Expert Medical Opinion Program Next-level clinical support and proven savings for your organization

The HIGH cost of diagnostic and treatment errors Up to 36% of diagnoses are delayed, missed or wrong. Diagnostic errors account for almost $40 billion in annual insurance claims Up to 4 in 10 conditions Are misdiagnosed or mistreated 28% of overall medical care is not needed. Sources: Up to 36% of diagnoses are delayed, missed or wrong. Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-23. Singh H, Giardina TD, Meyer AN, et al. Types and origins of diagnostic errors in primary care settings. JAMA internal medicine. 2013;173(6):418-425. 28% of overall medical care is not needed, including about a quarter or tests, more than a fifth of prescriptions and more than a tenth of procedures. Lyu, Heather Xu, Tim, et al. Overtreatment in the United States, PLOS One, September 6, 2017 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0181970 Diagnostic errors account for almost $40 billion in annual insurance claims. Johns Hopkins Medicine https://www.hopkinsmedicine.org/news/media/releases/diagnostic_errors_more_common_costly_and_harmful_than_treatment_mistakes Up to 4 in10 conditions are misdiagnosed or mistreated. Elizabeth A. McGlynn, PhD; Steven M. Asch, MD, MPH; et al. "The Quality of Healthcare Delivered to Adults in the United States," New England Journal of Medicine2003;348:2635-2645. https://www.scientificamerican.com/article/demand-better-health-care-book

Taking second opinion support to the next level High-touch care coordination and guidance from Health Advocate’s experienced clinical team. Ongoing collaboration with members’ treating physicians Pre-visit testing Post-appointment follow-up Ongoing treatment decision support One partner reduces costs and streamlines member experience for expert medical opinions Cost of remote opinions included in program fee Enhanced ROI reporting

One call or click finds the right high-quality, in-network experts Contact providers Schedule appointments Transfer medical records Coordinate testing and studies Ongoing follow-up support Thorough clinical intake including medical history and treatments to date Rigorous, detailed search of specialists, Academic Centers and Centers of Excellence nationwide

Leading Academic Centers & Centers of Excellence Across the Nation

State-of-the-art data analytics send the right messages at the right time Communications, including a mailing and raffle, to promote online registration Push notifications and reminders promote expert medical opinions Ongoing promotional outreach (including outbound emails) This slide applies only to data clients who have 5,000+ EEs

Enhanced Reporting: Value and Outcomes Return on Investment (ROI) Reports Medical outcomes cost savings Cost differences between updated vs. original plan (including cost of procedures member did not receive; reduced productivity; complications) Utilization Reports Awareness mailings Registrations Outbound personalized communications Cases by condition and provider type Reason for EMO Changes in diagnosis Changes in treatment plan

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