Effectively Implementing Wellness Screenings

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Effectively Implementing Wellness Screenings

• Disease Management Colloquium
• May 20th, 2008

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Agenda
I. The Value Challenge of Biometric
Screenings Page 3 II. Effectively Implementing
Biometric Screenings Page 8 III. Cost Future
Considerations Page 18
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Winning at Health Management requires reach
Well
At Risk
Ill
Chronically Ill
Acutely Ill
155 Million Covered Lives
20
80
Heavy Penetration by Health Mgmt.
Light Penetration by Health Mgmt.
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Biometric lab data is key to forward integration
Todays Cost
Tomorrows Cost
Well
At Risk
Ill
Chronically Ill
Acutely Ill
Utilization (claims) Data
Biometric Lab Data
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Screenings arent an event but start of a
process
Uncover Risks
Stratify Pop
Target Programs
Biometric Screenings
Establish Baseline
Measure ROI
Engage Particip.
Motivate Change
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Implementing biometric screenings is tough

• No Health Management company owns its own supply
  chain
• Generally companies piece together vendor
  networks
• Lack of ownership can make control difficult
• Coverage To reach participants in every location
• Compliance To insure info is handled
  appropriately
• Consistency To insure each client interaction is
  positive
• Managing vendors compounds the problem
• Erodes margins
• Wastes management time
• Introduces more moving pieces
• Missteps can impact delivery and customer
  satisfaction

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Agenda
I. The Value Challenge of Biometric
Screenings Page 3 II. Effectively Implementing
Biometric Screenings Page 8 III. Cost Future
Considerations Page 18
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What type of screening is right for you?

• Fingerstick
• Limited need for data
• One test panel for all
• health fair event
• Limited interventional follow-up
• Stand alone from HRA

• Venipuncture
• Heavy need for data
• Customized testing
• Screening as start of a process
• Heavy interventional follow-up
• Integrated with HRA

The difference is not cost
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Keys to succeeding at biometric screenings

1. Scheduling
2. Supplies
3. Examiners
4. Site management
5. Lab integration
6. Data processing

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Scheduling

• Level setting expectations on the front end
• Establishing a contact at each screening location
• Uncovering site surprises ahead of time
• Participant scheduling that fits the customers
  needs

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Supplies

• Standardization of supplies
• Provision of everything from soup-to-nuts
• Customer sign-off on equipment accuracy
• Return shipping of supplies back to central
  location

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Examiners

1. The tighter the link to the examiner the better
2. Guard against the inertia of their standard
   processes
3. Training, training, training
4. Repetition is the key to consistency and quality
5. Centralization of everything possible

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Site Management

1. Having a customer representative on site is key
2. Somebody has to be in charge
3. Pre-visit and inventory of supplies
4. Extra body in case of emergency
5. Quality control and assurance

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Lab Integration

1. Integrating collection of data with processing of
   data
2. Lab is where exceptions are uncovered
3. Customized testing by participant
4. Critical values process
5. Standardization of results

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Data Processing

1. Merging biometric, lab, and HRA data
2. Insuring accurate data entry
3. Participant access to data and reporting
4. Aggregate data
5. Electronic data transfer integration

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Pulling it all together
Scheduling
Supplies
Site Visit
Lab Testing
Data Processing
Screenings
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Agenda
I. The Value Challenge of Biometric
Screenings Page 3 II. Effectively Implementing
Biometric Screenings Page 8 III. Cost Future
Considerations Page 18
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Cost drivers

• End-to-end screenings cost under 50 per
  participant
• Examiner labor 40
• Supplies shipping 10
• Sample testing 20
• Management overhead 30
• Key cost drivers
• Number of participants at each screening location
• Number of remote individual screenings
• Duration of each screening event (longer the
  better)
• Fingerstick fixed variable equipment costs

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Looking ahead

• Expanding screenings to dependents
• Leveraging self-collection kits for remote
  screenings
• Using biometric screenings to uncover DM
  opportunities
• Using biometric and lab data to set participant
  premium
• Integrating lab and biometric data into Health
  Management platforms