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Page 1: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health
Page 2: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

The Problem:

A Fragmented Marketplace Does Not Support Individual

Consumer Needs

• Nearly half of Americans are not receiving recommended health services

• Non-compliance with standard screening tests adds to the high cost of care

• Delay in receiving recommended care contributes to unnecessary medical

problems and higher mortality rates

• Appealing directly to individual employees has not been easy

• Historically, very few programs have existed to directly target employees

around their specific needs

1

[ Employers are seeking solutions to counter these trends ]

Page 3: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

The Solution:

Our Personalized Health Communications Program

Supports an Engaged Consumer and their Needs

• A focused way to reach individual consumers

• Provides personalized preventive and chronic

care reminders

• Customized for each individual (employee,

spouse and dependent children)

• High touch support from Personal Health

Advocate

• Fully integrated with all Health Advocate solutions

• Helps drive engagement and health compliance

• Cost-effective "add-on" turn-key solution

2

Page 4: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

We Begin with Data Analytics

• Led by our engage2Health team of experts

• Powerful engine integrates health information from

multiple sources – medical, pharmacy, health risk

profile, laboratory and biometrics data

• Physician of record identification

• Our Core Health Advocacy has built-in data

acceptance capability at no additional cost

• Leverages demographics — age, gender, ethnicity,

household status, economic and related information

• Integrates company specific health plan designs

• Proprietary rules create segmentation profile

3

Page 5: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

We Leverage Consumer Research

• Direct-response marketing

• Linguistic communications

• Graphic pattern response

• Behavioral change

• Testing and analysis laboratory

4

Page 6: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

We Build a Trusted Relationship

to Help Drive Results

• Personalized communications are not done in isolation

• Linkage to relationship with Personal Health Advocate

• High touch approach

• Ongoing reinforcement reaches members multiple times

• Reaches the “health decision-maker” at home

• Message coordination with doctors

• Integrated program leverages other workplace

awareness opportunities

• Allows for company specific branding

5

Page 7: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

We Help Create an Engaged Consumer

• Leverage personally relevant information

• Designed to explain and motivate

• Personalized support from a Personal Health Advocate including,

arranging appointments, explaining tests, providing information, etc.

• “Right time at right place” messages

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Page 8: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

We Target Opportunities for Impact

7

Prevention Wellness

Chronic

Page 9: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

8

Program Components

Member

• Printed Home

Mailings

Employer

• Onsite Awareness

(Posters)

• Newsletters, etc.

[ Featuring a full-service, in-house production and fulfillment center ]

Page 10: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Prevention Communications

• Data-driven using eligibility and

claims data matched to evidence-

based guidelines and plan coverage

• Increases adherence

• Smart referrals to Core Advocacy,

Wellness and Chronic Care

programs based on need and

participation data

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COMMUNICATIONS

Custom Client

Logo Area

Custom Client

Logo Area

Page 11: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Announcement Mailer

• Positions program based on customer and

Health Advocate strategy for

health/wellness (e.g., shared responsibility)

• Branded for Health Advocate and customer

• Clearly spells out confidential use of data

• Emphasizes how Health Advocate can help

with appointment scheduling, etc.

10

COMMUNICATIONS

Custom Client

Logo Area

Page 12: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

11

Mailer #1:

Personalized Program

Overview and Initial

Reminder Set

Mailer #2:

“Act Now” Mailer #3:

“Schedule Today”

Mailer #4:

“Don’t Be Overdue”

“Healthy Reminders” Member Mailers

Custom Client

Logo Area

Custom Client

Logo Area

Custom Client

Logo Area

Custom Client

Logo Area

Page 13: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

The Facets of Personalization

12

Customer

Logo

Member

Personalization

Consumer

Picture

PHA

Picture

Call to

Action

Doctor

Picture

Member

Personalization

Call to

Action

Page 14: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Chronic Care Communications

• Reaches 100% of employees with

recommended chronic care

services due

• Directs employees to their personal

physician and Health Advocate

Personal Health Advocates (PHAs)

and Coaches

• PHAs and Coaches encourage

completion of important tests,

provide guidance to evidence-

based care, promote

wellness/lifestyle changes and

medication compliance

13

COMMUNICATIONS

Page 15: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

14

Employer Poster Newsletter Article

Workplace Support

Page 16: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Implementation Overview

• Receive historical/monthly data updates

• Apply software rules/algorithms to stratify data

• Produce personalized printed mailers

• Distribute mailers via USPS on schedule

• PHAs supports inbound calls

• Helps schedule appointments, answer questions. provide information, etc.

• Provides management reports covering adherence and cost savings

Impact:

• Personal relationship builds trust

• Helps members learn to better manage their condition(s) more effectively

• Helps prevent or reduce the development of costly complications

15

IMPLEMENTATION

Page 17: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Management Reporting

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Page 18: The Problem - Health Advocate · The Problem: A Fragmented Marketplace Does Not Support Individual Consumer Needs •Nearly half of Americans are not receiving recommended health

Client Value

Engage 100% of the covered population

• Increase use of in-network physicians and hospitals

• Increase in number of high-value medical procedures (i.e., colonoscopy)

• Increase in number of employees engaged in Core Advocacy, Wellness,

Chronic Care management and prevention

• Generate cost savings outcomes through prevention, early detection and

quality care

17

CLIENT VALUE

[ High value opportunity for Health Advocate customer ]