Post on 14-Sep-2020
Presented by
A Simplified Healthcare Experience
Imagine…
OUR MISSION AND VISION
Using technology, HealthJoy will Simplify the
member’s healthcare experience by helping members
navigate and access care with ease and confidence
• Smart Phones
• Artificial Intelligence
• Text Messaging
Vatican City - 2005
Vatican City - 2013
By 2020, 85% of customer
interactions will be managed
without a human
By 2025, that number is
expected to be 95%!
8 trillion texts were sent last year
98% of those are read within 2 minutes
Only 14% of phone calls were answered
Less than 20% of all emails are opened
MEMBERS NEED HELP NAVIGATING HEALTHCARE
Medical Dental Vision
LTD/STD
Wellness
HSA Accident
Critical Illness
Life & Disability
Voluntary Disability
Voluntary Life
Legal Protection
Prescription
OVER 30% OF HEALTHCARE DOLLARS IS WASTED
COMMON COST CONTAINMENT STRATEGIES
• CDHP’s + HSA’s
• Narrow Networks
• Formulary Design
• Ambulatory Centers of Excellence
• Reference-Based Pricing
• Direct Primary Care
• Telemedicine
• Mail-Order Rx
• Wellness
RESULT: Increased complexity & frustration for employees
Framework & Coverage
Lower Cost Alternatives
Risk Identification/Reduction
The average employer offers 14 solutions, 9 coming from a health plan,
and 5 from a third-party vendor
> Open Enrollment Meetings
> Benefit Guides/Microsites
> Lunch & Learns
> Webinars
> Wellness Fairs
A TON of work…
Yet a majority of employees don’t understand their health benefits.
BENEFITS EDUCATION IS A DIFFICULT PROCESS
ALL-IN-ONE BENEFITS EDUCATION & GUIDANCE
Medical
&
Virtual Care
Pharmacy
HSA/FSA/401K Wellness
&
Screenings
Vision
Dental
ALL-IN-ONE BENEFITS EDUCATION & GUIDANCE
Medical
&
Virtual Care
Pharmacy
HSA/FSA/401K Wellness
&
Screenings
Vision
Dental
100% CUSTOMIZED EXPERIENCE TO MAKE BENEFITS EASY
App
Member Engagement Platform
Data Framework
Benefit Plan Designs
Eligibility
Networks
Prescription Formulary
Cost/Quality
HEALTHJOY SIMPLIFIES HEALTHCARE – EASE OF USE
✓ Consult with an online doctor
✓ Live healthcare concierges
✓ Researched provider & facility
recommendations
✓ Find lower-cost medication
✓ Check bills for errors
✓ Schedule appointments
One app for your
family’s healthcare
needs
HEALTHJOY SIMPLIFIES HEALTHCARE – EASE OF USE
✓ Consult with an online doctor
✓ Live healthcare concierges
✓ Researched provider & facility
recommendations
✓ Find lower-cost medication
✓ Check bills for errors
✓ Schedule appointments
EASY ACCESS & PROACTIVE GUIDANCE
General Health Campaign
Wellness Incentives
REAL-TIME MONITORING & REPORTING
• Activation & Engagement
• Service Utilization (Telemedicine, Rx Reviews, etc.)
• Estimated Program Savings & ROI
DETAILED PERFORMANCE REPORTING
Situation
▪ Northern Rivers helps changes the lives of over 16,000 children, adults and families in New York
▪ Robust benefits package with 6 medical plans that was driving employee questions to HR
▪ High ER utilization
633 Employees eligible for HealthJoy
6.8X+ ROI
CLIENT CASE STUDY: NORTHERN RIVERS
Activation Trend
Telemedicine Consults
214
Prescriptions Reviewed
116
Providers Found
161
General Benefits Questions
1,740
Services Provided
32.0%
42.2%
63.8%
76.5%
Week 1 Week 2 Week 6 Month 6
37% of employees on average log into HealthJoy each month
Day 1 Week 1 Month 1 Month 5
31.1%
46.4%
64.8%
71.9%
A BENEFIT MEMBERS WILL LOVE!
4.8out of 5
Amazing app Jun 15
jt66224
Easy to use, keeps all health plan information
in one place, and really helps you become a
better consumer of healthcare.
Why would you not use this?
The convenience of a health concern at your
fingertips and at your convenience! For those
common issues this is the best way to get
your concerns addressed. Efficient and so
professional all through the visit! The app
avatar is so Intuitive!
Jun 9
HurleySDSo useful
This app is well designed and so easy to use.
If you have the doctor consult option, it’s such
a time and money saver. I also like how it’s
setup mainly as a chat. Highly recommend for
companies to use! As an employee, I dig it.
May 5
Meg Mara