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Transcript
The Problem
A fragmented marketplace does not
support individual consumer needs

Lack of adherence; difficulty targeting communications

Non-compliance with recommended care increases
medical costs

Delays in receiving recommended care contributes to
unnecessary medical problems and higher mortality rates

Appealing directly to individual employees has been difficult
Employers are seeking solutions
to counter these trends
The Solution
We support an engaged consumer’s needs

Reaches individual consumers

Provides personalized preventive and chronic
care reminders, focused on gaps in care

Customized for each individual

Supported by Personal Health Advocates

Fully integrated with all Health Advocate solutions

Helps drive engagement and health compliance

Cost-effective, “add-on” turnkey solution
We build trusted
relationships to
help drive results

Communications drive utilization

Personal Health Advocate support

Ongoing non-adherence reinforcement

Reaches the “health care
decision-maker” at home

Allows for company-specific branding
Reminders drive engagement
with advocacy, chronic condition
support and wellness coaching
Communication Components

Members receive up to 4 gaps in care messages
in a 12-month period

Mailings occur approximately every 30 days,
alternating between preventive and chronic care messaging

The same reminder is not sent again in a 120-day period

A priority hierarchy is applied if the member ‘qualifies’
for more than one reminder
Health Advocate utilizes their own, full-service,
in-house production and fulfillment center
Gaps in Care Communications
Preventive

Designed to increase adherence to high
value preventive tests such as
mammograms, bone density tests, cervical &
colorectal cancer screenings and flu shots

Data-driven using eligibility and claims data
matched to evidence-based guidelines

Directs employees to their personal physician
and Health Advocate Personal Health
Advocates and Nurse Coaches
Gaps in Care Communications
Chronic Conditions

Reaches 100% of members with
recommended chronic care services due

Reminders address the top conditions
such as heart disease, diabetes and asthma

Directs employees to their personal physician
and Health Advocate Personal Health
Advocate and Nurse Coaches

Drives utilization of chronic condition
management programs

Encourages compliance with important tests,
evidence-based care, wellness/lifestyle
changes and medication
Client Results
Preventive Care Screening Compliance
Large labor union – 6,293 eligible employees
Diabetic Screening Compliance
Large labor union – 6,293 eligible employees
Implementation
Implementation Overview

Health Advocate
 Receives historical/monthly data updates –
typically 2-3 years of historical data
 Applies software rules/algorithms to
stratify data
 Produces and sends personalized,
printed mailers

Personal Health Advocates
 Support inbound calls
 Help schedule appointments, answer
questions and explain treatments

Management reports capture compliance rates
and cost savings
Management
Reporting
Outcome Reporting
Provided annually, management
reports capture:

Year-to-year impact on member
adherence to recommended
preventive and chronic
condition measures

Employer performance against
national benchmarks

Details on the impact increased
adherence made on
medical outcomes
Thank you
First Name Last Name, Title
000.000.0000
[email protected]