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Proprietary + Confidential

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Efrain Antunez, MD.

Senior Medical Director.

CLOSING THE ‘DISTANCE’:

RETURNING OUR SOCIALLY-DISTANCED

LATINO PATIENTS TO IN-CLINIC APPOINTMENTS. CANO HEALTH (CANO) PERI-PANDEMIC STRATEGIES AND OUTCOMES.

NHMA 25th Annual Conference,

Crystal City, VA

March 24 – 27, 2022

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Disclosures:

I have no disclosures

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The Cano Health Difference.

Personalized patient care and our proactive approach to wellness and preventive care is what sets Cano Health apart.

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134 Medical Centers.

Patients with to and from our medical centers conveniently located throughout Florida, Texas, Nevada, New Mexico, Illinois and recent expansion into California.

>25,000 total visits/day

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COVID-19 RESPONSE

COVID-19 Pandemic onset March 2020:

CANO adapted care model through utilization of telemedicine, virtual medicine, and home visits, among others, to ensure continuity of care for their predominantly Latino MediCare Advantage patient population.

Virtual and ‘at home’ care for social distancing purposes progressively widened the ‘distance’ between our patients and practitioners, as well as reduced utilization of in-clinic routine and preventative care tests, etc.

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COVID-19 RESPONSE

Covid was declared a pandemic by the World Health Organization on Mar 11, 2020

By the end of April 2020, the majority of CANO’s patient visits - 94% - had shifted to telemedicine (and at-home visits) as a consequence of the pandemic.

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8

In-Person and Telehealth Visits Per Month Per 1,000 Members⁽¹⁾

Televisits help provide continuity of care and maintain bonds with members

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9

In-Person and Telehealth Visits Per Month Per 1,000 Members⁽¹⁾

Televisits help provide continuity of care and maintain bonds with members

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RESPONSE

Targeted strategies were employed to ‘wean’ CANO patients off the overreliance on Televisits and at-home services.

Telephone outreach emphasizing the necessity of in-clinic care (thousands of calls per week)
SPOT-Rx drug-dispensing lobby kiosks (reduce risk)
Availability of COVID-19 vaccinations and boosters incentivized patient visits to the clinic. (reduce risk)
Culturally- and linguistically-consonant care and literature for CANO’s primarily Latino patients (increase education and confidence)

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RESPONSE

In 2021, CANO created a telephone unit: ‘Retention Team’

which performed outreach via 3,200-5,500 phone calls/wk across CANO’s ~80,000 MA enrollees in South FL

The importance of returning to in-person, in-clinic visits for overall continuity of care for patient’s individual medical issues was emphasized.

COVID infection/exposure and vaccination status was assessed and treated when appropriate.

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Restoration of In-Clinic Care�I. COVID-Specific Medical Care

CanoPanorama™ tracked three individual ‘waves’ of COVID-19 variant infections – which informed CANO to warn and prepare for incoming infected patients.

In lieu of established guidelines, CANO investigated and published a systemic review that revealed

best practices from reported small studies in

the medical management of COVID-19 infection (1).

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Restoration of In-Clinic Care�I. COVID-Specific Medical Care

CANO evaluated 38,193 patient records and showed that pts prescribed off-label outpatient medications had a 73% lower likelihood of hospitalization (P < .05) for COVID-19 infection.

CANO cohort had a 60% lower COVID-19 mortality

(P < .05) vs a mirror group. Peer Reviewed (2).

These findings allowed CANO to then create and publish a treatment decision tool for the management of COVID-19 infection based on the CANO experience (3).

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Restoration of In-Clinic Care�I. COVID-Specific Medical Care

High vaccination status. CANO Flexible Vaccination Tele-Champaign, as of late 2021, attained a high vaccination status among its CANO MA enrollees:

83.8% vs 74.9% [State of Florida statistics].

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COVID-19 In-Clinic Recovery

By October 2021, with >10,000 primary care appointments per week, tele-visits had been successfully reduced to Mostly in-clinic visits

Televisits dropping from 94% → 9.3%, with the vast majority of visits restored to in-clinic visits.

