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©2012 WiserTogether, Inc.1
©2012 WiserTogether, Inc.2
Mission:
To help employees use healthcare wisely
Objective:
To help employers reduce unnecessary medical expenses & improve health related productivity
Who is WiserTogether?
©2012 WiserTogether, Inc.3
Who is WiserTogether?
• Founded in 2008 • 1.3 million plus plan members across clients • Fortune 500 clients such as Safeway, Corning, Advance Auto
Parts, Skanska etc across industries • Model • Self-service treatment decision platform generating more
effective employee and dependent decisions and behaviors relating to high cost health conditions
- Musculoskeletal - Pregnancy - Mental Health- Cardiovascular - Diabetes - Respiratory
©2012 WiserTogether, Inc.4
A Critical Gap in Employer Offerings
Note: Approximately 60% of all plan member decisions fall into the left side of the graph
GAP IN SUPPORT ATEMPLOYEE’S POINT OF DECISION??
SEARCHENGINES
WEBMDPORTALS
EAP
HEALTHCOACH/
ADVOCATE
CARRIER’SPROGRAMS
DISEASE OR CAREMANAGEMENT
ONSITE CLINICS
HELP LINES
NEWS MEDIA CDC, PUBLICHEALTH
PROVIDER/EXPERT LED
EMPLOYEE/PATIENT LED
GENERIC SUPPORT
PERSONALIZED SUPPORT
HEALTH DECISION SUPPORT RESOURCE MAP
©2012 WiserTogether, Inc.5
% of health decisions made without provider consultation…
…but in consultation with friends/family or search engines
60% of Pregnancy & Maternity decisions
55% of Musculoskeletal decisions
60% Mental health decisions
50% of Cardiovascular health decisions
Large Enough To Warrant Support
Source: Kaiser Family Foundation; Sociology of Health and Illness, Volume 14; BMJ, 341; WiserTogether research.
©2012 WiserTogether, Inc.6
Unique Focus On Consumer Behavior
Study Objective:• Understand decision making behavior• Capture self reported effectiveness
Study Participants: • 14,000 employees• 4,000 physicians (as patients)
Study Methodology• 3 years of surveys, interviews, focus groups• Self-Insured employees w/ target conditions
©2012 WiserTogether, Inc.7
The Four Behavioral Steps of Informed Health Decision Making
Obtaining information about the health issue
Exploring treatment options and their effectiveness
Interacting with trusted contacts to narrow down the options being considered
Weighing options against personal preferences, costs & coverage before taking action
Consistently followed by individuals regardless of demographics: AgeGenderIncomeOccupation/role Health status
Source: WiserTogether’s behavioral research conducted from 2009-11 including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.
©2012 WiserTogether, Inc.8
What Happens if Employees…
- Decision making stops or slows down
- Uncommitted to action- Likely to follow strongest or
the last opinion/voice- Likely results in poorer
choices
- More confident in their actions
- 3x more vested in their choices and likely to stay with them longer
- More engaged in their health
…Don’t Hit all Four …Hit all Four
Source: WiserTogether’s behavioral research conducted from 2009-11 including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.
©2012 WiserTogether, Inc.9
But employees struggle because…
- Treatment specific information is hard to find
- Feedback from others is anecdotal
- Cost, coverage & time to recovery is impossible to get
Source: WiserTogether’s behavioral research conducted from 2009-11 including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.
©2012 WiserTogether, Inc.10
Wiser Health
The Wiser Health platform supports the entire health decision process in an innovative & effective way
©2012 WiserTogether, Inc.11
1.Plan Member Engagement – 30% to 85% annually Without Incentives2.Better Health Decisions – 60% take action using information/data3.Net Return of 4 to 9 Times the Investment4.Medical Claims Cost Reduction Achieved Through
• Reduction in number of doctor visits• Reduction in number of ER visits• Reduction in surgeon or specialist visits• More appropriate usage of tests/screenings performed during consultation and
diagnosis• Increased adoption of preventive measures • Improved substitution of generic versus brand name drugs
Is this Working?