Medicare Enrollment & Member Outreach | Informis Health Solutions

© 2015 Informis Health Solutions, LLC All rights reserved

INTRODUCTION

July 2015 Dean Rutter [email protected] 312-590-9803


informis Enroll™

Convert leads to enrollments at up to 3 times the industry average

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Data provided by Informis Customers


informis Enroll™

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Exceed sales goals and outperform agents and brokers

Data provided by Informis Customer


informis Enroll™ Case Study Informis was setting agent / broker appointment unless caller asked to enroll over the phone

Customer wanted to replace agent and broker sales with over-the-phone sales

Exceeded phone enrollment objectives – achieved ROI in less than 6 months

Over a four year period, Informis helped reduce customer’s cost per enrollment by over 60%

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecResponses 6,122 6,011 8,565 7,064 5,457 4,227 4,305 4,707 3,282 14,463 23,414 15,458Qualified Leads 3,833 3,644 5,192 4,205 3,554 2,864 3,116 3,288 2,247 11,870 21,564 14,363Agent Home Visits 1,169 1,013 926 905 515 288 213 291 3 2 3 0Phone Enrollments 530 566 725 674 803 888 824 741 576 2,567 4,257 4,215Home Visit rate 30.5% 27.8% 17.8% 21.5% 14.5% 10.1% 6.8% 8.9% 0.1% 0.0% 0.0% 0.0%Phone Enroll rate 13.8% 15.5% 14.0% 16.0% 22.6% 31.0% 26.4% 22.5% 25.6% 21.6% 19.7% 29.3%

Tasked in March to drive phone enrollments over agent visits

Dedicated agents let go In August

informis EnrollTM doubled phone enrollments

Data provided by Informis Customer

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informis Enroll™ TECHNOLOGY

Purpose-built, fully-integrated Medicare enrollment solution maximizes CSR effectiveness

Marketing business rules call routing – connects prospect to best available enrollment specialist

Predictive CSR scripting paces and stages content to achieve highest conversion rates PEOPLE

Highly-experienced CSRs licensed in all 50 states; the majority with Informis 4+ years

Leadership team has 50+ years of healthcare & call center experience PROCESS

Medicare/Medicaid/ACA enrollment and member services is all we do

Hiring and training created by human capital PhDs that developed 1-800-MEDICARE programs

Best practices embedded in informis Enroll™ – dynamic scripting drives process and enforces compliance

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informis Enroll™

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informis Enroll™ Marketing Effectiveness Reports

Our reports are a key differentiator Provides cost-per-enrollment clarity “Hello-to-enroll” data captured in prospect / member-centric database enables timely, results-driven allocation of marketing spend

Marketing Effectiveness Report –TV Campaign Response by county

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informis Enroll™ Marketing Lead Generation Summary Report

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informis Retain™

Help Desk (ACA Get Covered Illinois) Provider and Member Services Benefit and Eligibility Verification Scope of Appointment Welcome Calls Outbound Enrollment Verification Flu Shot Reminders Premium Reminders PCP Verification and Validation Annual Wellness Visit Scheduling Business Reply Card / Direct Mail Processing HRA HEDIS Screenings Medication Management Calls

PDP Upsell Extra Help / LIS Validation and Reinstatement Member Fulfillment / Material Requests Event / Seminar Scheduling Physician Recruitment Authorizations American with Disabilities Act Verification Contact Interaction Management Pre-CAHPs Surveys Disenrollment Surveys ANOC Calls Care Management Long Term Care Assessments and Referrals Member Satisfaction Surveys

Delivers comprehensive year-round member services

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informis Serve™

Chronic & High Risk DiseaseQuestion Answer Follow-up Q/A Terminology Insert Terminology

IDICD-9 Code

ICD-10 HCC V12 HCC V21

Do you currently have diabetes?Yes Diabetes mellitus (disorder) 73211009 250* HCC15-19 HCC17-19

Are you taking insulin?Yes Diabetic on insulin (finding) 170747006 V58.67*

Are you on an insulin pump? Insulin pump present (finding)450657002 V45.85YesNo

NoCheck any that apply:With diabetes-related chronic kidney problem Diabetic renal disease (disorder)127013003 250.4 E08.2 HCC15 HCC18

E09.2E10.2E11.2E13.2

With diabetes-related chronic eye problem Diabetic oculopathy (disorder)25093002 250.5 HCC18 HCC18With diabetes-related chronic nerve problem of foot or leg (e.g., numbness)Diabetic neuropathy (disorder)230572002 250.6 HCC16 HCC18

355.9With diabetes-related chronic circulation problem (e.g., skin ulcer, gangrene)Diabetic peripheral angiopathy (disorder)127014009 250.7 HCC15 HCC18

Peripheral circulatory disorder associated with diabetes mellitus (disorder)421895002 259.9359.5

Without known diabetes-related complication Diabetes mellitus without complication (disorder)111552007 250 HCC19 HCC19No DNC NA NA

Innovative HRA

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Embed clinical terminology into an HRA; output delivers most likely ICD-9/10 outcomes and generates predictive HCC


Contact Informis

PLEASE CONTACT:

Learn More

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Dean A. Ru*er EVP, Sales & Marke6ng Informis Health Solu2ons, LLC 1 N Dearborn, Suite 1150 Chicago, IL 60602 P: 888.687.0888 C: 312.590.9803 E: dean.ru*[email protected]

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Medicare Enrollment & Member Outreach | Informis Health Solutions