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Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
Amanda Hagan - Australian Unity - Innovation in private health insurance
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Amanda Hagan - Australian Unity - Innovation in private health insurance

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Amanda Hagan delivered the presentation at the 2014 Health Insurance Summit. …

Amanda Hagan delivered the presentation at the 2014 Health Insurance Summit.

The 2014 Health Insurance Summit focused on how legislative changes affect the future of health insurance in funding, membership and services.

For more information about the event, please visit: http://bit.ly/HISummit14

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  • 1. July 2014 Amanda Hagan CEO Australian Unity Healthcare Health Insurance Summit
  • 2. Taking time to think
  • 3. PHI & primary care “(Private Health Insurers) have been excluded from the primary care space for historical reasons and if insurers are prepared to work collaboratively with doctors and patients then we should welcome that development.’’ “Sharing information about the patient with all the usual safeguards has the potential to free up capacity for non-insured patients – not detract from it.” “If an insurer can provide additional support to the doctor around interventions to say a pre-diabetic patient, why would we resist that? It has the potential to save a lot in human and financial terms.” Federal Health Minister Peter Dutton to the Australian Private Hospitals Association 33rd National Congress, March 24, 2014.
  • 4. Flattening the cost curve
  • 5. • 2013 calendar year – 971 PHI members managed at home • Average cost $1,893 per RITH episode • Average cost of inpatient rehab $6,650 • Average saving $4,757 per episode • Total cost savings over $4.5 million Rehabilitation in the Home – financial outcomes
  • 6. • 2013 calendar year – 729 PHI members managed at home • Average cost $2,162 per HITH episode • Saving an average of $5,275 per episode (bed day savings calculated at $500 per day) • Total cost savings almost $4 million Hospital Care in the Home – financial outcomes
  • 7. 0 50 100 150 200 250 300 1 poor 2 fair 3 okay 4 good 5 excellent Totalnumberofresponses Rating General Questions Overall, how did you find the Rehab at Home program? (n=282) Overall, how would you rate the timeliness and adequacy of your services? (n=272) How do you feel about your health fund offering the Rehab at Home program? (n=279)
  • 8. Rehabilitation at Home & Early Discharge
  • 9. Active participants declined to 36% by the end of the project • 23% reduced their risk over the trial (as measured by AUSDRISK) • High risk members that reduced their risk had the highest average steps • Challenge was participant drop off with only 36% of participants still using their Fitbit after seven months
  • 10. Engagement increased materially when participants were targeted & also received coaching • We conducted a Remedy coaching trial of members with 2 or more risk factors • Participants were randomly assigned to either receive coaching only or coaching + Fitbit • Participants with a Fitbit had materially higher engagement than in the staff trial with 77% still using their Fitbit after 6 months (compared to 40% in staff trial) • Coaching + Fitbit participants had greater reduction in BMI & were more likely to increase physical activity levels Coaching only Coaching + Fitbit Take up rate 29% 36% BMI reduction -0.46 -0.57 % participants increased physical activity 24% 36%
  • 11. Thank you Questions…

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