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ASG Benefits Advocacy Program, Telemedicine, Healthcare Education Resources LeadingAge HPI Webinar #5: September 26 th , 2019
ASG BenefitsAdvocacy Program, Telemedicine,
Healthcare Education Resources
LeadingAge HPI Webinar #5:
September 26th, 2019
LeadingAge HPI Webinar #5-Advocacy Program, Telemedicine, Healthcare Education Resources
Agenda September 26th, 2019 10:00- 11:00 AM
Help Is On The Way – ASG Benefits
• Overview of Your ASG Benefits
– Patient PAL
– CareOptions
– MeMD Telemedicine
– OneRx
• Engaging Your Employees
• Access Your ASG Benefits
Engaging Employees in Health & Wealth
© Assimilated Strategy Group, LLC 2019
Your Goals Are Our Goals
Assimilated Strategy Group partners with
LeadingAge Texas Health Plan, Inc. (HPI) to
provide resources that will help employees
improve their total well-being, while saving
time and money when they need it most.
Key Principals:
– Provide competitive, high quality solutions
– Engage, Educate and Empower Employees
to become better consumers
– Build a culture of a better overall well-being
– Ease of administration, reducing Client
responsibility
– Deliver superior service and on-going
improvement
Proven Solutions
• Telephonic Patient Advocacy
• TeleHealth
• Resources Provided Within Portal
– Self-Help Advocacy Center
– CarePatrol Caregiving Resource
– Wellness Information
– Health Newsfeed
– ASG Health Mart
ASG provides access to proven resources and
focuses on promotion, engagement, education
and empowering employees to utilize these
resources within an easy-to-use eco-system.
Telephonic Patient AdvocacyFirst Call for Help
• Direct access to Registered Nurses with a patient
comes first approach.
• Immediate assistance and follow-up until resolution –
average engagement with chronic ill member is 3.5
months.
• 40% of calls are out-bound calls.
• Complete advocacy service including billing
assistance and claim negotiation.
• Access to ASG Tools and Client Benefit Information.
• Coordinate and integrate with case management,
wellness and other health benefits.
Telephonic Advocacy
Telephonic access to unbiased patient advocate 24/7 365
days a year, where the patient comes first......high touch
personal service, powered by Patient PAL.
Help navigate the healthcare and caregiving systems and
direct to appropriate solutions – the first time. While
addressing many of the concerns and costs outside of direct
medical care.
.
Patient Advocacy
• Assistance understanding benefits and direct employees to valuable benefits that employers offer.
• Identify centers of excellence.
• Answer questions about medical tests, treatments and medications and assist in coordinating diagnostic testing.
• Assist with complex medical conditions.
• Arrange for durable medical equipment.
• Ensure transfer of necessary medical documentation and test results including x-ray films to a consulting physician's appointment.
• Assist in resolving errors in claim denials and/or billing or correct any balance billing issues.
• Assist with locating assisted living facilities or group homes and arrange an evaluation for admission.
• Facilitate hospice evaluation and services.
• Research and locate private duty nursing services and home health aides.
• Research community resources, if necessary, to procure additional finances and services.
• Arrange for second opinions.
• Assistance with the claim appeals process.
• Help understanding EOBs.
MeMD TeleHealth
MeMD TeleHealth
▪ Founded in 2010, now serving over 4.5 million members nationwide
▪ Provider Breakdown:
▪ Medical/Urgent Care: 50% MDs, 14% DOs, 30% NPs, 6% PAs
▪ Therapy Network includes: Licensed Professional Counselors, Marriage & Family Therapists, Licensed Clinical Social Workers
▪ Call Statistics:
▪ Urgent Care:
▪ 8 minutes – average wait time to see a provider, during peak hours
▪ 10 to 15 minutes – typical call length with a provider
▪ Therapy:
▪ 24 hours – average wait time to schedule a visit
▪ 50 minutes – typical call length with a clinician
▪ 94% of patients are successfully treated through telemedicine
▪ Urgent Care Prescriptions are sent directly to the patient’s selected pharmacy
▪ NCQA accredited in credentialing, in accordance with the strictest quality standards
MeMD TeleHealth
The MeMD Difference
▪ Easy to use platform to schedule a visit
▪ Online and phone registration
▪ 24/7 MeMD Care Coordinator call center
▪ Covers medical and behavioral health therapy
What We Treat
▪ Allergies
▪ Bites & Stings
▪ Bronchitis
▪ Diarrhea
▪ Fever
▪ Flu Symptoms
▪ Medication Refills
▪ Nausea
▪ Sinus Symptoms
▪ Skin Infections
▪ Urinary Tract
Infections
▪ And More
People Care Results
Our personalized approach to therapy helps your members identify
and receive the treatment that is right for them.
