Over the past few years, we’ve seen a significant shift with organizations and individuals across the US healthcare system coming together to deliver, and reward, better value in healthcare.
Every day we see opportunities and examples where entities are collaborating in an effort to shape our nation’s health, and healthcare system, for the long-term.
We're also trying to do our part.
Our effort starts with our employees. Since January 2012, GSK has offered a patient-centered medical home benefit to employees as part of a pilot program in North Carolina called First in Health. Together with other employers in the state, we're hoping to show that by coordinating medical care, we can improve the health of our employees and reduce healthcare costs.
Today over 3,000 of our NC-based employees – more than 20% of those eligible – have enrolled in the program, and our initial results indicate that those enrolled are taking a more active role in managing and preventing illness compared to those who are not enrolled in the program. Final results are expected by the end of 2014.
The program is being conducted in collaboration with Community Care of North Carolina (CCNC), a community-based, public-private partnership that has a proven track record on improving healthcare and containing costs for North Carolina’s most vulnerable populations.
Through its 14 local network partners, over the past 10 years CCNC has created “medical homes” for Medicaid and Medicare beneficiaries in the state.
CCNC ranks in the top 10% nationally in HEDIS measures (standards that allow consumers to compare health plan performance) for diabetes, asthma, and heart disease compared to private Medicaid managed care organizations.
Additionally, as a result of their efforts to coordinate care it’s estimated that CCNC has helped NC save nearly a billion dollars in total Medicaid costs from 2007 through 2010. Our hope is that we will realize relevant results for our employee population.
We’re also looking outward.
For years, the pharmaceutical industry has grappled with the challenge of medication adherence. With the increasing availability of data, as well as advances related to Health IT, we now have an opportunity to offer providers better tools and resources to help them manage these challenges proactively, in real time.
In 2013 GSK and CCNC initiated a novel approach to crunching numbers that allows healthcare providers and payers, with the touch of a button, to analyze patients’ medication challenges in real time to determine effective ways to overcome barriers to delivering quality care.
Counter to healthcare trends focused on “big data”, this pilot’s “small data” approach focuses on ensuring providers have access to select information, such as a patient’s prescription fill history and hospital admission and discharge data, that is widely available throughout the healthcare system and has been found to predict when a patient is at risk of a negative health outcome.
The HIT tool utilizes “prescriptive analytics” to analyze the data and proactively suggest interventions that are most likely to facilitate better patient engagement and ultimately, improved patient outcomes.
Our hope is that new tools such as this HIT tool will ensure the proper interventions are shared with the right providers in the right settings of care to prevent unnecessary medical expenses while engaging patients in their own healthcare to modify behavior going forward.
We're proud to take part in the important movement to shift our healthcare system to a better place. Through collaborations with organizations like CCNC, we’re contributing to something much larger than any individual company or organization – a healthier America built on quality, value-based healthcare.