1. Leading the Way to Better Health Presentation to the Twin Cities Chapter of ISCEBS April 2010

2. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) The Buyers Health Care Action Group The Buyers Health Care Action Group is a coalition of public and private employers working to recreate the health care system so consumers will get the care they need in the right place, at the right time and at the right price. We develop purchaser strategies and seek out consumer information tools that promote a safe, timely, efficient, effective, equitable and patient-centered health care system.

3. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Twenty Years as Catalyst for Reform The Buyer’s Health Care Action Group is a multi-stakeholder membership organization, comprised primarily of large self-insured employers. Vision: Health care consumers get the care they need at the right time, in the right place, at the right price. Mission: Redirect the health care system to focus on a collective goal of optimal health and total value. Strategies Employed: Openly challenge conventional practice and foster innovation. Aggressively pursue performance improvement. Actively influence the behavior of all stakeholders to achieve alignment in providing and purchasing health care. Proactively engage and connect our members to initiatives that further our goal of optimal health and total value.

4. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) BHCAG Members  3M  AMS  Best Buy  BlueCrossBlueShield of MN  Cargill  Carlson Companies  CDI  Medtronic  MN Management and Budget  Olmsted County  Park Nicollet  Resource Training and Solutions  Rosemount  SUPERVALU  Securian  Sanofi-Aventis Target Corporation University of Minnesota US Bank G&K Services General Mills Pfizer Medica Glaxo Smith Kline Honeywell Jostens Land O’ Lakes Novartis Merck & Co. Wells Fargo U of M Physicians

5. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) The Purchaser Vision  Implement an integrated, comprehensive PHR solution –Fully interoperable with Minnesota Health Information Exchange (HIE) –Fully portable; not tied to any single employer, provider or plan –Meets industry standards and best practices for privacy and security –Managed and administered by experts in the areas of health care, information management, data collection, and engagement  Control health care costs –Enable consumers to seek higher quality products and services –Reduce duplication and increase value –Reduce absenteeism –Enhance wellness management efforts  Build a culture of health –Personal ownership of health information; transparency –Access to health information to support decision-making –Easy to use and flexible enough to meet a wide variety of needs 5

6. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) What is myHealthfolio?  A consumer-owned, portable, interoperable personal health management system  Creates opportunities for people to connect with providers, manage their health, improve quality and safety, and control costs  Private and confidential personal Web site, allowing people to organize and share health information as needed, including: –Health records –Health costs –Communication –Education –Periodic reminders for preventive care –Timeline for health care issues and events 6

7. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) A new way of managing your health life 7 Health Record Organizer Health history, medications, immunizations, implanted device information, health care directives and access to EMRs, imaging, laboratory tests Communication Portal Between consumers, health care providers, and health plans includes online consults, prior authorizations, and benefit queries Cost Management Tools Pay for and track health care services and cost, budgeting of HSAs and HRAs, definition of benefits of individual consumer plan Health Education Enroll in disease management programs, health assessment and management, and health maintenance timelines Calendar and Reminders Health care appointments, health maintenance timelines and preventive schedules, and daily health routines Incentive Programs Receive redeemable points for maintaining wellness schedule of risk assessment, healthy routines, preventive programs, and maintenance

8. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) myHealthfolio: Everything revolves around the person 8  Own and control personal health information; private and secure  Consider the true cost of health care when making decisions  Communicate effectively with health care providers  Know how to obtain quality health care  Pursue and maintain a healthy lifestyle  Choose appropriate plans, providers and procedures  Demonstrate self-care  Practice preventive care  Become a smarter health care consumer with decision-making confidence

9. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Delivering better information, faster By demanding the liberation of health data — through the efforts of BHCAG and its members — Minnesotans will have access to more information, faster, than anyone in the country:  Information is owned by individuals — not health plans, providers or employers  People have the health information they need, when they need it  Information is reliable, because it comes straight from the source  Users can store more information, all in one safe and convenient location  No need to manually input health records; the system connects to physician’s offices, hospitals, medical devices, insurance companies, social networks, and other information sources  Interconnectivity and interoperability puts people at the center of care, allowing them to share only the information they choose  The system is designed to operate with other platforms, as they become available, to meet evolving needs 9

10. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) How myHealthfolio works 10

11. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Information privacy and security  All Protected Health Information (PHI) is stored in Microsoft HealthVault  “State of the art Fort Knox security” Deborah Peel M.D., Founder, Patient Privacy Rights  Highest security and privacy standards, allowing users to share only the information they choose  Meets BHCAG specifications of no advertising, data mining, or persistent “cookies”  Meets evolving national standards, including Continuity of Care Document (CCD) and Continuity of Care Record (CCR) 11

12. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Features and functions 12  Customization: Meets the needs of both sponsors and users –Can manage personal health records and also those of family members –Users can choose to share only specific information from health records, or grant access to only certain subsets of data as needed  Interoperability: A wide variety of health providers (e.g., HealthPartners, Walgreens, CVS/Caremark, MinuteClinic, and others) are integrating with myHealthfolio/HealthVault  Access: Enables users to access and manage medical records from any provider connected to HealthVault, including providers that are not State vendors  Usability: Intuitive navigation makes it easy to set up and use  Portability: Because it’s owned by the user (and not a health plan, provider or employer), it can serve as a lifelong tool for managing health and health care costs

13. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Why is this so important? Five “inconvenient truths” of health communication  Unhealthy lifestyles are putting our nation’s workforce and economy at risk  The average person lacks the information and understanding to make informed health decisions  Engaging consumers in health care requires a fresh new approach to grab people’s attention and motivate them to take action  Consumers don’t trust health plans to be caretakers of their health information  Consumers fear losing health information when they switch plans 13 More than 91 million Americans cannot adequately understand basic health care information Source: U.S. Department of Health and Human Services, Office of the Surgeon General, 2009

14. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Leading the nation in health care innovation  The BHCAG myHealthfolio Initiative — a national model to empower people, control cost, and enhance quality and safety –Buyers Health Care Action Group –SmartBuy Alliance –Research Groups (U of M and NIH) –Quality Improvement Organizations –Provider Groups and Plans –Others  BHCAG Employer Advisory Group  Health Care Purchaser Declaration  MN HIE Position Paper 14 Minnesota’s Health Care Environment  One of the lowest number of uninsured in the nation – 7.2 percent  Healthiest state in the nation, 4 of last 5 years  Most state-wide tools in the marketplace  Most use of health savings accounts – 9.2 percent  Most purchase of long term care insurance – 10 percent (over 50 years)  More integrated systems (hospitals, clinics)  More primary care physicians per citizen  More employer-sponsored insurance  Not-for-profit HMOs  Strong history of collaboration

15. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) What we can accomplish, together  Catalysts for Minnesota-wide community movement to adopt technology enabled, personalized, electronic health management systems  Convene multiple purchasers to advance widespread adoption and achieve critical mass until consumer driven movement gains momentum  Accelerator for electronic connectivity between “data holders” and individuals, devices for home monitoring, wellness, disease management, family members, social networking, information  Data holders support increased value to individuals and purchasers by encouraging use of electronic connectivity  Value is generated for individuals, providers, and sponsors by using technology and connectivity in new ways 15

16. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) Leading the way to better health 16 myHealthfolio is more than a product — it’s a unique opportunity to come together as a community united for change Liberating data, giving people quick and easy access to the health information they need Integrating data from a variety of sources — connecting patients, providers, and other stakeholders Empowering people with information, education and incentives to improve health and control costs Ensuring personal health information is private and secure Reinforcing Minnesota’s leadership role in health care innovation

17. Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG) For more information… Carolyn Pare President and CEO Buyers Health Care Action Group 7900 International Drive Suite 1080 Bloomington, Minnesota 55425 952 896 5185 cpare@bhcag.com 17