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  • WE deliver everything from A – Z. Reform compliance verification; retain the good in your current benefits’ Fix what is broken or underperforming. We will without difficultly, transition your benefits, into all of the needed improvements. Mr. Hettesheimer has worked in the “benefits” arena for over 36 years. He has created the Lifestyle Risk Calculator, worked as a legislative chair and worked as a summit delegate as an appointee of a past governor of Ohio. He has extensive knowledge in healthcare analytics, population health management and how to design and implement incentives to drive better financial and clinical results. The secret is cooperation, integration and synergies between components. Offer benefits that retain and attract talent. Survive and thrive in the ERA of Health care reform. You now know what we do. We offer several working arrangements. What is it that I have to do for you so we can work for you?
  • Healthcare reform has and will continue to change the employee benefits landscape. In the current economy, it is more important than ever to provide competitive benefits that are enviable. Retaining and attracting talent through your benefits is the primary goal of offering benefits and an important aspect of compensation agreements.Why should you do business with us? We are going to deliver with evidence based proof the 3 things most employers need.The first is clarification and confirmation of compliance with healthcare reform. The only way an employer can be prepared for the DOL audit is to create an Audit Compliance manual. We create your DOL Audit Compliance manual. Second, current benefit plans may have some good working parts. It is our job to identify what is working in your benefits and what is not. We know that if your benefit costs have increased over the last 6 years, and you do not know why, then what you have been doing isn’t working.Third, we know what works. We know this from evidence that exists in your healthcare data. Our solutions leverage data, improve the frequency of collection of data, make all data actionable, deliver automated interventions and report from the data which is evidence based reporting.Disease treatment compliance and progression is slowed with better education. This lowers cost. Engagement is driven with financial and clinical incentives and all core members are targeted. Communication is simplified and consolidated through 1 simple to use single source login technology for all employer benefit communications. Our work is HIPAA, DOL, PPACA, HHS and IRS compliant.
  • This is the simple test, if your renewals have been increasing, then what you’ve been doing does not work. I’m talking about your current level of benefits renewals, not the price after cost shifting, raising deductibles, co-pays and co-insurance. These tactics of yesteryear actually contributed to the cost problems you and everyone else has today. These strategies increase disease progression thus cost.
  • Healthcare reform has and will continue to change the employee benefits landscape. In the current economy, it is more important than ever to provide competitive benefits that are enviable. Retaining and attracting talent through your benefits is the primary goal of offering benefits and an important aspect of compensation agreements.Why should you do business with us? We are going to deliver with evidence based proof the 3 things most employers need.The first is clarification and confirmation of compliance with healthcare reform. The only way an employer can be prepared for the DOL audit is to create an Audit Compliance manual. We create your DOL Audit Compliance manual. Second, current benefit plans may have some good working parts. It is our job to identify what is working in your benefits and what is not. We know that if your benefit costs have increased over the last 6 years, and you do not know why, then what you have been doing isn’t working.Third, we know what works. We know this from evidence that exists in your healthcare data. Our solutions leverage data, improve the frequency of collection of data, make all data actionable, deliver automated interventions and report from the data which is evidence based reporting.Disease treatment compliance and progression is slowed with better education. This lowers cost. Engagement is driven with financial and clinical incentives and all core members are targeted. Communication is simplified and consolidated through 1 simple to use single source login technology for all employer benefit communications. Our work is HIPAA, DOL, PPACA, HHS and IRS compliant.
  • Advanced Benefit Design Institute is a “Think Tank” if you will of several National companies collaborating on what will fix healthcare. Most people simply state healthcare is broken because of cost. Healthcare is broken because of our personal behavior and inability to live a healthy lifestyle. Companies like AMWINS, AT &T Walmart, Bp, intel and many others along with several universities collaborated and contributed to the “Next Generation Benefits” strategies and management technologies to deliver healthcare population management. We fix healthcare. Starting with the advantages of having all healthcare data and managing the entire healthcare supply chain. We have the ability to identify the root cause of healthcare needs. Once you have the starting point, you can identify then begin “fixing” the problem. With reporting and “Big Data” you identify progress. It will take time to achieve the maximum ROI, but monitoring progress proves that what we are doing works and you will be moving in the opposite direction of where you were going when we took over. Stop wasting your money! Improve access to needed healthcare services. Deliver better, high quality care. We lower the cost of consumed healthcare. There is a 30% potential savings and improved outcomes with full implementation of the programs.
