1. Expert Medical Opinion Program
Make access to exceptional care easier

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. 17+ years The right partner for expert medical opinions world-class
Advanced data
analytics and multi-channel
communications
Access to
world-class
specialists, academic centers and Centers of Excellence
Cost of
remote
opinions
included in program fee
17+ years
of experience navigating
the healthcare system and locating the right quality
specialists for second opinions
(in-person and remote)
Expert medical
opinions fully
integrated with comprehensive health advocacy service
(clinical + administrative)
End-to-end support & seamless
member
experience
Expanded eligibility: employees, spouses, dependents, parents and parents-in-law

4. National Network of Leading Academic Centers & Centers of Excellence

5. High touch guidance to the right care and treatment
Unlimited access to Health Advocate’s clinical team.
End-to-end care coordination
Ongoing collaboration with
members’ treating physicians
Ongoing treatment
decision support
Pre-visit testing
Post-appointment
follow-up

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

7. State-of-the-art data analytics sends the right messages at the right time
Communications, including a mailing and raffle, to promote online registration
Push notifications and reminders help promote second opinions
Ongoing promotional materials (including outbound s)
This slide applies only to data clients who have 5,000+ EEs

8. Backed by complete health advocacy support
We’ll save employees time, money and worry
Avoid costly mistakes by clarifying benefits and out-of-pocket costs
Alleviate uncertainty by explaining medical conditions, treatments and tests
Save money by reviewing medical bills and resolving claims and billing issues

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

10. Thank You First Name, Last name Title on second line 000. 000
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