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

2. 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):
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
Diagnostic errors account for almost $40 billion in annual insurance claims. Johns Hopkins Medicine
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:

3. 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

4. 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

5. Leading Academic Centers & Centers of Excellence Across the Nation

6. 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 s)
This slide applies only to data clients who have 5,000+ EEs

7. 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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