1. Building a mobile
member assessment
& engagement
program

2. Program Goals & Objectives
 Improve health outcomes and close gaps in care
 Identify new diagnoses through assessment and advanced diagnostics
 Improve member access and engagement rates
 Reduce cost for risk assessment programs
 Improve HEDIS and quality scores
 Improve patient satisfaction and convenience
 Optimize revenue through appropriate HCC coding

3. About HealthFair
 Company founded in 1998
 Largest fleet of mobile medical centers operating nationwide
 Over 1,000,000 patients assessed
 Clients include health plans, corporations, and hospitals
 Accredited by American College of Radiology (ACR)
 First to offer member assessments in mobile clinical setting
 Clinical services lead by a panel of Board Certified Physicians
HealthFair assists Health Plans and ACOs identify and reduce
gaps in care through a unique member engagement and
assessment system using our fleet of mobile medical centers.

4. Some of Our Clients

5. Current Options for Member Assessments
1. Build/Operate Fixed Sites
− Most expensive option
− Limited number of locations makes it less convenient for member
− Only partially resolves access problem
2. Send Nurses for Home or Office Visits
− Limited throughput and diagnostic testing capabilities
− Expensive and inefficient
− CMS has contemplated restrictions on this practice
3. Sending Members Back to Primary Care Physicians
− Provider engagement issues; disruptive to daily routine
− Limited throughput and diagnostic testing capabilities (i.e. imaging)
− Inconsistent coding and compliance

6. HealthFair: A New Solution
1. Five times the capacity and up to 40% lower cost than home
assessments
2. Ability to perform advanced diagnostics during same visit
3. Consistent, specialized, and highly accurate coding
4. Highly compliant solution reducing audit risk; physician reviewed
5. Conducted in a clinical setting
6. Significantly improve patient access, convenience, and satisfaction

7. Services Available on Mobile Unit
 Diagnostics & Imaging
− Digital Mammography
− Carotid Artery Ultrasound
− Abdominal Aortic Aneurysm Ultrasound
− Echocardiogram
− Lower Extremity Arterial Doppler (LEAD)
− Electrocardiogram (EKG)
− Osteoporosis Screening
− Peripheral Vascular Disease (PAD) Test
− Diabetic Retinal Exam (DRE)
 Laboratory Testing
− Full Blood Draw - Colorectal Cancer
− Lipids - Metabolic Panel
− A1C - Glucose
− PSA - hsCRP
 Primary Care Services
− Comprehensive Evaluation
− Vision & Glaucoma Testing
− Hearing Screening
− Spirometry (COPD)
− Immunizations
− Body Mass Index
− Cognitive Assessment
− Family/Health History Review
− Medication Review
− Gait Analysis
− Diabetic Foot Exam
− Alcohol Misuse Screening
− PHQ9 Depression Screening
− Intensive Behavioral Therapy

8. Sample Testing Packages
Level 1 - At the Unit Level 2 - At the Unit Level 3 - Other Facilities
Test Name Test Name Test Name
Comprehensive Evaluation Ankle Brachial Index Colonoscopy
Diabetic Foot Testing Echocardiogram Chest X-Ray
CAGE Testing Glaucoma Screening Prostate Exam
Cognitive Assessment Abdominal Aneurysm Ultrasound PAP Smear
PHQ9 Depression Screening Bone Mass Measurement Alcohol Behavior Therapy
Medication Review Carotid Ultrasound Intensive Behavior Therapy
Family/Health History Review Vision & Hearing Test Medical Nutrition Therapy
Gait Analysis EKG Smoking Cessation Therapy
Blood Pressure / Pulse Pulmonary Function Test
Body Mass Index Flu Shot
Blood Draw/Labs
Lipid Panel
Diabetes Screening
Digital Mammography

9. Capture Gaps in Quality Scores (HEDIS,STAR,…)
ACO
Measure Description
ACO
Measure Description
1 Getting Timely Care, Appointments & Information 18 Depression Screening
2 How Well Your Doctors Communicate 19 Colorectal Cancer Screening
3 Patients' Rating of Doctor 20 Mammography Screening
4 Access to Specialist 21 Portion of Adults who had blood pressure screened in past 2 years
5 Health Promotion & Education 22 Hemoglobin A1c Control (HbA1c) (< 8 percent)
6 Shared Decision Making 23 Low Density Lipoprotein (LDL) (< 100 mg/dL)
7 Health Status/Functional Status 24 Blood Pressure (BP) < 140/90
8 Risk Standardized, All Condition Readmissions 25 Tobacco Non Use
9 ASC Admissions: COPD or Asthma in Older Adults 26 Aspirin Use
10 ASC Admissions: Heart Failure 27
Percent of beneficiaries with diabetes whose HbA1c in poor control (> 9
percent)
11
Percent of PCPs who Qualified for HER Incentive
Payment 28 Percent of beneficiaries with hypertension whose BP < 140/90
12 Medication Reconciliation 29
Percent of beneficiaries with IVD with complete lipid profile and LDL
control < 100 mg/dL
13 Falls: Screening for Fall Risk 30
Percent of beneficiaries with IVD who use Aspirin or other
antithrombotic
14 Influenza Immunization 31 Beta-Blocker Therapy for LVSD
15 Pneumococcal Vaccination 32 Drug Therapy for Lowering LDL Cholesterol
16 Adult Weight Screening & Follow Up 33
ACE Inhibitor or ARB Therapy for Patients with CAD & Diabetes &/or
LVSD
17 Tobacco Use Assessment & Cessation Intervention

10. The HealthFair Process
4. TESTING & ASSESSMENT
3. APPOINTMENT SETTING
1. ANALYTICS & PLANNING
2. MEMBER OUTREACH
• Generate Suspect
List for Targeting
• Analyze Member
Demographics
• Develop Event
Calendars
• Direct Mail Campaign
• Outbound Phone Calls
• Emails & Texting (if available)
• Primary & Specialty Care
Services Performed
• Onsite Results Provided
• Identification of Emergent Results
• Call Center Scheduling
• Confirmation Email
• Reminder Phone Call

11. The HealthFair Process
7. CARE MANAGEMENT
5. RESULTS INTERPRETATION
6. DATA SUBMISSION
• Reviewed by Board-Certified Physicians
• Proper Coding of Encounter
• Claims Data Sent to Plan
• Member Receives Results
• Results Integrated with Care
Management Program
• Send results to PCP/Medical Home
• Outreach to Members

12. Next Steps
1. Define patient selection criteria (gaps and risk analysis)
2. List of members by zip code
3. Develop calendar of events and proposal for a demonstration
project