NationalAssociationofCounties
AetnaInnovationLabsFebruary20,2016
Qualityhealthplans&benefitsHealthierlivingFinancial well-beingIntelligentsolutions
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaInnovationLabsmission:CreatingtheFuture
2
Identifyhigh-impactideas2-3yearsaheadofthemarket
Testpilot conceptsrapidly&rigorously togatherevidence
Demonstratemeasurablevaluetostakeholders
Clinical InnovationStageGateR&DProcess
TransitiontoScale
VerifyBusinessCase
Design&ExecutePilot
DevelopBusinessCase
Scope&DefineConcept
EvaluateConcepts1
2
3Deliverprovensolutions forAetnapartnerstoscale
Whereappropriate,initiativesfocusonthetop-spendconditionareas
Cardiovascular|Cancer|Musculoskeletal|Maternity|Gastrointestinal|MentalHealth
Generate&CaptureIdeas0
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Conceptsareevaluatedagainst6criteriaastheymovethroughthestagegateprocess
3
• <Descriptionoftargetcustomerandunmetneed>• <Concept’s Valueproposition>
• <Shortdescriptionofhowtheconceptalignswithstrategicgoalsorbusiness unit’s strategicplan>
• <Estimateofmarketsizeandexpectedmarketgrowthrate>• <Commentonthenumber ofcompetitorsinthemarketandwhereAetna
canstrategicallydifferentiateitself>• <HowtheconceptsupportsAetna’sbrandandvalues>
• <Descriptionofknown risksandhowtheycouldbemitigated>
Criteria Evaluation
CustomerNeed
StrategicAlignment
MarketPotential
RiskMitigation
ExecutionFeasibility
• <DescriptionofwhathaskeptAetnafrompursing theconceptinthepast>• <initialestimateoftheinvestmentneededtoexecutetheconcept>• <Potentialpartnersthathavebeenidentified>
InternalCommitment
• <Highleveldescriptionofthetypeofresources thatwould beneededtoexecutetheconcept>
• <Statethelikelysponsor orbusiness unittoowntheconcept>
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
WecollaboratewithhundredsofpartnersbothinsideandoutsideAetnatosolveproblemsandimprovehealthcare
4
InnovationLabsAetna
Customers
Marketing/Finance/Ops.
CareMgmt.AcademicInstitutions
BusinessSegments
InformaticsTechnologyPartners
HealthSystems
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Collaborationallowsustoexploreanumberofareasthatwilldrivevaluetothoseweserve
5
PatientEngagementMetabolic
Syndrome
RemoteMonitoring
PredictiveAnalytics,Insights&“BigData”Population
Health
Devices,Trackers
&Sensors
Tele-Health
Genomics
5
NextGenerationPlatforms
Safety
BehavioralHealth
Evidence-Based
Medicine
mHealth
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaInnovationLabsandExperiencewithMetS
6
MedCityNews, BusinessInsurance&more…
• Basedonour robustclaimsdataAetnawasabletogenerateahighlyaccuratepredictivemodelfor individuals (88%predictive)
• Centralobesityisthelargestdriverofriskand,ifimproved,thegreatestdriverofriskreduction
• PersonalizedMetSintervention thatresultedinayearsavingsof$1,464
• Forparticipatingmemberstherewasstatisticalsignificantimprovementsinwaistlinereduction,triglycerides,andHDL
• Participantslostanaverageof10lbs.
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
CompletedPilot:MetabolicSyndrome(MetS):Reducing“WaistCircumference”RiskFactor
7
Pilot:
Results:
TheAetnaMetabolicSyndromePilotprogramaimstoreduceanindividual’sMetS riskfactorsviaNewtopia’shigh-touch,personalized,healthprogramwhichcombinesonlinecoachingwithgenetictestingtotailoraplanthatcreateshealthier,moreengaged,employees.
