An Overview of Heal n Cure

We are Heal n Cure

“Focusing on prevention first and treating the underlying cause is the future of modern medical care”

• Medical wellness center.

• Primary care doctors office.

• Supervision of Board Certified, Award Winning physicians.

• In-network for Grainger’s PPO insurance plans.

• We have helped dozens of Grainger employees.

We are Heal n Cure

We are Heal n Cure

Affiliations

Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX

Overcoming Obesity Conference - September 10-13, Austin

The Overcoming Obesity conference is held once a year by the American Society of Bariatric Physicians. Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.

Affiliations

American Society of Bariatric Physicians(Non-surgical)

National medical society of licensed physicians offering specialized programs in the medical treatment of obesity (bariatrics) and associated conditions.

American Board of Obesity Medicine

Obesity medicine Diplomats are committed to providing effective, evidence-based therapy for patients who are overweight or obese. They recognize the need for a comprehensive approach that considers the multiple factors contributing to obesity.

Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX

Abstract:

Corporations in the US are deploying 'Corporate Wellness Programs' to reduce their healthcare expenses. However, those programs have failed to deliver the ROI, because they do not address the medical needs of employees who are high health care utilizers.

Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX

Abstract Continued:

Studies have shown that these high health care utilizers lead to 70% of the health care expenses, resulting from Urgent Care visits, ER visits, subspecialist visits, imaging diagnostics, and invasive interventions. Obesity, Type 2 diabetes, Ischemic Heart Disease, Chronic Kidney Disease, Sleep Apnea and associated co-morbidities are highly prevalent in this population. Also, they are at risk for high cost conditions like Stroke, Heart Attack and many different kinds of Cancers (endometrial, breast, colon), leading to high health care utilization.

We present a solution that can help save healthcare costs by enhancing existing corporate wellness programs to identify and serve high health care utilizers. Further, we discuss the specific clinical outcomes achieved by a Bariatrician led care team which provides comprehensive, evidence-based, personalized care for high health care utilizers.

Mentoring and training physicians at the Nation’s Top Ten Health System

We have been honored by being selected to mentor Physicians –

“Mentor for physicians joining Advocate Physician Partners because of your outstanding performance in the Clinical Integration program, your cost-effective practice and your leadership characteristics.

You are one of the elite leaders within APP and we hope you will agree to mentor new physicians joining APP so that they, too, can achieve outstanding performance.”

Cigna – Recognition for Cost Efficient Quality Care

United Healthcare recognition forquality of care and cost efficiency

• UnitedHealth Premium® Designation

• Recognizing physicians for meeting guidelines for quality and cost efficiency.

• The UnitedHealth Premium® designation program recognizes physicians and specialty

centers that meet or exceed quality of care and cost efficiency standards.

• Evaluations are based on industry standards, evidence-based and medical society

standards and guidelines from medical organizations and governmental agencies such

as the Ambulatory Care Quality Alliance, the National Committee for Quality Assurance

(NCQA), and the American College of Cardiology, plus scientific advisory boards.

Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for quality of care and cost efficiency.

• Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0

indicate higher resource use.

• Heal n Cure scored a .73 efficiency score placing us in the Top Tier for

Blue Cross Blue Shield.

• Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above

1.0 indicate patient panel with high severity.

• Heal n Cure scored a 3.86 in Case Mix.

Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for cost efficiency and quality of care.

Efficiency Score – Cost Savings Case Mix/Risk Factors

Heal n Cure is the Center of Excellence for Metabolic Syndrome

Based on quality of results, Heal n Cure is recognized as Center of Excellence for Metabolic Syndrome.

Clinical aspects of comprehensive weight loss

Reversal of the following Medical Conditions & Health Risks

• Coronary Heart Disease

• Certain Types of Cancers

• Type 2 Diabetes

• Hypertension

• Obstructive Sleep Apnea

• Stroke

• Metabolic Syndrome

• Fatigue

• High Triglycerides

• High Cholesterol

• Fatty Liver Disease

• Erectile Dysfunction

• Obesity

• Overweight

• Pre-Diabetic

• Pre-Hypertension

• Dyslipidemia

• Insulin Resistance

Percent of Chronic Diseases That Are Caused by an Unhealthy Lifestyle

Where is the road block?

