Let’s connect

If you want to impact your business, you’re going to need help

As a leader in member support programs,

engagement strategies, cost containment

tools and data analytics, Health Advocate

will customize a program that connects

your business, saves you money, improves

quality and engages your employees.

You want to:

• Engage employees in their health and well-being

• Reduce medical costs and save money

• Streamline administrative processes

• Improve quality of care

Here’s how we can help

We are the right partner for your organization.

You want to: Engage employees in their health and well-being

We can:

• Resolve complicated healthcare and insurance-related issues

• Clarify healthcare benefits and answer questions

• Explain complex health conditions and treatment options

• Get them to the right care at the right time

• Support them in making healthy lifestyle changes and managing chronic conditions

• Help them address personal, family and work-related issues

• Keep them focused and more productive on the job

• Uncover health risks before they turn into health problems

• Help them make informed, cost-effective decisions

Survey shows

94%are glad their employer offers Health Advocate

You want to: Reduce medical costs and save money

We can:

• Leverage data to give you insight into costs, utilization and trends

• Provide customized dashboards that identify gaps in care

• Drive employees to in-network, low-cost, quality providers

• Reduce costly visits to the ER and urgent care

• Negotiate with providers to reduce bills not covered by insurance

• Identify claims errors before they are paid

• Recover money spent on mis-paid claims

• Identify third party liability situations

• Provide customized survey services to ensure proper claims adjudication

$700 millionsaved annually

You want to: Streamline benefits administration and other processes

We can:

• Eliminate redundancy by routing employees to all benefits through a single, toll-free number

• Free up HR teams as a one-stop source for answers regarding new or changing benefits

• Verify employee FMLA requests

• Provide an independent analysis of appeals

• Administer appeals to promote compliance with federal requirements

• Ensure confidentiality and reduce risk of exposure to member personal health information

We can:

Early diagnosis and treatment is

key to successfully managing a chronic

condition.

You want to: Improve quality of care

We can:

• Analyze data to identify overuse and gaps in care and track care coordination

• Help establish performance standards and evaluate risk

• Identify chronic condition risk and design targeted interventions

• Project costs and demand for services

• Identify top providers and design high-value networks and incentive programs

Up to a

60%increase innet returns to our clients.

Together, we will create your ultimate package

Our spectrum of fully integrated programs and services can be customized to address your specific needs. Let’s work together to implement a strategy that sustains workforce engagement, supports streamlined administration and generates measureable cost savings.

Engage Employees in their Health and Well-Being

Health Advocacy Personal Health Advocates help members and their families navigate the healthcare system, resolve claims issues, answer benefit questions, locate in-network providers and more.

Wellness Program Unlimited access to a Wellness Coach and comprehensive, interactive website guides members in making healthy lifestyle changes.

EAP+Work/Life Short-term, professional counseling and referral services for personal, family and work/life concerns.

EmpoweredHealth™ Access to Health Advocacy, Wellness, EAP+Work/Life, Chronic Care Solutions and more in one, fully integrated solution through a single 800#.

Chronic Care SolutionsPersonalized support from a Registered Nurse for members with chronic health conditions.

Onsite Biometric Screenings Nationwide program offers a full range of health screening options and immunizations at any location.

Health Cost Estimator+Powerful pricing transparency solution helps members shop around for care and make informed decisions based on cost and quality.

Personalized Health Communications Data-driven, tailored communications remind members about important screenings and tests and close gaps in care.

Incentive ManagementHelp creating and tracking customized engagement strategies and programs.

Tobacco Cessation12-week program helps participants become, and stay, tobacco-free.

NurseLine24/7 access to Registered Nurses for non-urgent concerns.

MedChoice Support™ Online, comparative tool helps members make more informed decisions about medical care

Cleveland Clinic MyConsult® Online Second Opinion ProgramOnline second opinions from Cleveland Clinic expert physicians, with personalized support from a Personal Health Advocate.

Outbound Calling, Text and Email Expert team of Nurses and Care Associates engage, educate and coordinate member care.

Support Streamlined AdministrationBenefits Gateway™

Experts connect employees to all of their benefits through a single, toll-free number.

Enrollment AdvocateSpecialists educate employees about benefits options.

FMLA SupportVerifies employee requests for medical leave

Independent Appeals AdministrationProvides impartial appeals analysis.

External Appeals AdministrationPromotes compliance with federal requirements.

Improve Quality of Care

Integrated Data RepositoryLeading-edge analytics track coordination of care, identify overuse and gaps in care to help establish performance standards, allocate resources and evaluate risk.

Disease Stratification and Predictive ModelingData analytics identify risk and impactable chronic conditions to target interventions, improve Medicare reimbursements and forecast expenditures and demand for services.

Provider Performance AnalyticsTailored, data-driven analytics measure provider quality and cost of care to help identify top performers and design high-value provider networks and incentive programs.

Reduce Medical Costs – Save Money

Data AnalyticsAccess to key performance indicators and risk profiles to easily pinpoint costs and trends.

HealthInsights DashboardsFully customizable dashboards identify health risks, gaps in care and projected costs, and leverage “teachable moments.”

Medical Bill Saver™

Experts negotiate with providers to lower medical and dental bills not covered by insurance.

PreVent/Claim Overpayment RecoveryIdentifies claim overpayments BEFORE they are made to providers.

Subrogation/Overpayment RecoveryRecovers claims overpayments using sophisticated data analytics combined with human intervention.

Population Risk Analyzes membership risk levels to increase CMS and ACA reimbursements.

Third Party Liability Identify third party liability situations.

Medicare Advantage Stars Program Targeted patient engagement and data sharing helps Medicare Advantage plans earn higher CMS ratings.

Survey ServicesCustomized outreach determines other insurance coverage, dependent eligibility, group information and more.

Telemedicine24/7, virtual access to licensed providers reduces costly ER and Urgent Care visits.

Thanks so very much for your compassion and empathy as well as sharing your knowledge and expertise.

Cindy called Health Advocate after her father was injured in a fall. When her father returned home from the hospital, he demonstrated cognitive and physical issues that she could not manage. Cindy’s Personal Health Advocate told her to take him to his doctor for evaluation, after which he was admitted to the hospital for more treatment. Cindy’s Advocate also spoke with her about her father’s medical coverage, costs, and resources like Veterans Affairs, and helped her find placement in a nursing facility. Upon his release from the hospital Cindy worked with her Advocate to discuss discharge planning.

Real people, real stories.

Contact us today to get started:866.799.2655info@HealthAdvocate.comLet’s connect

About Health Advocate

Health Advocate, a subsidiary of West Corporation, is the nation’s leading healthcare advocacy and assistance company. Health Advocate serves more than 10,000 clients offering solutions that save time and lower healthcare costs. Our award-winning solutions include EmpoweredHealth, Health Advocacy, Wellness, EAP+Work/Life, Chronic Care Solutions, Cost Containment and Specialized Product Support among others. We also leverage the power of data analytics to help our clients and members get more value out of the healthcare system. HealthAdvocate.com

©2016 Health Advocate HA-B-1512001-2BRO