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Reduce health plan claims by simplifying healthcare

NewestEmployerPPT 7.13.15

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Page 1: NewestEmployerPPT 7.13.15

Reduce health plan claims by simplifying healthcare

Dean
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Presented by Bill Peterson Health Benefit Solutions Since 1993 Matthews, N.C. Reduce your company health plan claims and out of pocket medical expenses significantly by improving the way you access and utilize Healthcare!
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First platform to shift consumers from expensive and inefficient health care end points, placing

the member in the center.

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User Fr iend ly

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me

24x7 Unlimited Doctor Access

Prescription Savings

Health Management Content

locate providers

shop & PRICE PROCEDURES

MANAGE YOUR MEDICAL DEDUCTIBLE

Centra l i ze Hea l thcare Opt ions

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OVER 70% of all ER, urgent care, and doctor office visits

can be safely handled over the phone.

-Wellness Council of America

Did you know?

24/7 Doctor Access

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Urgent Care

Primary  Care   Urgent  Care   Emergency  Room  HealthiestYou  

Visit  Fee:  Avg  $125  Germs:  Yes  Travel  Time:  Yes  Claim:  Yes  Avail:  Limited  

Visit  Fee:  Avg  $175  Germs:  Yes  Travel  Time:  Yes  Claim:  Yes  Avail:  Limited  

Visit  Fee:  Avg  $1200  Germs:  Yes  Travel  Time:  Yes  Claim:  Yes  Avail:  24/7/365  

Consult  Fee:  $0  Germs:  No  Travel  Time:  No  Claim:  No  Avail:  24/7/365    

START  HERE!  

Cla im Red i rect ion

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and  many  more…  

✔ ✔ ✔  

✔ ✔ ✔  

Top  9  Reasons  We  Visit  the  Emergency  Room  

ü  Allergies  

ü  BronchiSs  

ü  Earache  

HealthiestYou  doctors  address  the  most  common  visits  

ü  Sore  Throat  

ü  Pink  Eye  

ü  SinusiSs  

ü  Strep  Throat  

ü  Upper  Respiratory  InfecSons  

ü  Urinary  Tract  InfecSons  

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We  can  handle  over  70%  of  your  typical  doctor’s  office  visits  with  NO  CONSULT  FEES!    

ü  Licensed  and  reside  in  the  US  ü  All  Board  CerSfied  Licensed  Physicians    ü  Diagnose,  Treat  and  Prescribe  

ü  Largest  Telehealth  network  in  the  country  ü  24/7/365  Access  

ü  Service  available  in  48  states  (Ex.  Idaho  and  Arkansas)  

Telehea l th Doctors

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Call  HealthiestYou    or  schedule  your  

appointment  online  or  on  smartphone  app  

Provide  medical  history  

Call  is  scheduled  with  appropriate  doctor  

Doctor  reviews  online  patient  

history  and  calls  the  member  

If  prescription  is  required,  sent  via  

Escript  to  member’s    choice  of  pharmacy  

Doctor  updates  EMR  with  consultation  

notes  

Consultation  notes  stored  in  your  HealthiestYou  member  portal  

The Member Experience

Member Exper ience

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97% Customer  SaSsfacSon  

94% PaSent  Medical  Issues  Resolved  

9 min Average  Call  Back  Time  From  

Doctor  

13 min Average  Consult  DuraSon  

95% Client  RetenSon  

$0 ConsultaSon  Fee  

Survey Says…

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Our  members  UTILIZE    

way  more!  

2% CompeStor  Avg.  

CompeStor  Avg.  

*Percentages  based  on  annual  utilization.  

42% Our Pass ion = Ut i l i zat ion

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Fu l l f i l lment Ki t

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Consumer Engagement

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Ut i l i zat ion Rev iew/Moni tor ing

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Cl ient Case Study 146 Employees

2.2  fewer  PTO  days/employee   $30,848  annual  claim  savings  

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Look  at  those  savings!  WOW!  

9% Savings

Cl ient Case Study 2210 Employees

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1.  Start  with  HealthiestYou  ü Over  70%  of  ER,  Urgent  Care,  and  Doctor  Office  Visits  can  be  handled  safely  and  effecSvely  over  the  phone.  

ü 24/7  Access  to  Physician  Network.  ü No  Consult  Fees!    ü Sync  Your  Health  Plan,  Search  Providers  ü PrescripSon  Savings  up  to  85%.  

2.  Major  Medical  ü HMO,  PPO,  High  DeducSble,    HSA,  Self  Insured  

3.  Supplemental  Medical  ü Medical  Bridge/Gap  Plan,  CriScal  Care,  Cancer,  Accident  

4.  Ancillary  ü Dental,  Vision,  EAP,  ChiropracSc,    ID  Theg  

5.  Financial  ü Life,  Disability,  IRA,  401K  

30%  

70%+  

Benef i t P lan Des ign

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Smart Phone App

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Schedule  a  telehealth  consult  

Schedule Te lehea l th Consu l t

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View  Your  In-­‐Network  and  

Out-­‐of-­‐Network  DeducIbles…  

     

View Your Deduct ib le

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-­‐Over  10,000  loca@ons  Geo-­‐Fenced -­‐Convenient  reminders  to  save  money,  @me  and  reduce  claims  in  health  plan. -­‐HY  can  handle  over  70%  of  your  typical  doctor’s  office  visits!  

It  appears  that  you’re  in  an  Urgent  Care  center,  connect  with  a  doctor  

now  via  phone  for  free!    

Geo-Fenc ing Reminders

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It  appears  that  you’re  in  a  Pharmacy,  

check  our  prices  first!  

-­‐  Don’t  overpay  for  medica@on,  shop  first. -­‐  We’ve  mapped  and  geo-­‐fenced  each  and  every   Pharmacy   across   the   country.   All  76,000+  of  them.

   

Geo-Fenc ing Reminders

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Need  a  PrescripIon?  Our  prescripIon  search  tool  can    

save  you  up  to  85%!  

•  Shops  all  pharmacy  locaSons  and  mulSple  PBM  discount  offerings  •  Beats  co-­‐pays  70%  of  the  Sme  

Prescr ipt ion Sav ings

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Need  to  see  an    In-­‐Network  Doctor,  

Pediatrician,  Specialist,  DenIst,  Or  Eye  Doctor?  …Finding  a  provider  has  never  been  easier!  

Search In -Network Prov iders

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Radar In -Network Prov iders

Use  Radar  to  view  a  virtual  map  and  find  in-­‐network  providers  in  your  area!  

   

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Save  frequently  used  physicians,  prescripSons,  Urgent  Cares  and  much  more  to  your  Circles  to  easily  find  informaSon  relevant  to  your  healthcare  needs      

Ci rc les – Your hea l thcare ecosystem

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Find  the  average  cost  of    specific  procedures  

in  your  area.    

Pr ice Transparency

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Pr ic ing

Dean
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Page 30: NewestEmployerPPT 7.13.15

Reduce health plan claims by simplifying healthcare

Dean
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Bill Peterson, Health Benefit Solutions [email protected] | www.yourhbs.com Local:704-847-3314 | Toll Free: 888-881-9272
Dean
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Dean
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