  • By implementing “Next Generation Benefits” it is possible to create competitive healthcare benefits that retain and attract talent at an affordable and sustainable cost. Healthcare consumerism is about transforming a health benefit plan into one that puts economic purchasing power – and decision making in the hands of the participants. Its about suppling the information and decision support tools they need, along with the financial incentives, rewards and other benefits that encourage personal involvement in altering health and healthcare purchasing behaviors.
  • The benefits solution has to work for the sickest members, as well as the healthy. It must work for those not wanting to get involved in decision making, as well as those who micro manage their health. Our focus begins with the highest risk, highest consumers of healthcare in your group of covered members. These people need help to gain control of their state of health. Disease treatment compliance has to be measured and if not 100% the reason why has to be identified. It doesn’t matter if the person is an employee or dependent, if they are covered by your benefits, they need help. The first management step is to deliver education to them about their chronic diseases. This begins to solve for medical illiteracy. Engagement has to target 100% of your members and the user interface connects all stakeholders, advancing communication delivering better care and access.
  • Typically an employer reduces their cost per employee in the first year. $1,300 to $3,000. Healthcare is managed weekly, monthly or quarterly, depending on the number of at risk members. Renewals become insignificant because of the frequency of review and cost increases in stop loss insurance is rare. As state of health improves other benefits become visible to the employer; reductions in absenteeism, disability, workmen’s comp and more. Employers also see increases in productivity and bottom line company profits.
  • The focus has to be on the highest cost elements in your healthcare plan. Incentivizing better behavior or lifestyle, will pay large clinical and financial dividends. Eliminating certain costs creates immediate savings that employers retain.
  • The focus has to be on the highest cost elements in your healthcare plan. Incentivizing better behavior or lifestyle, will pay large clinical and financial dividends. Eliminating certain costs creates immediate savings that employers retain.
  • The comprehensive list of actions creates the standard for all “high performance” benefit plans to perform. Our “Next Generation Benefits” incorporates all of the needed population health management and technology services to begin the processes that will change your financial and clinical outcomes. The changes can be identified and your results are measurable – evidence based reporting.
  • The comprehensive, concierge level of service from all platforms dramatically improves services delivered to all shareholders. The delivered level of service triples the level of service most employers currently receive. There is no equal.
  • WE deliver everything from A – Z. Reform compliance verification; retain the good in your current benefits’ Fix what is broken or underperforming. We will without difficultly, transition your benefits, into all of the needed improvements. Mr. Hettesheimer has worked in the “benefits” arena for over 36 years. He has created the Lifestyle Risk Calculator, worked as a legislative chair and worked as a summit delegate as an appointee of a past governor of Ohio. He has extensive knowledge in healthcare analytics, population health management and how to design and implement incentives to drive better financial and clinical results. The secret is cooperation, integration and synergies between components. Offer benefits that retain and attract talent. Survive and thrive in the ERA of Health care reform. You now know what we do. We offer several working arrangements. What is it that I have to do for you so we can work for you?

