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RHI - Confidential and Proprietary - Do Not Copy Improving Health Care Quality and Cost Effectiveness Dean Souleles Chief Operating Officer November 21, 2008
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RHI - Confidential and Proprietary - Do Not Copy 2 Resolution Health Our Vision Create a world where each individual achieves their optimal health through the best, most cost effective health care. Our Beliefs It is possible to create that world. Getting patients, doctors and relevant health information together is at the heart of achieving this vision.
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RHI - Confidential and Proprietary - Do Not Copy 3 Resolution Health
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RHI - Confidential and Proprietary - Do Not Copy 4 Resolution Health Our Mission We send a smarter patient to the doctor. We provide a more informed doctor for the patient.
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RHI - Confidential and Proprietary - Do Not Copy 5 The Smarter Patient
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RHI - Confidential and Proprietary - Do Not Copy 6 The More Informed Doctor
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RHI - Confidential and Proprietary - Do Not Copy 7 Guiding the Way to Better Health Care One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 8 Guiding the Way to Better Health Care… One Person at a Time ™ Personal Health Picture ™ We assemble and organize personal health data for each health plan member (not just those with “Big 5” chronic diseases) Personal Health Scan ™ We identify specific opportunities for health care quality improvement and cost reduction for the individual Personalized Communications We provide actionable information to the individual, their physicians and their care managers
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RHI - Confidential and Proprietary - Do Not Copy 9 9 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise
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RHI - Confidential and Proprietary - Do Not Copy 10 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise Clinical Expertise Personal Health Scan ™ GAP IDENTIFIED !
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RHI - Confidential and Proprietary - Do Not Copy 11 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise Clinical Expertise Personalized Communications Expertise Personal Health Scan ™ GAP IDENTIFIED !
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RHI - Confidential and Proprietary - Do Not Copy 12 Our Customers Entities at financial risk for health care costs Health Plans Self-Insured Employers Pharmacy Benefits Management Companies Unions
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RHI - Confidential and Proprietary - Do Not Copy 13 Our Customers Entities at financial risk for health care costs Health Plans Self-Insured Employers Pharmacy Benefits Management Companies Unions Companies that help “at-risk” entities manage their risk Disease Management Companies Third Party Administrators Portal Companies Benefits Consulting Firms
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RHI - Confidential and Proprietary - Do Not Copy 14 Our Customers Entities at financial risk for health care costs Health Plans Self-Insured Employers Pharmacy Benefits Management Companies Unions Companies that help “at-risk” entities manage their risk Disease Management Companies Third Party Administrators Portal Companies Benefits Consulting Firms Current Client List 193 Individual Accounts 10 Major Health Plans 2 Major Pharmacy Benefits Management Companies 1 Major Portal Vendor
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RHI - Confidential and Proprietary - Do Not Copy 15 What Differentiates Us Our Business Personal Health Picture ™ Sophistication and breadth of our of data analytics Focus on individuals in entire population, not just “Big 5” diseases Analysis of Lab Results, HRA -- moving toward real-time analyses
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RHI - Confidential and Proprietary - Do Not Copy 16 What Differentiates Us Our Business Personal Health Picture ™ Sophistication and breadth of our of data analytics Focus on individuals in entire population, not just “Big 5” diseases Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan ™ Comprehensive, cutting edge rules library Rules which consider individuals’ plan benefit design details Glide path predictive modeling Johns Hopkins University School of Medicine relationship
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RHI - Confidential and Proprietary - Do Not Copy 17 What Differentiates Us Our Business Personal Health Picture ™ Sophistication and breadth of our of data analytics Focus on individuals in entire population, not just “Big 5” diseases Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan ™ Comprehensive, cutting edge rules library Rules which consider individuals’ plan benefit design details Glide path predictive modeling Johns Hopkins University School of Medicine relationship Personalized Communications Focus on engaging and motivating individuals Consumer communications, behavioral science expertise Coordination of individual, physician and care manager messaging Personalized “tailoring” of messages and delivery methods
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RHI - Confidential and Proprietary - Do Not Copy 18 What Differentiates Us Our Impact Matched-Control Study Proved member-targeted messaging increases compliance with evidence-based guidelines and formulary preferences. Randomized Control Test Proved physician-targeted messaging increases compliance with evidence-based guidelines.
