Successful strategies to increase employee utilization of health benefits
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Successful Strategies to Increase Employee Utilization of Health Benefits. Cancer Screening at Caterpillar. Michael Taylor MD FACP Medical Director for Health Promotion Caterpillar Inc June 18, 2009. Caterpillar Inc. Self-Insured 150,000 covered lives $650M annual spend on health care

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Successful Strategies to Increase Employee Utilization of Health Benefits

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Successful strategies to increase employee utilization of health benefits

Successful Strategies to Increase Employee Utilization of Health Benefits


Cancer screening at caterpillar

Cancer Screening at Caterpillar

Michael Taylor MD FACP

Medical Director for Health Promotion

Caterpillar Inc

June 18, 2009


Caterpillar inc

Caterpillar Inc

Self-Insured

150,000 covered lives

$650M annual spend on health care

Average age of employee 41

Annual turnover <10%


Successful strategies to increase employee utilization of health benefits

Best Return

Better Return

Minimal Return

Risk/CostSharing

Healthy & productive workforce

Quality

Productivity as a Business Advantage


Health promotion program

Health Promotion Program

Health Risk Assessment*

Online tools*

Health Promotion exams*

Food Services Management


Health promotion program1

Health Promotion Program

Tobacco cessation program

Onsite health coaches*

Lifestyles for Health

Work.Life.Solutions


Principles of screening

Principles of screening

Follow expert guidelines for recommendations

Remove all financial barriers

Measure participation

Track outcomes

Screen for cervical, breast and colon cancer


Cervical cancer screening

Cervical Cancer Screening

Age 18-65, 46% have been screened in 3 yrs

55 new cancers in 2008

Prevalence 7/1000


Breast cancer screening

Breast Cancer Screening

For age >40, 60% screened in last 2 yrs

2711 active cases

Prevalence 49/1000

Incidence declined by 46%* in last 4 yrs

*not yet validated


Colorectal cancer screening

Colorectal Cancer Screening

38% of those eligible have been screened

On average, 228 new cases in each of last 5 yrs

Quality improvement program started July 2007


New approach with mds and hospitals

New approach with MDs and hospitals

Agree on quality measures

Composite quality measure – 8 factors

Global fee paid to hospital

Pilot in our major Illinois markets


Composite measure 8 measures

Composite measure8 measures

Appropriate indication for screening

Appropriate patient selection (ASA class)

Document cecum reached

Void of serious complications


Composite measure 8 measures1

Composite measure8 measures

Assess quality of bowel prep

Withdrawal time recorded

Polyp type and size reported-7 parameters

Appropriate follow-up recommendation


Quality measures

Quality measures

Need to achieve all 8 measures

Currently, 50% of exams meet composite

10-80% range

Will become basis for tiered payments


Quality measures1

Quality measures

Composite measured for all colonoscopies

Implement process for all

Public reporting

Outcomes based P4P


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