The Problem A fragmented marketplace does not support individual consumer needs Lack of adherence; difficulty targeting communications Non-compliance with recommended care increases medical costs Delays in receiving recommended care contributes to unnecessary medical problems and higher mortality rates Appealing directly to individual employees has been difficult Employers are seeking solutions to counter these trends

The Solution We support an engaged consumer’s needs Reaches individual consumers Provides personalized preventive and chronic care reminders, focused on gaps in care Customized for each individual Supported by Personal Health Advocates Fully integrated with all Health Advocate solutions Helps drive engagement and health compliance Cost-effective, “add-on” turnkey solution

We build trusted relationships to help drive results Communications drive utilization Personal Health Advocate support Ongoing non-adherence reinforcement Reaches the “health care decision-maker” at home Allows for company-specific branding Reminders drive engagement with advocacy, chronic condition support and wellness coaching

Communication Components Members receive up to 4 gaps in care messages in a 12-month period Mailings occur approximately every 30 days, alternating between preventive and chronic care messaging The same reminder is not sent again in a 120-day period A priority hierarchy is applied if the member ‘qualifies’ for more than one reminder Health Advocate utilizes their own, full-service, in-house production and fulfillment center

Gaps in Care Communications Preventive Designed to increase adherence to high value preventive tests such as mammograms, bone density tests, cervical & colorectal cancer screenings and flu shots Data-driven using eligibility and claims data matched to evidence-based guidelines Directs employees to their personal physician and Health Advocate Personal Health Advocates and Nurse Coaches

Gaps in Care Communications Chronic Conditions Reaches 100% of members with recommended chronic care services due Reminders address the top conditions such as heart disease, diabetes and asthma Directs employees to their personal physician and Health Advocate Personal Health Advocate and Nurse Coaches Drives utilization of chronic condition management programs Encourages compliance with important tests, evidence-based care, wellness/lifestyle changes and medication

Client Results

Preventive Care Screening Compliance Large labor union – 6,293 eligible employees

Diabetic Screening Compliance Large labor union – 6,293 eligible employees

Implementation

Implementation Overview Health Advocate Receives historical/monthly data updates – typically 2-3 years of historical data Applies software rules/algorithms to stratify data Produces and sends personalized, printed mailers Personal Health Advocates Support inbound calls Help schedule appointments, answer questions and explain treatments Management reports capture compliance rates and cost savings

Management Reporting

Outcome Reporting Provided annually, management reports capture: Year-to-year impact on member adherence to recommended preventive and chronic condition measures Employer performance against national benchmarks Details on the impact increased adherence made on medical outcomes

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