1. Bending the Cost Curve
A Case for Integration

2. Best Practice: >90% Case Utilization
Driving Engagement
A Case for Integration
Advocacy
11%
Benefits Gateway
17%
Integrated Offering
40%
Best Practice: >90% Case Utilization
Average case utilization with just Core Advocacy: 11%
Add Benefits Gateway and average utilization increases to 17%
Integrate EmpoweredHealth and Wellness and see engagement jump to 40%
These numbers can be much higher depending on the number of services added to the mix
Best practices like targeted incentives, outbound calling and home mailings all increase the effectiveness of your health and wellness programs driving greater than 90% case utilization

3. Analyze data to identify gaps in care
Leveraging Data
Our comprehensive clinical model
Apply data in personal member interactions and via member dashboards to close care gaps
Proprietary algorithms leverage data to drive member and group health improvement
Analyze data to identify gaps in care
In addition to our high touch expert services, we also leverage data to drive improvements in member and group health/wellness.
We have one of the leading medical claims analysis capabilities in the sector. We import data from every major healthcare carrier and other sources (pharmacy, labs, etc.) and analyze it to identify “gaps in care.” We then utilize this data to power our interactions with members to drive behavioral change.
MOST IMPORTANTLY—it is our “trusted” compassionate personal health advocates who apply this data science in live interactions and via member dashboards. We have found that we are able to close 50%+ of the identified gaps in care in a population.

4. Best Practices Increase ROI from 2:1 to 9:1
Impacting Medical Costs
A Case for Integration and Data
Advocacy
11%
Benefits Gateway
17%
Integrated Offering
40%
Data Integration
Best Practices Increase ROI from 2:1 to 9:1
Advocacy: Gaps in care coaching to improve compliance with preventive care and screenings, evidence-based recommended care for chronic conditions and increase medication adherence
Benefits Gateway increases opportunities to close gaps in care by 200%
Adding Wellness, Personal Health Messaging and Chronic Care Solutions achieves incremental impact on medical costs.
Best practices like remote monitoring of diabetics, outcomes-based incentives and targeted outreach result in twice the PEPY Savings and the greatest ROI
Best practices like targeted incentives, outbound calling, home mailing all increase the effectiveness of your health and wellness programs driving 90%+ case utilization.

5. easier drives better results
The numbers speak for themselves
In 2016 Health Advocate Achieved:
2.5 million
Interactions (calls & cases)
$60 million
Value of gaps in care closed
$168 million Productivity savings
Over 10,000
Member compliments
3:1
ROI savings
EmpoweredHealth
clients
9:1
ROI Best Practice
Up to $531 PEPY
Savings (engaged vs. non-engaged members)

6. Lower Administrative Costs
easier drives better results
Lower Administrative Costs
Higher Engagement
Better Outcomes
Return
On Investment
Eliminate vendors
Integrate data across vendors
One integrated report
One bill
Average engaged: 40%
(Best Practice >90%)
• Close >50% care gaps
Over 2 years, the medical cost trend for members who interacted with Health Advocate was 28% lower than for those who did not engage with us
Average: 110% - 120%
EmpoweredHealth: ROI increases to 120% - 130%

7. Case Study Impacting Medical Costs

8. Case Study: School Consortium
(50 schools, 10,000 employees)
In an effort to lower overall healthcare costs and improve employee health and well-being, the Consortium implemented a multifaceted Health and Wellness program. The program achieved a 9:1 Return on Investment.
The program consisted of four health and wellness components:
Wellness with health and lifestyle coaching
Advocacy with data-based gaps in care coaching
Biometric screenings with health education on screening results
Personal Health Messaging with proactive gaps in care outreach

9. Case Study: School Consortium Case Study Goals
Compare healthcare costs for employees who engaged in the program and those who did not participate
Examine the impact of the program on key health measures:
Compliance with preventive care and screenings
Recommended care for chronic conditions
Medication adherence

10. Case Study: School Consortium Engagement Analysis Parameters
The analysis tracked health outcomes over a full year using the year before the Health Advocate program started as a baseline.
Baseline year -12/1/ /30/2015
Current year - 12/1/ /30/2016
Data included all employees and family members who had a claim and were continuously covered for health benefits by the Consortium
Comparison Groups
Letters Only: Members who received outreach letters for a care gap but had no other contact with Health Advocate
Engaged Group: Members who received a letter but also interacted with an advocate, coach or health educator at a biometric screening
Control Group: Members who did not have a gap in care and had no engagement with Health Advocate

11. Case Study: School Consortium Key Findings
Interacting with the program at any level improved compliance and reduced costs
Members in the “Engaged Group” (although older and sicker) had significant improvements in multiple clinical parameters compared to those in the “Letters Only” group
Members in the “Engaged Group” experienced:
Higher compliance with preventive screenings
Higher compliance with recommended care for chronic illnesses
Fewer inpatient stays and ER visits
Better medication adherence for drugs related to chronic conditions

12. Case Study: School Consortium Overall Medical Cost Savings
The Consortium’s total medical costs (PEPY) increased 23%
The total medical costs for members who had any contact with Health Advocate increased at a much lower rate (13%), despite the fact that this group was more ill and at higher risk than the population that did not have any contact with Health Advocate
This 10-point difference in PEPY medical cost trend saved the Consortium $4,870,899
10-point lower cost trend for the group who had any contact with Health Advocate
= $1,010 PEPY
= $1,010 x 4,820 employees
= $4,870,899 savings per year

13. Case Study: School Consortium Savings Summary
$4,870,899 per year
ROI of 8.9:1 (nearly nine times the cost of Health Advocate’s programs)