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Restoration of In-Clinic Care�III. HCP Support/Continuity

Dual NCQA Recognition in programs for Diabetes Care (DRP) and Heart/Stroke Prevention (HSPP) was achieved by 100% of CANO 159 eligible Clinicians

CANO care management and staff maintained its

4.7-Star HEDIS® ratings by Humana, CarePlus, and Devoted Health throughout 2020 and 2021

– the pandemic interval.

(v.s. 4.1 national averages)

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Restoration of In-Clinic Care.�Figure 1

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In-Person and Telehealth Visits Per Month Per 1,000 Members⁽¹⁾

Televisits help provide continuity of care and maintain bonds with members

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In-Person and Telehealth Visits Per Month Per 1,000 Members⁽¹⁾

Televisits help provide continuity of care and maintain bonds with members

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Summary and Conclusions

Since 2014, CANO executed a unique Latino-staffed care model yielding reproducible and enduring results across a range patient and health economic outcomes for its primarily Latino MediCare Advantage enrollees (4-7).

These advantages allowed CANO to grow from one to 130 clinics - and 18,000 to 220,000+ lives - in < 6 years.

During the 1^st year of the pandemic, CANO provided largely uninterrupted routine care, except for tests and procedures that must be performed in-clinic. Retaining nearly all of its staff, and its 5-star HEDIS ratings despite the pandemic.

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Summary and Conclusions

CANO’s model and infrastructure proved sufficiently agile to adapt to the COVID pandemic with telemedicine
reversing reliance on home services –
bringing ~90% of patients back into the clinic, by 2021

CANO’s tracking and response to COVID-19 infections:
reduced hospitalization & mortality
attaining a high vaccination and booster rates.

Importantly, CANO’s care model is realizable in all clinics.

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Thank our Clinical Operations (clinical staff), Care Management, and Pharmacy teams who worked to diagnose, treat, manage, and collect the data on our patients during the COVID Pandemic for this poster presentation.

Special thanks to:

Lina, Silka, Michelle, Morgan

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References

RB Aguilar, P Hardigan, B Mayi, G Tarchini, D Sider, J Piotrkowski, J Meta, J Dev, Y Seijo, A Camargo, L Andux, K Hagen, M Hernandez. Current Understanding of COVID-19 Clinical Course and Investigational Treatments. Frontiers in Medicine. October 21, 2020. Vol 7, Article 555301
RB Aguilar, P Hardigan, B Mayi, G Tarchini, D Sider, J McGoohan, M Osorio, M Hernandez. Managed Care COVID-19 Outcomes in a Population Health Program. Am J Manag Care. April 2021;27(6)
RB Aguilar, G Mansur, P Hardigan, B Mayi, G Tarchini, D Sider, J McGoohan, M Osorio, K Hagen, M Hernandez, B Barrow. COVID-19: An Individualized Treatment Framework. Research Outreach. ISSN 2517-7028. April 2021, Issue 121, p 30-35.
Aguilar R, Osorio M, McGoohan J, Hernandez MB, Herman ME, Cordero P, Conger M, Mantilla J. Filling the Gap with Foreign-Degreed Latino Physicians. Innovative Team Coordination, Technology Use, and Care Management Protocols Spring Boarded Cano Health from 2,000 to >40,000 Lives in Four Years. Presented at The 2020 Hispanic Health Conference, Washington DC. April 30 - May 3, 2020.
Aguilar R, Osorio M, Antunez E, Pacanins P, McGoohan J, Hernandez M, Aguilar N, Tong T and Baez P. The Impact of the TEACH (Telehealth After COPD Hospitalization) Program on the 30-day Readmission Rate for Medicare Advantage Patients with COPD. The 10th Annual Global Partnership for Telehealth Conference March 20. Cordele, GA June 15-18, 2013.
R Aguilar, M Osorio, E Antunez, J McGoohan, M Hernandez, M Herman, O Perez, M Conger BS and Joel Mantilla MS. Halving Readmission Rates: Effectiveness of Cano Health’s TEACH II (Telehealth After Critical Hospitalization) Study on 30-day Readmission Rates among Latino Medicare Advantage (MA) Patients. Presented at the THE 2021 HISPANIC HEALTH CONFERENCE, WASHINGTON MARRIOTT WARDMAN PARK, MARCH 18-21, 2021.
R Aguilar, M Osorio, E Miller, J McGoohan, M Hernandez, M Herman, C Conger. Unbinding Constraints on Clinical Inertia and Improving Practices: A Novel Comprehensive Primary Care Approach that Grew a Single Practice of 2,000 Patients to 40,000 Patients in Less than 4 Years. Abstract R1194-P. Presented at the 80th Sessions of the American Diabetes Association-Virtual Meeting. July 28, 2020.

