AGENDA

OVERVIEW

WELLNESS SOLUTION

CARE MANAGEMENT

OCCUPATIONAL

HEALTH SERVICES

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Poor employee health can cost you 200–300 percent more than the cost of health benefits* due to:

• Sick days, absenteeism, and reduced productivity.

• Unmanaged chronic conditions like diabetes.

• Poor medication adherence, health complications, and expensive hospitalizations.

* “What should employers do about health care,” Harvard Business School Working Knowledge, Michael E. Porter, Elizabeth O. Teisberg, and Scott Wallace, 2008. 3

Our solution? Better outcomes for long-term value.

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Creating a culture of wellness.

Using data unique to your population and organization, we can help you create a program that will change behaviors for improved health. It’s smart technology that gets more personalized the more it’s used.

• Leadership support• Organizational goals• Budget• Employee interest survey• What’s currently driving costs• Access to technology• Industry-specific issues

• Health assessment tools

• Incentive and reward strategies

• Worksite events

• Special programs

• Employee engagement plan

• Wellness team(s)

• Health Profile completion aggregate reporting

• Reports on utilization of services

• Evaluation and program adjustment based on your population’s data

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Help your population meet their wellnessgoals with tools, resources, and trainedhealth care professionals.

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WELLNESS SOLUTION

Programs to reduce disease risks can improve your population’s health and morale.

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GH members: Direct access to an array of resources.

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GH members: Health Profile reveals risk of health issues.

• In-depth online health questionnaire

• Report with personalized health recommendations

• Promotes shared decision-making between doctors and patients

• Linked to medical record if member receives primary care at Group Health Medical Centers

• Collective results help us refine your wellness program

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GH members: Lifestyle Coaching motivates behavior change to lower health risks.

• High-risk members identified through Health Profile “opt-in” for call outreach

• Coaches are specially trained registered nurses with 10–15 years experience

• Coaching is based on behavioral science theory and application

• Three targeted risk areas: physical activity, nutrition, and moderate depression

• Free to Group Health members 18 and older

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GH members: Quit for Life® helps tobacco users become and remain tobacco free.

• 45 percent success rate, nine times more effective than attempting to quit without support*

• Helps members manage withdrawal symptoms

• Teaches how to identify triggers and develop new behaviors

• Re-enrollment allowed at any point

• 5 phone calls with a Quit Coach®

• Medications to support quitting

• Individual counseling or group session

• Online tools

• Unlimited follow-up support

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GH members: Fitness center discounts help make exercise part of their daily lives.

• Discounts at more than 10,000 fitness facilities nationwide

• Discounts on exercise videos and equipment for home workouts

• NutriSystem® weight loss program also available at a savings

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GH members: Access to information helps with medical decisions.

• One-stop health resource at ghc.org with thousands of health-related articles reviewed by doctors

• Shared decision-making DVDs, online videos, and booklets help members explore treatment options with their doctors

• Hip osteoarthritis

• Knee osteoarthritis

• Coronary artery disease

• Enlarged prostate

• Herniated disc

• Spinal stenosis

• Uterine fibroids

• Abnormal uterine bleeding

• Early stage breast cancer

• Ductal carcinoma in situ

• Breast reconstruction post-cancer

• Benign prostatic hyperplasia

• Chronic low back pain

• Acute low back pain

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GH members: Additional support through classes and community resources.

• Group Health offers classes and support programs in our clinics and online, including our popular six-week Living Well with Chronic Conditions workshops

• Phone-based Resource Line includes hundreds of classes, support groups, agencies, and other resources in its database—from alternative therapies and parenting tips to cancer support and sleep disorders

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GH members: Discounts for alternative medicine and fitness providers.

• Complementary ChoicesSM provider network

• Over 900 providers statewide

• When care doesn’t meet employees’ coverage or referral criteria, the network offers 20 percent discount to Group Health members

• Unlimited number of discounted visits

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Improve the health of your entire staff with our new product featuring RedBrick Health

RedBrick’s digital platform uses innovative, interactive technology to

create a healthier, more productive workforce.