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RHI - Confidential and Proprietary - Do Not Copy The Personal Health Picture ™
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RHI - Confidential and Proprietary - Do Not Copy 20 Personal Health Picture Creating the Personal Health Picture ™
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RHI - Confidential and Proprietary - Do Not Copy 21 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married
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RHI - Confidential and Proprietary - Do Not Copy 22 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008)
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RHI - Confidential and Proprietary - Do Not Copy 23 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008)
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RHI - Confidential and Proprietary - Do Not Copy 24 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008)
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RHI - Confidential and Proprietary - Do Not Copy 25 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008) Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008)
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RHI - Confidential and Proprietary - Do Not Copy 26 Personal Health Picture Creating the Personal Health Picture ™ Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008) Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008) Biometrics Height 6’ 2” (May 23 2008) Weight 215 (May 23 2008) BMI 27.6 (May 23 2008) Abdominal Girth 39in (May 23 2008) Blood Pressure 145 / 90 (May 23 2008)
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RHI - Confidential and Proprietary - Do Not Copy 27 Creating the Personal Health Picture ™ Personal Health Picture Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008) Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008) Biometrics Height 6’ 2” (May 23 2008) Weight 215 (May 23 2008) BMI 27.6 (May 23 2008) Abdominal Girth 39in (May 23 2008) Blood Pressure 145 / 90 (May 23 2008) Health Participation Disease Mgt Program – Enrolled (Mar 17 2008) Wellness Program - Targeted Wt Loss – Targeted Smoker – Targeted
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RHI - Confidential and Proprietary - Do Not Copy 28 Creating the Personal Health Picture ™ Personal Health Picture Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008) Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008) Biometrics Height 6’ 2” (May 23 2008) Weight 215 (May 23 2008) BMI 27.6 (May 23 2008) Abdominal Girth 39in (May 23 2008) Blood Pressure 145 / 90 (May 23 2008) Health Participation Disease Mgt Program – Enrolled (Mar 17 2008) Wellness Program - Targeted Wt Loss – Targeted Smoker – Targeted Lifestyle Exercise – 3X per week (Feb 18 2008) Smoker (Feb 18 2008)
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RHI - Confidential and Proprietary - Do Not Copy 29 Creating the Personal Health Picture ™ Personal Health Picture Demographic Age 62 Male Married Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008) Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008) Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008) Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008) Biometrics Height 6’ 2” (May 23 2008) Weight 215 (May 23 2008) BMI 27.6 (May 23 2008) Abdominal Girth 39in (May 23 2008) Blood Pressure 145 / 90 (May 23 2008) Health Participation Disease Mgt Program – Enrolled (Mar 17 2008) Wellness Program - Targeted Wt Loss – Targeted Smoker – Targeted Lifestyle Exercise – 3X per week (Feb 18 2008) Smoker (Feb 18 2008) COMPLETE
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RHI - Confidential and Proprietary - Do Not Copy The Personal Health Scan ™
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RHI - Confidential and Proprietary - Do Not Copy 31 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition
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RHI - Confidential and Proprietary - Do Not Copy 32 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition
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RHI - Confidential and Proprietary - Do Not Copy 33 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan Has Condition Needs Drug Has Condition Needs Test Need Test Event Follow-up Need Preventive Test-Age Need Doctor Visit Follow-up ER Need Preventive Info Condition Need Info Warning Signs Need Info Lab Result Ranges Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition
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RHI - Confidential and Proprietary - Do Not Copy 34 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan Has Condition Needs Drug Has Condition Needs Test Need Test Event Follow-up Need Preventive Test-Age Need Doctor Visit Follow-up ER Need Preventive Info Condition Need Info Warning Signs Need Info Lab Result Ranges Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition
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RHI - Confidential and Proprietary - Do Not Copy 35 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan Has Condition Needs Drug Has Condition Needs Test Need Test Event Follow-up Need Preventive Test-Age Need Doctor Visit Follow-up ER Need Preventive Info Condition Need Info Warning Signs Need Info Lab Result Ranges Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition Rx Cost Savings Scan Brand Switch to Generic Brand Switch to Formulary Preferred Formulary-Preferred to Generic Pharmacy Purchase to Mail Order Test Result Indicates Doctor Follow-up
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RHI - Confidential and Proprietary - Do Not Copy 36 Guiding the Way to Better Health Care… One Person at a Time ™ Evidence-Based Care Scan Has Condition Needs Drug Has Condition Needs Test Need Test Event Follow-up Need Preventive Test-Age Need Doctor Visit Follow-up ER Need Preventive Info Condition Need Info Warning Signs Need Info Lab Result Ranges Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug Dose Need Test to Assess Drug Side Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start New Med Need Drug to Prevent Condition Rx Cost Savings Scan Brand Switch to Generic Brand Switch to Formulary Preferred Formulary-Preferred to Generic Pharmacy Purchase to Mail Order Test Result Indicates Doctor Follow-up PERSONAL HEALTH SCAN
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RHI - Confidential and Proprietary - Do Not Copy 37 Guiding the Way to Better Health Care… One Person at a Time ™ Adam is at risk for stroke.
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RHI - Confidential and Proprietary - Do Not Copy Personalized Communications
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RHI - Confidential and Proprietary - Do Not Copy 39 Guiding the Way to Better Health Care… One Person at a Time ™ Adam is at risk for stroke.
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RHI - Confidential and Proprietary - Do Not Copy 40 Guiding the Way to Better Health Care… One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 41 Guiding the Way to Better Health Care… One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 42 Guiding the Way to Better Health Care… One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 43 Guiding the Way to Better Health Care… One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 44 Guiding the Way to Better Health Care… One Person at a Time ™
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RHI - Confidential and Proprietary - Do Not Copy 45 Making a Difference AdamAchieves “optimal health” Risk of stroke reduced Avoids Emergency Room visit Avoids hospital stay Avoids compromised lifestyle Adam’s EmployerAdam remains at work A productive employee Avoids finding, training new employee Adam’s Health PlanAvoids medical claim Avoids short / long term disability claim Avoids post-stroke medical costs
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RHI - Confidential and Proprietary - Do Not Copy 46 Resolution Health Message Types Health Alerts Urgent information about your health Health Tips Ways to help improve your health Money Savings Ways to save money on prescription drugs and other health care services
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RHI - Confidential and Proprietary - Do Not Copy 47 Reaching The Individual
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RHI - Confidential and Proprietary - Do Not Copy 48 Coordinated Communications To Patient and Physician
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RHI - Confidential and Proprietary - Do Not Copy 49 Patient / Physician Communications Strong Results and Reaction “It’s wonderful that my health plan does such a thing. These communications make me proud to be a health plan member.” – Personal Care Note Recipient “Compiling the patient's information in this easy-to-read format makes communication between the physician and the patient more interactive…a better feeling.” – Family Practice Physician Success / Compliance Rate 44% On Clinical Issues
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RHI - Confidential and Proprietary - Do Not Copy 50 Resolution Health Questions?
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RHI - Confidential and Proprietary - Do Not Copy 51 Resolution Health Thank You
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RHI - Confidential and Proprietary - Do Not Copy Improving Health Care Quality and Cost Effectiveness Dean Souleles Chief Operating Officer November 21, 2008
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