Living Well Network Reimbursement Workgroup Call Summary June 24, by iem58695


									Living Well Network
Reimbursement Workgroup Call Summary
June 24, 2009

Ben Gleason - Mid Rogue Health Plan
Linda Graham – Tuality Healthcare
Brenda Johnson – Deschutes County
Sarah Bartelmann – Oregon Public Health Division
Cara Biddlecom – Oregon Public Health Division
Laura Saddler – Oregon Public Health Division

Purpose of Call
   • Review Cost Calculator Survey data
   • Determine how to disseminate survey data
   • Discuss next steps for messaging cost data

Cost Calculator Survey data
   • Current Oregon average ~$375 per participant
   • Agreed to send de-identified survey data to program coordinators who completed
      the survey.

Who is our audience?
  • Really need to ask how organizations get their money and who is benefiting
       (financially) from people completing Living Well programs. Look at hospital
       billing systems, cost savings data, reduced ED visits, etc.
  • Who will actually be paying for this?
  • How can plan members be incentivized?
  • If the state said “this is how much the program costs” and leaves it up to local
       programs to implement (vouchers, waivers, scholarships, etc), would this be (a)
       acceptable? (b) practical?

National efforts?
   • Are there other campaigns nationally to help education consumers? Are there
       other “existing battles we can join” or efforts we can leverage?
           o Laura will check with QCorp
           o National cost-effectiveness data already exists, compiled by the National
               Council on Aging. Sarah will send out with meeting notes.

Conflicts of interest
   • Possible concern from diabetes educators about the overlap between Living Well
       and diabetes education? Especially since diabetes education (clinical) is
           o DHS has a good historical relationship with the Oregon Diabetes
               Educators and Linda knows several CDEs who might be interested in
               participating – try to include some representation in our discussions
               moving forward.
           o Review information from Vermont – comparison between diabetes
               education and CDSMP. May also be a factsheet on Stanford’s website (
               Sarah will send out with notes.
   •   What other organizations have conflicts? Who are our “worst enemies” in this
       effort and how can we invite them to the table?

Perceived value?
   • Need to raise the “perceived value” of Living Well programs. Program
       participants surveyed in Southern Oregon indicate they would only pay $35 for a
       Living Well program. How can we bridge the gap between perceived value and
       actual cost to organizations to offer the program?
   • Would like input from the Marketing and Recruitment Workgroup. Propose
       holding call with members from both workgroups to discuss messaging and
       moving forward.

Develop suggestions for messaging to different audiences (insurers, funders, community,
etc) about the perceived value of Living Well programs.

Next Steps
   • Laura will contact QCorp before next meeting
   • Sarah will schedule next workgroup meeting
   • Sarah will send out cost-effectiveness research summary, Vermont
       diabetes/CDSMP comparison,

Next meeting
   • September 2009

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