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HnC - Trust mark & star mark

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Best Practices for Corporate Wellness Enhancement Program

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HnC - Trust mark & star mark

  1. 1. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? An Overview of Heal n Cure
  2. 2. We are Heal n Cure “Focusing on prevention first and treating the underlying cause is the future of modern medical care” • Medical wellness center. • Primary care doctors office. • Supervision of Board Certified, Award Winning physicians. • In-network for PPO insurance plans.
  3. 3. We are Heal n Cure
  4. 4. We are Heal n Cure
  5. 5. Affiliations
  6. 6. Affiliations American Society of Bariatric Physicians (Non-surgical) National medical society of licensed physicians offering specialized programs in the medical treatment of obesity (bariatrics) and associated conditions. American Board of Obesity Medicine Obesity medicine Diplomats are committed to providing effective, evidence-based therapy for patients who are overweight or obese. They recognize the need for a comprehensive approach that considers the multiple factors contributing to obesity.
  7. 7. Mentoring and training physicians at the Nation’s Top Ten Health System We have been honored by being selected to mentor Physicians – “Mentor for physicians joining Advocate Physician Partners because of your outstanding performance in the Clinical Integration program, your cost-effective practice and your leadership characteristics. You are one of the elite leaders within APP and we hope you will agree to mentor new physicians joining APP so that they, too, can achieve outstanding performance.”
  8. 8. Cigna – Recognition for Cost Efficient Quality Care
  9. 9. United Healthcare recognition for quality of care and cost efficiency • UnitedHealth Premium® Designation • Recognizing physicians for meeting guidelines for quality and cost efficiency. • The UnitedHealth Premium® designation program recognizes physicians and specialty centers that meet or exceed quality of care and cost efficiency standards. • Evaluations are based on industry standards, evidence-based and medical society standards and guidelines from medical organizations and governmental agencies such as the Ambulatory Care Quality Alliance, the National Committee for Quality Assurance (NCQA), and the American College of Cardiology, plus scientific advisory boards.
  10. 10. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for quality of care and cost efficiency. • Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0 indicate higher resource use. • Heal n Cure scored a .73 efficiency score placing us in the Top Tier for Blue Cross Blue Shield. • Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above 1.0 indicate patient panel with high severity. • Heal n Cure scored a 3.86 in Case Mix.
  11. 11. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for cost efficiency and quality of care. Efficiency Score – Cost Savings Case Mix/Risk Factors
  12. 12. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? The INSPIRE Program
  13. 13. INSPIRE Program – Implements USPSTF Recommendations Patient provider interaction over a visit delivers Multi-component behavioral and medical wellness Care Coordination Support & Intervention Building Trust Patient Education Designing Personalized Plan Diagnosis & Prognosis Making Decisions Self Management Tools Physician Assistant – Lifestyle Educator Medical Assistant Exercise Physiologist
  14. 14. Patient Engagement, Motivation, Compliance & Tracking Outcomes
  15. 15. Driving Patient Engagement – Progress in Every Visit Dropped 38.5 lbs, from size 16 to size 10. Feels proud that Heal n Cure worked with the patient diligently on every visit to ensure successful clinical outcome.
  16. 16. Driving Patient Engagement – Tracking the Fat Loss • Symptoms Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs (191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss
  17. 17. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Cost of Implementing the Program
  18. 18. INSPIRE Program - Costs to Employees • All Providers are Board Certified & Credentialed with Insurance • All Care is based on evidence based medicine • Care is billed as Primary Care. • Care is personalized, visits are scheduled based on the medical history and physical examination.  Thus, all visits are covered by Insurance plans as primary care.  There is no balance billing.
  19. 19. INSPIRE Program – Costs & Compliance for Employers Ease of setup: Ready for use from day 1
  20. 20. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Inspire Program Complements Corporate Wellness
  21. 21. Inspire Complements Trustmark’s Corporate Wellness Offering • Compliments HFN, applies only to those 10% of patients who HFN identifies as requiring active medical advice. • Utilizes data from HFN - Screening, HRA, Biometrics. • Implements only pay for use policy. • Incorporates recommendations and plans provided by health coaches. • In person, face to face meetings and care provided by trained, licensed medical professionals. HFN
  22. 22. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Presentation of Clinical Outcomes & Savings
  23. 23. Heal n Cure selected to present at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX Overcoming Obesity Conference - September 10-13, Austin The Overcoming Obesity conference is held once a year by the American Society of Bariatric Physicians. Obesity medicine experts will discuss the latest thinking about our tools to prevent and manage obesity. Topics will cover adiposopathy and fat mass disease and range from pediatric obesity, digital-care delivery and patient-centered physical activity to long-term use of anorectic medications.
