1. Member Engagement Portal Advice

2. Advice in the Member Engagement Portal
Health Advocate uses machine learning/predictive analytics to segment populations in order to provide tailored messages and actions alerts the member can do to improve their health and well-being.  
“Advice” is data driven, personalized, and displayed in the Member Engagement Portal (both mobile and web) and is available in our internal system for our Personal Health Advocates to coach on.
Each Advice has multiple Actions a member can take to improve their health and wellbeing.
There are over 1,700 different Advice filters in our library operating at this time.
“Advice Alerts” are and push notifications advising people to log into the Member Engagement Portal website or app and look at newly identified Advice.
Members must have registered on the Member Engagement Portal in order to see Advice and Advice Alerts

3. Advice in the Member Engagement Portal
Types of Advice
Demographic Advice
Spotlight Advice – Part of Enhanced Core Advocacy
EAP Advice
Wellness/Biometrics Advice
Roadmap:
CCS Advice
Incentives Advice
HCE+ Advice
Custom Advice
Delivery methods
Visible on Home Page web and mobile
Push notifications
Driven by Service, can be turned off for client
Roadmap
Member communication preferences (Target Q3 2018)

4. Advice Email Alerts Email isn’t specific to Advice due to PHI concerns
Member will receive an alert once a week if new Advice is identified
This template is used for all Advice except EAP which will have a different format.

5. Advice on the Homepage
Member sees up to three Advice cards on their homepage.
The last card will always take them to the Advice page where they can see all Advice generated for them.

6. Push Notifications for Advice
Members who have the Member Engagement app will be prompted to download the newest version; then asked if they will allow notifications
Push notifications aren’t specific to Advice due to PHI concerns
Members will receive one push notification alert once a week (there may also be an additional notification for EAP)

7. Advice Based Only on Demographic Information Available today
Advice Based Only on Demographic Information Available today. Applies to clients that do not provide access to their data
Blood Glucose Screening
Bone Density Screening
Cervical Cancer Screening
Cholesterol Screening
Colorectal Cancer Screening
Dental Visit
Health Maintenance Office Visit
Hepatitis C Screening
Mammogram
Vision Exam
Flu Vaccination
Pneumococcal Vaccination
Shingles Vaccination

8. Spotlights Advice
Included in Enhanced Core. Based on Client-specific data. These data clients do not receive Demographic Advice.
Types of Advice
Health Assessment/PHP(1)
Vaccination (3)
Rx Compliance (298)
Lifestyle Coaching (3)
Rx Brand to Generic (513)
Rx Mail Order (953)
Medical Test (13)
Rx Brand to Generic Alternative (1)
Rx Recommendation (3)

9. Wellness Advice
Based on Personal Health Profile/HRA responses (43) and Biometric (8) results
Member will get maximum of 3 Wellness Advice at a time, no duplicate topics
Topics include: Alcohol Intake, Depression, Anxiety, Stress, Cholesterol, COPD, Pre-diabetes, Diabetes, Cardiovascular, Hypertension, Diet/Nutrition, Exercise, Smoking, Sleep, Sunscreen, Biometrics, etc.

10. Wellness Advice - Actions
Once the member clicks “Learn More,” they are offered several Actions to choose from (based on services)
If member chooses to remove an Advice card, a new one will takes its place (within 24 hours)
Future: once a member acknowledges an Advice, it will be removed after 30 days to keep the Advice page fresh

11. Wellness Advice Rules Example: Tobacco Use Rules
Wellness Advice based on PHP and Biometrics are generated from a series of rules. Complete spreadsheet of rules is available upon request.
Wellness Advice is presented in a priority order that considers condition, severity of risk, and readiness to change.
Example: Tobacco Use Rules
Topic
Source
Rule
Priority
Tobacco User - Not Ready to Change (PHP)
Current Tobacco user from member's latest PHP
@ScoreTypeCodeList = = = = = 'unchecked' 2
Tobacco User - Ready to Change (PHP)
Current Tobacco user from members latest PHP
@ScoreTypeCodeList = = = = = 'checked' 1

12. Chronic Care Solutions Advice
Based on members identified with claims who have a low, medium or high risk for a chronic condition AND have NOT joined the Chronic Care Solutions program (8)
If multiple conditions apply to a single member, only get one Advice at a time
Higher priority than similar Wellness Advice
Conditions include: Diabetes, Congestive Heart Failure, Coronary Artery Disease, Asthma, Hypertension, Metabolic Syndrome, COPD and Depression

13. Advice in MemPHIS
Benefits Gateway Gaps in Care and member Advice will be shown as Spotlights.
Benefits Gateway spotlights are red and Advice spotlights are yellow
Hovering over a spotlight will show the Advice message the member received
Personal Health Advocates see all Advice generated for a member, even if the member is not registered for the website

14. Future Advice (Available Q3 2018)
Incentives
Provide members with reminders about critical Incentive Program dates and requirements
Incentive Advice will always be prioritized due to its time-sensitive nature
Health Cost Estimator Plus (HCE+)
Advice based on previous searches or lack of searches
Advice based on search themes
Focus on: Inpatient and outpatient procedures, Advanced imaging, Office visits, Behavioral health office visits, Shopping for Rx, Those who haven’t searched

15. How It All Works Together Example: Diabetes
Advice Priority – CCS, then Biometrics, then PHP
Message: Learn more about managing diabetes CCS Rule: CCS Service, not enrolled in program, AND either a High, Medium or Low risk level for diabetes from claims
Message: Learn more about your risks for diabetes Biometrics Rule: blood glucose high
Message: Reduce your risk for diabetes Biometrics Rule: blood glucose borderline
Message: Learn more about the signs and symptoms of prediabetes PHP Rule: S_WastCir = 0 AND S_Diabetes = 2
Message: Learn about treatment options for the prevention of type 2 diabetes PHP Rule: S_WastCir = 0 AND S_Diabetes = 0 or 1
Message: Learn about diabetes risk PHP Rule: S_BMI = 0 AND S_BloodGlu = 0
Message: Learn how to prevent diabetes PHP Rule: S_BloodGlu = 2 and/or S_Diabetes = 2
Message: Having a larger baby can increase your risk for diabetes later in life. Be aware of the signs of prediabetes. PHP Rule: Q159_Pregnant_V2 = a AND Q234 = a OR tobacco affidavit = yes

16. Advice Cards for EAP Monthly Webinars
For all EAP clients who require a member to register and log in (not Student Assistance Program (SAP) or Work/Life–only clients)
New Advice Card each month on Member Engagement Portal landing page

17. “Go to Webinar” link takes users to New Webinar page on EAP portal

18. Push Notification for EAP Webinars
The push notification link will take the user to the Member Engagement Portal login page.
Once the user is logged in, they will go to a new interim webinar landing page where they will click on “View Now” to go to new webinar page on the EAP portal

19. EAP Webinar Advice Email Alerts
is specific to EAP Webinars
New EAP Webinar alert each month
“Go to Webinar” will take user to Member Engagement Portal login page
Users go to new interim webinar page on the Member Engagement Portal and click “View Now”

20. Thank You!
Contact info
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Title
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