1. GE Health Care Resources
Diabetes Prevention Program

2. If the Current Trend Continues….
UHG BOB indicates increased treatment costs:
$6,663 PMPY average cost increase for diabetes
$889 PMPY average cost increase for prediabetes
Costs are directly related to progression in severity
A non-compliant individual with diabetes and related complications has potential to cost 9Xs more than a non-diabetic individual1
Progressive Cost of Diabetes Per Member Per Year2
No diabetes
Diabetes / no complications
Diabetes non-compliant w/hypertension
Diabetes non-compliant w/CVD
Prediabetes
Diabetes compliant w/hypertension
Diabetes compliant w/CVD
1. UnitedHealth Group’s commercial book of business, UnitedHealthcare 2008 analysis for Diabetes Health Plan for several large employers; Medical only (no Rx)

3. GE’s Risk Profile based on Predictive Modeling
Profile included approximately 30,000 GE members in DPCA markets
Confidential – Internal Use Only
Diabetes Prevention and Control Alliance – United HealthCare Services, Inc
Based on GE population in seven DPCA markets:
Minneapolis, Phoenix, Cincinnati, Dayton, Dallas, Milwaukee, Jacksonville

4. GE’s Employee Engagement Process1
DPCA collects eligibility and claim data
Capture data; obtain electronic eligibility file 2
DPCA Deploys OptumInsight Impact analytics
Uses data to identify eligible participants 3
Touch 1: Outreach to eligible participants
Letter sent & invites sent to attend on-site events 4a
Touch 2: Outreach by DPCA call center
Follow up calls to enroll in DPP 5
DPCA sends welcome kits
Welcome letter & program overview 4b 6
Touch 2: GE promotes & hosts screenings
Onsite events… staffed with Y Coaches…ability to enroll at event
“Welcome aboard” calls to enrollees
YMCA Coach confirms first session at the Y or at work 7
DPP weekly sessions
The 16-sessions cover weight loss, healthy eating, risk reduction, lifestyle change & behavior modification 8
Report program results
Provide reports on participation and outcomes

5. GE’s Onsite Screening Events
Employees Screened
Tested in Normal Range
(below 5.7)
Tested in Prediabetes Range
(5.7 – 6.4)
Enrolled in DPP at screening
“Interested” & enrolled later
Total Enrolled
1000
50%
40%
10%
DPP program is ongoing at several GE locations
150 employees currently in program
80% of GE employees who attend the first session go on to complete the program
50% of participants achieved desired weight loss goal within 20 weeks:
30% lost 5% - 9% of their body weight
20% lost greater than 9%

6. GE screening experience
Instant screening results and ability to enroll on the spot
The risk quiz lets employees self-select
Allowed for “teachable moments”
Many did not know they were at risk…thought “everything was fine”
Semi-Truck encouraged participation

7. Communications

8. DPCA Model and Benefits to GE
DPP participation and testing events are claim-based (no admin fees, start up costs or invoices)
Turn-key A1c testing event administration
Pay for performance reimbursement schedule
No payment for failure
Positioned as a provider in GE’s network
Growing network of DPP vendor partners
DPP at the worksite
Addition of virtual DPP which will increase program reach

9. Next Steps…..pilot virtual program1 2 3
Enroll Online
Access Tools
(Shipped To Participant)
Participate
Virtually
Months 1 – 5: View Episodes & use Online Support
Months 6-12: Online Support Available
Welcome Kit & Instructions Electronic Scale online episodes Online Support & Social Network
Enrollment begins on March 25th!

10. Communications/Promotion of virtual program
Promotion began on 3/21:
Posters
Table Tents
Brochures
E-Cards (3/21, 3/25 & 4/16)
Postcard mailing (3/25 & 4/1)
Onsite Screenings (week of 4/1 & 4/8)
Digital videos