healthplanratingsonline general overview

HealthPlanRatingsOnline A bWell International & Castle Connolly Joint Venture

The Home Page

What is HealthPlanRatingsOnLine.Com?

n  A sophisticated, interactive search engine used to evaluate health plan ratings by personal criteria, based on survey responses from doctors, consumers and employee benefit managers

n  The engine allows users to view the vendor-neutral results of surveys completed by peers and other user-types

n  See performance results of NCQA n  View how these sources of info

compare

Copyright bWell International, Inc. 2006–2007 all rights reserved

Perceptions Survey Feedback

NCQA Report Card

Castle Connolly’s “Top Doctors and Hospitals” Print and Website Products

HealthPlanRatingsOnLine

bWell’s health plan forecaster – consumer cost learning and purchasing tool

HealthPlanRatingsOnLine

What is it connected to?



NCQA Report Card

bWell- Informed™ HPF

CC Top Doctors

Why introduce this now? n  New health plan product offerings

(HSA plans, etc.) make choosing a plan more difficult

n  More consumers shopping for individual and small group policies ¨  Consumers want COBRA

alternative ¨  Newly graduated students need

coverage ¨  Freelancers need coverage ¨  Small business owners need

coverage n  Social networking is the trend to

informing consumers with easily accessible and searchable data

n  Integrating subjective and empirical information is a key driver in consumers making good decisions


The Source for Consolidated Information

n  Survey feedback of local

doctors, benefit managers, and consumers

n  NCQA audit and interview

information results ¨  Summary NCQA data

on plan performance in key areas



NCQA Report Card

What are the key bits of information proposed to be made visible?

What is the business model?

n  20% of information available information free to the consumer

n  Full access requires annual membership fee

n  Potentially advertorials from all health plans



NCQA Report Card

Who has developed it?


bWell-informed™ Health Plan Forecaster

Interactive, personalized consumer learning tool to forecast the short and long term cost and benefit of health plan ownership based on personal health risks.

Easy to follow steps: 1.  Learn What’s New

¨  Specific scenarios ¨  Pop quiz

2.  Create Health Profile ¨  Health asset profile and

projections 3.  Explore and Forecast Health

Plan Options ¨  Financial asset

projections ¨  Plan suitability

4.  Ask Questions 5.  Buy a Policy/Enroll in a Plan

¨  Link to online insurance broker or work benefits


How does HealthPlanRatingsOnline.com

reach the consumer, doctor or

employee benefit manager? n  Castle Connolly products http://www.topdoctors.com ¨  print ¨  Web

n  bWell-informed health plan forecaster (web) ¨  B2B – employer groups and related intermediaries ¨  B2C – direct to the consumer via publishing, media, chamber of

commerce, and e-health portals of information n  Consumer portals (some examples)

¨  About.com ¨  Ask.com ¨  Msn Health ¨  RealAge.com ¨  iVillage.com ¨  Other consumer-driven organizations, associations &

health portals, as appropriate


Addressing disparities

Culturally heterogeneous demand

Plan member rating and now doctor and employee

Benefit manager ratings Information from peers

Prevention, drug and chronic disease mgmt

Rising deductible and higher responsibility

Physician and hospital performance

Selecting the most suitable provider

Consumer-Directed Healthcare section

Understanding new health plan options

Health Information technology

Growing demand for Decision Support Applications

Role of HealthPlanRatingsOnline.com

Consumer, Doctor or Employee Benefit Manager’s Needs

Addressing the needs of those who choose health plans: HealthPlanRatingsOnline.com


When do consumers need education?

n  The majority of consumers say picking a health plan and plan design is complex…

Selecting a health plan provider 65% Choosing a type of health coverage 65% Choosing between different medical treatment options

64%

Choosing different prescription (Rx) medications

57%

Selecting a primary care physician 51% Choosing between different Rx options (branded vs. generic)

45%

Selecting a hospital 42% Source: Forrester Research for California Healthcare Foundation.


When do doctors need education?

n  Physicians benefit by comparative snapshot of plans to

enable them to understand their experience of the plan as a provider within a larger context beyond their individual experience

n  When considering which plans to join – need to know in advance how the plan is perceived by other MDs AND by consumers

n  When considering dropping out of a plan as a provider due to administrative and/or quality/ decision-making issues – MD needs to determine if their experience is unique or common to other MDs


When do employee benefit managers need education?

n  Generally, Employee Benefits Managers need to be fully educated at the point of health plan vendor selection and at open enrolment communications campaigns

n  HealthPlanRatingsOnline.com helps Employee Benefits

Managers in making important decisions about which plans they decide to offer to employees by providing them with quick and easy access to the first-hand opinion of their peers, as well as of consumers and doctors


HealthPlanRatingsOnline.com Survey Respondents Types


Physicians in the region

Consumers in the region

Employee Benefit Managers in the region

Sample of Survey: The Consumer, The Doctor,

The Employee Benefit Manager

n  Information categories to be obtained through the survey questionnaire:

Quality of Access and Care Received

Quality of Information and Support

Administrative Cost Management


Sample of Free Survey: Three versions

Sample of Search Engine Results

ACCESS THE SEARCH ENGINE Enroll to find out what Medical Doctors, HR

Managers and Peers think of the Health Plans available in your area. Save time by

only viewing the Plans most relevant to you

Questions?

n  Contact details: Phil Micali

[email protected]

healthplanratingsonline general overview

Documents

consumer n

difficult n

health plan ratings

consumers n ncqa audit

plan performance

plan link

searchable data n

employee benefit managers