ConsumerMedical Overview –Farm Credit Foundations

Presented October 3, 2019

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Agenda

• ConsumerMedical Overview

• ConsumerMedical Program Components

• Medical Decision Support

• Surgery Decision Support

• Ally Expert/Second Opinion

• Participant Examples

• How to Contact ConsumerMedical

• Things to Remember

• Questions?

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ConsumerMedical Overview

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ConsumerMedicalA Medical Ally for the people who need it most

Founded

1996Headquartered

Pembroke, MA

MarketsEmployers

Payers Exchanges

Covered Lives

Company Snapshot

Deep clinical navigation and advocacy – high-touch treatment decision support, surgery decision support, and expert medical opinion

Serving over 100 employer customers, covering over 3 million lives New channels accelerating growth (health plans, consultants, and

exchanges) Savings validated by independent actuaries

Proven performance

10% of helping people who

drive 70% cost

Physician-led “Medical Ally”

team empowers better clinical

decision-making

Platform built to optimize

5 Drivers of Quality Care™

Lowers cost and improves quality,

satisfaction, productivity, and

consumerism

ValueDrivers

3 Million

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ConsumerMedical and Farm Credit Foundations

• The ConsumerMedical Program is available to all active employees, as well as covered dependents enrolled in the Farm Credit Foundations Medical Plan

• Retirees in the medical plan and their covered dependents

• This benefit is available at no cost to the employer - all costs are covered by the Farm Credit Foundations medical plan

• Official launch date was June 3, 2019

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Decision-Making Solution

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Addressing What’s Most Important

Confirmation of diagnosis through expert second opinion

Top-ranked experts (within network) with the most experience & best results

Evidence-based medicine tailored to individual values & preferences

Highest-quality facility for surgery or treatment; “Center of Excellence” (within network)

Emotional support to help individual & family

The 5 Drivers of QUALITY CARETM

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Experienced Medical Ally Team

NurseAlly

Expert Opinion Ally

ResearchAlly

PhysicianAlly

The ConsumerMedical Ally Team provides expert, personalized, high-touch support—helping participants optimize their care using the 5 Drivers of Quality™

while addressing any needs they have during their entire journey.

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• Evidenced-based, expert guidance and research

• Comprehensive expert opinion support

• Tailored questions to ask the treating physician

• Multiple support touchpoints; multi-channel program access

• Powerful engagement and incentive programs

• Deep integration with health plans and other vendors

ALLYCOMPLETESUPPORT

9Confidential property of ConsumerMedical. Do not distribute or reproduce without express permission from ConsumerMedical.

Comprehensive treatment decision support and expert opinion, helping patients throughout their healthcare journey. Confidence—for all conditions.

10Proprietary and Confidential. Not to be distributed or reproduced without permission.Confidential property of ConsumerMedical. Do not distribute or reproduce without express permission from ConsumerMedical.

SURGERYDECISIONSUPPORT

There is a $400 incentive available to Farm Credit Foundations

employees and retirees and their eligible dependents who complete the SDS program.

A program that targets the following non-emergent, elective surgical procedures where two or more medically acceptable options exist and where Farm Credit Foundations employees have legitimate choices among treatment options.

LOWER BACK SURGERY

KNEE REPLACEMENT

HIP REPLACEMENT

WEIGHT LOSS (OBESITY)

HYSTERECTOMY

Requirements for employees to earn a $400 incentive:• Physician has recommended surgery as a

treatment option • Enrolls with us at least 30 days prior to surgery • Reviews personalized materials we provide

to them and then engage with our physician-led support teams

• Completes a telephonic survey

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EXPERT MEDICAL OPINION —DIRECTING ACCESS TO HIGHEST QUALITY PROVIDERS FOR IMPROVED CARE

• 1st or 2nd Opinion recommendations • Physician credentials review• High-quality physician identification• Match to unique needs and preferences• Network Optimization• Appointment availability and insurance

coverage verification• Pre-appointment guidance • 1-3 day turnaround• Unlimited support

• Video (mobile), phone, written consults• Access to extensive world-class

physician network from leading medical institutions

• 48-hour turnaround post medical records• Turn-key medical records collection• Physician-led clinical review and

guidance• Global support: translation and

interpreter services• Unlimited support

Patient satisfaction

Of cases result in a change or correction

in diagnosis

Optimizing Plan’s Provider Network

Of cases result in a revised

treatment plan

Solution Outcomes: 25% 99%62%

In-Person Expert Opinions Remote Expert Opinions

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Participant Examples

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Results: Patient reports to Nurse Ally that he is confident in the new specialist and now feels he is on the right treatment path. He is pursing injections and avoiding the initially recommended surgery.

Participant’s health plan discusses CM services with him and warm transfers him to CM.

Ally Clinical Team also provides Patient with a customized set of questions and unlimited decision support.

Patient receives information and decides to see a CM-identified top spinal specialist for a second opinion.

Nurse Ally assesses Bob against the 5 Drivers of Quality Care™

CM MD determines he would benefit from a 2nd opinion from a specialist in his local area.

EMO Ally team credentials his current physician and also identifies additional top physicians in his area.

Scenario:

55-year-old employee, diagnosed with herniated disc in lumbar spine, causing sciatic pain and numbness. Neurosurgeon recommended microdiscectomy

Clinical Allies identifying opportunities for referrals to vendor partners

Participant Example

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Results: Patient reports to Nurse Ally that she is confident in the new oncologist and is now on the right treatment path

Participant Example

Confidential property of ConsumerMedical. Do not distribute or reproduce without express permission from ConsumerMedical.

Scenario:

26-year-old female who had a lumpectomy on her right side 4 years ago and is now having a recurrence on the left side. She has seen a local oncologist for recurrence once so far.

Patient calls Health Advocate after receiving a ConsumerMedicalmailer to her home.

Ally Clinical Team also provides Patient with a customized set of questions and unlimited decision support

Patient receives information and decides to see a CM-identified top oncologist for a second opinion

Nurse Ally assesses Patient against the 5 Drivers of Quality Care™ and identifies that she would benefit from a 2nd opinion from a top expert in the industry

EMO Ally team identifies that her current treating oncologist does not specialize in breast cancer.

EMO Ally team provides her with 3-5 in-network top experts (high performance network) who specialize in breast cancer with the highest quality metrics and best outcomes.

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Participant Testimonials

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Results

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Utilization to Date – June through September 15, 2019

• Enrolled Participants in ConsumerMedical Program: 326

• Total Number ConsumerMedical Services Used: 603

• Surgery Decision Support Cases: 7

• Overall Utilization: 3.26% of population

“ Thank you so much for talking to me. You have made me feel calm. You provided a lot of great information.”

- Farm Credit Participant

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Topics Requested to Date

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Contacting ConsumerMedical

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When to Contact to ConsumerMedical?

Contact ConsumerMedical if you:

• Have been recommended for one of the Surgery Decision Support procedures – they may be eligible for $400 incentive

• Need or could benefit from a second opinion

• Want to speak to a physician about their condition

• Need guidance from a physician-led team if they are considering different treatment options

• Need help confirming a diagnosis

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How to Connect with ConsumerMedical

Call us directly:• 1-888-361-3944• Monday-Friday, 8:30 a.m. – 11:00 p.m. ET• 24/7 voicemail after hours. Calls returned within 3 hours the next business day unless

a specific time is requested by caller.

Visit our secure website:• www.myConsumerMedical.com• New registrants use company code: FarmCredit

Download our free “MyMedicalAlly” app from GooglePlay or App store• New registrants use company code: FarmCredit

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Things to Remember

• This benefit is available at no cost to active employees and their covered dependents enrolled in the medical plan

• Retirees and covered dependents in the medical plan

• We will educate FCF employees on ANYmedical topic, diagnosis, or procedure

• The ConsumerMedical service is confidential and secure

• Earn up to 50 “Take Action” points for accessing ConsumerMedical Webinars.

• 25 points per webinar viewed with a max of two webinars

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HealthyReturns Incentive Program

• Earn up to 50 “Take Action” points for accessing ConsumerMedical Webinars. 25 points per webinar viewed with a max of two webinars.

Free Health Webinars On Demand Topics • Healthy Weight Loss and Nutrition• What To Do When You Get a Diagnosis• Preventing and Managing Knee and Hip Pain• Women’s Reproductive Health• Low Back Pain• Stress and Anxiety

Remaining 2019 Live Topics • Chronic Pain (July)• Improving Sleep (October)

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Questions?