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Rapid
Innovation CENTER OF HEALTH ENGAGEMENT
©2013 All Rights Reserved
Life is Like a Movie
Write your own ending…
Evidence Inspiration Innovation
ONE TWO THREE
1 2 3
Evidence
1
Is There a Lack of Engagement?
Since 1995, we have conducted surveys of employers large and small, health
plans, payers, and consultants to learn how they design benefits and how they contract for services in the provider
sector. The next slide will summarize what the respondents told us they wished they could do better. This is published info
from 3 years’ of surveys.
What We Would Do Better
Engage Employees Tell Clinicians
about the changes
Engage Employees Tell Clinicians
about the changes
Engage Employees Get data to support the
biz case Tell Clinicians…
data Integrated and
OPEN
is essential to Engagement
Finally, they realized they didn’t have all the data to build the best engagement!
How might we measure and get value for
engagement?
Is there engagement? Perhaps by measuring participation
in health programs and personal management.
They Got More Data
Biometric Screens 19% of plan sponsors offer screening
27% of plan sponsors achieve completion rates >50%
47% (less than half of sponsors) get aggregate report
Chronic Disease:
High Blood Pressure 32% of plan sponsors know #affected
Only 9% of sponsors get > 50% participation in programs
38% of sponsors get info on Rx adherence
Primary Care Physician Less than 1/3 of plan sponsors know if their
beneficiaries have a PCP, yet 80%+ believe PCP is the key to engagement and cost efficiency
Not so good on engagement
Is there engagement? …and a lot of money being wasted
SURVEY says
The Car is Moving… but the people inside are not fully engaged for best results!
2
Inspiration
Case Studies, Policy Changes to
Improve Value with Rewards
Building Accountability
Into System Payments
Tracking Engagement In Personal Health
We Published Recommendations
It’s not all
CLINICAL
Inspiration
Inspire Behavior Change
Innovation in Behavior Change What the
new science is showing
us
3
Feel Good, Full of Satisfaction
Satiety
Dopamine
Short-Term Memory
REWARDS>>WARM FUZZIES >>
REWARDS’ MEMORIES BECOME INTRINSIC
Fight or Flight Danger STICKS
Adrenaline
NO Short-Term Memory
But more is not better!
Your brain on dopamine is reinforced
with sharing (peers,
influencers…)
Too much can damage and kill dopamine
receptors
NO MEMORY OF REWARD
HAPPY MEMORIES AND GOOD BEHAVIORS
SHAMELESS USE OF PUPPY TO REINFORCE YOUR MEMORY WITH DOPAMINE RELEASE
LET’S REVIEW
Data and shared experience
OPEN data from patient and
consumer-generated sources
Remove fear, align rewards for all who
matter in the moment
INNOVATION: meaningful rewards to trigger the feel-safe,
warm-fuzzy response
Health Engagement
is Like a Movie YOU write your engagement script
Kermit the Frog, Philosopher
