2. Health Optimization Clinical Testing Health Risk Questionnaire Joe Weber, AssistMed Wellness and Disease Management

3. Brought to You by… and Joe Weber, AssistMed

4. An Ounce of Prevention is Worth a Pound of Cure

5. Medivon’s Health Optimization Solution Biometric Testing Health Risk Questionnaire (Web-based) Wellness Management (software-driven) Disease Management (software-driven) Incentives for Improving Health Status Population Analytics

6. How Do We Assess Risk? The challenge is to find individuals with risk factors Also asymptomatic people in the very earliest stage of disease A Health Risk Assessment (HRA) questionnaire identifies an individual’s risks related to diet, lifestyle, medical history, etc. Clinical testing uncovers unknown health risks and helps to stratify risk levels People determined to be at risk are enrolled in Wellness and Disease Management Programs

7. Clinical Testing Identifies Lurking Problems It’s quite expensive to have doctors do extensive clinical testing for everyone But if we perform mass screening efficiently, the cost per person is low, and the ROI is impressive Clinical testing dramatically enhances risk detection In a sample of 12,000 people who completed the McMaster Health Index Questionnaire and also had worksite biometric testing, 33% self-reported “good” or “excellent” health but unknowingly had 3 or more clinical risk factors. Also, 74% could not self-report their cholesterol, blood pressure, or body fat.

8. Goals of Medivon’s Testing Program 1.Maximize participation 2.Administer the most effective tests and measurements 3.Systematic and smooth workflow for participants 4.Provide and explain results immediately 5.Encourage engagement with wellness and disease management programs, and with healthcare providers 6.Establish incentives to improve scores next year

9. 1. Maximize Participation Emailed invitations to employees Mailing to homes Link to more info on Web Incentives to participate, such as cash cards “ Nothing is more important to you than your own health and the health of your family. In order to live a long and healthy life, you first need to know if you have any risk factors… “

11. 2. Effective Tests & Measurements Total Cholesterol (via Cholestech) HDL Blood Pressure Pulse Irregular Heart Beat Detection Glucose (diabetes risk assessment) Body Fat Percentage BMI (Body Mass Index) Waist Girth Hip Girth Waist-to-Hip Ratio

12. Optional Disease-Detection Tests C-Reactive Protein (CRP) General marker of inflammation, which is related to arterial damage Lp-PLA 2 Measures enzyme that helps form rupture-prone plaque (heart attacks) Ultrasound CIMT (SonoSite) Radiation-free imaging that measures thickness of carotid (neck) arteries and identifies any plaque. Indication of early vascular disease that could lead to heart attack or stroke.

13. 3. Systematic Workflow Individuals make appointments over the Web Option for toll-free telephone scheduling Receive immediate email confirmation Send email appointment reminder the day before Streamlined workflow to minimize wait time

15. 4. Provide Results Immediately Two-part form – one for participant, one for data entry Data uploaded to HRA database Form shows the normal ranges for tests and measures One-page explanation of each test and normal range Med tech helps the participants understand any abnormal results This is the “teachable moment”, the time when we need to have participants engaged with their health

19. 5. Encourage Engagement Participants are encouraged to bring results to their doctor, to consider further evaluation or intervention They are also provided information about the HRA and wellness/disease management programs

20. 6. Incentives to Optimize Health Points for results and measurements in desirable range Points convert to dollars, on a cash or gift card In future years, also points/dollars for substantial improvement in test results and measurements All individualized data are shared solely with employee The employer only gets aggregated statistics

21. Medivon Extensive experience with health risk assessment and biometric testing in a variety of venues Focused on achieving our clients’ goals Clients include Novartis, Costco, J&J, Publix, NFL, Self-Insured Schools of California, etc. The 4 Managing Partners have well over 100 years of combined experience in healthcare Managing Partner Peter Salgo, MD, is Medical Director; responsible for clinical excellence He is Associate Director of ICUs at Columbia Presbyterian Medical Center

22. HealthMedia The innovator and leader in Web-driven health optimization HealthMedia is a Johnson & Johnson company Partnered with Medivon for a total solution

23. Health Risk Questionnaire Provided by HealthMedia Assesses diet, exercise, lifestyle, medical history, etc. Employees fill out over the Web Answers are integrated with clinical test results, to provide a comprehensive health status profile Then used to construct a personalized plan for wellness and disease management

24. HealthMedia® Succeed™ Configurable HRA Assesses 10 key health behaviors that impact health care costs and productivity Provides an overall Lifestyle Score Reviews individual status across behaviors Prioritizes top behaviors by addressing need, motivation, and self-confidence Summarizes behaviors where participants are doing well and may not need to change Reviews blood pressure and cholesterol levels Reviews screenings and immunizations, based on age, gender, and health history Helps individuals plan for health improvements

25. Sample Personalized Report Lifestyle Score Behavior Chart assessing status of each behavior Prioritized health behaviors Personal disease history and family history Tailored on perceived health and quality of life

26. Wellness & Disease Management Technology and methodology that emulates the health coach experience – without the cost of the coach Revolutionary programs are engaging and are tailored to the individual Employees take responsibility for their own health Efficacy no longer depends upon the skills of the coach No limit on capacity; highly scalable solution Scientific evidence for the content and guidance Programs have proven, published outcomes

28. HealthMedia

29. World-class Customers Solving health and productivity problems for national health plans and large-scale employers.

31. Return on Investment Overall outcome is a function of both participation and efficacy Ultimate ROI is a substantial reduction in both healthcare costs and lost productivity Medical-claims and sick-day data are analyzed Clinical test results monitored year-to-year to determine improvements in lipid profiles, BP, waist girth, BMI, etc.

33. The HealthMedia Advantage HealthMedia delivers higher ROI for its customers based on the scalability and effectiveness of its Web-based behavior change solution ROI = Direct Medical Expense Savings + Productivity Gains Cost of Solution Demonstrated claims-based study cost savings Proven improvements in productivity and satisfaction Lower cost than traditional counseling methods with scalable delivery and high efficacy Better participation as result of access, privacy and convenience drive lower costs

35. Join the Revolution Change unhealthy behaviors using the web. Increase your ROI. Improve lives.

36. The Leaders in Health Optimization Solutions and Joe Weber, AssistMed

38. Thank You