Therapy – We put people first
MeMD Offers Therapy Coverage
Real People
MeMD’s experienced therapists
help patients identify the
treatment plan that is right for them.
Licensed therapists
provide clinical care.
Care Coordination Team
available 24/7 for scheduling & support.
▪ Recognition – Our confidential online
screening tool is clinically proven to evaluate
14 domains of mental health for a comprehensive
patient assessment.
▪ Personalized Guidance – Our team of Therapists
(licensed professional counselors, licensed clinical social
workers, and marriage and family therapists) can help your
members identify the right level of care for them.
▪ Accessibility – MeMD brings the provider to your members virtually,
dramatically reducing the wait time to receive care.
▪ Privacy & Convenience – Our online portal, mobile app & telephone visits make it
easy for members to get discrete care when it fits their schedule.
Real Care
▪ Clinically proven approach to measure therapy
treatment progress & outcomes.
▪ Improve the productivity & quality of life for your
members.
▪ Identify behavioral health issues early & treat as
appropriate.
▪ Cost saving for your members & benefit plans.
▪ Reduced absenteeism.
1 in 5
adultswill experience a diagnosable mental
illness in any given year.
Real Results
▪ Addiction
▪ Anxiety
▪ Bipolar depression
▪ Depression
▪ Divorce
▪ Domestic violence
▪ Eating disorders
▪ Grief/Loss
▪ Mood swings
▪ Panic attacks
▪ Relationships
▪ And more
The success rate
for Behavioral Health Treatment
is extraordinary.
According to the National Advisory Mental
Health Council, the treatment/recovery rate is:
• 80% for Bipolar Disorder
• 65-80% for Major Depression
• 70% for Addiction
How we can Help
Patient Satisfaction
Trustpilot is an independent third-party review site.
As of January, 2019
It was awesome from the time I made an
appointment to speaking with the doctor it only
took about 15 minutes total. It’s very
convenient especially so you don’t have to
take off work”
DemetriaJanuary, 2019
“We were out of state on vacation when a
bladder infection hit. I did not have to wait
more than 5 minutes to get a call from the Dr.
and within an hour my antibiotic was ready
to be picked up!”
ErinJune, 2018
“TrustScore: 9.1 out of 10
Caregiving Resources
Caregiving Assistance
• Available through
– Patient Advocacy
– CareOptions self-help center
– CarePatrol – national care assistance
– Community Resources
• Community resources
ASG Health Mart
Supporting Health & Wellness Initiative
• Obtain health related products at discount
prices.
• Best in class brands at discounted pricing
• Employer subsidy vouchers. Only pay when
redeemed
• Free shipping
• No set up fees or minimums
• Wellness coaching kits
Easy Engagement Ecosystem
ASG Health Services Hub
Access to ASG Benefits within a wellness-lite
environment.
• Easy to use, Members only see services
available to them.
• Access points in one eco-system.
• Educational platform –Health Newsfeed.
• Wellness resources
• Accessible through computer, smartphone and
tablet.
• Access login:
https://[email protected]
Engage, Educate, Empower
Keeping resources in the forefront and empower
employees to engage.
• On-going engagement
– Monthly CareOptions email
– Monthly Member Connections Newsletter
– Product specific brochures
– Videos
– Rack Cards
– Incentive programs
– HR support materials
– Customize campaigns
• How you can increase participation
– Brochures / Rack Cards
– Client Newsletter - repost
– Customized solutions
– Videos
Engage, Educate, Empower
Make sure that emails are not blocked:
Also emails are sent from our icontact account
each month for the Member and Client
Newsletters
ASG Health Services Hub
Demo
Thank you!
Assimilated Strategy Group, LLC
601 Carlson Parkway, Suite 1050
Minnetonka, MN 55305
(888) 616-5460
www.assimilatedstrategygroup.com
Email: [email protected]
