ebpa annum presentation 12072017€¦ · d z > p l v } Á o p v h v , o z ] u ] v v µ u , o z u...
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REINVENTING TREATMENTFOR HEAVY DRINKING
EBPA MeetingDec. 7, 2017
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The Largest Acknowledged and Untreated Health Epidemic
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Private & Confidential
Heavy Drinking Among Women At All-Time High, Despite Health
ConsequencesNovember 30, 2017
America's Dark Future: Deaths from Booze, Drugs, Suicide Could
Spike 60 Percent Next DecadeNovember 21, 2017
The Nation's Top Cancer Doctors are Asking People to Drink Less in an Unprecedented Warning
November 9, 2017
There Are Medications That Can Treat Alcoholism, but Doctors
Rarely Use ThemOctober 30, 1017
New Study Says Heavy Drinking Has Become a ‘Public Health Crisis’October 27, 2017
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32 Million At-Risk & Heavy Drinkers
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“Excessive alcohol consumption is very common in America, but quality treatment is scarce. It’s time we treat heavy drinking like the public health epidemic it is.”
—Mark Willenbring, Annum co-founder in Real Clear Health
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$249 Billion Total Annual Economic Loss
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$82 billion lost each year due to impaired workplace performance and absenteeism.
Private & Confidential
In the absence of a viable alternative, employers treat this as a write off.
$28 billion spent each year on health care costs
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Heavy Drinking a Major Contributor to Costly Chronic Diseases
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Elevates the Risk of:• Cardiovascular disease and
high cholesterol
• Diabetes
• Depression
• Breast cancer, head and neck cancer, esophageal cancer and other cancers
• Alzheimer’s Disease and other dementias
• Accidents, injury & trauma
“Excessive alcohol consumption is the third leading preventable cause of death in the United States”
— National Institute on Alcohol Abuse and Alcoholism
$316
$249 $245
$210
$157
Cardiovascular Alcohol Use Diabetes Depression All Cancers
Cost in Billions
Source: CDC
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Current Offerings are Inconvenient, Ineffective, Stigmatizing and Expensive
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Private & Confidential
Annum Solves for Two-Thirds of the Barriers Keeping People in Need Out of Treatment
1% 21%
19%
20%
8%
31% Other
Inaccessibility
Stigma
Cost
Ineffectiveness
Not interested
U.S. adults who need treatment but go without cite the following reasons for not seeking it:
Source: Substance Abuse and Mental Health Services Administration
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The Modern Alternative To Traditional Rehab
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Tech enabled, cost effective and results oriented• Mobile Delivery
Accessible everywhere
• Personal ChoiceQuit or cut back
• Proven MedicationSupports personal goals
• Full Year TreatmentPrivate, continuous, practical
• Employer FundedMeasurable outcomes & ROI
No labels, no steps, no meetings and no rush
Private & Confidential
The Annum Solution
Private and Convenient
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8© Annum Health, 2017
Single Platform – Complete Solution
Provider Platform Ensures Consistent,
National Quality
App is the Participant’s Single Point of Contact
Private & Confidential
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The Participant’s Journey
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Private & Confidential
Lapse-management is included throughout the full year of support
Billing trigger
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Universal engagement eliminates stigma by reaching out to every employee, informing them of the new benefit and offering a friction-free path to
quitting, cutting back or just learning more.
© Annum Health, 2017
Annum will also provide employer partners with customized internal marketing materials to enhance engagement.
No One is Singled Out; Turnkey Implementation
Population Health Approach to Engagement
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In-house Call Center Digital Marketing Customized Marketing
Our multi-channel approach is customized for each population.
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Ready to Deliver Timely, Effective and Affordable Care to People Who Need It?
DISCUSSION & NEXT STEPS
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12© Annum Health, 2017
Appendix
Engagement WaterfallOur NetworkAUD Identification Test (AUDIT-10)A Time Tested ApproachOur LeadershipSelected Bibliography
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Engagement WaterfallA Company with 10,000 Employees
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Private & Confidential
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Annum Network
Annum Training, Manualized Protocols & Clinical Supervision
PhysiciansPrimarily emergency & urgent care physicians with telehealth experience
• Licensed in state where treating participants
• Carry their own insurance & HIPAA trained
Licensed Clinical Social Workers (LCSW)Background in evidence-based approaches and teletherapy
• Licensed in state where treating participants
• Carry their own insurance & HIPAA trained
CoachesMasters level in Social Work and/or Psychology
• Familiarity with CBT and Motivational Interviewing
• HIPAA trained
All providers use Annum’s proprietary end-to-end platform
Private & Confidential
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Alcohol Use Disorder Identification Test (AUDIT-10)
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1. How often do you have a drink containing alcohol?
(0) Never (Skip to Q9-10) (3) 2-3x/week
(1) Monthly or less (4) 4+ times/week
(2) 2-4x/month
6. How often during the last year have you needed a first drink in the morning to get yourself going after a heavy drinking session?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
(0) 1-2 (3) 7-9
(1) 3-4 (4) 10+
(2) 5-6
7. How often during the last year have you had a feeling of guilt or remorse after drinking?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
3. How often do you have six or more drinks on one occasion?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
Skip to Q9 & Q10 if total score for Q2+Q3=0
8. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
4. How often during the last year have you found that you were not able to stop drinking once you started?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
9. Have you or someone else been injured as a result of your drinking?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
5. How often during the last year have you failed to do what was normally expected from you because of drinking?
(0) Never (3) Weekly
(1) Less than monthly (4) Daily
(2) Monthly
10. Has a relative or friend or a doctor or another health worker been concerned about your drinking or suggested you cut down?
