The goal of the Alliance is to eliminate childhood obesity and to inspire young people to develop...
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The goal of the Alliance is to eliminate childhood obesity and to inspire young people to develop lifelong healthy habits.
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Alliance Programs
Healthy Schools Program
Healthy Out-of-School Time
Industry Initiatives• Food and Beverage• Healthcare• School Meals
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• at least four follow up appointments with a primary care provider
• at least four visits with a registered dietitian
Insurers and employers offer:
Alliance Healthier Generation BenefitPrevention, Assessment & Treatment
The Alliance for a Healthier Generation convened national medical associations, leading insurers and employers to offer comprehensive health benefits to children and families for the prevention and treatment of childhood obesity.
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Building from the Evidence Base
Alliance Healthier Generation Benefit is the place where these new best practices have real-world application.
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Healthier Generation Benefit: Supporting Organizations
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Healthier Generation Benefit Signatories
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Evaluation of Healthier Generation Benefit Progress
Kimberly J. Rask, MD, PhDJulie A. Gazmararian, PhD, MPHSusan Kohler, RN, MPHJonathan Hawley
Rollins School of Public HealthEmory UniversityApril 2013
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Overview
• Third party evaluation of both implementation and outcomes
• Best practices and lessons learned from key informant interviews
• Monitoring use of the Benefit through claims data• Recommendations to increase use of obesity
prevention and treatment services
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Implementing a new health benefit
Administrative Barriers to Offering the Health Coverage: • Few barriers noted• For several this is expansion of an existing Benefit
Coverage Offered: • Most restrict the coverage to children with BMI greater than or equal to the
85th percentile for age• Co-pay requirements vary by group and/or plan and apply to each visit
Enrollment Process for Families: • Most signatories have no formal enrollment and/or pre-certification process
Marketing: • Focus of marketing efforts varies with insurers reaching out to providers and • Employers reaching out to employees
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Use of the BenefitChallenges to Identifying Obese Children from Administrative Claims
Data: • Use of BMI specific ICD-9 codes is rare• Use of CPT or HCPCS codes for nutrition counseling are rare• Increase in the number of obese children having at least one
preventive medicine visit and/or at least one dietitian visit
Remains difficult to identify paid claims processed specifically for obesity-related services
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Percentage of Covered Children with an Overweight or Obesity Diagnosis
Small but consistent increase in the number of covered children that are identified as overweight or obese.
Overall percentage increased from 1.5% to 1.9%.
This signatory allows providers to use the broadest range of available diagnosis codes.
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Number of Overweight /Obese Children with at least One Preventive Visit
Most children diagnosed as overweight or obese have at least one preventive medicine visit with a PCP.
Overall percentage with a preventive medicine visit increased from 65% to 71% .
This signatory dropped co-pays for use of the benefit.
1 YearBefore HGB
1 YearAfter HGB
0%
10%
20%
30%
40%
50%
60%
70%
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100%
Sig1Sig2Sig3Sig4Sig5Sig6Sig7Sig8Sig9
Signatory reviewing data to better understand why so low.
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Recommendations going forward
Build upon the current successes…1. Continue educational initiatives and outreach to encourage
accurate documentation of BMI status. Promote use of overweight and obese diagnosis and procedure codes
to allow better identification of eligible children and more reliable monitoring of preventive and treatment services.
