HomeMy WebLinkAboutMINUTES - 03192013 - C.61RECOMMENDATION(S):
APPROVE and AUTHORIZE the Purchase Agent, on behalf of the Health Services Department, to execute purchase
order in the amount of $3,840, fo1 92 $20 gift cards to be used as an incentive for Contra Costa Health Plan Members
to participate in activities to improve their health, for fiscal year 2012-2013.
FISCAL IMPACT:
None. Funds come from Contra Costa Health Plan premiums and are expected to result in lowering costs by
encouraging improved health status.
BACKGROUND:
Since 2000, the Board of Supervisors has approved utilization of small incentives for CCHP members. The California
Department of Health Care Services recommends incentives to promote healthy behavior and the proposal and
program were created following their guidelines.
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 the HEDIS rate the higher the default rate and capitation
APPROVE OTHER
RECOMMENDATION OF CNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
Action of Board On: 03/19/2013 APPROVED AS RECOMMENDED OTHER
Clerks Notes:
VOTE OF SUPERVISORS
AYE:John Gioia, District I
Supervisor
Karen Mitchoff, District IV
Supervisor
Federal D. Glover, District V
Supervisor
ABSENT:Candace Andersen, District II
Supervisor
Mary N. Piepho, District III
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: March 19, 2013
David Twa, County Administrator and Clerk of the Board of Supervisors
By: June McHuen, Deputy
cc: Tasha Scott, D Gary, K Drury
C.61
To:Board of Supervisors
From:William Walker, M.D., Health Services
Date:March 19, 2013
Contra
Costa
County
Subject:CCHP Member Incentives to Promote Better Health Behaviors
BACKGROUND: (CONT'D)
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 2012-13 are attached. This chart shows the number of gift cards for each
program and includes prior year information as a comparison. The request is only one third the size of the prior
year’s request.
The Department will comply with the requirements in Administrative Bulletin No. 615, "Incentives for county
Programs and Services."
CONSEQUENCE OF NEGATIVE ACTION:
If this item is not approved, CCHP and its Disease Management Program will lose an important tool for
influencing member behavior, and the population’s health may suffer as a consequence.
CHILDREN'S IMPACT STATEMENT:
Two of the incentives are specifically aimed at children and at getting them off to a better, healthier start in life.
ATTACHMENTS
Incentive Request Chart
Contra Costa Health Plan Member Incentive Request, FY 2012-13
Incentive FY11-12 Request FY12-13 Request Justification
Good Health Check Up:
Members 0-11 years who
make and keep a well visit
appointment receive $10
Target gift card.
$8880 $0 Discontinue and redirect Case Management staff to
new priorities. Try new initiatives, including fridge
magnet of recommended PCP visit schedule.
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.
$840 $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.
Related to Perinatal Care and Access Improvement
QIP (Quality Improvement Project).
Diabetes: 18-75 y/o who
complete six important
diabetes-related
examinations and tests in 12
month period receive $20
Target gift card.
$800 $2000 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 and
because it is being marketed by our Disease
Management program.
Pediatric Weight
Management: 2-18 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. Part of Disease
Management program.
Total $11,520 $3840