Title
APPROVAL OF THE AMENDMENT TO THE EXPRESS SCRIPTS CONTRACT FOR ADDITION OF THE OMADA CHRONIC CONDITION MANAGEMENT PROGRAM EFFECTIVE 02/01/2025
Description
The current medical and pharmacy plan lacks a comprehensive chronic condition management program. The plan currently has approximately 580 members with chronic conditions such as diabetes and hypertension. To address this deficiency, the Omada Lifestyle Management Program through Express Scripts offers resources for diabetes prevention and management, as well as hypertension management. This program utilizes clinical data for personalized care, tracks utilization, and monitors progress. Members benefit from health coaching, digital tools, and connected monitors to better manage their conditions.
Gap Analysis
Currently no chronic condition management program in place.
Previous Outcomes
N/A
Expected Outcomes
Members with chronic conditions will have support in place to help monitor conditions and improve outcomes. It is expected approximate participation will be 20 – 30%. There is a ROI of 1.3:1 or about $246,000.
Strategic Plan Goal
Pillar 3 - Every Employee Valued
Priority 1 - Recruit, Recognize, and Retain
Priority 2 - Foster Employee Engagement
Pillar 4 - Every School Equipped
Priority 1 - Maintain Sustainable Financial Practices
Recommendation
That the amendment to the Express Scripts contract for the addition of the Omada Chronic Condition Management Program be approved as presented.
Contact Information
LYNN PETERSON lynn.peterson@sarasotacountyschools.net
ASHLEY ROMADKA ashley.romadka@sarasotacountyschools.net
Financial Impact
Omada Prevention: $46 per participating member per month
Omada for Diabetes and Hypertension: $85 per participating member per month.
Estimated Financial Impact - $177,480
Source - Internal Service Fund