2. Evaluate pilot strategies to increase use of obesity services and monitor utilization to identify best practices.
3. Continue collaborative efforts with professional organizations to offer and disseminate resources for health care providers and families. 15
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AAP/ Academy/ Alliance Resources
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Pediatric Weight Management Algorithms
Algorithms are available online: www.andevidencelibrary.com
• Pediatric Weight Management Nutrition Care Process
• Nutrition Assessment• Nutrition Diagnosis• Nutrition Intervention• Monitoring and Evaluation
Evidence Based Guidelines > Guideline List > Pediatric Weight Management > Algorithms
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This Evidence Analysis Library® project is free to the public. To access, go to http://www.andevidencelibrary.com/topic.cfm?cat=2721
Accessing Pediatric Weight Management Recommendations
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Other Academy of Nutrition and Dietetics Pediatric Resources
• Academy Evidence Analysis Library® Store• http://www.andevidencelibrary.com/store.cfm• Pediatric Weight Management Toolkit• Pediatric Weight Management PowerPoint
• Academy Eatright.org Store• Various Pediatric Publications
– http://www.eatright.org/Shop/Categories.aspx?id=255
• Academy Pediatric Nutrition Care Manual• http://peds.nutritioncaremanual.org/demo/peds.c
fm
• KIDS Eat Right - public website at kidseatright.org
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www.eatright.org/alliance
Link to:• Academy
Guidelines• Academy Positions• Care Coordination
documents• HGB Benefit
Details
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Primary Care Providers: How to Find a Registered Dietitian
For physicians who do not have an existing relationship with a local registered dietitian (RD), the following resources can be used to
locate an RD: • The Virginia Dietetic Association’s “Find an RD”:
http://www.eatrightvirginia.org/page/find-an-rd
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Local Perspective: RDs
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• Coordinate with the Academy to:• Market initial provider webinar• Communicate benefit information to RDs• Encourage VDA members to partner with
PCPs to provide the HGB• Increase utilization of RD services via potential
benefit redesign
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Obesity Related Resources
PREVENTION. TREATMENT. RESULTS.
Weight of the State, April 2013
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Pediatric e-Practice: Optimizing Your Obesity Care
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 24
www.pep.aap.org
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INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 25
Sample Room: Exam Room
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Sample of resources accessible via PeP
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Healthy Active Living for Families
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 27
www.healthychildren.org/growinghealthy
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HALF Implementation Guide
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 28
EvidenceParent FeedbackOpportunities for CareConversation StartersRelated Parent Resources
www.aap.org/HALFIG
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HALF Implementation Guide
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 29
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HALF APP
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 30
COMING SUMMER 2013!
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Other sample resources:
INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 31
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INSTITUTE FOR HEALTHY CHILDHOOD WEIGHT 32
www.aap.org/obesity
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Opportunities for Involvement• Join the AAP Section on Obesity
email: [email protected]
• Connect with the Virginia AAP Chapterhttp://www.virginiapediatrics.orgVirginia Chapter AAP2201 W Broad Street Ste 205Richmond , VA 23220-2022
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Weight of the State
Alliance for a Healthier Generation
Rhonda Keith, M.S.
COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY
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Anthem’s Role
The Alliance for a Healthier Generation convened national medical associations, leading insurers and employers to offer comprehensive health benefits to children and families for the prevention and treatment of childhood obesity.
Anthem covers benefit for…• at least four follow up
appointments with a primary care provider
• at least four visits with a registered dietitian
COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY
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Program History
• Pilot officially launched May 15, 2010
• Rolled out in conjunction with the Virginia Weight of the State Conference
• No system changes were needed
• Focused on promotion and use of benefits
• Early interest by pediatric practices was high
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Who is eligible?
550,000 eligible children in VA
• Children age 3-18 with BMI ≥ 85th percentile
• All Anthem lines of business
• No referral required• Appropriate
documentation per CPT and ICD-9 guidelines
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How do we bill?
Diagnosis codes – for physician and registered dietitian services
• V85.53 – Body Mass Index, pediatric, 85th percentile to less than 95th percentile for age
• V85.54 – Body Mass Index, pediatric, greater than or equal to 95th percentile for age
All services are subject to member copayments and coinsurance per the member’s benefits – for physician and dietitian services
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How do we bill?Physicians• Physician services billed
using regular Evaluation and Management Codes
• Use diagnosis codes provided
• Subject to the appropriate fee schedule for the line of business
Nutritional Counseling Services• Must be billed under the
supervising physician’s NPI• 97802 – Medical Nutrition
Therapy (MNT); initial assessment & intervention, individual, face-to-face with the patient, each 15 minutes
• 97803 - MNT; re-assessment & intervention, individual, face-to-face with the patient, each 15 minutes
• Covered up to 16 units – four unit per day restriction
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Measures of Success
Use of Benefit• We had a 6% increase in
the number of preventive visits with a PCP in those children with an obesity diagnosis
• This compares one year prior to implementation to one year after
Participation• 38 Pediatric practices
utilizing benefit• Physician Champions!• Physician – Registered
Dietitian Relationship
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Partnerships
• Alliance for a Healthier Generation– American Heart
Association– William J. Clinton
Foundation• Virginia Chapter of the
American Academy of Pediatrics
• The Virginia Department of Health
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What’s Next?
