Honeywell sought to address high-cost, highly variable diagnoses such as cancer, complex diseases, musculoskeletal injuries, and other serious medical conditions where patients do not receive evidence-based care. They wanted a program to improve employee and population health status, support informed decision making, manage costs, and improve outcomes and satisfaction. To achieve these goals, Honeywell looked for a partner who could deliver the greatest impact to the portion of their population with significant health needs.
Honeywell launched ConsumerMedical’s Medical Decision Support® (MDS) program in 1999 and added the Surgery Decision Support® (SDS) program in 2003 to address rising musculoskeletal costs. SDS provides evidence-based information and personalized support for a participant facing hip or knee replacement, lower back or weight loss surgery, or hysterectomy. Between 2009 and 2013, the company used numerous SDS program engagement strategies for the SDS program:
- In 2006, Honeywell launched a $500 incentive to enroll in and complete the SDS program.
- When the incentive program didn’t result in the increase in engagement they wanted, it was discontinued in 2011.
- Honeywell ran no incentive/requirement program in 2012.
- Honeywell launched a $1000 penalty/requirement in 2013.
The penalty/requirement necessitates that when an employee is facing one of the five identified surgeries (non-emergency), they must complete the SDS program prior to surgery; if they don’t, they are assessed a $1000 penalty when their claim is processed. Implementing the requirement increased program participation by over 500% from the year prior when no incentive was offered. For participants who proceeded with surgery, ConsumerMedical guided them to Centers of Excellence program 99% of the time.
At first I thought it was going to be a hassle to do the steps needed to get the $1000 certificate for insurance. But now that I have completed the steps, I am glad that I did.
The risk of incurring a penalty does not reduce employee satisfaction with a surgery decision support program and can dramatically increase program utilization.
The SDS program serves an important need in the patient population for information on treatment alternatives. When patients are educated about their options, they make better and well-informed decisions.
Switching to more appropriate, less invasive treatment options in even a small number of cases is enough to produce a signifi cant return on investment.
Program Integration with Centers of Excellence improves impact on quality and costs
It absolutely did help me decide on my treatment. It opened up more information other than just what the surgeon is telling you – because, of course – they just want to operate. The service was fabulous – you were wonderful.