Managing chronic conditions has always been critical in regards to improving employee health and reducing healthcare costs. With the emergence of the COVID-19 health crisis, it’s more important than ever as patients with chronic conditions have a higher risk of complications with COVID-19. With a multitude of telehealth resources available, discover how pharmacists can make a significant impact on patients with chronic conditions.
Speakers: Jessica Lea, CEO, Pharm.D., EMBA, BCPP Jason Grace, Director of Clinical Services, Pharm.D. Austin Morgan, Pharm.D. Date: April 23, 2020 Time: 11:00AM – 12:00PM CDT
It seems like every day we are inundated with COVID-19 information. While important, it can be overwhelming and depressing. For people with chronic conditions, it can be downright scary! Managing chronic conditions is more important than ever. Tria Health’s pharmacists have been hard at work, providing care to patients with chronic conditions, helping them through these trying times. Here are some recent patient success stories.
Allergies or COVID-19?
It can be difficult individuals to understand the differences between allergies, asthma or COVID-19 symptoms. Knowing how to distinguish the condition will help in expediting treatment. For help understanding the differences between symptoms, see this Respiratory Illness Chart.
A patient had allergies, high blood pressure, and was struggling with her asthma. She couldn’t afford her inhaler and was terrified to leave her house due to COVID-19. Tria Health assisted the patient with getting the medication cost reduced and coordinated with the patient’s doctor and pharmacy. Tria was able to get the medication sent directly to the patient, reducing her risk of exposure. Tria was there to answer all her questions and concerns and educate her on the difference between respiratory illnesses.
Social Distancing Reducing Visits
For some, going into the doctor’s office was the only way of receiving affordable medications through samples or trial packets. Due to COVID-19, some people haven’t been able to safely leave their homes or afford their medications.
A patient with heart failure could not afford one of their critical medications. He was going to the cardiologist office every 2-3 weeks to get samples. His Tria Health pharmacist was able to sign him up for a manufacturer coupon at an affordable copay. Tria Health also had the prescription sent to a pharmacy with a drive through pick up to allow for appropriate social distancing for this high-risk individual.
Getting Diagnosed with COVID-19
If you have a confirmed COVID-19 diagnosis, it is important to take proper precautions to protect yourself and those around you. To learn the steps to help prevent the spread of COVID-19 if you are sick, click here.
A patient called the Tria Health Help Desk with questions and wanting information regarding their recent diagnosis of COVID-19. Tria helped educate the patient with quarantine recommendations, along with encouragement to keep a temperature log. If the patient started having breathing issues, they were instructed to go to the emergency room and to call ahead before going. Simply talking to a Tria Health pharmacist and having them provide a detailed overview of next steps helped put the patient at ease.
While it’s important to continue your current treatment regimen to effectively control your conditions, now might be a great opportunity to instill some healthy habits.
During a smoking consult, a patient was struggling with anxiety and feeling completely out of control with the pandemic. She was not seeing any progress with quitting and was starting to feel down on herself. Tria’s pharmacist worked with the patient to refocus her efforts and make a list of things holding her back. During a follow up consult, the patient had cleaned out her smoking area, found new healthy habits, and started organizing her day. In addition, the patient is wearing a mask more often, which was also keeping her from smoking. Due to the support from the Tria Health pharmacist, the patient now has a happy place to enjoy the sunshine and her daughter.
For self-insured employers, heart disease and
diabetes are considered significant hindrances in the effort to improve
employee health while reducing overall healthcare costs. Heart disease is the
leading cause of death for both men and women and about 9.4% of Americans are
diagnosed with diabetes. In order to control cost and help employees, employers
typically look to disease state management programs. While many of these
programs seem beneficial, the durability and long-term effects have limited
What is a
disease management program?
Disease management programs (DMPs) are structured
treatment plans that aim to help people better manage their chronic disease and
to maintain and improve quality of life. DMPs are also run with the general
goal of improving medical treatment in the long term.
Disease management programs also aim to improve cooperation between the various
specialists and institutions that provide care for a patient, such as family
and specialist doctors, hospitals and rehabilitation centers.1
the long-term outcomes of a DMP?2
A recent study published in the NCBI had the main
objective of assessing the 5-year health, economic, and quality-of-life patient
outcomes of an employer-sponsored disease state management program. The program
included one-on-one appointments with a pharmacist that included medication
therapy management, implementation and adherence to 7 personalized lifestyle
medicine programs (ie, physical activity, healthy eating, stress management,
restorative sleep, moderate alcohol consumption, tobacco abstinence/cessation,
and weight control), and chronic disease care coordination practices.
lipoprotein cholesterol levels: 39.32 mg/dL vs 46.12 mg/dL
blood pressure: 132.04 mm Hg vs 123.63 mm Hg
Average exercise time
increased: 50 minutes weekly vs 156.04 minutes weekly
healthcare and productivity return on investment for the program at 5 years was
$9.64 for every $1 invested.