Transcript

  • 1. Contact: HealthCare Expense Reduction Expert D. Scott Hettesheimer HealthCare Delivery Consultants 513-661-7581 scott@GroupBenefitsExperts.com http://www.AdvancedBenefitDesignInstitute.com Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 2. Fixing HealthCare Benefit Delivery A New Long Term Strategy Without Cost Shifting to Employees Copy Right 2013 Advanced Benefit Design Institute All Rights Reserved 3254 Montana Ave. Suite 1003, Cincinnati OH 45211 513-661-7581
  • 3. If Your Renewal Price Has Been Increasing Then What You’ve Been Doing Doesn’t Work! Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 4. Copy Right 2013 Advanced Benefit Design Institute All Rights Reserved 3254 Montana Ave. Suite 1003, Cincinnati OH 45211 513-661-7581
  • 5. We are Problem Solvers HealthCare Expense Reduction Specialists Why has your cost been increasing? Our work begins by identifying your root cause of healthcare need. Identifying & improving disease treatment compliance. Identifying 100% of your risk and managing before diagnosis Better Access, Better Care, Lower Cost Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 6. Do you Need Affordable, Sustainable and Competitive Benefits to Retain and Attract Talent? Copy Right 2013 Advanced Benefit Design Institute All Rights Reserved 3254 Montana Ave. Suite 1003, Cincinnati OH 45211 513-661-7581
  • 7. Our strategy engages all plan members; employees & spouses. We target 100% for engagement. We solve for medical illiteracy. We implement a simple user interface. The interface provides a single source URL, login & password for all of your benefits and benefit services. It allows wellness coaches, physicians and case managers to do their jobs with more information at their fingertips. Employers can easily communicate with employees and spouses. Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 8. We normally reduce spending $1,300.00 to $3,000.00 per employee in the first 12 months. We Flatten Renewals Productivity Increases We Lower Workmen's Comp Risk Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581
  • 9. Do you know your healthcare cost risk? Here are your real cost drivers. According to ADA & CDC analysis:      45% of adults had at least one of three diagnosed or undiagnosed chronic conditions - hypertension, hypercholesterolemia, or diabetes; one in eight adults (13%) had two of these conditions; and 3% of adults had all three chronic conditions Nearly one in seven U.S. adults (15%) had one or more of these conditions undiagnosed Two out of three hypertensive do not have good control 34.89% of the population is pre-diabetic More than 1 out of 2 covered members in your plan have or will have in the next 5 years, a chronic diagnosis and too many of them do not know. For most people, this is preventable. Most people will modify behavior once informed. Do you know who these people are? Your healthcare managers better find out! Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-
  • 10. How do we Achieve Our Financial Claims? Our ROI is calculated from:       The increase in the performance of your wellness program. We supercharge wellness plans, doubling, tripling and quadrupling their ROI. The increased effectiveness (Disease treatment compliance) from your Disease Management. The stopping and reversing of disease progression through the automated interventions that reduce healthcare need – Avoiding Healthcare Need Reduced absenteeism, sick pay, disability and turnover. Increased presenteeism, productivity, moral and “State of Health.” Reduction of Workers Comp risk from health related events. Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-
  • 11. Employer Communications Cost Containment Incentivized System Outcome Based Financial Incentives Personal Health Modifiable Risk Reports Lifestyle Risk Calculator Supercharge Wellness Initiatives Real Population Health Management Single Source Login! Risk Stratification 24/7 On Demand Reporting Forward Looking Predictive Modeling Advanced Healthcare Analytics Electronic Personal Health Records Superior Disease Management Copy Right 2013 Advanced Benefit Design Institute All Rights Reserved 3254 Montana Ave. Suite 1003, Cincinnati OH 45211 513-661-7581
  • 12. Broker Consultant Account Concierge Director Employer Communications Third Party Administrator 24/7 Case Manager Executive Benefits Next Generation Benefits Concierge Level Service! Technology Manager 24/7 On Demand Reporting Cost Containment System Manager Walk in Clinics 24/7 Telemedicine Services Wellness Coach Copy Right 2013 Advanced Benefit Design Institute All Rights Reserved 3254 Montana Ave. Suite 1003, Cincinnati OH 45211 513-661-7581
  • 13. Contact: HealthCare Expense Reduction Expert D. Scott Hettesheimer Advanced Benefit Design Institute, LLC 513-661-7581 scott@GroupBenefitsExperts.com http://www.AdvancedBenefitDesignInstitute.com Copyright © 2013 Advanced Benefit Design Institute All Rights Reserved. 3254 Montana Ave. Suite 1002, Cincinnati, Ohio 45211 513-661-7581