RHI - Confidential and Proprietary - Do Not Copy Improving Health Care Quality and Cost...

RHI - Confidential and Proprietary - Do Not Copy

Improving Health Care Quality and Cost Effectiveness

Dean SoulelesChief Operating Officer

November 21, 2008


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Resolution Health

Our VisionCreate a world where each individual achieves their optimal health

through the best, most cost effective health care.

Our BeliefsIt is possible to create that world.

Getting patients, doctors and relevant health information together is at the heart of achieving this vision.


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Resolution Health


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Resolution Health

Our Mission

We send a smarter patient to the doctor.

We provide a more informed doctor for the patient.


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The Smarter Patient


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The More Informed Doctor


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Guiding the Way to Better Health CareOne Person at a Time™


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Guiding the Way to Better Health Care… One Person at a Time™

Personal Health Picture™

We assemble and organize personal health data for each health plan member (not just those with “Big 5” chronic diseases)

Personal Health Scan™

We identify specific opportunities for health care quality improvement and cost reduction for the individual

Personalized Communications We provide actionable information to the individual, their physicians

and their care managers


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Personal Health Care GuidanceOur Expertise


Data Analytics Expertise


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Clinical Expertise


GAP IDENTIFIED !


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Clinical Expertise

Personalized Communications

Expertise


GAP IDENTIFIED !


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Our Customers

Entities at financial risk for health care costs Health Plans Self-Insured Employers Pharmacy Benefits Management Companies Unions


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Our Customers


Companies that help “at-risk” entities manage their risk Disease Management Companies Third Party Administrators Portal Companies Benefits Consulting Firms


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Our Customers


Companies that help “at-risk” entities manage their risk Disease Management Companies Third Party Administrators Portal Companies Benefits Consulting Firms

Current Client List 193 Individual Accounts 10 Major Health Plans 2 Major Pharmacy Benefits Management Companies 1 Major Portal Vendor


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What Differentiates UsOur Business


Sophistication and breadth of our of data analytics Focus on individuals in entire population, not just “Big 5” diseases Analysis of Lab Results, HRA -- moving toward real-time analyses


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Comprehensive, cutting edge rules library Rules which consider individuals’ plan benefit design details Glide path predictive modeling Johns Hopkins University School of Medicine relationship


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Comprehensive, cutting edge rules library Rules which consider individuals’ plan benefit design details Glide path predictive modeling Johns Hopkins University School of Medicine relationship

Personalized Communications Focus on engaging and motivating individuals Consumer communications, behavioral science expertise Coordination of individual, physician and care manager messaging Personalized “tailoring” of messages and delivery methods


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What Differentiates UsOur Impact

Matched-Control Study Proved member-targeted messaging increases compliance with

evidence-based guidelines and formulary preferences.

Randomized Control Test Proved physician-targeted messaging increases compliance with

evidence-based guidelines.

Member Conversion to Best Clinical Practices Compared to Control Group

Conversion (% of Population)

Absolute Increase Versus Control

Relative Increase Versus Control

Member Messaging

32%Incremental +12% (s)

of population 60% increase in

compliance

Physician Messaging

40%Incremental +5% (s)

of population14% increase in

compliance

(s) statistically significant at p < 0.01


The Personal Health Picture™


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Personal Health Picture

Creating the Personal Health Picture™


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Demographic Age 62 Male Married


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Medical History Atrial Fibrillation (Jul 22 2007) Diabetes (Mar 01 2006) Office Visit Dr. Lynn (May 23 2008) Office Visit Dr. Wilson (May 17 2008) Office Visit Dr. Jones (Apr 12 2008)


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Prescriptions Metformin 500mg (May 01 2008) Metformin (Dec 01 2007) Lipitor 20 mg (Feb 10 2008) Lipitor 20 mg (Jan 18 2008) Accupril 20 mg (Mar 28 2008) Accupril 20 mg (Feb 18 2008) Accupril 20 mg (Jan 12 2008) Nexium 20 mg (Feb 12 2008) Nexium 20 mg (Jan 10 2008)


