We are Heal n Cure

“Focusing on prevention first

and treating the underlying

cause is the future of modern

medical care”

• Medical wellness center.

• Primary care doctors office.

• Supervision of Board Certified, Award Winning physicians.

• In-network for PPO insurance plans.

We are Heal n Cure

Affiliations

Affiliations

American Society of Bariatric Physicians

(Non-surgical)

National medical society of licensed physicians offering

specialized programs in the medical treatment of obesity

(bariatrics) and associated conditions.

American Board of Obesity Medicine

Obesity medicine Diplomats are committed to providing

effective, evidence-based therapy for patients who are

overweight or obese. They recognize the need for a

comprehensive approach that considers the multiple factors

contributing to obesity.

Mentoring and training physicians at the Nation’s Top Ten Health System

We have been honored by being selected to mentor

Physicians –

“Mentor for physicians joining Advocate

Physician Partners because of your outstanding

performance in the Clinical Integration program,

your cost-effective practice and your leadership

characteristics.

You are one of the elite leaders within APP and

we hope you will agree to mentor new

physicians joining APP so that they, too, can

achieve outstanding performance.”

Cigna – Recognition for Cost Efficient Quality Care

United Healthcare recognition for quality of care and cost efficiency

• UnitedHealth Premium® Designation

• Recognizing physicians for meeting guidelines for quality and cost efficiency.

• The UnitedHealth Premium® designation program recognizes physicians and specialty

centers that meet or exceed quality of care and cost efficiency standards.

• Evaluations are based on industry standards, evidence-based and medical society

standards and guidelines from medical organizations and governmental agencies such

as the Ambulatory Care Quality Alliance, the National Committee for Quality Assurance

(NCQA), and the American College of Cardiology, plus scientific advisory boards.

Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for

quality of care and cost efficiency.

• Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0

indicate higher resource use.

• Heal n Cure scored a .73 efficiency score placing us in the Top Tier for

Blue Cross Blue Shield.

• Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above

1.0 indicate patient panel with high severity.

• Heal n Cure scored a 3.86 in Case Mix.

Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for

cost efficiency and quality of care.

Efficiency Score – Cost Savings Case Mix/Risk Factors

The INSPIRE

Program


The Inspire Program

Costs



Program Integration

Future

Questions?

INSPIRE Program – Implements USPSTF Recommendations

Care Coordination

Support & Intervention

Building Trust

Patient Education

Designing Personalized Plan

Diagnosis & Prognosis

Making Decisions

Self Management Tools

Physician Assistant – Lifestyle Educator

Medical Assistant

Exercise

Physiologist

Patient provider interaction over a visit delivers

Multi-component behavioral and medical wellness

Patient Engagement, Motivation, Compliance

& Tracking Outcomes

Driving Patient Engagement – Progress in Every Visit

Dropped 38.5 lbs, from size 16 to size 10. Feels proud that Heal n Cure worked with the

patient diligently on every visit to ensure successful clinical outcome.

Driving Patient Engagement – Tracking the Fat Loss

• Symptoms

Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs

(191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss

Cost of Implementing

the Program


The Inspire Program

Costs



Program Integration

Future

Questions?

INSPIRE Program - Costs to Employees

• All Providers are Board Certified & Credentialed with Insurance

• All Care is based on evidence based medicine

• Care is billed as Primary Care.

• Care is personalized, visits are scheduled based on the medical

history and physical examination.

Thus, all visits are covered by Insurance plans as primary care.

There is no balance billing.

INSPIRE Program – Costs & Compliance for Employers

Ease of setup: Ready for use from day 1

Inspire Program

Complements

Corporate Wellness


The Inspire Program

Costs



Program Integration

Future

Questions?

Inspire Complements Trustmark’s Corporate Wellness Offering

• Compliments HFN, applies only to those 10% of patients who HFN

identifies as requiring active medical advice.

• Utilizes data from HFN - Screening, HRA, Biometrics.

• Implements only pay for use policy.

• Incorporates recommendations and plans provided by health coaches.

• In person, face to face meetings and care provided by trained, licensed

medical professionals.

HFN

Presentation of

Clinical Outcomes

& Savings


The Inspire Program

Costs



Program Integration

Future

Questions?

Heal n Cure selected to present at the upcoming

"Overcoming Obesity" conference, September 10-13, Austin, TX

Overcoming Obesity Conference - September 10-13, Austin

The Overcoming Obesity conference is held once a year by the American Society

of Bariatric Physicians. Obesity medicine experts will discuss the latest thinking

about our tools to prevent and manage obesity. Topics will cover adiposopathy and

fat mass disease and range from pediatric obesity, digital-care delivery and

patient-centered physical activity to long-term use of anorectic medications.

