0. Cleveland Clinic MyConsult® Second Opinion Program

1. Program overview
Special arrangement with Cleveland Clinic for access to electronic second opinions through their MyConsult Online Medical Second Opinion program
Designed for employees with serious and life-threatening medical diagnoses
Provides access to the Cleveland Clinic’s expert specialty physicians
Eliminates time and expense of travel
Helps confirm a diagnosis or a treatment plan or offers alternatives; provides recommendations
Convenient and secure; all personal health information is kept confidential
Maximizes employee engagement in their care
Improves health outcomes and reduces medical costs 1

2. About Cleveland Clinic
Located in Cleveland, Ohio
One of the country’s most respected hospitals
Rated one of the top hospitals by U.S. News & World Report
Cleveland Clinic physicians are recognized as experts in their fields by both the clinical community and consumers 2

3. Program features
Unique service available as an enhancement to Health Advocate’s Second Opinion Program
Second opinions available for a growing list of over 1,200 medical and surgical conditions in nearly every specialty
Incorporates Health Advocate’s expertise in collecting medical records, imaging studies, laboratory reports and pathology specimens
Timely turnaround of second opinion reports
No installation fees or start-up costs
Turnkey communications package 3

4. How it works
Employer agrees to cover cost of MyConsult second opinions
Health Advocate will include the program as an option presented to members with complex, serious and life-threatening conditions who contact us for assistance
Employees can call us directly to participate in the program 4

5. How it works
Employees access the program using the link to the specially-designed Health Advocate/Cleveland Clinic website on their Health Advocate member website
Client is charged only for completed consults
No additional charge for Health Advocate’s assistance
Comprehensive electronic second opinion report are returned business days after cases are assigned to a specialist 5

6. Comprehensive review
Cases assigned to the most appropriate Cleveland Clinic physician specialist expert
Thorough evaluation of all medical records and test results
May agree with current treatment plan or suggest changes/additional tests
Gives employees reassurance that an additional expert clinician is participating in their care 6

7. MyConsult outcomes Diagnosis Treatment recommendations
Agree: 75%
With changes: 15% (additional diagnoses; further study to make best decisions about interventions)
Disagree: 10%
Treatment recommendations
No changes: 38%
Minor changes: 22%
Moderate changes: 24%
Major changes: 16%
Significant healthcare implications 7

8. Support from a Personal Health Advocate
Exclusive feature available to Health Advocate members
Personal Health Advocates:
Assist with the online MyConsult request process
Contact providers to coordinate the transmission of medical records, imaging studies, laboratory results and pathology specimens to Cleveland Clinic
Answer questions and follow up as needed 8

9. What does it cost?
Employers agree to cover the cost of the MyConsult second opinion
$565 per case
$745 if pathology review needed (e.g., most cancer diagnoses)
MyConsult costs are passed on to client with no mark-up
Health Advocate bills the client when the case is completed
Health Advocate’s support included at no additional charge 9

10. Key benefits
Increased peace of mind for employees with serious diagnoses
Improved health outcomes
Reduced medical costs
Increased engagement and more informed decision-making
Increased employee satisfaction and retention 10

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