ConditionNational

CostHeart disease $90.9 B

Cancer 71.4

Trauma-related 67.3

Mental disorders 59.9

Osteoarthritis 56.2

Hypertension 47.3

Diabetes 45.5

COPD, Asthma 44.5

Hyperlipidemia 38.5

Back problems 34.6

1O most costly medical conditions

Soni, A. Top 10 Most Costly Conditions among Men and Women, 2008: Statistical Brief #331. July 2011. AHRQ,. http://www.meps.ahrq.gov/mepsweb/data_files/publications/st331/stat331.pdf

Medical & Pharmacy Costs$3,376 PEPY 2

5%

75%

Personal Health CostsMedical CarePharmacy

Productivity Costs

Presenteeism

OvertimeTurnover

Temporary StaffingAdministrative Costs

Replacement TrainingOff-Site Travel for Care

Customer DissatisfactionVariable Product Quality

Total Costs = $13,504 PEPY

Absenteeism

Health-RelatedProductivity Costs $10,128 PEPY

Short-term Disability Long-term Disability

Sources: Edington DW, Burton WN. Health and Productivity. In McCunney RJ, Editor. A Practical Approach to Occupational and Environmental Medicine. 3rd edition. Philadelphia, PA. Lippincott, Williams and Wilkens; 2003: 40-152 and Loeppke, R., et al. Health and Productivity as a Business Strategy. Journal of Occupational and Environmental Medicine. Vol 49, No. 7, July, 2007. Pages 712-721 and the 2006 Mercer Employer Annual Survey;

The Real Problem:

The Full Cost of Poor Employee Health

Total Medical, Pharma&Productivity Costs-- per 1000/FTEs --

$300,000$100,000 $400,000

(HPBS – Phase 2 Employers)

$200,000

Source: “Health and Productivity as a Business Strategy,” JOEM. Vol. 51, No. 4, April 2009 3

Use of Treatment Algorithms for Depression

Treatment algorithms can help clinicians decide which treatment strategies to use.

The data are fairly consistent in showing that algorithms result in not just better response rates, but improved patient satisfaction as well.

An important factor may be that a care coordinator identifies patients who are not doing well and need to move to the next step in an algorithm.

A critical question is whether the better outcomes are related to the use of the care coordinator.

Trivedi, M. H., et al (2006). Journal of Clinical Psychiatry, 67(9), 1458-1465.