• ReductioninMedicalCosts:Reducedmedicalcostsby$122/participant/monthfora positive ROIwithin12months
• Strong,SustainedEngagement: 50%Programengagementat1year– comparedto25-35%‘typical’engagementrateswithweightlossprograms
• ClinicallyRelevantWeightLoss:Statisticallysignificantweightlosswhere76%ofparticipantslostanaverageof10pounds
• ResultsarepublishedintheJournalofOccupationalandEnvironmentalMedicine(JOEM)
NextSteps:
• ContinueYear3sustainedweightlossprogram• Softroll-outtocustomersin2015• Largerroll-outtocustomersin2016
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Newtopiapilotparticipantshavesustainedweightlossintoyear2
8
Duringthetimeperiod,7peoplesuccessfullymovedfromthe3-6.9%weightlossgrouptothe7%ormoregroup,whiletotal
weightlosswassustainedforbothgroups
0
20
40
60
80
100
120
140
160
180
Year1Results Year2Results
ParticipantsWhoLostW
eight
WeightLossCohorts andYear1vs.Year2
NewtopiaSustainWeightLoss
3-6.9%WeightLossGroup
7%andMoreWeightLossGroup160 122 153 129
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
DomesticDigitalCognitiveBehavioralTherapy(CBT):ImprovingMentalHealthwithDigitalPlatform
9
Overview
Design
• TestedusingvendorMyStrength platformtoreducesymptomsofstress,anxietyanddepression
• Benefitis toimprovementalhealthandwork-lifeperformance,reducecostsrelatedtoimpactofdepressionandanxiety
• ~5,000 members• Recruitmentisoptinandwasconductedviaemailoutreach• Pilotextendedtofamilymembersover18yearsofage
• 9monthpilot• Recruitparticipantsandrandomized intothecontrolgroupand2interventionarms,CBTaloneorCBT+talktherapy
• Activeinterventionpersonalizedaccountfor6months• Controlgroupreceived7weeksofeducationalemailswithoptiontoaccessactiveinterventionatweek8.
• DepressionAnxietyStressScale(DASS)andWorkProductivityandActivityImpairmentQuestionnaire(WPAI)validatedscalesusedtomeasureimpact
Metrics •Memberengagementandsatisfaction• Symptomreductionforanxietyanddepression• Improvedproductivityoutcomes
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
DigitalCBTdomesticpilotresultsshowitisbothengagingandclinicallyeffective
10
3.8x2.9x71%46%7.56.09
Statisticallysignificant improvement indepressionscoresovercontrolgroup
Directionalimprovement inanxietyscoresovercontrolgroup
RepeatmyStrengthusers
Userscompletingatleastoneexercise
Averagenumberofexercisescompeted
Averagenumberofuserlogins
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Baseduponevidenced-basedresearchofDr.Fuzhong Li• 4armedpilot:3activeinterventionarmsandonecontrolgroup• Createdevidence-basedTaiChiDVD• Recruitedandtrainedover60instructorsinpartnership
with the MaineAgencyforAging• Builton-lineTaiChiprogram• Enrolledcloseto1,200membersfromMaine
Timeline• Pilotconductedfor6months; 60minutesessions2x/weekfromNovember2013– May2014
Self-reportedsurveysconductedinbothcontrolandactiveinterventionarms• 7surveyswereconductedover6months
—Baselinesurveyatkick-off,focusedonfallsandnearfallshistory—5surveysinprogramfocusedonmember’schangesinbalance—Finalsurveyatprogramconclusionfocusedonoverallchangestofallingandnearfallsandmembersatisfaction
• Non-Aetnamemberssurveyedforclassroominterventionarm
11
Overview
CompletedPilot:PreventingfallsintheMedicarepopulationusingTaiChi
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
TheresultsofthestudyfoundaclearbenefitandimprovementforpeopleintheTaiChigroup
12
20% TaiChigrouphadfewerfallsornearfallsthancontrolgroup
20% TaiChigroupimprovementrelatedtobeingworriedaboutfalling
90% Highlevelofsatisfaction,especiallyinclassroomarm
Conclusions:• TaiChiintheelderlydemonstratesobjectivebenefitswithrespecttofalls,nearfallsandbalanceperception
• Highlevelofsatisfactionamongstseniors.ThishasledtoanextensionoftheprogramwithourAgencyforAgingpartnerinMaine
• PotentialforsignificantsavingsNextSteps:• ProgramExtensionintheStateofMaine• ExpansionofTaiChiprogramtootherareasofMedicare• Analysisofutilization/costanalysisisbeingconductedwithexpectedcompletionbyendof2015
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
VirtualPT/MusculoskeletalTelehealth:Customizedvirtualphysicaltherapy
13
Pilot:
Benefits:
Virtual,automatically-customized physicaltherapydesignedbyacademicorthopedists&physiatristswithover300outcomes-drivenmusculoskeletalmodules
• ReductioninMedicalCosts:Offeringfasteraccesstolower-costphysicaltherapyesp.forlowerbackpainandotherhigh-costmusculoskeletalconditions,withpotentialfor~$2k/casesavings
• IncreasedEngagement: Personalizationaugmentsparticipantefforttomaximizeresults,andimproveproductivityandpresenteeism.