What is the
difference between a Disease Management program and the Chronic Condition
Management Program offered by Tria Health?
Tria Health started as a disease management
program and has its foundation there, but many disease management programs are focused
one particular disease state versus the program offered by Tria Health which is
patient-centered. Most patients have more than one chronic condition, so taking
a ‘patient-centered’ approach improves overall care and costs.
in improving your employee’s health?
Tria Health offers Chronic Condition Management through
our Pharmacy Advocate Program. Clinical Pharmacists provide one-on-one
telephonic counseling for members and are their personal advocate to help them
navigate through the health care system. Through reviewing a member’s
medications and lifestyle, including their sleep habits, Tria Pharmacists can
make recommendations that will help control their chronic conditions and help
them feel better!
According to a recent study published in Psychological Medicine, mental health
disorders affect 44 million American adults. This includes a variety of
conditions, including depression and anxiety. It is critical for organizations
to provide support for mental health, not only for the overall well-being of
their employees but also to help manage their overall health care cost.
Should Invest in Mental Health Because They Bear 50% of the Cost
Including mental health services in a
comprehensive benefits package is a smart decision for all employers. By investing
early, employers can attract new talent and offset some additional costs that
are associated with unmanaged mental health. Almost 43% of persons with severe
depressive symptoms reported serious difficulties in work, home and social
activities.1 A 2016 National Survey on Drug Use and Health,
estimates depression costs the U.S. economy $210 billion annually; employers
bear 50% of that cost.
with Chronic Conditions and Depression are 2x Less Adherent
Chronic conditions can be a lot to manage at an
individual level. It’s not surprising that a percentage of those who are
diagnosed with a chronic condition also experience some form of depression or
anxiety. Studies show that people with diabetes have a greater risk of
depression than people without diabetes.2 This connection is
significant when it comes to adherence. Results
from 47 independent samples showed that depression was significantly associated
with non-adherence to the diabetes regimen. In addition, the estimated odds of
a depressed patient being non-adherent are 1.76 times the odds of a
non-depressed patient, across 31 studies and 18,245 participants.3
Path to Care – Connect Employees to Providers
Employers can make accessing a mental or
behavioral healthcare provider easier by offering a program that helps connect
employees with providers who are in-network, vetted for quality of services and
accepting new patients.4 They can also provide assistance by making
sure employees know what programs and benefits are available. It’s one thing to
offer mental health services to employees, but it’s equally important that
everyone is familiar with and know how to access them.
and Mental Health
Many patients decide to take medications in order
to effectively manage their mental health. There are a variety of mental health
medications currently on the market, ranging from selective serotonin reuptake
inhibitors (SSRIs) to atypical antidepressants. Because there isn’t a test to
measure to brain chemicals, it can be a trial and error process to identify the
best treatment for a patient. If Tria Health is offered through your benefits
plan, you have the option of receiving a one-on-one, private consultation with
one of Tria Health’s pharmacists over the phone. During your consultation, your
pharmacist will review all your current medications, including vitamins and
supplements. If you’re interested in exploring medication treatments for mental
health, Tria’s pharmacist will be able to provide you with recommendations.
While exercising can be beneficial for anyone, people
with chronic conditions can significantly improve their health and manage their
symptoms. If you’re concerned about how often you can exercise or which
exercises are safe, talk to your doctor before starting your routine. Find out
what you need to know about chronic conditions and exercise!
Exercise Improve Your Symptoms?
There are four main types of exercise that can
help you manage your symptoms and improve your health; Aerobic, High-intensity,
Strength training and flexibility exercises (You can find descriptions of each,
By practicing one or more of these exercise methods, you’ll be able to directly
impact your chronic conditions symptoms.
disease. Regular exercise can help improve your heart health. Recent
studies have shown that interval training is often tolerated well in people
with heart disease, and it can produce significant benefits.
Regular exercise can help insulin more effectively lower your blood sugar
level. Physical activity can also help you control your weight and boost your
Often, exercise can help control the frequency and severity of asthma attacks.
Regular low-impact aerobic activities can increase strength and endurance in
your back and improve muscle function. Abdominal and back muscle exercises
(core-strengthening exercises) may help reduce symptoms by strengthening the
muscles around your spine.
Check with Your Doctor & Get Started Today!
Checking with your doctor before exercising is
never a bad idea, depending on your condition(s) there could be some important
precautions you need to take. They will also be able to provide recommendations
with pain reduction and necessary dietary adjustments. If you feel nervous
starting alone, you might want to consider a group exercise program. You might
also find condition-specific programs at your local hospital or clinic.
Have any Questions?
Contact the Tria Health Help Desk at