  24. 24. Heal n Cure at the upcoming "Overcoming Obesity" conference, September 10-13, Austin, TX Abstract: Corporations in the US are deploying 'Corporate Wellness Programs' to reduce their healthcare expenses. These programs address the needs of majority of employees. To deliver the ROI multiple, they can be enhanced to address the medical needs of employees who are high health care utilizers.
  25. 25. Medical Costs and Savings
  26. 26. Medical Costs and Savings Potential Savings The program reduces urgent care and ER visits, and the need for costly, invasive interventions. Annual direct cost per medical condition for high needs employees:
  27. 27. Medical Cost Avoidance and Savings According to another independent study3 by the National Institute for Health Care Management Foundation, the average annual healthcare expenses for the high-needs employees was $26,767 in 2009.
  28. 28. Key Research Findings
  29. 29. Key Research Findings
  30. 30. Key Research Results
  31. 31. Heal n Cure selected to present at the “Overcoming Obesity” conference Dr. Louis Aronne, MD. Past President North American Association for the Study of Obesity (NAASO) Consulting Member, Endocrine and Metabolic Drugs Advisory Subcommittee, FDA Executive Council, VHA Chairman, Practical Guide Development Committee, NIH – NHLBI for the Study of Obesity. Dr. John Foreyt, PhD Professor, Medicine at Baylor College of Medicine Member, National task force on prevention and treatment of Obesity, NIH Member, Expert panel on the identification, evaluation and treatment of overweight and obesity in adults, NIH – NHLBI Dr. Foreyt has published extensively in the areas of diet modification, cardiovascular risk reduction, eating disorders, and obesity, including 17 books and more than 300 articles.
  32. 32. Heal n Cure is a member of: The Midwest Business Group on Health & Wellness Council of America
  33. 33. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Program Integration
  34. 34. Eligibility – Referral After Biometric Screenings Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA, Biometric Screenings, using the Heal n Cure criteria.
  35. 35. Eligibility – Referrals from On-Site Providers • Referrals from HFN’s on-site providers and health coaches • Referrals from Occupational Health Centers
  36. 36. Eligibility - Identification Through Medical Claims Review the medical claims file to identify patients with the following ICD Codes, as directed by Trustmark and the employer. • Coronary Heart Disease • Certain Types of Cancers • Type 2 Diabetes • Hypertension • Obstructive Sleep Apnea • Stroke • Metabolic Syndrome • Fatigue • High Triglycerides • High Cholesterol • Fatty Liver Disease • Erectile Dysfunction • Obesity • Overweight • Pre-Diabetic • Pre-Hypertension • Dyslipidemia • Insulin Resistance
  37. 37. Eligibility – Self Referral • Educate Employees about  Seamless employee experience – we accept their health plan  Promoting INSPIRE Program as an already covered benefit  Visiting healncure.com to learn more • Promote electronically  In flyers/email from HR Department  On company website • Promote using handouts  Provide patients with Heal n Cure brochure, card  Inform about Complimentary Consultations
  38. 38. Implementation – Outreach & Communications 1. Heal n Cure can send email invites and introduction to the program (optional). 2. Heal n Cure can call eligible employees for an introduction to the program (optional). 3. Heal n Cure can also invite eligible employees for a complimentary (no cost, no obligation) consultation at the center.
  39. 39. Implementation – Complimentary Consultation FREE No-Obligation Consultation An INSPIRE Core Wellness Program Counselor will provide an overview of our programs and answer any questions you may have. There is absolutely no-obligation. If you are interested in booking an appointment after your free consultation, we accept PPO insurance plans or self pay for services.
  40. 40. Implementation – Ease of Scheduling • Book appointments 24/7 online at healncure.com • schedule a free consultation with a Inspire professional • All medical visits are covered by insurance • We are conveniently open 6 days. Free Consultation Appointment with Physician Family Practice Physician Appointment with PA Same Day Appointments
  41. 41. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Future
  42. 42. Future Innovation – Shared Savings Directly measure savings and ROI from clinical interventions by analyzing year over year claims data from for the same cohort of patients. Similar to the ACO model used by CMS, calculate incentives based on clinical outcomes and shared healthcare savings.
  43. 43. An Overview of Heal n Cure The Inspire Program Costs Inspire Program Complements Corporate Wellness Presentation of Clinical Outcomes & Savings Program Integration Future Questions? Questions?
  44. 44. Thank You, Any Questions? Heal n Cure • Board certified and credentialed providers • Accepting medical insurance • Inspire trained and experienced professionals INSPIRE Program - healncure.com/programs/inspire • Evidence based comprehensive clinical care • Patient education, patient engagement • Tracking results and Providing explanations • Help them with personalized medical program per USPSTF guidelines Complement Corporate Wellness • Leverage results from screenings and health risk assessments • Already a covered benefit under the insurance plans Visit www.healncure.com or email us at info@healncure.com for more information.

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