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Integrating Value-Based Benefit Design eValue8 User Meeting July 15, 2009
About Journal Communications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5 years ago… ,[object Object],[object Object],[object Object],[object Object],[object Object]
2004:  Our Concerns ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question ,[object Object]
Strategy for all – Actives and retirees ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 1:  Promote the right provider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 2:  Reduce Barriers to Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 3:  Manage Chronic Disease and Increase Prescription Compliance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coordination and Support for the Patient
Patient Incentives – Diabetes & Cardiovascular ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A word about incentives ,[object Object],[object Object],[object Object],[object Object],[object Object]
Testimonial I signed up for HealthMapRx for Diabetes because the medications were free.  I had no idea how much this decision would impact my life. I have lost 70 pounds…I am eating better, I am walking and my A1C shows my diabetes is in control!  I  feel  better, I have more energy and now I can keep up with my grandchildren! Brenda (my coach) is great!  I’ve learned so much from her!  Thank you so much for offering this program.
Better Outcomes – Participant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Better Outcomes –Plan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Step 4:  Integrate Wellness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Putting it all together
Putting it all together
Keys to success??? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Partner with your TPA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outsourced Eligibility Administrator ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Integrate your data  - make it work for you! ,[object Object],[object Object],[object Object],[object Object],Medical Plan Wellness Biometrics Disease Mgmt Prescriptions Disability Personal Nurse Leave Management Preventive Care HRA Rewards EAP
Getting to the right place at the right time ,[object Object],[object Object],[object Object],[object Object]
Communication is key ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Still more to do… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Our Goal – Improving Health ,[object Object],[object Object],[object Object],[object Object]
Resources - Connections ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Questions? ,[object Object],[object Object],[object Object]

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Integrating Value-Based Benefit Design

  • 1. Integrating Value-Based Benefit Design eValue8 User Meeting July 15, 2009
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  • 10. Coordination and Support for the Patient
  • 11.
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  • 13. Testimonial I signed up for HealthMapRx for Diabetes because the medications were free. I had no idea how much this decision would impact my life. I have lost 70 pounds…I am eating better, I am walking and my A1C shows my diabetes is in control! I feel better, I have more energy and now I can keep up with my grandchildren! Brenda (my coach) is great! I’ve learned so much from her! Thank you so much for offering this program.
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  • 17. Putting it all together
  • 18. Putting it all together
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Notas del editor

  1. Journal Communications – in combination with BHCG reviewed claims history and results – noticed there were some providers that were more effective than others.
  2. Asheville project principle Requires partnership of Employer, Pharmacist and participant!