Chronic Care Solutions Presented to XXXXXXXX Month Day













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Chronic Care Solutions Presented to: XXXXXXXX Month Day, Year © 2020 Health Advocate
Traditional disease models miss their mark 20% report they are poor at managing their chronic condition Half the population has one or more chronic health condition Costs are 5 times higher for those with one or more chronic conditions © 2020 Health Advocate 70% would like more resources or clarity about controlling their condition
Improve health outcomes and self-management skills Chronic Condition Coaching: Goals Engage with a certified Nurse Coach or diabetes educator Reduce gaps in care Lower utilization and costs Empower members to better partner with their providers Improve healthcare literacy & consumerism © 2020 Health Advocate
Data allows us to identify and risk stratify members § Pharmacy claims and biometric data § Health Advocate Wellness Coaching services and Health Risk Assessment results § Assign a predictive risk classification: Low, Medium or High § Predictive model refreshed monthly when new claims data is provided © 2020 Health Advocate 4
Customized Focus on Chronic Conditions Data Analytics and Predictive Modeling… Reduce Gaps in Care Lower Costs Improve Outcomes © 2020 Health Advocate 5
Which chronic conditions do we support and why? § Diabetes § Asthma § Hypertension § Coronary Artery Disease § COPD § Depression § Heart Failure § Chronic Kidney Disease § Metabolic Syndrome/Hyperlipidemia* *Requires access to biometric/lab data © 2020 Health Advocate
Increase knowledge about condition(s) Remind about medication management & adherence Perform full baseline health assessment Promote healthcare consumerism skills Deliver Condition-Specific Interventions Identify and manage lifestyle risk factors Review and increase compliance with treatment plan Offer tips on partnering with their provider Health Advocate Nurse Coaches Review evidence-based self-management and self-monitoring techniques © 2020 Health Advocate 7
Collaborate with Onsite Clinics Tailored Home Mailings Coordinate with Wellness Coaching Integrate with Biometric Screenings Multiple Pathways to Engagement Third Party Referrals Health Advocate Nurse Coaches Targeted Calls & Text/Push Alerts Incentive Management Connect through Health Advocacy © 2020 Health Advocate 8
Chronic Condition Advice Claims-based identification of individuals who have (or are at risk for) chronic health conditions © 2020 Health Advocate
Gaps in Care Home Mailers § Reaches 100% of population who are overdue for recommended chronic condition care § Directs employees to their personal physician and Health Advocate § Drives utilization of chronic condition management programs § Encourages compliance with important tests such as Hb. A 1 c and cholesterol monitoring § Provides guidance to evidence-based care § Promotes wellness/lifestyle changes and medication adherence © 2020 Health Advocate
Chronic Condition Activity Reporting Delivered monthly, quarterly or bi-annually: § Overview of disease prevalence and risk within the population § Unique members by disease state § Members with multiple conditions § Member engagement and enrollment § Gaps in care mailings § Gaps in care coaching § Case collaboration activity § Compliance with recommended care © 2020 Health Advocate
Our Program Results $89 million savings across all clients Costs $976 PMPY lower than market ROI based on PMPY costs = 18: 1 Whitepaper #4: Improved Health Outcomes Through Health Advocate’s Comprehensive Solutions © 2020 Health Advocate 12
We look forward to partnering with you! Thank You! Fist and Last Name Title 0000 xxxxxx@Health. Advocate. com 13













