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©2012 WiserTogether, Inc. 1

©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

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Page 1: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©2012 WiserTogether, Inc.1

Page 2: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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?

Page 3: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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

Page 4: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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

Page 5: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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.

Page 6: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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

Page 7: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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.

Page 8: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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.

Page 9: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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.

Page 10: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©2012 WiserTogether, Inc.10

Wiser Health

The Wiser Health platform supports the entire health decision process in an innovative & effective way

Page 11: ©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve

©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?