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Empowering Consumers with Data to Improve Chronic Disease ConditionsSession 49, February 12, 2019

Mark TallutoVice President, Strategy and Analytics Blue Cross Blue Shield Association

Joshua RiffCEO, Onduo

Blue Cross and Blue Shield Association is an association of independent Blue Cross and Blue Shield companies. All

trademarks and brands are used for informational purposes only and are in no way endorsed by Blue Cross Blue Shield

Association.

Onduo is dedicated to bringing the most up-to-date care to people living with diabetes –

anytime, anywhere.

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• Mark Talluto, Vice President, Strategy and Analytics, Blue Cross Blue Shield Association

• Joshua Riff, CEO, Onduo

Has no real or apparent conflicts of interest to report.

Conflict of Interest

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• Diabetes: A National Epidemic

• Empowering Consumers with Data

• Strategic Partnerships and Solutions

• Progress and Results

• Questions

Agenda

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• Discuss how technology bridges the gap between medicine

and data to improve the health of Americans

• Demonstrate how healthcare outcomes can be advanced by

forming strategic partnerships

• Illustrate how personalized engagement empowers consumers

to make evidence-based healthcare decisions and participate in

self-directed care

Learning Objectives

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Diabetes: A National Epidemic

people have

diabetes*MILLION

with one in three Americans

expected to be diabetic by 2050

Diagnosed diabetes

costs America

$327BILLIONper year**

$237BILLIONDirect medical costs

*Centers for Disease Control and Prevention 2017

**American Diabetes Association 2018

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Diabetes: A National Epidemic

Diabetes is one of the top five conditions impacting the U.S. commercially

insured population, according to the BCBS Health Index

7.1%Prevalence rate of Type II diabetes in 2016

17%INCREASEin prevalence from 2014-2016

$14,640Average diabetic

patient cost in 2016

The Blue Cross Blue Shield National Health Index 2016, using blinded claims data from more than 41 million

BCBS commercially insured members per year

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Empowering Consumers with Access to Health Information

Consumer

HospitalPatient discharge summaries and plan

transmitted to other care settings

electronically

Health AuthoritiesCDC, Local, State Authorities

Public HealthPCP alerted to care gaps

at point of care

Remote CareChronic patients are monitored

continuously by virtual care team

ClinicianTotal view of patient available

Retail HealthAlternative care delivery

settings

PayerTraditional services plus physician

referring patient into payer care /

disease management programs

Better Management of Patient Populations Starts with Data

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Scaling Nationally…Through BCBS’ innovation

accelerator to provide…

• Accelerated access to new clinical

technology innovations

• Improved patient outcomes

and experiences

1 IN 3 AMERICANS HAVE BLUE CROSS

BLUE SHIELDMEMBERS

105+ MILLION

Improved care in every community.

It begins locally, and scales nationally.

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The Health of America Diabetes Collaborative

Engaged 5 BCBS Plans and the Federal Employee Program® as Initial

Participants

Path to Best-In-Class Solutions

Locally Tailored

Case Management

Solutions

National, Digital

Care Management

Solutions

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Assessing, Measuring and Accelerating Innovations

Strategic Partnerships and Solutions

IdentifyEligible

Members

Enroll in Disease

Management Program

Engage Members in

Program

Member Activation Leads to

Greater Useof Services

Improvementin Clinical Outcomes

Improvementin Utilization and Costs

Improve Consumer Experience

®

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8.34%of chronic adult

population has diabetes

Locally Tailored Solutions:Blue Cross and Blue Shield of Alabama

13%

Adult Members with Chronic Conditions

33%

BCBSAL

Medical Costs

Program expansion includes suite of offerings powered by technology and innovations,

and improved customer service, clinical care team training and engagement strategies

Outcomes:

Member engagement increased

3x in 2017 and 21% in 2018

Care gaps addressed increased over 2x in 2017 and 26% in 2018

Eye Exam

39.7%

Microalbumin

87.2%

HBA1C Test

89.3%

Med Adherence

73.1%

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National Solution: BCBS Onduo

Verily & Sanofi

S O L U T I O N S

BlueCross®

BlueShield® Onduo

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MissionTo deliver the best up-to-date diabetes care anywhere, anytime.

Drive empowerment and motivation

Act beyond lifestyle

Rethink value based reimbursement

Apply hardware & data in a new way

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Moving to Connected Devices

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More Data for Insights

Blo

od

Glu

co

se

(m

g/d

L)

0

100

200

300

400

0 3 6 9 12 15 18 21 0

Hours of Day

Continuous Glucose Monitor

(CGM)

0 3 6 9 12 15 18 21 0

Hours of Day

Blood Glucose Monitor

(BGM)

Provides continuous data points daily compared to BGM finger-stick

approach

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Trust.

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Creating a ‘Prius’ Effect

At HiMSS feeling great!

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Targeted, Tailored Interventions

From lifestyle... ...to clinical

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Personal Coach & Clinical Team of CDEs and Physicians

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Tailored Solution

Matching individuals

with tailored

interventions from

lifestyle to clinical for

the best, sustained

outcomes, at the

population levelPhysician led

interventions

Guided

expert care

Supported

self-care

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Improving Care Access

EndocrinologistsPeople with Type 2 Diabetes

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Clinical Improvement

Early Outcomes

60% of members

engaged in last 7

days & over 50%

continue to engage

at 35wks

77!

Engagement

NPS

mean.308 mean -0.14 mean -0.26

mean -2.53

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Value

U.C.E

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Onward Together

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Questions

Mark Talluto

Vice President

Strategy and Analytics

Blue Cross Blue Shield Association

Mark.Talluto@bcbsa.com

Joshua Riff

CEO

Onduo

Josh@onduo.com