©2012 WiserTogether, Inc.1. 2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve.

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Presentation transcript:

©2012 WiserTogether, Inc.1

2 Mission: To help employees use healthcare wisely Objective: To help employers reduce unnecessary medical expenses & improve health related productivity Who is WiserTogether?

©2012 WiserTogether, Inc.3 Who is WiserTogether? Founded in million plus plan members across clients Fortune 500 clients such as Safeway, Corning, Advance Auto Parts, Skanska etc across industries Model Self-service treatment decision platform generating more effective employee and dependent decisions and behaviors relating to high cost health conditions - Musculoskeletal- Pregnancy- Mental Health - Cardiovascular- Diabetes- Respiratory

©2012 WiserTogether, Inc.4 A Critical Gap in Employer Offerings Note: Approximately 60% of all plan member decisions fall into the left side of the graph GAP IN SUPPORT AT EMPLOYEE’S POINT OF DECISION ? SEARCH ENGINES WEBMD PORTALS EAP HEALTH COACH/ ADVOCATE CARRIER’S PROGRAMS DISEASE OR CARE MANAGEMENT ONSITE CLINICS HELP LINES NEWS MEDIACDC, PUBLIC HEALTH PROVIDER/ EXPERT LED EMPLOYEE/ PATIENT LED GENERIC SUPPORT PERSONALIZED SUPPORT HEALTH DECISION SUPPORT RESOURCE MAP

©2012 WiserTogether, Inc.5 % of health decisions made without provider consultation… …but in consultation with friends/family or search engines 60% of Pregnancy & Maternity decisions 55% of Musculoskeletal decisions 60% Mental health decisions 50% of Cardiovascular health decisions Large Enough To Warrant Support Source: Kaiser Family Foundation; Sociology of Health and Illness, Volume 14; BMJ, 341; WiserTogether research.

©2012 WiserTogether, Inc.6 Unique Focus On Consumer Behavior Study Objective: Understand decision making behavior Capture self reported effectiveness Study Participants: 14,000 employees 4,000 physicians (as patients) Study Methodology 3 years of surveys, interviews, focus groups Self-Insured employees w/ target conditions

©2012 WiserTogether, Inc.7 The Four Behavioral Steps of Informed Health Decision Making Obtaining information about the health issue Exploring treatment options and their effectiveness Interacting with trusted contacts to narrow down the options being considered Weighing options against personal preferences, costs & coverage before taking action Consistently followed by individuals regardless of demographics: Age Gender Income Occupation/role Health status Source: WiserTogether’s behavioral research conducted from including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.

©2012 WiserTogether, Inc.8 What Happens if Employees… -Decision making stops or slows down -Uncommitted to action -Likely to follow strongest or the last opinion/voice -Likely results in poorer choices -More confident in their actions -3x more vested in their choices and likely to stay with them longer -More engaged in their health …Don’t Hit all Four …Hit all Four Source: WiserTogether’s behavioral research conducted from including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.

©2012 WiserTogether, Inc.9 But employees struggle because… - Treatment specific information is hard to find - Feedback from others is anecdotal - Cost, coverage & time to recovery is impossible to get Source: WiserTogether’s behavioral research conducted from including surveys of 14,000 plan members and 4000 physicians; several dozen interviews and focus groups.

©2012 WiserTogether, Inc.10 Wiser Health The Wiser Health platform supports the entire health decision process in an innovative & effective way

©2012 WiserTogether, Inc.11 1.Plan Member Engagement – 30% to 85% annually Without Incentives 2.Better Health Decisions – 60% take action using information/data 3.Net Return of 4 to 9 Times the Investment 4.Medical Claims Cost Reduction Achieved Through Reduction in number of doctor visits Reduction in number of ER visits Reduction in surgeon or specialist visits More appropriate usage of tests/screenings performed during consultation and diagnosis Increased adoption of preventive measures Improved substitution of generic versus brand name drugs Is this Working?