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A Case For Care Management - MBGH

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					A Case For Care
 Management
 Judy Hearn, Health & Welfare Manager
          Pactiv Corporation
           August 16, 2006
Who is Pactiv?
Pactiv Corporation (NYSE: PTV) is a leading producer of
specialty packaging products for the consumer and
foodservice/food packaging markets with annual sales of
$2.8 billion.




                                                          2
Pactiv: Strategic Challenges
• Cost of raw materials are at an all time high

• Workforce must be lean and highly efficient

• Cost of health care benefits continues to rise

• Workforce is growing older – average age is 45




                                                   3
Pactiv Benefits – Our Guiding Principles
• Competitive
   – Benefits should help Pactiv attract and retain great employees
• Cost effective
   – Benefits costs must be managed and controlled – for both Pactiv and
     its employees
• Flexible
   – Benefits must be flexible and stable, meeting diverse employee
     needs while supporting Pactiv business objectives
• Understood
   – Educate employees so they can make the right benefit choices and
     well informed health care decisions
• Supportive
   – Provide employees with tools and programs to help them improve
     their health and be efficient users of health care – while ensuring
     their privacy and freedom of choice
                                                                           4
Program Selection Process
• Reviewed proposals from several vendors
• Midwest Business Group on Health advantage
  – Partnership with Joint Purchasing Group assures
     • Health plan, provider and vendor accountability for
       value, quality measurement and improvement, and
       performance
  – Through this discovery process
     • Selected CorSolutions, A Matria Company as
       preferred vendor
         – Integrating Pactiv’s disability and health program
          efforts

                                                                5
Care Management Program Objectives
  • Deliver and quantify cost savings through its health and
    disease management interventions

  • Deliver and quantify improvements in population health
    and clinical outcomes, through holistic approach

  • Impact employee behaviors and patterns of health care
    utilization, while delivering an integrated program
    approach

  • Integrate all services with Pactiv’s health care program
    offering, including disability and workers’ compensation
    vendors
                                                               6
Solutions for Chronic Conditions and Wellness
• Provide workforce support and education for
  programs that have the greatest impact
  –   Heart Failure
  –   Coronary Artery Disease
  –   Diabetes
  –   Cancer Select
  –   Musculoskeletal Pain
  –   Asthma
  –   Chronic Obstructive Pulmonary Disease
  –   Health and Well-Being Assessment

                                                7
                                      Prevalence Rates*




 *Prevalence Rate = (Members identified with the condition)/(Total membership)

Source: Book of Business Medical and Pharmacy Claims


                                                                                 8
CorSolutions: Implementation Success
• Provided a thorough and effective implementation
  process
  – Seamless integration with other benefit vendors
  – Collaborative process with positive Pactiv feedback
  – Professionalism of CorSolutions, A Matria Company Staff
     • Easily accessible
     • Timely and responsive to questions
     • Follow-up throughout the process
  – Met targeted implementation date



                                                          9
Pactiv Outcomes Reporting
• Participation and clinical indicators are
  reported based on program implementation
  date
  – After launch, each evaluation period reflects
    activity to date
  – When 12 months data are available, results are
    reported in 12 month periods
• Outcomes represented reflect the first
  quarter after program implementation

                                                     10
Early Program Results
                      Pactiv Baseline
                          Results            CorSolutions, A
                  (10/1/03 thru 09/30/05,   Matria Company
                   Run Out 10/1/05 thru     Book of Business   Pactiv Utilization
   Programs              12/31/05)                Rate           PE 12/2005

CAD ER Visits            24/1,000               16/1,000           19/1,000

CAD Hospital
Admits                   37/1,000               23/1,000           19/1,000

Diabetes ER
Visits                   23/1,000               18/1,000           26/1,000


Diabetes
Hospital Admits          21/1,000               18/1,000           23/1,000
                                                                                11
Pactiv Results: 10/2005 to 12/2005
• Coronary Artery Disease Outcomes
  – Participants active in program this period – 121
     • Average months on program = 2.6
  – Total ER Visits for the period – 6
     • Program Related - 1
  – Hospital Admissions – 6
     • Program Related - 0
     • Average Length of Stay – 3.0




                                                       12
Pactiv Results: 10/2005 to 12/2005
• Coronary Artery Disease Outcomes

  – Percent of Participants on an Antiplatelet/Anticoagulant (N = 4)
     • 100% on agent
     • 0% not on agent