• Is it your hormones ?

• Is your liver not doing the job ?

• Is your body in fat-storing mode?

• Are you addicted to food ? Mentally or physically

• Are your cells not getting right signals ?

Solving problems at the roots

Focus on prevention & discover root cause

Causes of weight issues Symptoms

• Medications• Lifestyle

– Stress– Nutrition– Social support

• General Physical Factors

• Disease and Illness

• High blood pressure• Depression• Type 2 Diabetes• Fatigue

Why Focus onMetabolic Syndrome

Who are the high-risk individuals?

Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA, Biometric Screenings, using the Heal n Cure criteria.

Body Mass Index > 30 or > 25 with 2 comorbidities

Low Density Lipoprotein > 160 mg/dL

Triglycerides > 150 mg/dL

Fasting Blood Sugar > 100

Blood Pressure > 120/80

Waist to hip ratio > 0.8

Patients in danger of developing type 2 diabetes don’t believe they are at risk

How visceral fat affects you

Visceral fat strongly associated with metabolic risk factors

Visceral fat strongly associated with metabolic risk factors

Women’s Heart Health

Why is Women’s Heart Disease Misdiagnosed?

Do Heart Stents Make The Problem Go Away?

• After 5-7 years, 30-50% of vessels used to bypass blocked arteries are now blocked.

• After 4-6 months, 30-50% of ballooned arteries re-close.

• 20-30% of arteries propped open by stents re-close.

The INSPIREProgram

Individualization & Personalization

• Symptoms

Fat Loss vs Weight loss

• Symptoms

BMI: how accurate is it?

• SymptomsBMI: 34 BMI: 34

Body Composition Test and Analysis

Achieve a healthy body composition by knowing:• The total percentages of fat and muscle throughout the body.

• How your body composition compares to healthy ranges.

• How many calories you burn.

Cardiopulmonary Exercise Testing

• SymptomsPerformance markers

• from CPET test

• Peak VO2 (VO2max)

• Peak HR

• Peak Watts

• Anaerobic Threshold

(AT)

• HR at AT

• Watts at AT

Recommendations of USPSTF for High Risk IndividualsMulti-component Behavioral and Medical Wellness

Care Coordination

Support & Intervention

Building Trust

Patient Education

Designing Personalized Plan

Diagnosis & Prognosis

Making Decisions

Self Management Tools

Physician Assistant – Lifestyle Educator

Medical Assistant

ExercisePhysiologist

Patient Engagement

Personal WellnessPatient ResultsLook Your Best, Live Your Fullest

Heal n Cure Success Stories - Dennis

Heal n Cure Success Stories - Karen

Heal n Cure Success Stories - Manuel

Results of INSPIRE Our Core Wellness Program

Actual INSPIRE Core Wellness Program Results for Heal n Cure Patient. 44% drop in body fat in 3 weeks, 17.7 lbs of fat lost in 3 weeks. Got off diabetes medicine by the 3rd appointment!

Patient’s Hypertiglyceridemia resolved in 3 weeks! Triglycerides fell from 1202 to 154, more than 1000 points!

Results of INSPIRE Our Core Wellness Program

Diabetes Reversed, years of suffering aches and pain gone, Dropped 38 lbs, anxiety, dizziness, chest pain also resolved, longer considered a risk for diabetic.

Results of INSPIRE Our Core Wellness Program

Dropped 38.5 lbs, from size 16 to size 10. Feels proud that Heal n Cure worked with the patient diligently on every visit to ensure successful clinical outcome.

