-Chairs
    • Edward C. Sullivan
      • President, Building and Construction Trades Department, AFL-CIO
      • Chairman, NCCMP
      • President, CPWR
    • Robert A. Pearlman
      • President, Diabetes Research Institute Foundation
  • Our Message # 1
    • Diabetes is epidemic
    • 2006: 15% of population over age 40 has diabetes
      • 2/3rds know it
      • Already 10-15% of health and welfare costs
  • Our Message # 2
    • Diabetes can be managed
    • To do so, health and welfare funds must become proactive
    • Each fund can do it alone, or we can do it together
    • We think a common approach is best
  • Our Message # 3 The Costs of Doing Nothing
    • By 2015
      • 25% of adult population will have diabetes
      • They will consume 25-30% of all health and welfare costs
    • By 2020
      • 30-40% of adult population will have diabetes
      • They will consume 30+% of all health and welfare costs
  • The Union Market– 59 Million Lives 25+ million lives 1760 Funds Multiemployer Funds 10 million lives Of these 1100 building trades Funds 25 million Single employer union families 50+ Million Lives Total Lives Units Sector
  • The Union Market– Dollars *Of this approx. $18 Billion is for Rx $350 billion Total $150 billion 25 million Single Employer $200 billion* 25 million Multiemployer Annual Health Costs (2003) Lives Source
  • Characteristics of Union Health Benefits
    • Freedom of choice in treatment
    • Indemnity coverage
    • Very broad preferred networks
    • First dollar coverage
    • Minimal deductibles or copays
    • Top-of-the-line Rx formularies
  • Part 2: Our history with diabetes Steve Fishman, VP, DRIF Dan Feller, Dad’s Day
  • Patient Support Program
    • Awareness, Screening and Early Detection .
      • Screening individuals at risk for diabetes, obesity, hypertension, cholesterol and smoking, and providing them with help to change life style, delays the onset of diabetes and other risks/diseases
    • Disease Management .
      • Disease progression is slowed and average medical costs are reduced for patients who are part of disease management programs.
    • Case Management.
      • Patients with advanced diabetes have fewer complications, fewer emergency room visits and hospital admissions, and shorter lengths of stay per hospital admission if they are enrolled in active case management programs
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  • Part 3: The scope and plan for the campaign Knut Ringen, STC/CPWR Laura Welch, CPWR
  • Source: CPWR DOE Medical Screening program
  • Source: Duke University
  • One Trust Fund’s Experience
    • 7,500 active members
    • 341 (4.5%) members with diabetes
    • Cost of treating these 341 with diabetes
      • 5 years (1999-2005):
        • Total $11.01 Million
        • Per Patient: $32,300
      • Average Cost Per Patient Per Year: $6,500.
      • Percent of Total Fund Costs/Members: 11.2%
    Source: Duke University
  • The Challenge of Imposing Disease Management in Indemnity Plan Environment
    • Health plans
      • Not involved in care
      • Lacking clinical guidelines or rules
      • Too few participants in any medical practice to influence the practice
      • Deficient data systems and program monitoring
    • Providers
      • Practice traditional reactive medicine
      • Resentful of health plan intrusion
      • Are measured on process rather than outcomes
  • Solution
    • Encourage use of incentives and penalties
      • To participate in screening
      • To comply with treatment guidelines
    • Access to evidence-based patient support program designed for the multiemployer fund environment
    • Continuous evaluation and improvement
  • Screening Logic Adult Fund Population Health Risk Appraisal Not At Risk At Risk FPG Neg (<100) Pos (> 100) A1c Test < 7 Education & Re-screen >7 Disease or Case Mgt Annual Re-screen
  • Diabetes Risk Algorithm Fund Population Generally Not at Risk < Age 40 BMI<25 At Risk (32%) >Age 40 (40%) BMI>25 (80%) No Diabetes 66% Diabetes 33%
  • Population at Risk For Diabetes Total Multiemployer pop 25,000,000 Generally Not at Risk 17 Mill At Risk (32%) 8 Million No diabetes 5.3 Mill Diabetes 2.7 Mill (10.8%)
  • Estimated No. Diabetes Cases 6.3 million Total 2.7 million Single employer 3.565 Million Multiemployer / Other Taft-Hartley Funds Est. No. of Cases Category
  • UAD Organization Chart Board
  • How this Campaign Will be Funded
    • Development Phase (5 years):
      • Support from health care industry partners, government and foundations
    • Ongoing Campaign
      • Contributions from participating health and welfare funds which in return receive all benefits of campaign including Patient Support Program
      • Contribution rate(s) to be defined by Fund Advisory Committee
  • Goals for Year 1
    • Get up and running
    • Recruit at least 25 Funds
    • Start up to 5 pilot studies
    • Work out bugs in patient support program
    • Finalize plan for public health program activities
    • Prepare plans to go nationwide by 2008
  • Goals for Enrollment Contribution = 1 cent per member per hour worked = $13-18 per year $55-85 mill 1,620,000 15,000,000 1200 5 $48-68 mill 1,300,000 12,000,000 800 4 $20-28 mill 540,000 5,000,000 300 3 $7-10 mill 195,000 1,800,000 90 2 $1-1.7 mill 32,400 300,000 25 1 Contributions To UAD Diabetics Lives Funds Enrolled Year
  • Part 4: How We Envision Pfizer’s Role Randy Defrehn, NCCMP
  • Possible Roles for Pfizer
    • Founding sponsor:
      • Development funding: $1 million/yr x 5yrs
    • Help from diabetes disease management staff in design of evidence based interventions
    • Help from marketing staff in design of materials
    • Participation in scientific advisory committee
    • Involve account reps in outreach
  • How the Pfizer Funding will be Spent (Estimate--Year 1) $1,000,000 Total $260,000 Outreach/Marketing $200,000 Pilot Studies $40,000 Advisory Committees $350,000 Patient Support Services $150,000 Administration Amount/Yr Activity
  • What’s the Added Value to Pfizer
    • More diabetes patients in active treatment at earlier stage
      • More cases diagnosed through screening
      • More cases in disease management and case management with more aggressive interventions
    • Diabetes screening also uncovers and deals with other risk factors: obesity, blood pressure, cholesterol and smoking
    • Goodwill as founding sponsor of campaign
    • Build relations with unions and their employers
  • What’s the Probability of Success
    • Highly experienced team
    • Excellent access to target population
    • Great reception for concept in target population
    • Past experience
      • Diabetes
      • Smoking prevention and cessation
      • Construction safety and health