  – Percent of CAD Participants on a Beta Blocker (N = 93)
     • 45% on agent
     • 55% not on agent

  – Percent of Participants with Annual Lipid Screening (N = 95)
     • 82% Screening
     • 18% No Screening

  – Percent of Participants on an Antilipemic (N = 95)
     • 63% on agent
     • 37% not on agent

                                                                       13
Pactiv Results: 10/2005 to 12/2005
• Diabetes Outcomes
  – Participants active in program this period – 465
     • Average months on program – 2.8
  – Total ER Visits for the period – 33
     • Program Related – 1
  – Hospital Admissions – 30
     • Program Related – 2
     • Average Length of Stay – 4.2




                                                       14
Pactiv Results: 10/2005 to 12/2005
• Diabetes Outcomes
  – Percent of Participants with Annual Eye Exam (N = 398)
     • 21% with annual eye exam
     • 79% without annual eye exam
  – Percent of Participants with Annual Foot Exam (N = 8)
     • 88% with annual foot exam
     • 12% without annual foot exam
  – Percent of Participants with Annual Microalbumin Testing
    (N = 398)
     • 38% tested
     • 62% not tested
                                                           15
Pactiv Results: 10/2005 to 12/2005
• Diabetes Outcomes
  – Percent of Participants with Annual A1c Testing (N =
    398)
     • 78% tested
     • 22% not tested
  – Percent of Participants Completing Self Monitoring Blood
    Glucose Testing (N = 7)
     • 100%



                                                           16
Why implement a Health Risk Assessment?
• For Pactiv . . .
      – Supports employees who want to take action to better understand and
        improve their health
      – Provides valuable information about future health care costs that do not
        currently show up in claims (52% of male PPO participants age 45 to 64 had
        no claims in 2005. 41% of female PPO participants in the same age-group
        had no claims during 2005).
      – Increases employee understanding of the programs Pactiv provides
• For Employees . . .
      – An incentive to take action to improve their health
      – Support for those who sign up for Blue Edge – better understanding, better
        decisions, better results
      – A push past inertia or the “I’ll make an appointment next month” syndrome
      – Greater utilization of pro-active benefits and services – participants with HRA
        follow-up are 2.4x likely to have a mammogram, 100% more likely to use
        Mail Order Rx, show overall cost trends 30-50% lower than the norm*

*Definity Health – 11/2005
                                                                                     17
Disease Management Case Studies
• Female age 49 (employee)            • Female age 50 (dependent)
   – newly diagnosed diabetic            – breast cancer post treatment,
   – low confidence in managing her        chemo & radiation therapy
     condition                           – needed education & emotional
   – overweight                            support
• Diabetic program participant        • Cancer program participant
   – received diabetic education         – now certified as cancer (lay)
                                           support provider to others at
   – now sees dietician & diabetic
     educator                              work & in community
   – monitoring glucose level daily      – started exercising, walking
   – glucose now under control           – participated in “Walk for Life”
   – highly motivated & exercising       – aware of signs & symptoms of
     30-45 minutes daily                   recurrence




                                                                             18
Disease Management Case Studies
• Male age 57 (dependent)             • Female age 53 (dependent)
   – previous CABG in 2003, stopped      –   diagnosed with asthma
     taking meds on his own in 2005      –   overweight
   – did not follow up with Dr.          –   no exercise
   – overweight                          –   does not have rescue inhaler
   – no exercise                         –   unclear what symptoms of
   – smokes 2 cigars/day                     asthma attack are
• CAD program participant             • Asthma program participant
   – medication now regulated            – educated on signs & symptoms
   – seeing cardiologist                   of attack
   – now walking everyday                – in contact with physician again
   – lost 9 lbs to date                  – now has rescue inhaler
                                         – started walking 25 min/day



                                                                             19
Key Messages and Lessons Learned
• Communicate, communicate, communicate
   – Supported by CorSolutions, A Matria Company
• Additional flyer in Welcome Packet
   –   Provided to identified program participants
   –   No cost
   –   Complete confidentiality
   –   Free benefit provided by Pactiv
• Seamless integration amongst internal Occupational Health
  Clinics and several external vendors
• Minimal opt-out rate



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