As Adopted by Emergency Action June, 2015 Slides updated 7.13.15.
NewestEmployerPPT 7.13.15
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Transcript of NewestEmployerPPT 7.13.15
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Reduce health plan claims by simplifying healthcare
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First platform to shift consumers from expensive and inefficient health care end points, placing
the member in the center.
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User Fr iend ly
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me
24x7 Unlimited Doctor Access
Prescription Savings
Health Management Content
locate providers
shop & PRICE PROCEDURES
MANAGE YOUR MEDICAL DEDUCTIBLE
Centra l i ze Hea l thcare Opt ions
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OVER 70% of all ER, urgent care, and doctor office visits
can be safely handled over the phone.
-Wellness Council of America
Did you know?
24/7 Doctor Access
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Urgent Care
Primary Care Urgent Care Emergency Room HealthiestYou
Visit Fee: Avg $125 Germs: Yes Travel Time: Yes Claim: Yes Avail: Limited
Visit Fee: Avg $175 Germs: Yes Travel Time: Yes Claim: Yes Avail: Limited
Visit Fee: Avg $1200 Germs: Yes Travel Time: Yes Claim: Yes Avail: 24/7/365
Consult Fee: $0 Germs: No Travel Time: No Claim: No Avail: 24/7/365
START HERE!
Cla im Red i rect ion
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and many more…
✔ ✔ ✔
✔ ✔ ✔
Top 9 Reasons We Visit the Emergency Room
ü Allergies
ü BronchiSs
ü Earache
HealthiestYou doctors address the most common visits
ü Sore Throat
ü Pink Eye
ü SinusiSs
ü Strep Throat
ü Upper Respiratory InfecSons
ü Urinary Tract InfecSons
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We can handle over 70% of your typical doctor’s office visits with NO CONSULT FEES!
ü Licensed and reside in the US ü All Board CerSfied Licensed Physicians ü Diagnose, Treat and Prescribe
ü Largest Telehealth network in the country ü 24/7/365 Access
ü Service available in 48 states (Ex. Idaho and Arkansas)
Telehea l th Doctors
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Call HealthiestYou or schedule your
appointment online or on smartphone app
Provide medical history
Call is scheduled with appropriate doctor
Doctor reviews online patient
history and calls the member
If prescription is required, sent via
Escript to member’s choice of pharmacy
Doctor updates EMR with consultation
notes
Consultation notes stored in your HealthiestYou member portal
The Member Experience
Member Exper ience
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97% Customer SaSsfacSon
94% PaSent Medical Issues Resolved
9 min Average Call Back Time From
Doctor
13 min Average Consult DuraSon
95% Client RetenSon
$0 ConsultaSon Fee
Survey Says…
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Our members UTILIZE
way more!
2% CompeStor Avg.
CompeStor Avg.
*Percentages based on annual utilization.
42% Our Pass ion = Ut i l i zat ion
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Fu l l f i l lment Ki t
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Consumer Engagement
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Ut i l i zat ion Rev iew/Moni tor ing
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Cl ient Case Study 146 Employees
2.2 fewer PTO days/employee $30,848 annual claim savings
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Look at those savings! WOW!
9% Savings
Cl ient Case Study 2210 Employees
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1. Start with HealthiestYou ü Over 70% of ER, Urgent Care, and Doctor Office Visits can be handled safely and effecSvely over the phone.
ü 24/7 Access to Physician Network. ü No Consult Fees! ü Sync Your Health Plan, Search Providers ü PrescripSon Savings up to 85%.
2. Major Medical ü HMO, PPO, High DeducSble, HSA, Self Insured
3. Supplemental Medical ü Medical Bridge/Gap Plan, CriScal Care, Cancer, Accident
4. Ancillary ü Dental, Vision, EAP, ChiropracSc, ID Theg
5. Financial ü Life, Disability, IRA, 401K
30%
70%+
Benef i t P lan Des ign
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Smart Phone App
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Schedule a telehealth consult
Schedule Te lehea l th Consu l t
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View Your In-‐Network and
Out-‐of-‐Network DeducIbles…
View Your Deduct ib le
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-‐Over 10,000 loca@ons Geo-‐Fenced -‐Convenient reminders to save money, @me and reduce claims in health plan. -‐HY can handle over 70% of your typical doctor’s office visits!
It appears that you’re in an Urgent Care center, connect with a doctor
now via phone for free!
Geo-Fenc ing Reminders
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It appears that you’re in a Pharmacy,
check our prices first!
-‐ Don’t overpay for medica@on, shop first. -‐ We’ve mapped and geo-‐fenced each and every Pharmacy across the country. All 76,000+ of them.
Geo-Fenc ing Reminders
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Need a PrescripIon? Our prescripIon search tool can
save you up to 85%!
• Shops all pharmacy locaSons and mulSple PBM discount offerings • Beats co-‐pays 70% of the Sme
Prescr ipt ion Sav ings
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Need to see an In-‐Network Doctor,
Pediatrician, Specialist, DenIst, Or Eye Doctor? …Finding a provider has never been easier!
Search In -Network Prov iders
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Radar In -Network Prov iders
Use Radar to view a virtual map and find in-‐network providers in your area!
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Save frequently used physicians, prescripSons, Urgent Cares and much more to your Circles to easily find informaSon relevant to your healthcare needs
Ci rc les – Your hea l thcare ecosystem
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Find the average cost of specific procedures
in your area.
Pr ice Transparency
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Pr ic ing
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Reduce health plan claims by simplifying healthcare