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WellNet Healthcare Case Studies 2011

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This is a snapshot of four national companies that have experienced significant savings working with WellNet and using Healthcare Performance Management technology to lower health plan costs and improve employee health.

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WellNet Healthcare Case Studies 2011

  1. 1. Case Studies<br />
  2. 2. The following Case Studies outline the results of Healthcare Performance Management (HPM) whereby companies manage their entire healthcare plan through software.<br />This approach, and only available thru the development of web 2.0 technologies, allows corporations to control and consolidate healthcare management in a single system using dashboards, systematic workflows, predictive analytics, simulations and member marketing campaigns all in real-time. <br />Data<br />Warehouse<br />Predictive<br />Model<br />Rx<br />Medical <br />Reports<br /> Lab<br />ID <br />High/Moderate Risk<br />Nurse Outreach<br />HRA<br />Plan Sponsor Facing<br />Member Facing<br />Mail | Web | Mobile<br />Analytic Tools | Healthspace Explorer<br />HPM<br />Targeting Campaigns, Embedded Care Management <br />Usage Analytics<br />Predictive Risk Modeling<br />Normative Analytics<br />Master Data Management<br />Data Mashup Inference<br />
  3. 3. KEY FACTS<br />Headquarters: San Francisco, CA<br />Start Date: January, 2010 <br />Business: National Men’s Retailer<br />Population: 7,324 ee’s/13,280 members<br />Executive Endorsement: Strong<br />Member Participation: 57%<br />Member Communication: Ongoing<br />Incentive: Reverse Incentive, Bi-weekly deduction<br />Medical Plan Trend Reduction: 11% to 6%<br />RETURN ON INVESTMENT: 11:1<br />INTEGRATED CARE MANAGEMENT<br />High Risk Members: 336 members<br /> 2.6% of population<br /> 14 conditions per member<br /> $27 mm in undetected claims cost<br />Medium Risk Members: 2,328 members <br /> 18% of population<br /> 8 conditions per member<br /> $22.5 mm in undetected claims cost<br />VALUE ON INVESTMENT<br />(Participating Members with Closed Cases)<br />Estimated Medical Avoidance: $2,181,111<br />Estimated VOI: 5:1<br />
  4. 4. KEY FACTS<br />Headquarters: Atlanta, Georgia <br />Start Date: January, 2009 <br />Business: National Radio Station Operator<br />Population: 1,454 ee’s/2,572 members<br />Executive Endorsement: Strong<br />Member Participation: 79%<br />Member Communication: Ongoing<br />Incentive: Premium Reduction<br />Medical Plan Trend Reduction: 8% to .06%<br />RETURN ON INVESTMENT: 18:1<br />INTEGRATED CARE MANAGEMENT<br />High Risk Members: 55 members<br /> 2% of population<br /> 5.5 conditions per member<br /> $4mm in undetected claims cost<br />Medium Risk Members: 453 members <br /> 18% of population<br /> 3 conditions per member<br /> $17mm in undetected claims cost<br />
  5. 5. KEY FACTS<br />Headquarters: Greenwood, MS<br />Start Date: January, 2010 <br />Business: High-End Appliance Manufacturer<br />Population: 806 ee’s/1,473 members<br />Executive Endorsement: Strong<br />Member Participation: 45%<br />Member Communication: Ongoing<br />Incentive: Gift Card incentive program <br />Medical Plan Trend Reduction: 24% to 14%<br />RETURN ON INVESTMENT: 15:1<br />INTEGRATED CARE MANAGEMENT<br />High Risk Members: 35 members<br /> 2% of population<br /> 8 conditions per member<br /> $1.6 mm in undetected claims cost<br />Medium Risk Members: 292 members <br />18% of population<br />5 conditions per member<br /> $1.7 mm in undetected claims cost<br />VALUE ON INVESTMENT<br />(Participating Members with Closed Cases)<br />Estimated Medical Avoidance: $375,143<br />Estimated VOI: 3:1<br />Other: 13% decrease in medical/Rx risk probability<br /> 9% decrease in hospital admits<br />
  6. 6. KEY FACTS<br />Headquarters: San Antonio, TX<br />Start Date: September 2009 <br />Business: National Distributor of Mobility Devices<br />Population: 1,910 ee’s/2,831 members<br />Executive Endorsement: Strong<br />Member Participation: 35%<br />Member Communication: Ongoing<br />Incentive: Premium-Based Incentive Program<br />Medical Plan Trend Reduction: 19% to 10%<br />RETURN ON INVESTMENT: 10:1<br />INTEGRATED CARE MANAGEMENT<br />High Risk Members: 87 members<br /> 2.6% of population<br /> 7.4 conditions per member<br /> $4.6 mm in undetected claims cost<br />Medium Risk Members: 606 members<br /> 18% of population<br /> 4.5 conditions per member<br /> $3.8 mm in undetected claims cost<br />VALUE ON INVESTMENT<br />(Participating Members with Closed Cases)<br />Estimated Medical Avoidance: $882,000<br />Estimated VOI: 8:1<br />HRA Biometric Screenings: 54% participation<br />Baseline employees evened out <br />2009 to 2010 to obtain benchmark<br />
  7. 7. WellNet Healthcare Group, a national healthcare management company is a leader in providing employers and plan sponsors fully integrated, performance driven healthcare services. With laser focus on management, measurement and highly targeted member engagement, WellNet’s proven approach and cutting-edge technology delivers accelerated and unprecedented cost savings and efficiency gains that lower total medical benefit expenses today. <br />www.wellnet.com <br />800-808-4014<br />WellNet is a founding member of the HPM Institute.<br />

This is a snapshot of four national companies that have experienced significant savings working with WellNet and using Healthcare Performance Management technology to lower health plan costs and improve employee health.

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