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Questions

can be addressed after all three presentations…

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Google Cloud Reimagines Healthcare, Post-Pandemic

Esteban López, MD, MBA, FACP, FAAP

Market Lead- HCLS Solutions, Google Cloud, Americas

Proprietary + Confidential

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Our purpose is rooted in Google’s DNA

“Our goal is to develop services that significantly improve the lives of as many people as possible.”

– 2004 Founders Letter

Proprietary + Confidential

Google’s purpose since we were founded as a company is to significantly improve the lives of as many people as possible. This has taken on a number of different meanings since the company’s inception, from making it easier for users to find things online by organizing information to developing products that make it easier for users to communicate with one another.

Health is a natural step in Google’s purpose to significantly improve the lives of as many people as possible. We’ve been on this journey in various iterations since 2008, and in today’s world, our approach to health is embedded across the different technologies, products, and services that are across Google. We’ll talk about this later, but our belief is that Google, and other corporations, have a role to play in health as members of the community that goes beyond the technologies, products, and services we offer.

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Searchers ask Google

120,000,000�health-related questions

every day

Proprietary + Confidential

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Unique & innovative technologies

Google ecosystem

Team & resources

Healthcare expertise

Proprietary + Confidential

Our mission is to organize the world's healthcare data

Proprietary + Confidential

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Unlocking Alphabet’s healthcare expertise

Maps

Mapping, location services & logistics

YouTube

Internet video service

Ads

Search Engine Marketing

Chrome Enterprise

Search

Search engine

Sidewalk Labs

Solving big urban problems

Waymo

Self driving vehicles

Google X

Innovation lab �& research

GV

Venture capital fund

Access

High-speed internet

CapitalG

Growth equity fund

Bets

Access

Android

Mobile operating systems

Google Cloud

Healthcare and Life Sciences

Verily

Improving �quality of life

Callco

Longevity research

AI & �Consumer Health Products

Google Play

App store

Focused Health

Investments

Fitbit

Biometrics

Nest

Energy monitoring

Proprietary + Confidential

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AI/ML

Use AI-powered decision making

to optimize care pathways, streamline operations, and power robotics

Integration

Integrate data across multiple systems and modalities requires healthcare specific APIs

Digitalization

Medical data (IoMT) is exploding, offering the potential for personalized treatments and improved outcomes. Data interoperability, advanced analytics & AI/ML capabilities are needed to unlock value.

Virtual Care

Physician/nursing shortage, a move out of the office - driven by patient convenience - a move toward less costly sites of care all requires an entirely new set of skills to deliver care across different settings

Future of Healthcare

Proprietary + Confidential

Global Growth & Innovation - Industry growth will be driven by the aging population (people over the age of 65 are expected to double over the next 3 decades, with a corresponding rise in chronic diseases - Link); and by technology innovation, as advances in computing & processing power, wireless technology and miniaturization are leading to development of disruptive technologies like robotics, wearables and 3D Printing.

COVID-19 has particularly disrupted the MedTech industry, as demand for PPE and ventilators have challenged supply chain organizations. At the same, the pandemic has had a negative impact on elective surgeries, which were canceled earlier this year and led to the deferral of millions of procedures and a huge backlog for hospitals - Link.

