Using Technology To Engage Consumers In Their Health Webinar

Using Technology to Engage Consumers in their HealthWebinar Series 2010

April 29, 2010

www.scioinspire.com

© 2010 SCIOinspire Corp.

| Presentation Agenda

• Introduction and Panelists

• Definitions

• Health Plan Challenges

• Member Engagement Overview

• Headwinds of Healthcare

• Elements of Wellness

• Member Engagement Solution, Sample Workflow

• Benefits and Impact of Improved Member Engagement

• Just InTime™ Wellness, Overview

• Interactive Question and Answers Session

SCIOinspire Corp Proprietary & confidential. Copyright 2010 3

John Kahle, SVP & Chief Wellness Officer for Intercare Health Solutions

John Kahle provides the leadership necessary to ensure that the benefits plans offered by Intercare continually

enhance employee health and workforce productivity. He is an expert in the design and implementation of

wellness programs and funding options that effectively control benefits costs while supporting a more value-

based approach to employee benefits.

Bob Goodman, Benefits Manager for Manatee County

Bob Goodman has developed an innovative employer program that not only engages the employee but their

dependents with innovative plans designs and member incentives. This is the first Government plan that has

produced reductions in GASB 45 and their programs have won many prestigious awards.

David Hom, President, Care Management Services for SCIOinspire Corp.

David Hom is an internationally-recognized expert in the field of Value-based Benefits and Employee Wellness.

He joined SCIOinspire after more than 25 years with Pitney-Bowes Corporation, where he was responsible for

introducing their leading-edge programs in value-based wellness, which resulted in bending the rate of health

care inflation by 50% for over a decade.

Webinar, Panelists

SCIOinspire Corp Proprietary & confidential. Copyright 2010 4

Webinar Definitions

• Definition of Wellness

• Terminology used in this presentation: Members, Employees, Patients

• Webinar Audiences: Health plans, employers, vendor community, providers

| 5© 2010 SCIOinspire Corp. Proprietary & Confidential. 5

Health Plan Challenges

MemberEngagement

Solutions

Care Analytics

and Reporting

Payment IntegritySolutions

Business Process/

Cost Optimization

Healthcare Reform• Universality• Accountability for cost containment

Engaging Members and Providers• Member Engagement to promote

responsibility

Legacy Cost Structures• Leveraging new technologies• Holistic view of data to make it actionable

Care and Wellness Management Effectiveness• Improving quality and lowering the demand

for healthcare services• Clinical and financial effectiveness and ROI

Payment Integrity• Payment Errors• Overpayments, fraud, and abuse

Health Plan Challenges

Opp

ortu

nity

to T

rans

form

Solutions

Data/AnalyticsDriven

Transformation Solutions


Member Engagement, Legislation Impact

Areas of Opportunity

• Burden of cost containment falls on Health plans to maximize the effectiveness of their

care dollars

• Health plans have to innovate to differentiate themselves – and innovative member

engagement is a key area of differentiation

• Wellness programs will be driven by tax incentives for Employers

• Up to 30% of the premium can be used for wellness incentives beginning in 2014

• Improving overall health of the membership/employees will be a key differentiator for

both health plans and employers

• Effective member engagement to improve member health

• Efficient outreach will need to be developed


Headwinds of Healthcare

9% 59% 67%

Medical TrendsMember

Satisfaction Health Habits Lack of Employee Engagement

31% 30%

InsufficientIncentive

Health Management Budget

58%

TowersWatson /NBGH Survey Report “Purchasing Value in Health Care,” 2010

Headwinds of HealthcareKey Data Points, 2010


Elements of Wellness

Senior management engagement

Targeted communications

Culture of health

Other incentives to reinforce

behavior changes

Integrated suite of services

Plan designs to drive

compliance


The “So What Questions”

• How should health plans maximize their care

dollars and reduce their administrative costs?

• How effective are the programs today to

improve member engagement?

• How do you think the mid market employer will

react to Healthcare Bill?

• As an employer, does your insurance company

provide data that you can act on?

Key Questions


Member Engagement Solution, Sample Workflow

Multi-source Data Inputs

Technology DrivenIdentification/

Risk Stratification

Alerts:- Gaps-in-Care- Medication

adherence- Personalized

literature

Outreach

Customized Member

Content via Member Portal

Optional Connections or Referrals



• Will this solution framework work?

• What are barriers to implementing this type of

outreach based on a “Gap in Care”

• What data is important?

• Wellness alerts on age related activities

• HRA alerts on specific issues i.e. Seat Belt use

• Claims based alerts for medication

compliance

• Response from members using text messaging

or other web base methodologies

• What is the impact of HIPAA/Privacy?

Key Questions


Improved Member Engagement, Positive Snowballing effect

Payer

Hospital

Physicia

n



• Are these benefits real?

• Should Physicians and Hospitals offer this as a

service to their patients?

• Will the patient value the message if it comes

from these sources?

Key Questions


SCIOinspire

Just InTime™ Wellness, Overview

Library of Content and VideoOn Member Portal

Customized web content

based on Alert

Customized Member Content

JITWPersonalization Engine

Alerts Configuration

Optional Connections or ReferralsText Msg

Call Center

Outbound IVR

InternetemailMail

Employer’s HRA

PharmacyClaims

Biometrics

MedicalClaims

Lab values

HIPAA Compliant Alert Message:

Member



• Are there short and long term savings, and how

do you measure the savings?

• Will a Life or a Disability carrier provide

discounts to employers who implement

wellness programs?

• Does member engagement really matter?

Key Questions


Interactive Q&A Session

Please use the messenger on your screen to submit your questions


Contact UsAnnie Welsch

Email: [email protected]

www.scioinspire.com

SCIOinspire Corp.

220 Farmington Ave, Suite 4

Farmington, CT 06032

Phone: 1.800.653.3144

Fax: 1.203.286.1204

© 2010 SCIOinspire Corp.

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Using Technology To Engage Consumers In Their Health Webinar