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COLLABORATING WITH MANAGED CARE ORGANIZATIONS

COLLABORATING WITH MANAGED CARE ORGANIZATIONS. Building our Network to Expand Arthritis Disease Management Program Partnerships The New York Chapter Experience. CHAMPION. Shepherd. PROPOSAL HIGHLIGHTS. Evidence-Based Outcomes. Improves Knowledge Improves Self Care Behaviors

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COLLABORATING WITH MANAGED CARE ORGANIZATIONS

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  1. COLLABORATING WITH MANAGED CARE ORGANIZATIONS Building our Network to Expand Arthritis Disease Management Program Partnerships The New York Chapter Experience

  2. CHAMPION

  3. Shepherd

  4. PROPOSAL HIGHLIGHTS

  5. Evidence-Based Outcomes Improves Knowledge Improves Self Care Behaviors Reduces Pain Reduces Physician Visits Reduces Depression Increases Self-Esteem Improves Functional Ability ASHC Benefits Documented through Outcomes Research:

  6. ASHC Participation Outcomes Based on results obtained from the Stanford University Study by Lorig, Mazonson, & Holman. Published in Arthritis and Rheumatism, April 1993.

  7. ASHC Cost Savings 43% reduction in physician visits results in estimated savings of : $189 per OA participant $684 per RA participant Lorig. Mazonson, Holman, 1993 Cost effectiveness Analysis: “With 10,000 participants, program could save $2.5 million over 4 years.” Krueger, Helmick, Callahan, Haddix, 1998

  8. Benefits of Arthritis Disease Management Program Partnerships • Access to proven disease management programs • Market as a value-added service • Increased ability to control health care costs • Improved health outcomes • Save the time, money and effort that would be required to develop initiatives the Arthritis Foundation has already created

  9. Initiating the Steps

  10. Making the Partnership Work

  11. Chapter Responsibilities Provide Instructors Register Participants Furnish Course Texts Provide Program Sites Monitor and Evaluate the Program Provide Marketing Kit

  12. MCO’s Responsibilities Market to Current Membership and Potential Subscribers through: Health Care Providers Newsletters Billing Information Recruit Class Participants

  13. Marketing Strategies Direct Mailings to: 40,000 GHI Subscribers with Arthritis 2,100 GHI Providers 20,000 HIP Subscribers with Arthritis 2,500 HIP Providers Advertisements in Targeted Newspapers Distribution of Promotional Kits to Subscriber Groups

  14. Marketing Strategies Announcements through: GHI Professional News & Notes Newsletter Circulation 43,000 Health Care Providers GHI’s Annual Report Circulation 20,000 recipients HIP’s HIP Today newsletter Circulation 800,000 members Union Newsletters Circulation 100,000 members Chapter’s New York Arthritis Reporter Circulation 55,000 recipients Web Sites

  15. GHI/HIP Partnership Accomplishments (1998 – 2004) • 11,962 Requests for Course Information • 7,885 Registrants for 244 Courses • >4,000 Subscribers Remain on Wait List TOTAL INCOME GENERATED: $610,000

  16. Health Outcomes

  17. HIP/GHI Partnership Course Results ASHC and PACE led to statistically significant improvements in the following: Knowledge of arthritis care Practice of self care techniques Arthritis symptoms Attitude towards arthritis care Depression Self rated health

  18. Patient Satisfaction Survey Summary

  19. Arthritis Disease Management Program Partnerships with MCOs The Next Step

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