© 2015 Informis Health Solutions, LLC All rights reserved
INTRODUCTION
July 2015 Dean Rutter [email protected] 312-590-9803
© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™
Convert leads to enrollments at up to 3 times the industry average
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Data provided by Informis Customers
© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™
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Exceed sales goals and outperform agents and brokers
Data provided by Informis Customer
© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™ Case Study Informis was setting agent / broker appointment unless caller asked to enroll over the phone
Customer wanted to replace agent and broker sales with over-the-phone sales
Exceeded phone enrollment objectives – achieved ROI in less than 6 months
Over a four year period, Informis helped reduce customer’s cost per enrollment by over 60%
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecResponses 6,122 6,011 8,565 7,064 5,457 4,227 4,305 4,707 3,282 14,463 23,414 15,458Qualified Leads 3,833 3,644 5,192 4,205 3,554 2,864 3,116 3,288 2,247 11,870 21,564 14,363Agent Home Visits 1,169 1,013 926 905 515 288 213 291 3 2 3 0Phone Enrollments 530 566 725 674 803 888 824 741 576 2,567 4,257 4,215Home Visit rate 30.5% 27.8% 17.8% 21.5% 14.5% 10.1% 6.8% 8.9% 0.1% 0.0% 0.0% 0.0%Phone Enroll rate 13.8% 15.5% 14.0% 16.0% 22.6% 31.0% 26.4% 22.5% 25.6% 21.6% 19.7% 29.3%
Tasked in March to drive phone enrollments over agent visits
Dedicated agents let go In August
informis EnrollTM doubled phone enrollments
Data provided by Informis Customer
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™ TECHNOLOGY
Purpose-built, fully-integrated Medicare enrollment solution maximizes CSR effectiveness
Marketing business rules call routing – connects prospect to best available enrollment specialist
Predictive CSR scripting paces and stages content to achieve highest conversion rates PEOPLE
Highly-experienced CSRs licensed in all 50 states; the majority with Informis 4+ years
Leadership team has 50+ years of healthcare & call center experience PROCESS
Medicare/Medicaid/ACA enrollment and member services is all we do
Hiring and training created by human capital PhDs that developed 1-800-MEDICARE programs
Best practices embedded in informis Enroll™ – dynamic scripting drives process and enforces compliance
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™ Marketing Effectiveness Reports
Our reports are a key differentiator Provides cost-per-enrollment clarity “Hello-to-enroll” data captured in prospect / member-centric database enables timely, results-driven allocation of marketing spend
Marketing Effectiveness Report –TV Campaign Response by county
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Enroll™ Marketing Lead Generation Summary Report
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Retain™
Help Desk (ACA Get Covered Illinois) Provider and Member Services Benefit and Eligibility Verification Scope of Appointment Welcome Calls Outbound Enrollment Verification Flu Shot Reminders Premium Reminders PCP Verification and Validation Annual Wellness Visit Scheduling Business Reply Card / Direct Mail Processing HRA HEDIS Screenings Medication Management Calls
PDP Upsell Extra Help / LIS Validation and Reinstatement Member Fulfillment / Material Requests Event / Seminar Scheduling Physician Recruitment Authorizations American with Disabilities Act Verification Contact Interaction Management Pre-CAHPs Surveys Disenrollment Surveys ANOC Calls Care Management Long Term Care Assessments and Referrals Member Satisfaction Surveys
Delivers comprehensive year-round member services
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© 2015 Informis Health Solutions, LLC All rights reserved
informis Serve™
Chronic & High Risk DiseaseQuestion Answer Follow-up Q/A Terminology Insert Terminology
IDICD-9 Code
ICD-10 HCC V12 HCC V21
Do you currently have diabetes?Yes Diabetes mellitus (disorder) 73211009 250* HCC15-19 HCC17-19
Are you taking insulin?Yes Diabetic on insulin (finding) 170747006 V58.67*
Are you on an insulin pump? Insulin pump present (finding)450657002 V45.85YesNo
NoCheck any that apply:With diabetes-related chronic kidney problem Diabetic renal disease (disorder)127013003 250.4 E08.2 HCC15 HCC18
E09.2E10.2E11.2E13.2
With diabetes-related chronic eye problem Diabetic oculopathy (disorder)25093002 250.5 HCC18 HCC18With diabetes-related chronic nerve problem of foot or leg (e.g., numbness)Diabetic neuropathy (disorder)230572002 250.6 HCC16 HCC18
355.9With diabetes-related chronic circulation problem (e.g., skin ulcer, gangrene)Diabetic peripheral angiopathy (disorder)127014009 250.7 HCC15 HCC18
Peripheral circulatory disorder associated with diabetes mellitus (disorder)421895002 259.9359.5
Without known diabetes-related complication Diabetes mellitus without complication (disorder)111552007 250 HCC19 HCC19No DNC NA NA
Innovative HRA
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Embed clinical terminology into an HRA; output delivers most likely ICD-9/10 outcomes and generates predictive HCC
© 2015 Informis Health Solutions, LLC All rights reserved
Contact Informis
PLEASE CONTACT:
Learn More
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Dean A. Ru*er EVP, Sales & Marke6ng Informis Health Solu2ons, LLC 1 N Dearborn, Suite 1150 Chicago, IL 60602 P: 888.687.0888 C: 312.590.9803 E: dean.ru*[email protected]
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