Virginia Health Care Conference

Engaging Consumers to Purchase Value

June 6, 2013

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Who We Are

ValueOptions is a health improvement company that specializes in mental and emotional wellbeing and recovery

Singular focus on behavioral health

Serves 32 million members

Three major market segments:

• Commercial market featuring national employers, labor and trust funds and health plans

• State and local governments managing Medicaid populations

• The Federal government, on behalf of the U.S. military, veterans, employees and their families

Prevalence of Behavioral Health

25% of all U.S. adults are affected by mental illness in a given year

Nearly 50% of U.S. adults will develop at least one mental illness in their lifetime

In 2010, 15% of the U.S. population met criteria for addiction

Last month, the CDC released a report on childhood mental illness with data showing 20% of U.S. children are affected by mental health issues

Mood disorders such as depression are the third most common cause of hospitalization in the U.S.

Although military members comprise less than 1% of the U.S. population, veterans represent 20% of suicides nationally

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Economic Impact of Behavioral Illness

Businesses experience direct and indirect costs due to mental illness:

217 million business days of work loss and work impairment are due to behavioral health disorders

Serious mental illness costs American businesses $193 billion in lost earnings annually

Substance abuse issues cost more than $400 billion in government spending annually

One third of all hospital costs is attributable to addictive illness

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Depression Management Case Study(Virginia-Based Employer)

Members identified either through referral by health plan or through ValueOptions’ internal analysis:

• 73% Female; 27% Male

• Average age was 51 (range of 22 yrs – 72 yrs)

All referrals, whether engaged or not, received relevant information highlighting the importance of integrated care, specific to the individual’s identified medical condition

High-touch engagement by intensive case manager

Engagement dependent upon member willingness to participate

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Depression Severity

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Effectiveness of Participation

PHQ-9 Score Change3-6 month Pre-Post results

PHQ-9 Score Change by Severity3-6 month Pre-Post results

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Cost Savings

Comparison of Average Claims Cost Six Months Before and After Referral for Depression Disease Management: Intervention vs. No Intervention

Key findings of this evaluation:

• The intervention program is associated with a $1.27 million reduction in total claims costs (medical and behavioral)

• Claims cost savings totaled $2.38 for every $1 expended on the program

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Member Engagement Case Study #1

His last PHQ-9 score was 3, indicating no depression

The Challenge:

The Solution:

52-year-old male Depression, anxiety and comorbid diabetes, CAD,

hypertension and obesity Limited connection to medical provider Initial PHQ-9 was 9, one point away from

moderate depression

Outpatient support Parenting group Phone consultation Ongoing education and support Access to a dietician EAP Legal/Financial services

The Result:

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Member Engagement Case Study #2

The Challenge:

The Solution:

The Result:

Improved blood sugar levels Weight loss and regular exercise Reduced pain level The final PHQ-9 resulted in a score of 6,

indicating mild depression

48-year-old female Comorbid depression, history of PTSD, diabetes,

chronic pain, obesity and gum disease First PHQ-9 was 16, indicating severe depression

Outpatient therapy and psychiatrist visits Psychotropic medications adjusted Self-care support medical conditions Consult with program dietician

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Stamp Out Stigma Campaign

Raise awareness about the high prevalence of mental illness, the need to seek help and the hope for recovery

Launched  internally with green wristbands and pledge

Focuses on the three R’s: Recognize, Reeducate, Reduce

Developed client toolkit to assist customers in launching their own S.O.S programs

Visit www.stampoutstigma.com to view employee stories, learn more about mission and take the S.O.S. pledge