Heal n Cure at the upcoming

"Overcoming Obesity" conference, September 10-13, Austin, TX

Abstract:

Corporations in the US are deploying 'Corporate Wellness Programs' to reduce

their healthcare expenses. These programs address the needs of majority of

employees. To deliver the ROI multiple, they can be enhanced to address the

medical needs of employees who are high health care utilizers.

Medical Costs and Savings

Medical Costs and Savings

Potential SavingsThe program reduces urgent care and ER visits, and the need for costly,

invasive interventions.

Annual direct cost per medical condition for high needs employees:

Medical Cost Avoidance and Savings

According to another independent study3 by the National Institute for Health Care

Management Foundation, the average annual healthcare expenses for the high-needs

employees was $26,767 in 2009.

http://www.healncure.com/corporate/

Key Research Findings

Key Research Results

Heal n Cure selected to present at the

“Overcoming Obesity” conference

Dr. Louis Aronne, MD.

Past President North American Association

for the Study of Obesity (NAASO)

Consulting Member, Endocrine and

Metabolic Drugs Advisory Subcommittee,

FDA

Executive Council, VHA

Chairman, Practical Guide Development

Committee, NIH – NHLBI for the Study of

Obesity.

Dr. John Foreyt, PhD

Professor, Medicine at Baylor College of

Medicine

Member, National task force on prevention

and treatment of Obesity, NIH

Member, Expert panel on the identification,

evaluation and treatment of overweight and

obesity in adults, NIH – NHLBI

Dr. Foreyt has published extensively in the

areas of diet modification, cardiovascular

risk reduction, eating disorders, and

obesity, including 17 books and more than

300 articles.

Heal n Cure is a member of:

The Midwest Business Group on Health &

Wellness Council of America

Program Integration


The Inspire Program

Costs



Program Integration

Future

Questions?

Eligibility – Referral After Biometric Screenings

Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA,

Biometric Screenings, using the Heal n Cure criteria.

Eligibility – Referrals from On-Site Providers

• Referrals from HFN’s on-site providers and health coaches

• Referrals from Occupational Health Centers

Eligibility - Identification Through Medical Claims

• Coronary Heart Disease

• Certain Types of Cancers

• Type 2 Diabetes

• Hypertension

• Obstructive Sleep Apnea

• Stroke

• Metabolic Syndrome

• Fatigue

• High Triglycerides

• High Cholesterol

• Fatty Liver Disease

• Erectile Dysfunction

• Obesity

• Overweight

• Pre-Diabetic

• Pre-Hypertension

• Dyslipidemia

• Insulin Resistance

Review the medical claims file to identify patients with the following ICD

Codes, as directed by Trustmark and the employer.

Eligibility – Self Referral

• Educate Employees about

Seamless employee experience – we accept their health plan

Promoting INSPIRE Program as an already covered benefit

Visiting healncure.com to learn more

• Promote electronically

In flyers/email from HR Department

On company website

• Promote using handouts

Provide patients with Heal n Cure brochure, card

Inform about Complimentary Consultations

Implementation – Outreach & Communications

1. Heal n Cure can send email invites and introduction to the program

(optional).

2. Heal n Cure can call eligible employees for an introduction to the

program (optional).

3. Heal n Cure can also invite eligible employees for a complimentary (no

cost, no obligation) consultation at the center.

Implementation – Complimentary Consultation

An INSPIRE Core Wellness Program

Counselor will provide an overview of our

programs and answer any questions you

may have. There is absolutely no-obligation.

If you are interested in booking an

appointment after your free consultation, we

accept PPO insurance plans or self pay for

services.

FREE No-Obligation Consultation

Implementation – Ease of Scheduling

• Book appointments 24/7 online at

healncure.com

• schedule a free consultation with a

Inspire professional

• All medical visits are covered by

insurance

• We are conveniently open 6 days.

Free Consultation

Appointment with Physician

Family Practice Physician

Appointment with PA

Same Day Appointments

Future


The Inspire Program

Costs



Program Integration

Future

Questions?

Future Innovation – Shared Savings

Directly measure savings and ROI from clinical interventions by analyzing

year over year claims data from for the same cohort of patients. Similar to the

ACO model used by CMS, calculate incentives based on clinical outcomes

and shared healthcare savings.

Questions?


The Inspire Program

Costs



Program Integration

Future

Questions?

Thank You, Any Questions?

Visit www.healncure.com or email us at [email protected] for more information.

Heal n Cure• Board certified and credentialed providers

• Accepting medical insurance

• Inspire trained and experienced professionals

INSPIRE Program - healncure.com/programs/inspire• Evidence based comprehensive clinical care

• Patient education, patient engagement

• Tracking results and Providing explanations

• Help them with personalized medical program per USPSTF guidelines

Complement Corporate Wellness• Leverage results from screenings and health risk assessments

• Already a covered benefit under the insurance plans

hnc - trust mark & star mark

Health & Medicine

physicians mentor

new physicians

training physicians

quality of care

outstanding performance

award winning physicians

cost efficient quality

clinical integration