Metrics: • Engagement:Participation,persistency• ClinicalMeasures:Paincontrol;function• Utilization:MSK-related;procedureuse;global
PilotStatus:VerifyResults
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
VirtualPTPilotResults
14
Pilotcharacteristics:- OfferedtoAetnamembersat3plansponsors – invitedbypost,email,onsitemarketing,conciergereferrals- 297registrations;56screenedoutà recommendedphysician evaluation,241registeredusers;6monthpilot
SelfReportedClinicalOutcomes:
Participation/Engagement:- Avg Session Time:19minutes- Avg numberofsessions: 6- %completingmorethan2sessions: 47%- %enrolled in2ormoreprograms:28%
Symptoms:- Avg Startingpainlevel– 5.4- TopProgramSelections:
- LowerBack:93- Knee:56- Shoulder: 34- Hip:27
- %reportingpaindecrease:74%- %reporting50%orgreaterpaindecrease:
27%- %withcompleteresolutionofpain:5%
SatisfactionSurvey:
52survey responses
- 100%wouldrecommendSimpleTherapy tofamilyorfriends
- 82%rateSimpleTherapy ‘easy touse’(7orgreateronascaleof1-10)
- 83% areverysatisfiedwithSimpleTherapy (7orgreateronascaleof1-10)
- Ofthe21respondents whohadpreviousexperiencewithin-person PT,90% feltSimpleTherapy wasatleastaseffectiveinhelpingimprovetheirsymptoms
- 84%respondentswouldprefertouseSimpleTherapy overin-person PTforfuturePTneeds
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
VirtualPhysicalTherapyWithReal-TimeMotionFeedback
15
Solution:
Benefits:
• Virtualdeliveryofdigitalphysicaltherapycontentonanywebconnecteddevice• ClinicalcontentdevelopedbycliniciansatNYURuskRehabilitationCanter• RealTimeMotionFeedbackutilizingfrontfacingcamerasonmobiledevicesand/or
webcamsoncomputersguidesuserstohelpoptimizetechnique/optimizedmovements
• RealTimeMotionFeedbackmimicsin-personphysicaltherapysessions,potentiallyreplacinginpersonPTvisits
• ReductioninMedicalCosts:• Digitalsolutionwillbeavailableonasubscriptionbasisatafractionofthecostofin-personPT
• Easierandmoreconvenientaccesstoearlyphysicaltherapyesp.forlowerbackpain,canproducesavingsfromreducedneedforimaging/procedureswithpotentialfor~$2k/casesavings
• IncreasedEngagement: Personalizationaugmentsparticipantefforttomaximizeresults,andimproveproductivityandpresenteeism.
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaInnovationLabsischargedwithcreating,cultivating,andsustainingacultureofinnovation
16
BuildingaCultureofInnovationBeginswithEmpowerment
&ProvidingtheEncouragementand
OpportunitytoInnovation• AetnaTestDrive• Patent&IntellectualProperty
Program• Hackathons• InnovationChallenges• InnovatoroftheYear
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaTestDrive
17
Wearabledeviceemployeelendinglibrary• Launchedmid-November2015• Stockedwith18market-leadingproducts• OperationalinHartford,CTandPhoenix,AZ
WellnessWorkscenters• Over600productrentalsin3months,with500
surveyscompletedtodate• Over350uniquecustomers,returningover250
times
Brandsinclude:• Fitbit• Misfit• Jawbone• Lumo• Withings• Garmin
• Muse• iHealth• Alivecor• Geopalz• Pebble• HealBe• Darma
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaTestDrive
18
AetnaInnovationLabsandwearables• Distributorofallbest-in-class
wearablestocustomersforvolumediscounts,rangingfrom20-40%offsaleprices
• TestDriveproducttobepackagedandreproducedatcustomerlocations
• TestDrivetobeusedascurationmechanismforearlymarketfeedbackforVCs,accelerators,andincubatorsofwearables
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaInnovationLabscreatedAetna’sPatentWallinHartford,CT
19
PatentWallandCeremony• Thewallcommemoratesall31patents
Aetnahasreceivedinitshistory• Aninteractivedigitalkioskallowspeopleto
learnmoreaboutpatents,ourportfolio,andourpatentgoals
• OnJuly20th,weinvitedallactiveemployeeswhoarepatentrecipientstoaPatentRecognitionCeremonytomeetECmembersandnetworkwithinnovativecolleague
PatentIncentiveProgram*• Allinventorsnamedonanoriginal, non-
provisional, utilitypatentapplicationwillreceive$1,000perfiling, cappedat$4,000perapplication