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Lab Tests Cholesterol Panel (May 23 2008) Metabolic Panel (Mar 28 2008) CT X-Ray Sinuses (Feb 04 2008)


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Lab Test Results Total Cholesterol 214 (May 23 2008) LDL Cholesterol 109 (May 23 2008) HDL Cholesterol 85 (May 23 2008) Triglycerides 100 (May 23 2008) Fasting Blood Sugar 123 (Mar 28 2008)


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Biometrics Height 6’ 2” (May 23 2008) Weight 215 (May 23 2008) BMI 27.6 (May 23 2008) Abdominal Girth 39in (May 23 2008) Blood Pressure 145 / 90 (May 23 2008)


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Personal Health Picture Demographic Age 62 Male Married






Health Participation Disease Mgt Program – Enrolled (Mar 17 2008) Wellness Program - Targeted Wt Loss – Targeted Smoker – Targeted


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Lifestyle Exercise – 3X per week (Feb 18 2008) Smoker (Feb 18 2008)


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Lifestyle Exercise – 3X per week (Feb 18 2008) Smoker (Feb 18 2008)

COMPLETE


The Personal Health Scan™


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PERSONAL HEALTH SCAN

Rx Safety Scan Drug-Drug Interaction Drug-Condition Interaction Drug-Age Interaction Drug-Lifestyle Interaction Drug FDA Recall/BlackBox Has Condition Needs Drug Need Test to Optimize Drug

Dose Need Test to Assess Drug Side

Effect Test Result Indicates Dose Adjust Non-Compliance Drug Regimen Over-use of Drug Need Doctor Visit to Follow Start

New Med Need Drug to Prevent

Condition


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Condition


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Evidence-Based Care Scan Has Condition Needs Drug Has Condition Needs Test Need Test Event Follow-up Need Preventive Test-Age Need Doctor Visit Follow-up ER Need Preventive Info Condition Need Info Warning Signs Need Info Lab Result Ranges





Condition


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Condition


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Condition

Rx Cost Savings Scan Brand Switch to Generic Brand Switch to Formulary Preferred Formulary-Preferred to Generic Pharmacy Purchase to Mail Order Test Result Indicates Doctor Follow-up


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Condition

Rx Cost Savings Scan Brand Switch to Generic Brand Switch to Formulary Preferred Formulary-Preferred to Generic Pharmacy Purchase to Mail Order Test Result Indicates Doctor Follow-up



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Adam is at risk for stroke.


Personalized Communications


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Adam is at risk for stroke.


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Making a Difference

Adam Achieves “optimal health”Risk of stroke reducedAvoids Emergency Room visitAvoids hospital stayAvoids compromised lifestyle

Adam’s Employer Adam remains at workA productive employeeAvoids finding, training new employee

Adam’s Health Plan Avoids medical claimAvoids short / long term disability claimAvoids post-stroke medical costs


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Resolution Health Message Types

Health Alerts Urgent information about your health

Health Tips Ways to help improve your health

Money Savings Ways to save money on prescription drugs and other health care services


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Reaching The Individual


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Coordinated Communications To Patient and Physician


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Patient / Physician CommunicationsStrong Results and Reaction

“It’s wonderful that my health plan does such a thing. These communications make me proud

to be a health plan member.”

– Personal Care Note Recipient

“Compiling the patient's information in this easy-to-read format makes communication between the physician and the patient more interactive…a better feeling.”

– Family Practice Physician

Success / Compliance Rate 44% On Clinical IssuesSuccess / Compliance Rate 44% On Clinical Issues


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Resolution Health

Questions?


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Resolution Health

Thank You


Improving Health Care Quality and Cost Effectiveness

Dean SoulelesChief Operating Officer

November 21, 2008

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