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ORIGINAL RESEARCH
Readiness of US Health Plans to Manage Cardiometabolic Risk
Program Type
Provide Program for the Community, %
Provide Program for Clinicians, %
Provide Program for Employers, %
Provide Program for Members, %
Other
2.9
8.8
14.7
23.5
Insulin resistance
17.6
26.5
20.6
47.1
Glucose intolerance
17.6
47.1
44.1
58.8
High triglycerides
20.6
52.9
52.9
76.5
Hypertension
32.4
61.8
64.7
85.3
Cholesterol control
26.5
64.7
61.8
91.2
Physical activity
44.1
38.2
73.5
94.1
Nutrition
47.1
41.2
73.5
97.1
Obesity/overweight
50.0
41.2
70.6
97.1
Tobacco use
44.1
55.9
73.5
97.1
Figure 1. Percentage of health insurance plans with wellness, health promotion, or prevention programs/activities for members, employers, clinicians, and communities, by program type, 35 members of America’s Health Insurance Plans, United States, January 2008.
Behavioral health programs for stress, depression, and/or substance abuse
73.5
2.9
Reduced co-pays/cost sharing
26.5
5.9
Drug therapy
61.8
5.9
Nutrition counseling
79.4
8.8
Tobacco use cessation programs
82.4
11.8
Health education classes
73.5
14.7
Web-based tools and resources
91.2
14.7
Patient educational materials/brochures
91.2
14.7
Physician counseling
35.3
17.6
Phone-based services
55.9
17.6
Worksite services
82.4
17.6
Incentives
76.5
23.5
Referrals to case management
91.2
29.4
Feedback from health risk assessment or appraisal
100.0
35.3
Health coaching
85.3
58.8
Figure 2. Percentage of health insurance plans that use strategies to help enrollees manage cardiometabolic risk and percentage of health insurance plans that rank the strategy as among the 3 most effective, by strategy, 35 members of America’s Health Insurance Plans, United States, January 2008.
Specialized training for providers and/or their office staff
26.5
5.9
Consultation/referral to tobacco use cessation services
58.8
23.5
Pharmacy programs
64.7
23.5
Information technology tools to providers
52.9
38.2
Care coordination
79.4
38.2
Pay for performance
64.7
41.2
Feedback to providers
88.2
52.9
Evidence-based practice guidelines
97.1
55.9
Figure 3. Percentage of health insurance plans that use strategies to assist clinicians evaluate and/or manage enrollees’ cardiometabolic risk and percentage of health insurance plans that rank the strategy among the 3 most effective, by strategy, 35 members of America’s Health Insurance Plans, United States, January 2008.
Figure 4. Percentage of health insurance plans that face barriers to addressing cardiometabolic risk and percentage of health insurance plans that rank the barrier among the top 3, by barrier, 35 members of America’s Health Insurance Plans, United States, January 2008.
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers
for Disease Control and Prevention.