Tracking The Fat Loss

• Symptoms

Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs

(191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss

Tracking The Fat Loss

• Symptoms

Tracking The Fat Loss

• Symptoms

Patient Results

• Symptoms“DROPPED 25 LBSAFTER ATTEMPTINGPOPULAR DIETPLANS”

Patient Results

• Symptoms“I HAVE LOSTALMOST 70 LBSIN ABOUT 7MONTHS”

Patient Results

• Symptoms

“I HAVE LOSTOVER 50 LBSIN ABOUT A 6MONTHS SPAN”

Patient Results

• Symptoms“IT SAVED MY LIFEI NO LONGERHAVE DIABETES”

Patient Results

• Symptoms

See more results at healncure.com/success-stories

• Symptoms

Best Practices forCorporate WellnessPersonalized Medical Wellnessto tackle Runaway Healthcare Costs

Medical Costs and Savings

Medical Costs and Savings

Potential SavingsThe program reduces urgent care and ER visits, and the need for costly, invasive interventions.

Annual direct cost per medical condition for high needs employees:

Medical Costs and Savings

According to another independent study3 by the National Institute for Health Care Management Foundation, the average annual healthcare expenses for the high-needs employees was $26,767 in 2009.

Cost Avoidance and Results

An analysis of medical and claims data for 103 clinically obese high-risk patients referred to our program proved that their obesity, diabetes, and heart disease conditions were reversed. This correlates to potential savings of $1,477,175 per year. These high-risk patients were enrolled in our personalized Medical Wellness Program for an average of 21.7 weeks in 2011-2012. High quality care is less costly.

Heal n Cure’s Recommendations for Employers

• Effectively communicate what is offered at the workplace, what employees are doing in

company programs and share clinical data from biometric screenings. This allows our

physician to highlight and support employer efforts during visits with the employee.

• Focus chronic disease management programs on lifestyle change and health

improvement activities; not on the chronic condition itself.

• Offer an incentive tied to obtaining an annual physical. Consider additional incentives

for developing individualized goals based on the results of the physical. Employees will

see it as an opportunity to work with their physician and the results can lead to healthy

behavior changes.

Key Research Findings

• A significant event that involves a family member or loved one can serve as a major trigger to encourage healthy behavior change

• Employees need the confidence to take action and the conviction, along with tools, resources and support, to get started and keep going

• Employees prefer activities that are personalized, targeted to their specific needs and support work/life balance.

• Employees believe the most credible source for health information is their doctor.

• Physicians believe it takes an entire spectrum of support – the patient’s health care team, including the physician, family, friends, employer, health plan and health coach – to help employees improve and manage their health. It also takes effective communications and solutions that involve the entire family.

Key Research Findings

Key Research Findings

Who to refer - some suggestions

Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA, Biometric Screenings, using the Heal n Cure criteria.

Body Mass Index > 30 or > 25 with 2 comorbidities

Low Density Lipoprotein > 160 mg/dL

Triglycerides > 150 mg/dL

Fasting Blood Sugar > 100

Blood Pressure > 120/80

Waist to hip ratio > 0.8

How to refer – some suggestions

Let patients know:• Located in Northbrook, IL• Have helped dozens of Grainger employees• We are a doctor’s office• We are in-network for Grainger’s PPO insurance

plans

Provide patients with:1. Heal n Cure brochure, card2. Website address, healncure.com

book free consultation or Dr appt online

How patients can schedule

• Book appointments 24/7 online at

healncure.com

• schedule a free consultation with a

Inspire professional

• All medical visits are covered by

insurance

• We are conveniently open 6 days.

Free Consultation

Appointment with Physician

Family Practice Physician

Appointment with PA

Same Day Appointments

Helping Grainger associates get started

They can Schedule a FREE consultation. Body Composition Test and Analysis (Free if referred by Grainger staff).

Takeaways

Thank You, Any Questions?Visit www.healncure.com or email us at info@healncure.com for more information

Personal Wellness• Clinical aspects of comprehensive weight loss• Why Focus on Metabolic Syndrome

INSPIRE Program - healncure.com/programs/inspire• Patient education, patient engagement• Tracking results and Providing explanations

Corporate Wellness• Leverage results from screenings and health risk assessments• Help them with personalized medical program per USPSTF guidelines