Data Discussion with

Friedkin Companies

Presented by

Friedkin Companies, DHS Group

HBCH Data Platform Program

Nov. 1, 2017

Intro

Ted Barrall, Friedkin Companies, Director, Compensation and Benefits

Will Herold, DHS Group, VP of Employer Solutions

Agenda

- Friedkin Companies’ perspective on cost of healthcare

- A focus on preventive care

- Role of data analytics

- Outcome focused reporting

- Q&A

Confidential | 4

About DHS Group

Since 1997, DHS Group’s foundation, mission and purpose have been underpinned by one

prevailing goal – elevating population health. Our experience runs deep in assisting health plans

with HEDIS® Reporting, Medicaid, Medicare Part C & D and Exchange Auditing.

DHS Group works with companies and health plans to achieve better health outcomes and cost

savings using an advanced data warehouse, population health science and member engagement

tools.

Employer Solutions

HealthSpective Suite

Population Health Consulting

HIPAA Privacy Training

Health Plan Solutions

HEDIS Regulatory Reporting

Medicare Part C & D Audits

HEDIS Proactive Reporting

Population Health Consulting

The Friedkin Group

• 2,700 Employees

• Majority in greater Houston Area

• Auto-industry related companies

- Gulf States Toyota

- US Auto Logistics

- Lexus Dealerships

- Gulf States Financial Services

- Gulf States Marketing

Focus on Preventive Care

Design and Criteria

• Annual Incentive - $900

• Employee and Spouse complete annual well adult or well woman exam

• Verified by claims feed or EOB from employee

• 3 months grace period each year

Engagement

• Messaging

• Awareness and Reminders

• Customization

Role of Data Analytics

• How are we going to measure this initiative? The integration of health and wellness data to measure participation, trends and health status over the years

• Difference with carrier reports

• What else is going on in our population? What are our other opportunities for population health improvement and cost avoidance?

Participation Demographics

0%

10%

20%

30%

40%

50%

60%

70%

80%

2013 2014 2015 2016

Participation by Gender

Female Participation rate Male Participation Rate

20

25

30

35

40

45

50

55

60

Participants Non Participants

Average Age

Participation by Job Level

Year: 2016

Participation by Health Distribution

0% 5% 10% 15% 20% 25% 30% 35% 40%

High

Critical

Moderate

Healthy

Insufficient Data

Health Status by Participation

% Wellness Participants % Wellness Non Participants

*Insufficient data is noted on members who have been on the plan less than 6 months.

• Over 85% of non participants

incurred no medical claims at all in

2016, therefore, health status on

those individuals may look better

than what it is.

Year: 2016

Participation by Cost per Member

$-

$1,000

$2,000

$3,000

$4,000

$5,000

2012 2013 2014 2015 2016

Participation by Cost per Member per Year

Part MED Part RX Non Part MED Non Part RX

Pa

id P

MP

Y

Part: Participants, Non Part: Non Participants

High Cost Claimants over $50k

0%

1%

2%

3%

4%

5%

6%

2012 2013 2014 2015 2016

High Cost Claimant Rate >$50,000 per Member

Wellness Participants Wellness Non-Participants

*2012 reflects pre-wellness program inception

% o

f M

em

bers

0

50

100

150

200

250

300

350

2012* 2013 2014 2015 2016

ER Visits

Participants' ER Visits per 1000 Non-Participants' ER Visits per 1000

Utilization of Resources

*2012 reflects pre-wellness program inception

0

20

40

60

80

100

120

2012* 2013 2014 2015 2016

Hospital Admissions

Participants' Admits per 1000 Non-Participants' Admits per 1000

0

100

200

300

400

500

600

700

2012* 2013 2014 2015 2016

Inpatient Days

Participants' IP days per 1000 Non-Participants' IP days per 1000

Compliance with Preventive Care

0%

5%

10%

15%

20%

25%

30%

35%

40%

Wellness Participants Wellness Non-Participants

Untreated Hypertension

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Wellness Participants Wellness Non-Participants

Breast Cancer Screening

0%

10%

20%

30%

40%

50%

60%

70%

Wellness Participants Wellness Non-Participants

Colorectal Cancer Screening

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

Wellness Participants Wellness Non-Participants

Cervical Cancer Screening

Year: 2016

Other areas of focus

Strategic reporting uncovering areas for improvement impacting various outcomes

Cost Avoidance - Avoidable ER VisitsPaid Amount % Overall ED visits

Avoidable ED Visit Category 2013 2014 2015 2016 2017 2013 2014 2015 2016 2017

Emergent-Preventable $75,300 $121,873 $101,503 $76,422 $55,077 3.3% 4.0% 4.5% 2.8% 2.9%

Emergent-Preventable Dental Disorders $6,470 $6,177 $9,199 $1,687 $2,663 1.1% 0.9% 0.4% 0.6% 0.6%

Emergent-Preventable Mental Illness $48,058 $100,289 $62,025 $85,858 $43,944 2.3% 2.5% 2.5% 2.9% 2.9%

Emergent-Primary Care Treatable $482,135 $533,250 $529,163 $456,098 $200,867 20.4% 20.7% 20.5% 19.2% 15.2%

Non-Emergent $281,716 $421,299 $295,353 $365,168 $216,595 21.5% 21.0% 20.3% 21.5% 19.4%

Grand Total $893,679 $1,182,887 $997,244 $985,231 $519,147 48.5% 49.1% 48.3% 47.0% 41.0%

Q&A