• Ifapatentissuesonthesameapplication,thesameinnovatorswillreceiveanadditional$500
*FundedbyPatentCenterofExcellence
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Hackathon
20
Engageallorganizationswithintheenterprisewithanopportunity tobuildaworkingproductprototype, andultimatelyrewardnovelideas
Goal- Developaworkingprototype ofaproductorsolution thatcanbefurtherdeveloped,deployedatscale,whileprotecting it’sIPThemes-WhatproductwouldyoucreatetoevaluateProviderQuality?Frequency-Onceayear,overacoupleofmonthsReward- Publicrecognition, financialrewardtodevelopment team,opportunity toparticipateintheInnovatoroftheYear
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
InnovationChallenge
21
Enterprise-wideInnovationChallengethatempowersallemployeestothinkcreativelyandparticipateintheinnovative
Goal- ThegoalofallChallengesistoultimatelycreate,develop,pilot,andcommercializeaproductorprogramtoourcustomersThemes- Toreceiveadesiredoutput,wemustaskquestionsthatprovokeanswersthatareproductorprogram-relatedspecifictoaclinicalneedFrequency- Twiceayear,inthespringandfallwhenvacationtimeislimitedReward- Publicrecognition,fitnesstracker,tabletproduct,opportunitytoparticipateinInnovatorofthe
YearPastInnovationChallenges- IfyouweretorecreateAetna’sCareManagementprogramfromscratchtoday,whatwouldit
looklike?- WhatwouldtheidealChildhoodObesityprogramlooklike?- Createaconsumer-facingproductthatcanhelpimprovewomen’shealth- Howwouldyoucreateaconsumer-focusedsolutionbytakingastrategy,practice,orproduct
fromanotherbusinessorindustryandapplyittohealthcare
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
InnovatoroftheYear
22
Annualculminationofallinnovativeideascreatedthrough theChallengesandorganicallydeveloped through theenterprise
Goal• Awardthemostinnovativeideaofthepreviousyear,applyfunding tothatidea,and
build internallytocreatetheproductApproach• Thecontestantiscoachedone-on-onebyanInnovationLabsexecutiveforonemonth to
build theideaandbusinesscase• Theideaispresent“sharktankstyle”toExecutiveCommitteemembers,aswellasChief
InnovationOfficers• TheCEOconferswiththejudges,andselectsawinnerFrequency• AnnualeventReward• HighestAetnahonors,public recognition, cashreward,funding foridea,overseeing
productdevelopmentPastInnovatorsoftheYear• AetnaCarePal• AetnaLocalLink
• HealthWealth
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
AetnaCarePal:Peer-to-PeerMatchingSupport
23
Pilot
Benefits • MatchedCarePals shareinsightsto optimizehealthcareutilizationbytappingintopassionandknowledge amongmembersincostlylifestylehealthverticals.
Metrics • Experiencemayimprovephysicalandmentalhealthoutcomesandreducetreatmentcomplications(anemia,nausea/vomiting,thromboembolism,neutropenia,etc.)
PilotStatus:Development
• Bycombiningclaimsdata andregistrationinformation,anewlydiagnosedwomanismatchedwithanexperiencedwomanwithasimilardiagnosisandasimilardemographic/socialbackgroundformentoringandsupport.
• Originalpilotlaunchtomatchnewlydiagnosedbreastcancerpatient,withanadditionalpilotaddressingautism
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
HealthWealthPrinciplesofFinancialPlanningforHealth
24
PilotStatus:Development
Pilot:
Benefits:
Metrics:
• Changeshowmembersthink abouttheirhealthandhealthspending.
• HelpsdirectmemberstowardAetnacontentandcontractedservices.
• ShowsthatAetnaisheretopartnerwithyouforalifetime,buildingbrandloyalty.
• Improveconsumerunderstandingofshortandlongtermfinancialimplicationsofhealth;quantifyingthevalueofstayingorgettinghealthyincreasesmotivation.
• Satisfactionandengagementwiththetool• Lowermedicalspendperengageduser• Clinicaloutcomes
Planningtoolfocusedonlongtermhealthgoalsthatprovidesinformeddecisionmakingoffuturehealthcarecostswhileshowingyouallthemoneyyouaresavingbybeinghealthy
AetnaInc.CONFIDENTIAL: AetnaInnovationLabs2016
Thankyou
KristoferCaya,MBADirector,[email protected]
KyleNiejadlik,MAEconomicsAssociateDirector,[email protected]
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