Why Health Management?

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2 Why Health Management? So you ve decided that the best chance of surviving the health care crisis is to reduce the amount you re spending on health care now what? Step One - Design and create an environment that motivates and clinically manages your population to embrace and achieve the benefits of good health! To get started - Let s assume that your guidance on creating a Strategic Health Management solution included a list of Best Practices. Below is a starter list for discussion. Strategic Health Management Best Practices 1. HDHP health plan design with financial incentives 2. Communications strategy to get employees on board 3. Selected clinical tests to measure multiple risk factors 4. Population stratification process for pre & chronic disease 5. Clinically managed prevention and control programs 6. Engagement solution accessible from any Internet device 7. Health & disease educational videos and print content 8. Authentication process to enforce program compliance 9. Personalized wellness road-map for each member 10. HIPAA compliant data integration strategy 11. One TWO large bottles of anti-depressant medication OK, so you won t be surprised to learn that many organizations have not rushed into the development, implementation, and management of a successful health management strategy without a little help. Let s continue 1

3 Why Wellvibe? Beginning with your entire health plan population, Wellvibe interacts with each plan member to stratify against known risk factors, and engage them with a clinically prescribed health roadmap designed to transform unhealthy behavior into a more productive healthy lifestyle. Step Two - Stratification We start with member data, biometrics, plan selection, and age/gender data as the base line for stratification. Engagement & Transformation Based on the above stratification criteria, Wellvibe provides each participant with a personalized roadmap for health accountability. The health roadmap organizes, tracks, and guides each member through their own clinical/educational engagement (interventions, programs, educational material, health coaching, etc.) to ensure compliance with plan directives & incentives; and transforms behavior to promote a healthier lifestyle. Results The results of each member s clinical accountability road map (engagement and compliance reporting) are then linked to plan surcharges, premium differentials & incentives to inform both the member and the plan of each members progress. 2

4 Program Flow stratification engagement & transformation reporting engaged & meets standard surcharges premium differentials and incentives engaged but does not meet standard + = not engaged and does not meet standard 3

5 Yes, Wellvibe! Introducing Wellvibe - The enterprise clinical management and engagement platform that drives active participation in health management, health education, and consumerism resulting in healthier employees and lower claims costs. Wellvibe is the result of six plus year s development led by one of the largest health insurance brokers in the country. Simply stated, we re invested at the core of the problem and we ve consulted hundreds of employers and large insurance carriers in leveraging their health plan and health management strategies with technology to successfully adopt a cultural of health and personal accountability. Let s look at a few of Wellvibe s features. Wellvibe Product Features 1. Real-time program, incentive, & report management 2. Intelligent Communications Management 3. Personalized, clinically driven, health road maps 4. Robust Stratification, Engagement, and Authentication 5. Supports multiple clinical prevention and control programs 6. Highly customizable, secure, (cloud-based) platform 7. Health & disease educational videos and print content 8. Event management, scheduling, and video coaching 9. Embedded Social Media and Gaming technology 10. An affordable, easy to use & administer enterprise solution 11. HIPAA compliant SSO and data integration management OK. We think you get the idea 4

6 Wellvibe is not a provider of clinical services; rather we provide the enterprise platform that integrates your health plan communications and incentive strategy with clinical programs to create a robust member facing experience. Wellvibe s goal is to communicate and drive active participation in personal health accountability - and we get results. Lets look at how this all comes together. The Wellvibe user interface (shown below) provides an intuitive approach to driving engagement, accountability and change, making plan members more responsible for those costly life style related diseases, and proper use of available plan resources. Wellvibe User Interface (Sample) By design, Wellvibe address the members question What do you want me to do? and the employer s question How do we know they did it? 5

7 Wellvibe Engagement Report (Sample) Monthly Snapshot Date: 04/29/2013 Company Name: ABC Company Agency: John Doe & Associates Broker: John Doe Effective Date: 01/01/2013 Market: Columbus SAE Jane Doe EE Count 109 Outcomes-Based Design No Engagement: Engagement - Rolling % Engagement - Current Plan Year 84.4% % of Biometric 78.9% % of Biometric - Current Plan Year 78.9% Engagement Rank: Biometrics Rank: 10/62 9/62 % of EE s with PCP 68% Healthy Pregnancy 2/3 Diabetes Prevention 7/13 Diabetes Control 0/2 Aggregate Biometrics: BMI ( 25)* 27.1 BMI in range** 22.1 (40) BMI out of range** 31.6 (40) BP ( 130/80)* 120/74 BP in range** 115/71 (65) BP out of range** 136/86 (21) Cholesterol ( 200)* Cholesterol in range** (60) Cholesterol out of range** (26) Glucose (< 100)* 90 Glucose in range** 67.9 (18) Glucose out of range** 96.7 (68) A1c (< 5.6)* 3.7 A1c in range** 3.7 (9) A1c out of range** 0 (0) *Indicates health standard **Number in parenthesis indicates the number of employees within this range Discussion Items: Now what? Simple - For more information on using Wellvibe as an employer, administrator, provider (ACO) or health plan and to receive a no obligation demonstration, please contact Wellvibe at 6

8 MC /2013

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