National Association of Counties · 2019-12-21 · National Association of Counties Aetna...

NationalAssociationofCounties

AetnaInnovationLabsFebruary20,2016

Qualityhealthplans&benefitsHealthierlivingFinancial well-beingIntelligentsolutions

AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016

AetnaInnovationLabsmission:CreatingtheFuture

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Identifyhigh-impactideas2-3yearsaheadofthemarket

Testpilot conceptsrapidly&rigorously togatherevidence

Demonstratemeasurablevaluetostakeholders

Clinical InnovationStageGateR&DProcess

TransitiontoScale

VerifyBusinessCase

Design&ExecutePilot

DevelopBusinessCase

Scope&DefineConcept

EvaluateConcepts1

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3Deliverprovensolutions forAetnapartnerstoscale

Whereappropriate,initiativesfocusonthetop-spendconditionareas

Cardiovascular|Cancer|Musculoskeletal|Maternity|Gastrointestinal|MentalHealth

Generate&CaptureIdeas0


Conceptsareevaluatedagainst6criteriaastheymovethroughthestagegateprocess

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• <Descriptionoftargetcustomerandunmetneed>• <Concept’s Valueproposition>

• <Shortdescriptionofhowtheconceptalignswithstrategicgoalsorbusiness unit’s strategicplan>

• <Estimateofmarketsizeandexpectedmarketgrowthrate>• <Commentonthenumber ofcompetitorsinthemarketandwhereAetna

canstrategicallydifferentiateitself>• <HowtheconceptsupportsAetna’sbrandandvalues>

• <Descriptionofknown risksandhowtheycouldbemitigated>

Criteria Evaluation

CustomerNeed

StrategicAlignment

MarketPotential

RiskMitigation

ExecutionFeasibility

• <DescriptionofwhathaskeptAetnafrompursing theconceptinthepast>• <initialestimateoftheinvestmentneededtoexecutetheconcept>• <Potentialpartnersthathavebeenidentified>

InternalCommitment

• <Highleveldescriptionofthetypeofresources thatwould beneededtoexecutetheconcept>

• <Statethelikelysponsor orbusiness unittoowntheconcept>


WecollaboratewithhundredsofpartnersbothinsideandoutsideAetnatosolveproblemsandimprovehealthcare

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InnovationLabsAetna

Customers

Marketing/Finance/Ops.

CareMgmt.AcademicInstitutions

BusinessSegments

InformaticsTechnologyPartners

HealthSystems


Collaborationallowsustoexploreanumberofareasthatwilldrivevaluetothoseweserve

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PatientEngagementMetabolic

Syndrome

RemoteMonitoring

PredictiveAnalytics,Insights&“BigData”Population

Health

Devices,Trackers

&Sensors

Tele-Health

Genomics

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NextGenerationPlatforms

Safety

BehavioralHealth

Evidence-Based

Medicine

mHealth


AetnaInnovationLabsandExperiencewithMetS

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MedCityNews, BusinessInsurance&more…

• Basedonour robustclaimsdataAetnawasabletogenerateahighlyaccuratepredictivemodelfor individuals (88%predictive)

• Centralobesityisthelargestdriverofriskand,ifimproved,thegreatestdriverofriskreduction

• PersonalizedMetSintervention thatresultedinayearsavingsof$1,464

• Forparticipatingmemberstherewasstatisticalsignificantimprovementsinwaistlinereduction,triglycerides,andHDL

• Participantslostanaverageof10lbs.


CompletedPilot:MetabolicSyndrome(MetS):Reducing“WaistCircumference”RiskFactor

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Pilot:

Results:

TheAetnaMetabolicSyndromePilotprogramaimstoreduceanindividual’sMetS riskfactorsviaNewtopia’shigh-touch,personalized,healthprogramwhichcombinesonlinecoachingwithgenetictestingtotailoraplanthatcreateshealthier,moreengaged,employees.

• ReductioninMedicalCosts:Reducedmedicalcostsby$122/participant/monthfora positive ROIwithin12months

• Strong,SustainedEngagement: 50%Programengagementat1year– comparedto25-35%‘typical’engagementrateswithweightlossprograms

• ClinicallyRelevantWeightLoss:Statisticallysignificantweightlosswhere76%ofparticipantslostanaverageof10pounds

• ResultsarepublishedintheJournalofOccupationalandEnvironmentalMedicine(JOEM)

NextSteps:

• ContinueYear3sustainedweightlossprogram• Softroll-outtocustomersin2015• Largerroll-outtocustomersin2016


Newtopiapilotparticipantshavesustainedweightlossintoyear2

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Duringthetimeperiod,7peoplesuccessfullymovedfromthe3-6.9%weightlossgrouptothe7%ormoregroup,whiletotal

weightlosswassustainedforbothgroups

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20

40

60

80

100

120

140

160

180

Year1Results Year2Results

ParticipantsWhoLostW

eight

WeightLossCohorts andYear1vs.Year2

NewtopiaSustainWeightLoss

3-6.9%WeightLossGroup

7%andMoreWeightLossGroup160 122 153 129


DomesticDigitalCognitiveBehavioralTherapy(CBT):ImprovingMentalHealthwithDigitalPlatform

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Overview

Design

• TestedusingvendorMyStrength platformtoreducesymptomsofstress,anxietyanddepression

• Benefitis toimprovementalhealthandwork-lifeperformance,reducecostsrelatedtoimpactofdepressionandanxiety

• ~5,000 members• Recruitmentisoptinandwasconductedviaemailoutreach• Pilotextendedtofamilymembersover18yearsofage

• 9monthpilot• Recruitparticipantsandrandomized intothecontrolgroupand2interventionarms,CBTaloneorCBT+talktherapy

• Activeinterventionpersonalizedaccountfor6months• Controlgroupreceived7weeksofeducationalemailswithoptiontoaccessactiveinterventionatweek8.

• DepressionAnxietyStressScale(DASS)andWorkProductivityandActivityImpairmentQuestionnaire(WPAI)validatedscalesusedtomeasureimpact

Metrics •Memberengagementandsatisfaction• Symptomreductionforanxietyanddepression• Improvedproductivityoutcomes


DigitalCBTdomesticpilotresultsshowitisbothengagingandclinicallyeffective

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3.8x2.9x71%46%7.56.09

Statisticallysignificant improvement indepressionscoresovercontrolgroup

Directionalimprovement inanxietyscoresovercontrolgroup

RepeatmyStrengthusers

Userscompletingatleastoneexercise

Averagenumberofexercisescompeted

Averagenumberofuserlogins


Baseduponevidenced-basedresearchofDr.Fuzhong Li• 4armedpilot:3activeinterventionarmsandonecontrolgroup• Createdevidence-basedTaiChiDVD• Recruitedandtrainedover60instructorsinpartnership

with the MaineAgencyforAging• Builton-lineTaiChiprogram• Enrolledcloseto1,200membersfromMaine

Timeline• Pilotconductedfor6months; 60minutesessions2x/weekfromNovember2013– May2014

Self-reportedsurveysconductedinbothcontrolandactiveinterventionarms• 7surveyswereconductedover6months

—Baselinesurveyatkick-off,focusedonfallsandnearfallshistory—5surveysinprogramfocusedonmember’schangesinbalance—Finalsurveyatprogramconclusionfocusedonoverallchangestofallingandnearfallsandmembersatisfaction

• Non-Aetnamemberssurveyedforclassroominterventionarm

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Overview

CompletedPilot:PreventingfallsintheMedicarepopulationusingTaiChi


TheresultsofthestudyfoundaclearbenefitandimprovementforpeopleintheTaiChigroup

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20% TaiChigrouphadfewerfallsornearfallsthancontrolgroup

20% TaiChigroupimprovementrelatedtobeingworriedaboutfalling

90% Highlevelofsatisfaction,especiallyinclassroomarm

Conclusions:• TaiChiintheelderlydemonstratesobjectivebenefitswithrespecttofalls,nearfallsandbalanceperception

• Highlevelofsatisfactionamongstseniors.ThishasledtoanextensionoftheprogramwithourAgencyforAgingpartnerinMaine

• PotentialforsignificantsavingsNextSteps:• ProgramExtensionintheStateofMaine• ExpansionofTaiChiprogramtootherareasofMedicare• Analysisofutilization/costanalysisisbeingconductedwithexpectedcompletionbyendof2015


VirtualPT/MusculoskeletalTelehealth:Customizedvirtualphysicaltherapy

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Pilot:

Benefits:

Virtual,automatically-customized physicaltherapydesignedbyacademicorthopedists&physiatristswithover300outcomes-drivenmusculoskeletalmodules

• ReductioninMedicalCosts:Offeringfasteraccesstolower-costphysicaltherapyesp.forlowerbackpainandotherhigh-costmusculoskeletalconditions,withpotentialfor~$2k/casesavings

• IncreasedEngagement: Personalizationaugmentsparticipantefforttomaximizeresults,andimproveproductivityandpresenteeism.

Metrics: • Engagement:Participation,persistency• ClinicalMeasures:Paincontrol;function• Utilization:MSK-related;procedureuse;global

PilotStatus:VerifyResults


VirtualPTPilotResults

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Pilotcharacteristics:- OfferedtoAetnamembersat3plansponsors – invitedbypost,email,onsitemarketing,conciergereferrals- 297registrations;56screenedoutà recommendedphysician evaluation,241registeredusers;6monthpilot

SelfReportedClinicalOutcomes:

Participation/Engagement:- Avg Session Time:19minutes- Avg numberofsessions: 6- %completingmorethan2sessions: 47%- %enrolled in2ormoreprograms:28%

Symptoms:- Avg Startingpainlevel– 5.4- TopProgramSelections:

- LowerBack:93- Knee:56- Shoulder: 34- Hip:27

- %reportingpaindecrease:74%- %reporting50%orgreaterpaindecrease:

27%- %withcompleteresolutionofpain:5%

SatisfactionSurvey:

52survey responses

- 100%wouldrecommendSimpleTherapy tofamilyorfriends

- 82%rateSimpleTherapy ‘easy touse’(7orgreateronascaleof1-10)

- 83% areverysatisfiedwithSimpleTherapy (7orgreateronascaleof1-10)

- Ofthe21respondents whohadpreviousexperiencewithin-person PT,90% feltSimpleTherapy wasatleastaseffectiveinhelpingimprovetheirsymptoms

- 84%respondentswouldprefertouseSimpleTherapy overin-person PTforfuturePTneeds


VirtualPhysicalTherapyWithReal-TimeMotionFeedback

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Solution:

Benefits:

• Virtualdeliveryofdigitalphysicaltherapycontentonanywebconnecteddevice• ClinicalcontentdevelopedbycliniciansatNYURuskRehabilitationCanter• RealTimeMotionFeedbackutilizingfrontfacingcamerasonmobiledevicesand/or

webcamsoncomputersguidesuserstohelpoptimizetechnique/optimizedmovements

• RealTimeMotionFeedbackmimicsin-personphysicaltherapysessions,potentiallyreplacinginpersonPTvisits

• ReductioninMedicalCosts:• Digitalsolutionwillbeavailableonasubscriptionbasisatafractionofthecostofin-personPT

• Easierandmoreconvenientaccesstoearlyphysicaltherapyesp.forlowerbackpain,canproducesavingsfromreducedneedforimaging/procedureswithpotentialfor~$2k/casesavings

• IncreasedEngagement: Personalizationaugmentsparticipantefforttomaximizeresults,andimproveproductivityandpresenteeism.


AetnaInnovationLabsischargedwithcreating,cultivating,andsustainingacultureofinnovation

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BuildingaCultureofInnovationBeginswithEmpowerment

&ProvidingtheEncouragementand

OpportunitytoInnovation• AetnaTestDrive• Patent&IntellectualProperty

Program• Hackathons• InnovationChallenges• InnovatoroftheYear


AetnaTestDrive

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Wearabledeviceemployeelendinglibrary• Launchedmid-November2015• Stockedwith18market-leadingproducts• OperationalinHartford,CTandPhoenix,AZ

WellnessWorkscenters• Over600productrentalsin3months,with500

surveyscompletedtodate• Over350uniquecustomers,returningover250

times

Brandsinclude:• Fitbit• Misfit• Jawbone• Lumo• Withings• Garmin

• Muse• iHealth• Alivecor• Geopalz• Pebble• HealBe• Darma


AetnaTestDrive

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AetnaInnovationLabsandwearables• Distributorofallbest-in-class

wearablestocustomersforvolumediscounts,rangingfrom20-40%offsaleprices

• TestDriveproducttobepackagedandreproducedatcustomerlocations

• TestDrivetobeusedascurationmechanismforearlymarketfeedbackforVCs,accelerators,andincubatorsofwearables


AetnaInnovationLabscreatedAetna’sPatentWallinHartford,CT

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PatentWallandCeremony• Thewallcommemoratesall31patents

Aetnahasreceivedinitshistory• Aninteractivedigitalkioskallowspeopleto

learnmoreaboutpatents,ourportfolio,andourpatentgoals

• OnJuly20th,weinvitedallactiveemployeeswhoarepatentrecipientstoaPatentRecognitionCeremonytomeetECmembersandnetworkwithinnovativecolleague

PatentIncentiveProgram*• Allinventorsnamedonanoriginal, non-

provisional, utilitypatentapplicationwillreceive$1,000perfiling, cappedat$4,000perapplication

• Ifapatentissuesonthesameapplication,thesameinnovatorswillreceiveanadditional$500

*FundedbyPatentCenterofExcellence


Hackathon

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Engageallorganizationswithintheenterprisewithanopportunity tobuildaworkingproductprototype, andultimatelyrewardnovelideas

Goal- Developaworkingprototype ofaproductorsolution thatcanbefurtherdeveloped,deployedatscale,whileprotecting it’sIPThemes-WhatproductwouldyoucreatetoevaluateProviderQuality?Frequency-Onceayear,overacoupleofmonthsReward- Publicrecognition, financialrewardtodevelopment team,opportunity toparticipateintheInnovatoroftheYear


InnovationChallenge

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Enterprise-wideInnovationChallengethatempowersallemployeestothinkcreativelyandparticipateintheinnovative

Goal- ThegoalofallChallengesistoultimatelycreate,develop,pilot,andcommercializeaproductorprogramtoourcustomersThemes- Toreceiveadesiredoutput,wemustaskquestionsthatprovokeanswersthatareproductorprogram-relatedspecifictoaclinicalneedFrequency- Twiceayear,inthespringandfallwhenvacationtimeislimitedReward- Publicrecognition,fitnesstracker,tabletproduct,opportunitytoparticipateinInnovatorofthe

YearPastInnovationChallenges- IfyouweretorecreateAetna’sCareManagementprogramfromscratchtoday,whatwouldit

looklike?- WhatwouldtheidealChildhoodObesityprogramlooklike?- Createaconsumer-facingproductthatcanhelpimprovewomen’shealth- Howwouldyoucreateaconsumer-focusedsolutionbytakingastrategy,practice,orproduct

fromanotherbusinessorindustryandapplyittohealthcare


InnovatoroftheYear

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Annualculminationofallinnovativeideascreatedthrough theChallengesandorganicallydeveloped through theenterprise

Goal• Awardthemostinnovativeideaofthepreviousyear,applyfunding tothatidea,and

build internallytocreatetheproductApproach• Thecontestantiscoachedone-on-onebyanInnovationLabsexecutiveforonemonth to

build theideaandbusinesscase• Theideaispresent“sharktankstyle”toExecutiveCommitteemembers,aswellasChief

InnovationOfficers• TheCEOconferswiththejudges,andselectsawinnerFrequency• AnnualeventReward• HighestAetnahonors,public recognition, cashreward,funding foridea,overseeing

productdevelopmentPastInnovatorsoftheYear• AetnaCarePal• AetnaLocalLink

• HealthWealth


AetnaCarePal:Peer-to-PeerMatchingSupport

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Pilot

Benefits • MatchedCarePals shareinsightsto optimizehealthcareutilizationbytappingintopassionandknowledge amongmembersincostlylifestylehealthverticals.

Metrics • Experiencemayimprovephysicalandmentalhealthoutcomesandreducetreatmentcomplications(anemia,nausea/vomiting,thromboembolism,neutropenia,etc.)

PilotStatus:Development

• Bycombiningclaimsdata andregistrationinformation,anewlydiagnosedwomanismatchedwithanexperiencedwomanwithasimilardiagnosisandasimilardemographic/socialbackgroundformentoringandsupport.

• Originalpilotlaunchtomatchnewlydiagnosedbreastcancerpatient,withanadditionalpilotaddressingautism


HealthWealthPrinciplesofFinancialPlanningforHealth

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PilotStatus:Development

Pilot:

Benefits:

Metrics:

• Changeshowmembersthink abouttheirhealthandhealthspending.

• HelpsdirectmemberstowardAetnacontentandcontractedservices.

• ShowsthatAetnaisheretopartnerwithyouforalifetime,buildingbrandloyalty.

• Improveconsumerunderstandingofshortandlongtermfinancialimplicationsofhealth;quantifyingthevalueofstayingorgettinghealthyincreasesmotivation.

• Satisfactionandengagementwiththetool• Lowermedicalspendperengageduser• Clinicaloutcomes

Planningtoolfocusedonlongtermhealthgoalsthatprovidesinformeddecisionmakingoffuturehealthcarecostswhileshowingyouallthemoneyyouaresavingbybeinghealthy


Thankyou

KristoferCaya,MBADirector,[email protected]

KyleNiejadlik,MAEconomicsAssociateDirector,[email protected]

National Association of Counties · 2019-12-21 · National Association of Counties Aetna...

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