(0) No
(2) Yes, but not in the last year
(4) Yes, during the last year
Score: 5-10: At-risk Drinker (20% AUD) • 11-15: More At-risk Drinkers (40+% AUD) • 16+: High probability of moderate (90+% AUD)
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A Time-Tested Approach
© Annum Health, 2017
Safe, Effective Medicine.
“[M]edications... have been shown to help patients reduce drinking, avoid relapse to heavy drinking, achieve and maintain abstinence, or gain a combination these effects.”
Combining Medicine and Therapy.
”Moderate alcohol dependence can be treated with greater effectiveness when [medicine] is used in conjunction with weekly outpatient cognitive behavioral therapy.”
Offering a Choice to Quit or Cut Back.
”Allowing patients to choose their treatment goal increases the success rate.”
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Current Offerings Inconvenient, Ineffective, Stigmatizing and Expensive
© Annum Health, 2017
Private & Confidential
"I first looked for help with drinking when I was 27. All I could find were 12-step programs, which immediately turned me off. If a private, affordable and non-judgmental program like Annum had been available to me back then, I'd like to think that I might have pursued treatment much sooner, before my drinking spiraled so completely out of control. Instead, I struggled for so long and wasted too many years of my life because I did not want to be labeled an alcoholic or ask for help." — Andrew Michinard, The Alcoholic Next Door
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Our LeadershipOur Leadership
Michael B. Laskoff, Co-Founder and Chief Executive OfficerMichael is an expert healthcare innovator and experienced entrepreneur. Prior to co-founding Annum Health in 2016 to meet the urgent health and economic need for a scalable, evidence-based treatment for heavy drinkers, Michael founded AbleTo. Now a recognized telehealth leader, AbleTo uses behavioral change to reduce medical expense and improve health outcomes. As CEO, Michael raised three rounds of venture funding and secured health plan partnerships to cover over 30 million people.
Lauren Wolfe, PsyD, Co-Founder and Chief Clinical OfficerDr. Wolfe is a licensed clinical psychologist, a certified tobacco treatment specialist and the associate training director of the Health Psychology Program at California Pacific Medical Center in San Francisco. Her keen interest in leveraging technology to improve upon and scale evidence-based treatments for heavy drinking and smoking is informed by a career that has spanned both the health and tech sectors. Dr. Wolfe was trained at the Veterans Health Administration (VA) focusing on addiction treatment and earlier in her career was the director of strategic accounts at Tanium, a global leader in cybersecurity.
Mark Willenbring, MD, Co-Founder and Chief Medical Officer Dr. Willenbring is a psychiatrist who has been pioneering new ways to treat alcohol and drug use disorders for over 35 years. While leading the Division of Treatment and Recovery Research at the National Institute on Alcohol Abuse and Alcoholism at the National Institutes of Health from 2004-2009, Dr. Willenbring was responsible for overseeing research on alcohol use disorder at universities around the United States. Respected as a master clinician, a visionary, and a scientist, Dr. Willenbring frequently offers guidance on the national and international stage regarding the interpretation and implementation of new scientific findings related to addiction treatment.
Private & Confidential
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Selected Bibliography
van Amsterdam J. (2013). "Reduced-risk drinking as a viable treatment goal in problematic alcohol use and alcohol dependence." The Journal of Psychopharmacology, (27), 987-997.
Anton, R.F., et al. (1999). “Naltrexone and Cognitive Behavioral Therapy for the Treatment of Outpatient Alcoholics: Results of a Placebo-controlled Trial.” American Journal of Psychiatry, 156(11), 1758-64.
Centers for Disease Control and Prevention (2017). “Chronic Disease Prevention and Health Promotion.” 28 June 2017, www.cdc.gov
Centers for Disease Control and Prevention (2016). “Depression.” 30 March 2016, www.cdc.gov/
Hingson, R.W., et al. (2017). "Drinking Beyond the Binge Threshold: Predictors, Consequences, and Changes in the U.S." American Journal of Preventive Medicine, 52(6), 717-727.
Glaser, G. (2015, accessed 2017, May 12). "The Irrationality of Alcoholics Anonymous," Atlantic Monthly [Online]. www.theatlantic.com
Bush, D.M. and Lipari, R.N. (2015, accessed 2017, May 12). Substance Use and Substance Use Disorder by Industry [Online]. www.samhsa.gov
NIAAA – National Institute on Alcohol Abuse and Alcoholism. (2005, accessed 2017 May 5). Helping Patients Who Drink Too Much –A Clinician’s Guide [Online]. www.niaaa.nih.gov
Sacks, J.J., et al. (2015). “2010 National and State Costs of Excessive Alcohol Consumption.” American Journal of Preventive Medicine, 49(5), 73-9.
SAMHSA – Substance Abuse and Mental Health Services Administration. (2014, accessed 2017, May 8). Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings [Online]. www.samhsa.gov
SAMHSA. (2015, accessed 2017, May 4). National Survey on Drug Use and Health: Detailed Tables [Online]. www.samhsa.gov
Shield, K. D., Parry, C., & Rehm, J. (2014). Chronic Diseases and Conditions Related to Alcohol Use. Alcohol Research࣯: Current Reviews, 35(2), 155–171.
Private & Confidential
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Annum Health • 335 Madison Ave, 16th Fl., New York, NY 10017 • www.annum.com