Cleveland Clinic My Consult Second Opinion Program Program

Cleveland Clinic ® My. Consult Second Opinion Program

Program overview • Special arrangement with Cleveland Clinic for access to electronic second opinions through their My. Consult Online Medical Second Opinion program • Designed for employees with serious and life-threatening medical diagnoses • Provides access to the Cleveland Clinic’s expert specialty physicians • Eliminates time and expense of travel • Helps confirm a diagnosis or a treatment plan or offers alternatives; provides recommendations • Convenient and secure; all personal health information is kept confidential • Maximizes employee engagement in their care • Improves health outcomes and reduces medical costs 1

About Cleveland Clinic • Located in Cleveland, Ohio • One of the country’s most respected hospitals • Rated one of the top hospitals by U. S. News & World Report • Cleveland Clinic physicians are recognized as experts in their fields by both the clinical community and consumers 2

Program features • Unique service available as an enhancement to Health Advocate’s Second Opinion Program • Second opinions available for a growing list of over 1, 200 medical and surgical conditions in nearly every specialty • Incorporates Health Advocate’s expertise in collecting medical records, imaging studies, laboratory reports and pathology specimens • Timely turnaround of second opinion reports • No installation fees or start-up costs • Turnkey communications package 3

How it works • Employer agrees to cover cost of My. Consult second opinions • Health Advocate will include the program as an option presented to members with complex, serious and life-threatening conditions who contact us for assistance • Employees can call us directly to participate in the program 4

How it works • Employees access the program using the link to the specially-designed Health Advocate/Cleveland Clinic website on their Health Advocate member website • Client is charged only for completed consults • No additional charge for Health Advocate’s assistance • Comprehensive electronic second opinion report are returned 10 -14 business days after cases are assigned to a specialist 5

Comprehensive review • Cases assigned to the most appropriate Cleveland Clinic physician specialist expert • Thorough evaluation of all medical records and test results • May agree with current treatment plan or suggest changes/additional tests • Gives employees reassurance that an additional expert clinician is participating in their care 6

My. Consult outcomes • Diagnosis • Agree: 75% • With changes: 15% (additional diagnoses; further study to make best decisions about interventions) • Disagree: 10% • Treatment recommendations • • • No changes: 38% Minor changes: 22% Moderate changes: 24% Major changes: 16% Significant healthcare implications 7

Support from a Personal Health Advocate • Exclusive feature available to Health Advocate members • Personal Health Advocates: • Assist with the online My. Consult request process • Contact providers to coordinate the transmission of medical records, imaging studies, laboratory results and pathology specimens to Cleveland Clinic • Answer questions and follow up as needed 8

What does it cost? • Employers agree to cover the cost of the My. Consult second opinion • $565 per case • $745 if pathology review needed (e. g. , most cancer diagnoses) • My. Consult costs are passed on to client with no mark-up • Health Advocate bills the client when the case is completed • Health Advocate’s support included at no additional charge 9

Key benefits • Increased peace of mind for employees with serious diagnoses • Improved health outcomes • Reduced medical costs • Increased engagement and more informed decision-making • Increased employee satisfaction and retention 10

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