the problem - health advocate · the problem: a fragmented marketplace does not support individual...
TRANSCRIPT
![Page 1: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/1.jpg)
![Page 2: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/2.jpg)
The Problem:
A Fragmented Marketplace Does Not Support Individual
Consumer Needs
• Nearly half of Americans are not receiving recommended health services
• Non-compliance with standard screening tests adds to the high cost of care
• Delay in receiving recommended care contributes to unnecessary medical
problems and higher mortality rates
• Appealing directly to individual employees has not been easy
• Historically, very few programs have existed to directly target employees
around their specific needs
1
[ Employers are seeking solutions to counter these trends ]
![Page 3: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/3.jpg)
The Solution:
Our Personalized Health Communications Program
Supports an Engaged Consumer and their Needs
• A focused way to reach individual consumers
• Provides personalized preventive and chronic
care reminders
• Customized for each individual (employee,
spouse and dependent children)
• High touch support from Personal Health
Advocate
• Fully integrated with all Health Advocate solutions
• Helps drive engagement and health compliance
• Cost-effective "add-on" turn-key solution
2
![Page 4: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/4.jpg)
We Begin with Data Analytics
• Led by our engage2Health team of experts
• Powerful engine integrates health information from
multiple sources – medical, pharmacy, health risk
profile, laboratory and biometrics data
• Physician of record identification
• Our Core Health Advocacy has built-in data
acceptance capability at no additional cost
• Leverages demographics — age, gender, ethnicity,
household status, economic and related information
• Integrates company specific health plan designs
• Proprietary rules create segmentation profile
3
![Page 5: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/5.jpg)
We Leverage Consumer Research
• Direct-response marketing
• Linguistic communications
• Graphic pattern response
• Behavioral change
• Testing and analysis laboratory
4
![Page 6: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/6.jpg)
We Build a Trusted Relationship
to Help Drive Results
• Personalized communications are not done in isolation
• Linkage to relationship with Personal Health Advocate
• High touch approach
• Ongoing reinforcement reaches members multiple times
• Reaches the “health decision-maker” at home
• Message coordination with doctors
• Integrated program leverages other workplace
awareness opportunities
• Allows for company specific branding
5
![Page 7: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/7.jpg)
We Help Create an Engaged Consumer
• Leverage personally relevant information
• Designed to explain and motivate
• Personalized support from a Personal Health Advocate including,
arranging appointments, explaining tests, providing information, etc.
• “Right time at right place” messages
6
![Page 8: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/8.jpg)
We Target Opportunities for Impact
7
Prevention Wellness
Chronic
![Page 9: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/9.jpg)
8
Program Components
Member
• Printed Home
Mailings
Employer
• Onsite Awareness
(Posters)
• Newsletters, etc.
[ Featuring a full-service, in-house production and fulfillment center ]
![Page 10: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/10.jpg)
Prevention Communications
• Data-driven using eligibility and
claims data matched to evidence-
based guidelines and plan coverage
• Increases adherence
• Smart referrals to Core Advocacy,
Wellness and Chronic Care
programs based on need and
participation data
9
COMMUNICATIONS
Custom Client
Logo Area
Custom Client
Logo Area
![Page 11: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/11.jpg)
Announcement Mailer
• Positions program based on customer and
Health Advocate strategy for
health/wellness (e.g., shared responsibility)
• Branded for Health Advocate and customer
• Clearly spells out confidential use of data
• Emphasizes how Health Advocate can help
with appointment scheduling, etc.
10
COMMUNICATIONS
Custom Client
Logo Area
![Page 12: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/12.jpg)
11
Mailer #1:
Personalized Program
Overview and Initial
Reminder Set
Mailer #2:
“Act Now” Mailer #3:
“Schedule Today”
Mailer #4:
“Don’t Be Overdue”
“Healthy Reminders” Member Mailers
Custom Client
Logo Area
Custom Client
Logo Area
Custom Client
Logo Area
Custom Client
Logo Area
![Page 13: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/13.jpg)
The Facets of Personalization
12
Customer
Logo
Member
Personalization
Consumer
Picture
PHA
Picture
Call to
Action
Doctor
Picture
Member
Personalization
Call to
Action
![Page 14: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/14.jpg)
Chronic Care Communications
• Reaches 100% of employees with
recommended chronic care
services due
• Directs employees to their personal
physician and Health Advocate
Personal Health Advocates (PHAs)
and Coaches
• PHAs and Coaches encourage
completion of important tests,
provide guidance to evidence-
based care, promote
wellness/lifestyle changes and
medication compliance
13
COMMUNICATIONS
![Page 15: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/15.jpg)
14
Employer Poster Newsletter Article
Workplace Support
![Page 16: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/16.jpg)
Implementation Overview
• Receive historical/monthly data updates
• Apply software rules/algorithms to stratify data
• Produce personalized printed mailers
• Distribute mailers via USPS on schedule
• PHAs supports inbound calls
• Helps schedule appointments, answer questions. provide information, etc.
• Provides management reports covering adherence and cost savings
Impact:
• Personal relationship builds trust
• Helps members learn to better manage their condition(s) more effectively
• Helps prevent or reduce the development of costly complications
15
IMPLEMENTATION
![Page 17: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/17.jpg)
Management Reporting
16
![Page 18: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health](https://reader034.vdocuments.net/reader034/viewer/2022042316/5f0464aa7e708231d40dc032/html5/thumbnails/18.jpg)
Client Value
Engage 100% of the covered population
• Increase use of in-network physicians and hospitals
• Increase in number of high-value medical procedures (i.e., colonoscopy)
• Increase in number of employees engaged in Core Advocacy, Wellness,
Chronic Care management and prevention
• Generate cost savings outcomes through prevention, early detection and
quality care
17
CLIENT VALUE
[ High value opportunity for Health Advocate customer ]