HomeMy WebLinkAboutMINUTES - 09202011 - C.49RECOMMENDATION(S):
APPROVE and AUTHORIZE the Purchasing Agent to the purchase of gift cards in an
amount of $11,520 as set forth in the attachment, to be used as an incentive to receive
preventive care. The California Department of Health Care Services recommends incentives
to promote healthy behavior and proposal and programs were created following their
guidelines.
FISCAL IMPACT:
Funds come from Contra Costa Health Plan premiums and are expected to result in lowering
costs by encouraging appropriate preventive care.
BACKGROUND:
Since 2000, the Board of Supervisors has approved utilization of small incentives for CCHP
members.
Incentives are tied to the Healthcare Effectiveness Data and Information Set (HEDIS),
which is used to determine how many default Medi-Cal members are assigned to CCHP,
and subsequently increases the capitation CCHP is paid by the State. Ultimately, the higher
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 09/20/2011 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Gayle B. Uilkema, District II
Supervisor
Mary N. Piepho, District III
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
Contact: Patricia Tanquary,
313-6004
I hereby certify that this is a true and correct copy of an action taken and entered on the minutes of the Board
of Supervisors on the date shown.
ATTESTED: September 20, 2011
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, Kevin Drury, Demetria Gary
C.49
To:Board of Supervisors
From:William Walker, M.D., Health Services Director
Date:September 20, 2011
Contra
Costa
County
Subject:CCHP Member Incentives to Promote Better Health Behaviors
the HEDIS rate the higher the default rate
BACKGROUND: (CONT'D)
and capitation rate becomes, so the investment in incentives is expected to pay off
monetarily.
W&I Code, Section 14407.1 and Title 28, CCR, Section 1300.46 authorize the use of
non-monetary incentives to promote good health practices provided they are
pre-approved by the Department of Health Care Services. The CCHP incentive program
goals for 2011-12 are attached. The request is a decrease of almost $2000 from last year.
CONSEQUENCE OF NEGATIVE ACTION:
Discontinuation of the incentive program would be expected to lead to a decrease in
HEDIS rates, lowering the public's estimation of the Plan and possibly keeping us from
participation in offering future products. This decrease would negatively affect the
number of Medi-Cal members who are assigned to our plan when they do not express a
preference between us and Blue Cross. Currently, 100% of these recipients are assigned
to CCHP. A decrease in the default assignment rate would mean receiving capitation for
fewer people.
CHILDREN'S IMPACT STATEMENT:
Expected program outcomes include 1) an increase in children receiving annual well
visits. This is likely to positively affect their health and likely to decrease their overall
health costs for which we must pay; 2) an increase in the rate of timely prenatal care,
resulting in less health problems and less cost; 3) an increase in our interventions to fight
pediatric obesity, leading to an decrease in that epidemic and the associated health risks.
ATTACHMENTS
G:\C&G DIRECTORY\NON CONTRACTS\WORD & PDF FILES\Incentive proposal FY11-12.doc
Incentive FY10-11 Request FY11-12 Request Justification
Good Health Check Up: Members 0-11
years who make and keep a well visit
appointment receive $10 Target gift
card.
$8880 $8880 Supports multiple HEDIS measures by ensuring regular
preventive care. Expect about same number at same
incentive rate.
Adolescent well visit, ages 12-21. $5
Target gift card awarded for 1
comprehensive provider visit per year.
$2520 $0 Discontinue. This is no longer a Medi-Cal measure, and the
clinical evidence for the need of healthy adolescents to have
annual visits is not strong.
Baby Watch: $20 Target gift card for
pregnant women who receive their
first prenatal visit in their first
trimester (or within 42 days of new
enrollment). $20 Target gift card for
receiving post partum visit 3-8 weeks
after delivery.
$420 $840 Increase to $20 from $10 each. Prenatal HEDIS rate is close
to the Minimum Performance Level set by the state. Also,
we want to see whether this will help with a current
disparity in postpartum rates.
Living Well with Diabetes: 18-75 y/o
who complete five important
diabetes-related examinations and
tests in 12 month period receive $20
Target gift card.
$400 $800 Supports several components of the Comprehensive
Diabetes Care HEDIS measure and improves management of
diabetes.
Increasing amount of request to account for prevalence of
Diabetes in new SPD population.
Pediatric Weight Management: 3-18
year old medically obese members
who complete a CCHP-approved
program for healthy eating habits
and/or exercise receive $20 gift card.
$1000 $1000 Helps fight obesity epidemic.
Total $13,220 $11,520