2. The Problem
A fragmented marketplace does not support individual consumer needs
Lack of adherence; difficulty targeting communications
Non-compliance with recommended care increases medical costs
Delays in receiving recommended care contributes to unnecessary medical problems and higher mortality rates
Appealing directly to individual employees has been difficult
Employers are seeking solutions to counter these trends

3. The Solution We support an engaged consumer’s needs
Reaches individual consumers
Provides personalized preventive and chronic care reminders, focused on gaps in care
Customized for each individual
Supported by Personal Health Advocates
Fully integrated with all Health Advocate solutions
Helps drive engagement and health compliance
Cost-effective, “add-on” turnkey solution

4. We build trusted relationships to help drive results
Communications drive utilization
Personal Health Advocate support
Ongoing non-adherence reinforcement
Reaches the “health care decision-maker” at home
Allows for company-specific branding
Reminders drive engagement with advocacy, chronic condition support and wellness coaching

5. Communication Components
Members receive up to 4 gaps in care messages in a 12-month period
Mailings occur approximately every 30 days, alternating between preventive and chronic care messaging
The same reminder is not sent again in a 120-day period
A priority hierarchy is applied if the member ‘qualifies’ for more than one reminder
Health Advocate utilizes their own, full-service, in-house production and fulfillment center

6. Gaps in Care Communications
Preventive
Designed to increase adherence to high value preventive tests such as mammograms, bone density tests, cervical & colorectal cancer screenings and flu shots
Data-driven using eligibility and claims data matched to evidence-based guidelines
Directs employees to their personal physician and Health Advocate Personal Health Advocates and Nurse Coaches

7. Gaps in Care Communications
Chronic Conditions
Reaches 100% of members with recommended chronic care services due
Reminders address the top conditions such as heart disease, diabetes and asthma
Directs employees to their personal physician and Health Advocate Personal Health Advocate and Nurse Coaches
Drives utilization of chronic condition management programs
Encourages compliance with important tests, evidence-based care, wellness/lifestyle changes and medication

8. Client Results

9. Preventive Care Screening Compliance
Large labor union – 6,293 eligible employees

10. Diabetic Screening Compliance
Large labor union – 6,293 eligible employees

11. Implementation

12. Implementation Overview
Health Advocate
Receives historical/monthly data updates – typically 2-3 years of historical data
Applies software rules/algorithms to stratify data
Produces and sends personalized, printed mailers
Personal Health Advocates
Support inbound calls
Help schedule appointments, answer questions and explain treatments
Management reports capture compliance rates and cost savings

13. Management Reporting

14. Outcome Reporting Provided annually, management reports capture:
Year-to-year impact on member adherence to recommended preventive and chronic condition measures
Employer performance against national benchmarks
Details on the impact increased adherence made on medical outcomes

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