Expansion of Program• CA Pilot - began April 2012• WI Pilot - start date TBD• VA Pilot – increase participating practices
EvaluationAnthem will begin research to…• Review three years of EMR data • Evaluate changes in BMI for participants
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Contact
Rhonda D. KeithCommunity Collaboration ManagerPatient Centered Care ProgramsAnthem Blue Cross Blue ShieldTel: 804.212.6952Email: [email protected]
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Office Obesity Management
Carilion ExperienceJohn E. Moore, MD
Brooke Mercedes, RD, CSSDBotetourt Pediatrics
Carilion Clinic Children’s Hospital
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Carilion Clinic Practice Demographics: Located in southwest Virginia Roanoke metro region: approx
300,000 Primarily suburban / rural Practice catchment area of 5 counties
• Some patients are driving hours to this location!
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Carilion Clinic Practice Demographics:
Hospital-owned general outpatient pediatrics
2.5 FTE satellite office, • Main office 5.5 FTE with 1 NP
Approx 6000 patients 20% Medicaid / MCO 50% Anthem
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How I Became Involved Step 1: Recognize a Problem
• More and more children in my practice were obese
Step 2: Find a Solution• I realized I was in over my head!!!• I looked for help
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Where did I go? AAP national
Virginia Chapter• Great toolkit!
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Carilion Clinic Practice:Nutrition service!
In 2011, Anthem rolled out nutrition counseling pilot
One of the first times commercial insurance, governmental agencies, hospitals, and private practice were on same page
Coverage for in-house nutritional service
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Carilion Clinic Practice:Nutrition service!
Changes office needed to make prior to scheduling patients
Find a qualified nutritionist! Work out referral process Iron out coding, billing
• Anthem would not cover “obesity”• Had to code as “Elevated BMI”
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Case discussion:11yo male (JF)
Presents with obesity and probable Type II diabetes.
Pt seen for education of carb counting and healthy eating
Potential barriers: understanding of carbs and how to count them, concern of commitment- appeared overwhelmed
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NUTRITION EVALUATION Wt: 127.14 (>95 %ile) Ht: 59.5in (90 %ile) BMI: 25.4 (>95 %ile) Pt is a 10yo male being seen for BMI >95%ile as well as new
onset Diabetes which he is jointly followed by Peds Endo for. Reviewed knowledge of CHO counting with pt. His base knowledge was very minimal. Reviewed basics of CHO counting and provided family with handouts for guidance. Helped family to develop meal plan that fits pts current needs. Provided recommendation of 60g at meals and 20-30g at snacks.
Recs/Goals 1) CHO intake- meals: ~60g/ea and snacks: 20-30g/ea 2) fiber goal 15g/day 3) eat every 3-4hrs- counting CHOs and monitoring Glu levels
as prescribed 4) focus on adequate activity level 5) Prot goal is >15g/meal
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Case discussion: Breaking barriers
Provided hands on examples Provided family with “cheat sheets”
and discussed each one. Developed a plan with the pt and
mom. On going communication with pt and
mom.
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Case discussion: 1 month later
Previous Wt: 127.1 Current Wt: 124.0 (>95 %ile) Wt Change: down 3 lbs Pt is doing well with changes. He is
understanding what a carb is and where it is found. Discussed different ways to put meals together and what he could eat with freedom. Pt is able to verbalize some of the different carb amounts in food. Very pleased with progress and wt loss. Will send not to school to allow mid morning snack.
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Carilion Clinic Practice:Barriers
Practice: coding, referrals. marketing Patient: education, stigma, behavior
changes Financial: copays, high deductible
• All Anthem is not the same• Out-of-state plans
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Carilion Clinic Practice:Making It Work
Staff education Communication! Working with Anthem / Medicaid
guidelines to craft appropriate follow-up plans
Individualization of guidelines, recommendations
NCQA PCMH certification