Anthem Colorado and the Colorado QuitLine

Transcription

1 Anthem Colorado and the Colorado QuitLine Building on the Successes of Our Public-Private Partnership Cissy (Elizabeth) Kraft, MD MHS FAAFP January 14, 2014

2 Topics for Discussion Colorado Tobacco Use Fast Facts Partnership in Prevention QuitLogix, the new generation of cessation support Current Program Successes: Partnering with Anthem and Anthem employer clients Anthem Colorado specific outcomes, ROI and programs Taking It to the Next Level 2 2

3 Colorado Tobacco Use Fast Facts Colorado Adult Smoking Rate: Range: 9.3% % CO male: 18% Hispanics: 18.7% year olds: 19.5% Annual Colorado Direct Costs: $4.1B Includes workplace productivity loss of $1.2B 3 3

4 Colorado Partnership in Prevention: Timeline FY & : funding diverted for fiscal emergency 2010: Colorado Partnership (National Jewish Health QuitLine & private payers) Collaborated with health plans by contracting for a local high quality solution to cessation at a reasonable tobacco cost Anthem & Kaiser 2011 Only health plans offering QuitLogix free to all LOB to remove financial barriers 2005: Colorado Constitutional Amendment 35 Increased taxes on cigarettes and tobacco products, funded health programs across the state, including the QuitLine 4 4

5 QuitLogix Program Overview Personalized, Culturally Sensitive Coaching 5 scheduled calls and unlimited inbound calls English and Spanish speaking coaches Nicotine Replacement Therapy Smoking Cessation Prescriptions ecoach Website Texting App Educational Materials 5 5

6 QuitLogix Program ecoach Personalized Text Messages and Support Motivational Messages based on participants profile in QuitPro Stage of Change Demographics Type of Tobacco need it now features to overcome cravings Process Messages based on events Coaching call appointment reminders NRT shipment information Program notifications Quit Anniversary Messages - congratulatory Quit Date 1-, 2-, 3-, 6- and 12-month anniversaries Re-engagement Messages sent to those who are unreachable Encouragement to re-engage in the program 6 6

7 QuitLogix Program Offerings for the Employer or Health Plan Customized Website Online registration Abbreviated intake for quitline program Integrated Quit Plan Develop individualized quit strategies Goal setting Tailored elessons Interactive exercises Quit Dashboard Set and edit quit date Track tobacco use Calendar View appointments NRT NRT options and utilization Track NRT shipments Resources Tobacco related health topics List of tobacco cessation resources 7 7

8 Anthem Branded Website: 8 8

9 Current Anthem CO Program Anthem funds external entity to perform outcomes analysis Specific Anthem CO number with branded scripting Branded Anthem specific website Expanded to all LOB (2011), including individual Provided QuitLogix services at no cost to eligible members Cost per participant = $ 219 (coaching + NRT) NRT OTC = $ 100 ($54 cost to us) Complies with ACA smoking cessation requirements: screening and treatment Manual invoicing directly to sales department Providers: Fax referral or hand out pamphlets with phone number 9 9

10 Collaboration with Anthem and Anthem Clients QuitLogix presentations and booths at broker meetings QuitLogix booth at health fairs Large ASO clients working with QuitLogix via Anthem collaboration Client specific phone numbers (dedicated #) Client co-branded marketing materials Client specific reporting 10 10

11 QuitLogix Outcomes Outcomes are measured by an independent organization, Pegus Research, Inc. National Average 30-36% Surveys conducted at 7 months Smoke free for the preceding 30 days Responder and Intent to Treat Quit Rates National Average 16-23% 11 11

12 QuitLogix General Return on Investment Cost Savings ROI Participants quit * Savings - Cost/Costs Average per Participant $165 $2,132 ** $85,280 -$21,900 NRT Costs $54.00 $63,380/$21,900 Total Cost per Participant $ = 2.89 ROI $ 21,900 $85,280 ROI = 2.89 * Average quit rate for insured population = 40% ** Source: Centers for Disease Control, National Business Coalition on Health, adjusted to 2008 dollars 12 12

13 Anthem Specific Results ( ) Anthem lives helped in the last three years 1,017 participants enrolled 45% quit rate 487 estimated quits 13 13

14 Anthem CO Quit Rates The industry standard for comparing quit rates across programs is to report on the 30- day quit rate (respondents who report being tobacco free for the previous 30 days) at a survey conducted six months after a quit attempt. This quit rate applied to your enrollees provides an estimate of your QuitLogix participants who have quit tobacco. Follow-up Interval Attempts Quit Rates Survey Results All Callers Regardless of Coaching Status Responses Successful Quits Responder Quit Rate ITT Quit Rate 3 Months % 13.49% 6 Months % 15.00% 12 Months % 9.18% Follow-up Interval Coaching Participants Receiving Medication Attempts Responses Successful Quits Responder Quit Rate ITT Quit Rate 3 Months % 13.51% 6 Months % 14.71% 12 Months % 8.43% Estimated Number of Successful Quits Time Period # Callers 6 Month Quit Rate Estimated Quits % % % Year Total %

15 Anthem CO Member Satisfaction As part of the independent evaluation, participants are asked three questions related to their satisfaction with the QuitLogix program on the first follow-up call made 3 months after their initial (unless they are reached for the first time at their 6- or 12- month call). Agree Disagree Satisfaction Measure N % N % Materials were helpful % % Pleased with coach % % Pleased with services % % 15 15

16 TAKING IT TO THE NEXT LEVEL 16 16

17 Broadened Anthem Program Increase provider awareness of the new QuitLogix program Enhanced Personal Healthcare providers (in our payment innovation programs) targeted educational sessions Webinars Learning collaboratives Monthly provider newsletters Prescription fills without QuitLine referral Sync pharmacy reporting with match to QuitLine participation Outbound calls to members to offer additional free support service Provider awareness through newsletters Increase Anthem members awareness of cessation benefits 17 17

18 Expanded Anthem, QuitLine and Client Collaboration Build New Capabilities for Anthem Clients: Set up a specific client # for large clients Branded client specific website Newsletters/articles for providers Direct billing options for ASO clients 18 18

19 Thank You Contact: