Using Technology To Engage Consumers In Their Health Webinar
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Transcript of Using Technology To Engage Consumers In Their Health Webinar
Using Technology to Engage Consumers in their HealthWebinar Series 2010
April 29, 2010
www.scioinspire.com
© 2010 SCIOinspire Corp.
| Presentation Agenda
• Introduction and Panelists
• Definitions
• Health Plan Challenges
• Member Engagement Overview
• Headwinds of Healthcare
• Elements of Wellness
• Member Engagement Solution, Sample Workflow
• Benefits and Impact of Improved Member Engagement
• Just InTime™ Wellness, Overview
• Interactive Question and Answers Session
SCIOinspire Corp Proprietary & confidential. Copyright 2010 3
John Kahle, SVP & Chief Wellness Officer for Intercare Health Solutions
John Kahle provides the leadership necessary to ensure that the benefits plans offered by Intercare continually
enhance employee health and workforce productivity. He is an expert in the design and implementation of
wellness programs and funding options that effectively control benefits costs while supporting a more value-
based approach to employee benefits.
Bob Goodman, Benefits Manager for Manatee County
Bob Goodman has developed an innovative employer program that not only engages the employee but their
dependents with innovative plans designs and member incentives. This is the first Government plan that has
produced reductions in GASB 45 and their programs have won many prestigious awards.
David Hom, President, Care Management Services for SCIOinspire Corp.
David Hom is an internationally-recognized expert in the field of Value-based Benefits and Employee Wellness.
He joined SCIOinspire after more than 25 years with Pitney-Bowes Corporation, where he was responsible for
introducing their leading-edge programs in value-based wellness, which resulted in bending the rate of health
care inflation by 50% for over a decade.
Webinar, Panelists
SCIOinspire Corp Proprietary & confidential. Copyright 2010 4
Webinar Definitions
• Definition of Wellness
• Terminology used in this presentation: Members, Employees, Patients
• Webinar Audiences: Health plans, employers, vendor community, providers
| 5© 2010 SCIOinspire Corp. Proprietary & Confidential. 5
Health Plan Challenges
MemberEngagement
Solutions
Care Analytics
and Reporting
Payment IntegritySolutions
Business Process/
Cost Optimization
Healthcare Reform• Universality• Accountability for cost containment
Engaging Members and Providers• Member Engagement to promote
responsibility
Legacy Cost Structures• Leveraging new technologies• Holistic view of data to make it actionable
Care and Wellness Management Effectiveness• Improving quality and lowering the demand
for healthcare services• Clinical and financial effectiveness and ROI
Payment Integrity• Payment Errors• Overpayments, fraud, and abuse
Health Plan Challenges
Opp
ortu
nity
to T
rans
form
Solutions
Data/AnalyticsDriven
Transformation Solutions
| 6© 2010 SCIOinspire Corp. Proprietary & Confidential. 6
Member Engagement, Legislation Impact
Areas of Opportunity
• Burden of cost containment falls on Health plans to maximize the effectiveness of their
care dollars
• Health plans have to innovate to differentiate themselves – and innovative member
engagement is a key area of differentiation
• Wellness programs will be driven by tax incentives for Employers
• Up to 30% of the premium can be used for wellness incentives beginning in 2014
• Improving overall health of the membership/employees will be a key differentiator for
both health plans and employers
• Effective member engagement to improve member health
• Efficient outreach will need to be developed
| 7© 2010 SCIOinspire Corp. Proprietary & Confidential. 7
Headwinds of Healthcare
9% 59% 67%
Medical TrendsMember
Satisfaction Health Habits Lack of Employee Engagement
31% 30%
InsufficientIncentive
Health Management Budget
58%
TowersWatson /NBGH Survey Report “Purchasing Value in Health Care,” 2010
Headwinds of HealthcareKey Data Points, 2010
| 8© 2010 SCIOinspire Corp. Proprietary & Confidential. 8
Elements of Wellness
Senior management engagement
Targeted communications
Culture of health
Other incentives to reinforce
behavior changes
Integrated suite of services
Plan designs to drive
compliance
| 9© 2010 SCIOinspire Corp. Proprietary & Confidential. 9
The “So What Questions”
• How should health plans maximize their care
dollars and reduce their administrative costs?
• How effective are the programs today to
improve member engagement?
• How do you think the mid market employer will
react to Healthcare Bill?
• As an employer, does your insurance company
provide data that you can act on?
Key Questions
| 10© 2010 SCIOinspire Corp. Proprietary & Confidential. 10
Member Engagement Solution, Sample Workflow
Multi-source Data Inputs
Technology DrivenIdentification/
Risk Stratification
Alerts:- Gaps-in-Care- Medication
adherence- Personalized
literature
Outreach
Customized Member
Content via Member Portal
Optional Connections or Referrals
| 11© 2010 SCIOinspire Corp. Proprietary & Confidential. 11
The “So What Questions”
• Will this solution framework work?
• What are barriers to implementing this type of
outreach based on a “Gap in Care”
• What data is important?
• Wellness alerts on age related activities
• HRA alerts on specific issues i.e. Seat Belt use
• Claims based alerts for medication
compliance
• Response from members using text messaging
or other web base methodologies
• What is the impact of HIPAA/Privacy?
Key Questions
| 12© 2010 SCIOinspire Corp. Proprietary & Confidential. 12
Improved Member Engagement, Positive Snowballing effect
Payer
Hospital
Physicia
n
| 13© 2010 SCIOinspire Corp. Proprietary & Confidential. 13
The “So What Questions”
• Are these benefits real?
• Should Physicians and Hospitals offer this as a
service to their patients?
• Will the patient value the message if it comes
from these sources?
Key Questions
| 14© 2010 SCIOinspire Corp. Proprietary & Confidential. 14
SCIOinspire
Just InTime™ Wellness, Overview
Library of Content and VideoOn Member Portal
Customized web content
based on Alert
Customized Member Content
JITWPersonalization Engine
Alerts Configuration
Optional Connections or ReferralsText Msg
Call Center
Outbound IVR
InternetemailMail
Employer’s HRA
PharmacyClaims
Biometrics
MedicalClaims
Lab values
HIPAA Compliant Alert Message:
Member
| 15© 2010 SCIOinspire Corp. Proprietary & Confidential. 15
The “So What Questions”
• Are there short and long term savings, and how
do you measure the savings?
• Will a Life or a Disability carrier provide
discounts to employers who implement
wellness programs?
• Does member engagement really matter?
Key Questions
| 16© 2010 SCIOinspire Corp. Proprietary & Confidential. 16
Interactive Q&A Session
Please use the messenger on your screen to submit your questions
| 17© 2010 SCIOinspire Corp. Proprietary & Confidential. 17
Contact UsAnnie Welsch
Email: [email protected]
www.scioinspire.com
SCIOinspire Corp.
220 Farmington Ave, Suite 4
Farmington, CT 06032
Phone: 1.800.653.3144
Fax: 1.203.286.1204
© 2010 SCIOinspire Corp.