Digital Savings Solution

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Presentation transcript:

Digital Savings Solution REMOVE BEFORE PRESENTING Elevator pitch version Digital Savings Solution

What is CoreSource’s Digital Savings Solution? Innovative marriage of consumer-centered healthcare tools designed to save employers and members money by creating informed, confident healthcare consumers who take an active role in seeking cost-effective care. Backed by an ROI guarantee; CoreSource guarantees clients will save more than they pay, or we’ll credit the difference.* * Certain qualifications apply to ROI guarantee Details for ROI are on slide 26.

Tools with a Consumer Engagement Foundation Points to call out on this slide: Consumers need solutions that are affordable, accessible, and convenient. Consumers need to know what care options are available to them. Member engagement is the foundation for the bundle, it’s the “secret sauce.” We need to engage the members through targeted and personalized messages via digital channels. We want to help members become smart, confident, and informed healthcare consumers.

Combining Consumer Cost-saving Tools Telemedicine Cost & quality On-demand digital medical doctor visits Telebehavorial health for ongoing visits with behavioral professionals Lowers costly ER and urgent care utilization Quick and easy digital solution serves members whenever, wherever Transparent and easy-to-use ranking of cost and quality scores Allows consumers to shop for care Member awards for using cost-effective providers* Creates savvy healthcare shoppers Points to call out on this slide: Previous slide starts with tools with a consumer engagement foundation This slide goes deeper into the consumer-centric tools Telebehavioral Health is NEW, and the details on are slides 13-15 *Awards must be offered and cost is not included in PEPM

Support to Guarantee Success In addition to these telemedicine and cost and quality transparency tools, our Digital Savings Solution includes active member outreach to engage and support members: Personalized SMS messages through myCoreSourceWire Regular targeted email outreach Print materials 12-month tailored communication plan & customized toolkit Points to call out on this slide: Personalized messages are geared towards bundle This is the “secret sauce” the “glue.” Active member outreach via multiple channels (text, email, print) Tailored and targeted messaging that is designed to drive member engagement What to call out on this slide: CoreSource will do the work, but we also need your support to! We have designed a member engagement plan to drive the right behavior. Our goal is to ensure members are aware of tools and services that are available to them. We want to help them to be smart, informed healthcare consumers which translates to savings for them as well as you (employer). The calendar is subject to change and cannot be customized. As we understand how your population is performing, we may tweak the messaging. As we learn more on how the member wants to be communicated, we may tweak the digital channel. Because we’ve designed the messages to optimize awareness and utilization, the order, quantity, and content of messages can’t be changed. Types of messages are: Getting them connected to the Wire Triggered HCBB green reward messages Triggered telemedicine utilization messages Tool awareness messages Cohort personalized messages to encourage individuals to complete important tasks like the HCBB scavenger hunt, registering a profile on Teladoc, and opting into the Wire.

ROI Guarantee with Customized Support Our Guarantee CoreSource guarantees clients will save more than they pay, or we’ll credit the difference. ROI Qualifications Provide member email addresses Ensure 50%+ of members agree to electronic communications and/or myCoreSourceWire messages Ensure 50%+ are opted into electronic EOBs Support the supplied, tailored member communication plan Utilization x Savings – Cost = ROI (Any ROI credit will be given on next plan year invoice) Points to call out on this slide: ROI guarantee is on cost and transparency tool and telemedicine general med visit utilization. ROI is based on the performance of the entire package On avg. the savings for using telemedicine service is ~$472 and HCBB is ~$1500 (using a green provider) We’ll look at total utilization and total fees paid (including rewards) to come up with the ROI. For example: 500 EE employer, based on breakeven threshold If 1.6% or 8 people went to a Green Provider, and if 5% or 25 people used telemedicine, the calculation would be: (8 x $1500) + (25 x $472) – (500 x $3.80)12 $12,000 + $11,800 - $22,800 $23,800 - $22,800 $1000 Even if on avg. the 8 ppl received $50 – that would be $400 The employer would achieve a net $600 savings (breakeven) or 1 : 2.6 (Gains – Costs) ROI = ---------------- X 100 Costs We’ve set our benchmark based on actual BOB, which is much higher than the break-even thresholds. Also note that we look at the performance of the entire package. Therefore, ROI can be achieved by one service outperforming the other service. Credits will be given for the following plan year.

Client Dashboard Monthly reports Year-in-review ROI scorecard Telemedicine utilization (general med & behavioral consults) Green provider utilization Year-to-date savings Member engagement against industry benchmarks Open rates Click-throughs Percent opted into digital channels and eEOBs Performance against CoreSource book of business and industry benchmarks Year-in-review ROI scorecard Year-in-review scorecard will be ready by month 13 or 14, not at 12-month mark. This allows for claims runout for HCBB. Green provider utilization is based on who received rewards

Digital Savings Solution Price REMOVE BEFORE PRESENTING: PACKAGE A adjust price and remove red and brackets. Price listed is lower limit. Digital Savings Solution Price [$3.80] PEPM Plus the cost of awards1 Telemedicine consultation fees included.2 Members pay $0 for telemedicine visit. SALES OR CMS: Select Package A or B depending on group, delete other package’s slide, adjust price, and remove red and brackets. Prices listed on slides are lower limits. Package A members’ copay for telemedicine can’t be changed (it’s always $0) 1 Awards for going to a green provider average between $25–$100. 2 Telemedicine gen medicine fees are included in the PEPM. Behavioral health fees are not included in the PEPM, and the fee amount will appear on check register.

Digital Savings Solution Price REMOVE BEFORE PRESENTING: PACKAGE B FOR CDHP/HDHP POPULATION adjust price and remove red and brackets. Price listed is lower limit. Digital Savings Solution Price [$3.10] PEPM Plus the cost of awards1 Telemedicine consultation fees not included.2 Members pay for telemedicine visit.3 SALES OR CMS: Select Package A or B depending on group, delete other package’s slide, adjust price, and remove red and brackets. Prices listed on slides are lower limits. Package B is designed for clients with CDHP or HDHP population 1 Awards for going to a green provider average between $25–$100. 2 Telemedicine fees for gen med and behavioral health consults visit are not included in the PEPM, and the fee amount will appear on check register. 3 Telemedicine fees are subject to the terms of the plan, including any applicable deductible and coinsurance provisions..