2. Our unique strategy Seamless integration = Total health engagement
Health Advocacy is a key part of Chronic Care Solutions
Fully integrated with other Health Advocate solutions
Strong synergy with Wellness Coaching and Biometric Screening services
Health Advocacy
Personal Health Dashboards
Data Analytics
Gaps in care coaching
Personalized Health Messaging
Wellness Program 1

3. How we improve upon traditional disease management2

4. Our clients

5. We deliver Identification and risk stratification
Evidence-based self-management coaching
Personalized support from a Nurse Coach
Skills for long-term management of condition(s)
Coaching “partnership” for overall health
Ongoing engagement and improved outcomes 4

6. Our goals Improve the health outcomes of members
Reduce utilization and costs associated with avoidable complications
Empower members to partner with their doctor to better manage their long-term health 5

7. Which chronic conditions… and why?
Diabetes
Asthma
Hypertension
Coronary Artery Disease
COPD
Depression
CHF
Metabolic Syndrome 6

8. Identification and Stratification

9. Data-driven Identification & Stratification process
Our data analytics use predictive modeling to identify members with one or more chronic medical conditions
The model considers the member’s condition status and co-morbidities to assign a predictive risk classification
Predictive model is refreshed monthly when new claims data is provided 8

10. Member Interventions

11. Empowering members Condition-specific interventions
Evidence-based self-management techniques
Ensure provider engagement
Build knowledge about condition
Adherence to treatment plan
Medication management
Condition monitoring
Identify lifestyle/behavioral risks
Coaching on collaborating with providers 10

12. Case Studies

13. Problem: Health risks due to COPD, pre-diabetes and asthma
Shannon had increased stress levels due to family issues and shift work. She also smoked 30 cigarettes per day, had unhealthy eating habits and knee problems from her job. Shannon responded to a Health Advocate communication and decided to call us for help.
Solution:
Shannon joined the Chronic Care Solutions & Wellness Coaching Programs
Since joining , Shannon has:
Connected with a PCP for a full evaluation and help to identify triggers to better manage her conditions
Received help with healthy meal planning
Learned to better understand and adhere to her medication routine, including the proper use of her inhaler
Reduced her weight by 50 pounds and has been smoke-free for 8 months

14. Problem: Better management and adherence
Dave was diagnosed with diabetes, metabolic syndrome and hypertension. He called Health Advocate for help finding specialists and discuss his benefits.
Solution:
Dave joined the Chronic Care and Wellness Programs
Since joining the programs, Dave has:
Seen specialists to better manage his care and risk of complications
Started an exercise routine and made healthier food choices
Monitored his glucose levels and food portions with a diabetic tracker
Lost weight, lowered his blood pressure as well as his HbA1 levels

15. Engagement and Communications

17. Gaps in care communications
Reaches members that are overdue for recommended preventive and chronic condition care.
Directs employees to their personal physician and Health Advocate
Drives utilization of chronic condition management programs
Encourages completion of important tests
Provides guidance to evidence-based care
Promotes wellness/lifestyle changes and medication compliance 16

18. Management Reporting

19. Activity reporting Provided monthly, quarterly or bi-annually:
Program-level metrics
Breakdown of disease prevalence and risk within the population
Unique members by disease state
Members by multiple conditions
Condition-specific metrics
Member engagement
Gaps in care mailings
Provider access support
Coached on care gap spotlights
Coaching enrollment by risk level

20. Outcome reporting
Provided annually, demonstrating the impact on adherence to recommended treatment, prospective risks and treatment costs:
PMPY costs to treat each managed condition, and biometric levels
Prospective risks within each condition, and utilization of ER visits/ in-patient services
Medical service utilization differential between members engaging with Health Advocate 19

21. Thank you First Name Last Name, Title 000.000.0000