Total population health. One person at a time.

Total population health. One person at a time.

Health Dialog is a total population health services provider that has a 20-year track record of helping organizations reduce costs. Through the combination of our powerful analytics, live coaching services, multi-channel engagement platform, and award-winning shared decision making tools, we deliver the right intervention to the right individual at the right time. We empower people to make informed decisions that lead to improved health and wellness outcomes.

A Strong Foundation for Personalized Health Engagement and Support Our philosophy is simple: we provide truly personalized health management support services that help drive the most impactful interventions for every population. Unlike traditional methodologies, our analytics are focused on a whole-person, long-term view of an individual s healthcare journey. Using rich datasets, such as claims, census information, purchasing data, and the Dartmouth Atlas, we are able to place or predict the placement of an individual into one of nine stages of a condition journey. We call this journey a Care Pathway. Every stage of the Care Pathway represents a specific point in a condition that can benefit from tailored engagement, coaching, and education strategies. Using this framework, we can assess every person s clinical needs, likely behaviors, receptivity to change, and preferred method of outreach. The result is an intervention strategy that emphasizes individualized engagement and focuses on maintaining health and delaying progression into a condition s higher-risk, higher-cost stages. Additionally, this level of insight helps us to develop personalized incentives that may have the greatest motivational impact and help drive behavior change. THE NINE STAGES OF OUR CARE PATHWAYS FRAMEWORK SENTINEL EVENT LATE PROGRESSIVE CRITICAL RECOVERY WELL WELL, AT RISK PRE- DIAGNOSTIC CONDITION ONSET EARLY PROGRESSIVE PAGE 2

Integrated Total Population Health Management Services Health Dialog s services help our clients engage, coach, and educate individuals at every stage of their health journey. Chronic Care Management Our NCQA-accredited disease management program is customized to meet the needs of our clients and deliver the right level of engagement and intervention to maintain optimal health for every individual. PROGRAM COMPONENTS INCLUDE: Powerful analytics to stratify populations on multiple risk indicators Multi-channel communication and engagement strategies Telephonic health and wellness coaching Award-winning decision support and educational content materials An online engagement platform that delivers personalized clinical information and health tools Support for improving HEDIS and Stars measures Wellness Programs We develop weight management and tobacco cessation programs designed to drive sustained behavior change. Our programs can be customized to address lifestyle behavior modifications or lend support to higher-risk patients in need of immediate interventions. OTHER COMPONENTS CAN INCLUDE: Population segmentation to identify individuals with lifestyle risks Digital engagement capabilities including an online well-being assessment Integration of online and telephonic programs to provide a personalized user experience Shared Decision Making We combine decision tools and coaching services to support patients facing healthcare choices and drive measurable cost savings for our clients. PROGRAM COMPONENTS INCLUDE: Innovative analytics that identify patients who are likely to face a preference-sensitive condition treatment decision in the near future Health coaching for individuals as they work with their providers to make decisions on a range of conditions, such as knee and hip osteoarthritis, back pain, and more Award-winning decision aids that explain treatment, testing, and care choices available in DVD, print, and online formats 24/7 Nurse Line Our NCQA-certified health information line delivers symptom check support for urgent, acute, and self care needs. We staff highly-trained and experienced registered nurses with a proven track record for appropriate ER redirection and high consumer satisfaction. OUR NURSE LINE FEATURES: 24/7 access to a live person not a callback system Seamless integration with existing health plan and provider resources Guidance and direction for seeking the appropriate level of care Skill and knowledge transfer to promote sustained behavior change PAGE 3

Rite Aid Health Alliance A community-based health management program that helps chronic and poly-chronic individuals improve their overall health. Care coaches and pharmacists provide face-to-face guidance on condition management, wellness improvement, and medication adherence. PROGRAM COMPONENTS INCLUDE: Regular one-on-one sessions with patients in local Rite Aid locations Coaching support for individuals trying to meet physician-identified wellness goals such as smoking cessation and weight loss Pharmacist-conducted medication reviews to improve compliance and screen for dangerous drug interactions PAGE 4

A Partnership that Delivers We partner with each client to design and implement the programs and services that best meet the needs of their populations. Our partnerships have achieved some remarkable results. SATISFIED CONSUMERS 95%Of individuals were satisfied with our Health Coaches knowledge of their condition 1 91% Of individuals would recommend our programs to family and friends 2 APPROPRIATE ER REDIRECTION 68%Of individuals calling our Nurse Line with pre-intent to visit the ER or call 911 were appropriately redirected to a less emergent level of care 3 LOWER MEDICAL COSTS AND UTILIZATION A study published in the New England Journal of Medicine showed that our programs: Reduced medical and pharmacy costs by $7.96PMPM4 Reduced hospital admissions by over 10% 5 1 Analysis of Health Dialog s book of business for 12 months ending December 31, 2014. 2 3 4 A Randomized Trial of a Telephone Care-Management Strategy, New England Journal of Medicine, 2010. 5 PAGE 5

LOWER MEDICAL COSTS AND UTILIZATION A study conducted by Group Health and published in Health Affairs analyzed results from the use of our shared decision making tools: 38% Knee replacement surgeries declined by 38% after 6 months 6 replacement surgeries declined by 26% after 6 months 26%Hip 7 12-21%Lower costs after 6 months 8 A study published in Health Affairs analyzed results from the use of our shared decision making techniques and tools as part of our enhanced Chronic Care Management program: 12.5% Fewer hospital admissions 9 preferencesensitive surgeries 9.9%Fewer 10 preferencesensitive heart surgeries 20.9%Fewer 11 6 Introducing Decision Aids At Group Health Was Linked To Sharply Lower Hip And Knee Surgery Rates And Costs, Health Affairs, 2012. 7 8 9 Enhanced Support For Shared Decision Making Reduced Costs Of Care For Patients With Preference-Sensitive Conditions, Health Affairs, 2013. 10 11 PAGE 6

617-406-5200 www.healthdialog.com