• A leader in health engagement technology

• Action-oriented program of tools and services

• Combines smart incentives and powerful social elements

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Entire population: New fee-based products drive higher level of engagement• Data analysis delivers real-time, personalized recommendations

• Presented in an easy-to-understand friendly approach

• Format drives more immediate engagement

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Entire population: Dynamic RedBrick Health Assessment• Lifestyle health questionnaire

• Reinforces Group Health’s clinical-based Health Profile

• Engaging visual format

• Provides instant feedback and rewards

• Focuses participants on behavior change programs

that are personalized for each individual

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Entire population: Activities motivate and boost participation

• Worksite health fairs including mini-screenings for biometrics

• Games and team challenges that promote healthy habits

• Real-time leaderboards with current employee standings

• Social elements to encourage fun, entertaining competition

among staff

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Entire population: RedBrick platform features device and smartphone integration

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• Programs, challenges, and more are easily accessed via smartphone

• Integrates mobile apps like Runkeeper and device tracking like Fitbit to aid tracking of healthy behavior

Entire population: Unique approach to financial rewards

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• Drives lasting positive behavior change

• Personal approach to rewards

• Designed with simplicity and emotional appeal

Add-on: Comprehensive biometric screening events at your worksite*

* Fee-based. 22

• Helps with early detection of potentially serious health issues

• Nurses can check blood pressure, body mass index, cholesterol, and glucose

• Aggregate results provide valuable insights on your population’s health

• We provide resources—from planning to evaluation—to help make

the event successful

Care management is an integral partof the coordinated care support provided to our plan members.

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CARE MANAGEMENT

Our Consulting Nurse Service is available 24 hours a day, 7 days a week.

• Phone-based triage for acute and chronic care needs

• Physician on-site for consultation and medication orders

• Advice on best next steps—self care, routine physician visit, urgent care, or ER

• Coordination with primary care team if care is received at Group Health Medical Centers

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Care managers provide phone-based interventions to Group Health members with complex health needs.

• Increase health-promoting behavior

• Self-manage conditions• Set personal goals

• Match personal goals and needs to available programs and services

• Promote strong patient/personal   physician relationship with shared decision-making

• Optimize specialty care

• Help prevent unnecessary and expensive hospital admissions and ER visits

• Empower patients to manage and improve health and minimize complications

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Transition management supports members as they move between care settings.

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Disease management addresses specific conditions where interventions can improve health and lower costs.

• Part of our innovative approach to primary care for all patients

• Fully integrated with existing Group Health programs, such as case management, behavioral health, disability, and other lifestyle programs

• Telephone-based coaching• Targets more than 40 conditions• Identifies members at high risk for elective

surgeries, high risk for chronic conditions, high risk from lifestyle behaviors, and high financial risk

• No additional fee for fully insured groups; fee-based service for self-funded groups

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Utilization review ensures members are receiving appropriate care in the most appropriate setting.

• Stringent monitoring process

• Program is staffed by physicians, nurses, psychiatrists, psychologists, and pharmacists

• Follows standards set by ERISA, NCQA, and applicable state and federal laws

• Hospital/skilled nursing facility stays

• Use of durable medical equipment• Specific high-dollar procedures• Use of certain medications• Mental health services

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Streamline workplace health, safety, and injured worker care with an all-in-one source.

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OCCUPATIONAL HEALTH SERVICES

Expert occupational health care for your employees at Group Health Medical Centers.

• 12 clinics with occupational medicine physicians and specially trained clinicians

• Providers are in the Washington State Department of Labor and Industries’ Medical Provider Network

• Patient account reps trained in workers’ compensation paperwork

• Case managers to coordinate care and communication between employer, claims manager, employee, and physician

• Services available to all employees, not just Group Health members

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Screenings and prevention services* to meet your organization’s needs.

• Drug testing

• Breath alcohol testing

• Medical Officer Review

• Random selection services

• Hearing testing

• Pulmonary function testing

• Vision testing

• Worksite exposure testing

• Immunizations

• Travel medicine

* Fee-based. 31

Industry-specific physicals and employment exams.*

• Post-offer

• Return-to-work

• Commercial Driver’s License (CDL/DOT)

• Firefighter and law enforcement officer

• Respiratory clearance

• Vivarium environment

• Emergency medical response

• Federal Aviation Administration(FAA)

• Hazardous waste exposure

• Asbestos exposure

• Lead exposure

• Other heavy metal screenings

* Fee-based. 32

We’d like to help you improve the healthof your population and the health ofyour bottom line.

Contact your account manager to learn moreabout Group Health Wellness Solution.

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