360 Health Ohio University
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1 360 Health Ohio University February 16, 2011 Presented by: Megan Conrad
2
3 Program Overview offers a online suite of lifestyle and wellness tools helps members: Understand their current health status Navigate the health care system Achieve and maintain wellness
4 Differentiators Integration via a single portal More comprehensive local data Powered by Healthwise Knowledgebase (Web MD), one of the most reliable heath resources on the Web Hospital comparison tools and focused condition centers
5 Six things to say about
6 24/7 NurseLine
7 24/7 NurseLine: Program Overview 24/7 NurseLine offers members access to trained registered nurses any time of the day or night. Seamless integration Increased member satisfaction
8 24/7 NurseLine: Differentiators Years in industry we started with NurseLine 20 years ago Not affiliated with a hospital All RNs with access to integrated system platform Customized access based on client needs 24/7 access incorporates AudioHealth Library s extensive resources
9 Six things to say about 24/7 NurseLine
10 Future Moms
11 Future Moms: Program Overview Future Moms Provides individualized support to expectant moms to achieve healthier pregnancies and deliveries. Program goals: Fewer pre-term births Fewer low-birth-weight deliveries Reduced pregnancy-related costs
12 Future Moms: Differentiators 24/7 access to registered nurses with experience in obstetrical care Industry leader one of the first maternity management programs of its kind NCQA full accreditation
13 Six things to say about Future Moms *Results are from an internal Informatics 2007 analysis of a large client using DMAA guidelines. Very pre-term = <32 weeks.
14 Future Moms Materials 14
15 ConditionCare
16 ConditionCare: Program Overview ConditionCare addresses high-cost, impactable conditions with a proven ROI of 2.8:1. ConditionCare helps members manage the following conditions: Asthma Chronic Obstructive Pulmonary Disease Heart Failure Diabetes Coronary Artery Disease ROI based on internal studies.
17 ConditionCare: Differentiators Dynamic management process, personalized by member need Holistic approach allows for program integration within 360º Health Single, fully integrated care management model
18 Six things to say about ConditionCare * Results are from internal satisfaction studies from 2007 **Results are from a recent, three-year, internal analysis of our diabetes, CAD, and HF programs. *For clients included in the study, service delivery began in September Asthma and COPD were added in 2007.
19 Disease Specific Care Guides 19
20 Additional Member Books 20
21 Pediatric Materials 21
22 ComplexCare
23 ComplexCare: Program Overview ComplexCare identifies complex cases predicted to be high-cost before they happen, and responds to and aggressively manages those cases should they occur. Powerful predictive modeling identifies members most at risk Provides extensive care coordination for health situations that require acute (intense) intervention; coordinates immediate, high-risk medical needs Facilitates member behavior change, provides education and prevents or reduces exacerbations of illness; allays costs
24 ComplexCare: Differentiators Enhanced management for acute and complex health situations Sophisticated predictive modeling identifies members before they incur escalations in care and costs Real-time live referrals to prevent or manage acute situations Comprehensive assessments which drive individualized care plan goals Active Medical Director involvement
25 Six things to say about ComplexCare
26 My Health Advantage
27 360 Health: MyHealth Advantage MyHealth Advantage is a proactive program that provides targeted and individualized messaging to members and providers about potential opportunities to: Improve health Avoid critical-care issues
28 Six things to say about MyHealth Advantage *based on a control group study
29 MyHealth Note: Member Communication Front Interior Pages New Spanish disclaimer : For translation services call number on ID card or the number on the MyHealth Note
30 Questions?
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