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Health Advocate Update
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Current trends 2
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Health Advocate Broker Business
1,202,181 Lives 1,949 Groups 3
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What’s hot? 4
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Partnership makes the difference
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The use of Healthcare Concierge Tools has grown:
Employers view high-touch concierge/navigator/shared decision-making services as a value-based benefit design strategy and a means to reduce further cost-sharing with employees. 47% increase in number of companies offering medical decision support and second opinion services 28% increase in high-touch concierge services 25% of respondents ranked high-touch health concierge or navigator services as one of their top three most effective cost-control strategies The use of these tools & programs jumped from to 2018 Source: National Business Group on Health® Large Employers’ 2018 Health Care Strategy and Plan Design Survey, August 2017
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Rising healthcare costs:
Fragmentation doesn’t work. It makes it harder for employers. Lack of engagement: 57% of large employers say that the lack of engagement is their largest obstacle to managing employee health and healthcare costs. Administratively Expensive 7+ On average, employees must interact with over 7 health-related vendors. Rising healthcare costs: 75% of healthcare costs & 70% of all U.S. deaths can be attributed to chronic illness. 9
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Employees also become overwhelmed and opportunities to engage are lost.
401(K) Medical Wellness Vision Pharmacy Dental HSA/FSA Life & Disability Eligibility 10
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connect to ALL benefits
The solution: ONE number to connect to ALL benefits 11
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Employee Benefit Guide:
Multiple vendors means Multiple numbers Employee Benefit Guide: Medical………………….…… Dental.…………………..… Vision.…………………….… EAP…..………………...…… Life and Disability……..…… 401(K)......….…….……….… HSA…...….…………….…… Advocacy….……...………… Telemedicine………..……… Employee Benefit Guide: Health Advocate
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One phone call to Health Advocate can clear up the confusion.
Medical Pharmacy Vision HSA/FSA Eligibility Dental Wellness Life & Disability 401(K) Benefits experts connect employees to all employer benefits through a single toll-free #.
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We’re MORE than just Advocacy… We Drive Engagement
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Access useful health and wellness information
24/7 personal support is just a call or click away Choose methods of communications that are right for them View personalized to-do lists* and alerts All benefit programs can be in one place Compare costs for procedures when pricing tool is available We’re always there, 24/7 Whether by phone, through the mobile app, or online, employees can always reach us 24x7 Instantly upload documents and forms View the status of a case in real time * Only when wellness program is offered A Personal Health Advocate in the palm of your hand
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Finally, an integrated solution for fully insured, small and middle market clients
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One phone number is key to making healthcare easier
Make healthcare easier One phone number to reach all benefits 24/7 healthcare help from a dedicated Personal Health Advocate and mobile app notifications Anytime, anywhere access through web and mobile app Annual home mailing to keep the benefits top-of-mind Online on-the-go health advice Second opinions Medical decision support Digital navigation 17
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Plus, an affordable, integrated solution perfect for self-insured groups
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Health data allows us to see the big picture of each individual
All of the benefits of engagement select, Plus… 360º gaps-in-care coaching for almost any medical condition Targeted home mailings to address gaps in recommended and preventive care Detailed reporting to help track the health of your organization Ongoing health communications 19
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Add well-being to further engage and inspire change
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The right combination of risk identification, outreach and support to engage employees in their health Provide the right resources Risk identification based on HRA and biometric results Targeted clinical outreach 1:1 lifestyle and chronic condition coaching Dedicated Wellness Program Consultant Incentive management Annual postcard mailing Annual onsite biometric screening event and mobile app notifications Interactive wellness website and mobile app -Track healthy activities -Workshops and challenges -Health information and advice -Zipongo meal planner -Personal Health Profile -Incentive Mall 21
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Adds valuable insight from health
data to target population health needs All of the benefits of Well-being Select, Plus… Proprietary Health Information Dashboards Enhanced risk stratification using claims data Comprehensive gaps-in-care coaching Chronic condition management Customizable incentives Enhanced outcomes reporting including Annual Medical Claims Analysis Help members get the right care at the right time 22
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For maximum engagement and savings, get it all with EmpoweredHealth
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Total benefit integration drives the highest
engagement for improved outcomes Combine the benefits of your choice into one integrated model for the greatest overall savings 5% Discount when you add any 2 services Choose Additional Services: Wellness Program EAP+Work/Life Personalized Health Communications Chronic Care Solutions Health Cost Estimator+ Key Services Base Model: Engagement select OR Engagement 360º 10% Discount when you add 3 or more services 24
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One personal experience makes sense
One Partner One 800# One Dedicated Team One Reporting Package One Communication Program One Contract One Legal Review One Security Review One Integrated Benefit Solution One personal experience makes sense Reduced Administrative Cost, Improved Quality, Increased Engagement 25
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Advocacy + Gaps in Care + One Phone #
Integration increases engagement 46% 33% 20% 10% 8% Advocacy Advocacy+ Gaps in Care Advocacy+ One Phone # Advocacy + Gaps in Care + One Phone # Empowered Health Represents case utilization by offering – 500+ lives – commercial business only 26
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Coming Soon! 27
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Coming soon: Member Engagement Platform updates
Digital Navigation– ability to integrate more vendors Price Transparency based Advice Second Opinion Advice Mindfulness offering Flu shot validation card (display & print) Consent collection for outbound calling DocuSign tool for EAP release of information Note: These above enhancements are estimated timeframes and the offerings may vary by client and services offered 28
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Solutions 29
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IMPORTANT REMINDER! Health Advocate groups
Please send your updated benefits documents and census to us by: [Month Day Year] to ensure we are able to provide members with accurate information. Thank you. 30
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Thank you First Name Last Name, Title 000.000.0000
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