The primary customer for medical device manufacturers is providers (hospitals and clinicians), and their customers are faced with immense workforce pressures. There’s a growing shortage of physicians and nurses (the Association of American Medical Colleges/AAMC projects a shortfall of up to 140K physicians by 2023, with many specialists reaching retirement age in the next decade-Link). The purchasing decision is also shifting from the clinician to the C-Suite, which is a change from the traditional 1:1 relationship model Medical Device companies are used to; and it’s created a need for companies to deliver added value to providers--such as efficiency or patient-focused solutions--to change the conversation away from price.

Alternate Sites of Care

Growth of Data and AI - Medical data (IoMT) is exploding, driven by advances in computing, wireless technology, miniaturization of devices and AI/ML--data interoperability will unlock value

Patient-Centric Model

***************************

Back-up / Details

Growth in Emerging Markets (Link)

Mindray – China’s largest medtech company has captured almost half of Chinese high-end patient monitoring market.
Under the Made in China 2025 plan, China wants domestically produced medical devices to take up 50% of mid- and high-end medical devices used by its hospitals by 2020 – and to further increase to 70% by 2025.

Healthcare cost growing unsustainably (Link, Link), driven by aging population & rise in chronic diseases

US Healthcare spend forecast to hit 20% of GDP by 2025
Healthcare spend projected to grow 1.3 % faster than GDP, rising from 17% of GDP today to 20.1% by 2025

Enormous waste (HBR, Vox)

An estimated $1 trillion of the $3.3 trillion that the U.S. spends annually on health care is wasted — presenting an opportunity for disruption by tech startups.

Growing physician shortage (Link), and Physicians stretched (Link)

Association of American Medical Colleges (AAMC) projects a shortfall of up to 139K physicians by 2033. Driven by the aging population who require more specialty care, and 2 out of 5 physicians reaching retirement age in the next decade
64% of physicians report working overtime
49% often or always experience feelings of burn-out
80% of physicians are overextended or at capacity, with no time to see additional patients
Only 14% of physicians have the time they need to provide the highest standards of care.

Volume of data exploding

Healthcare data volume doubling every 18 months

(Link) Healthcare predictive analytics industry will witness a strong growth with amount of healthcare data exceeding 187 thousand petabytes in 2015. Owing to the remarkable increase in healthcare database volume, healthcare providers are investing heavily on digital technology to manage crucial information. This healthcare transformation has pushed healthcare industry towards data integration and analytics leading to high demand for healthcare predictive analytics software worldwide.
(Link) The amount of data in the world is exploding. In particular, the healthcare industry is generating large amounts of data, driven by a wide range of medical and healthcare functions, including clinical records, medical images, genomic data, health behaviors, clinical decision support, disease surveillance, and public health management [1]. Reports say that worldwide digital healthcare data was estimated to be equal to 500 petabytes in 2012 and is expected to reach 25,000 petabytes in 2020 [2]. However, the challenges in handling this big data are not just about volume. The challenges include capturing, storing, searching, sharing, analyzing, and then finding insights from complex, noisy, heterogeneous, longitudinal, and voluminous data. The collection of large and complex data sets is difficult (or impossible) to process using common database management tools or traditional data processing applications. Therefore, these challenges are a reality for every business, but only a few firms are taking advantage of the new world of data and information.
(Link) The explosion in volume of various kinds of data — genomic, transcriptomic, proteomic, epigenetic, metabolomic, microbiome, clinical, and behavioral — is driven by the lowering cost of data acquisition and storage. For example, sequencing a human genome used to cost around $3 billion in the 90’s. Today it only costs a few thousand dollars — a faster decline than what we observed in computing cost depicted by Moore’s Law. In addition, advances in software and hardware technologies are rapidly accelerating, particularly around artificial intelligence.
(Link) genomic medicine, imaging, and a wide range of mobile health applications or connected devices. There are over 600M IoMT devices worldwideand the market is expected to grow.
UPMC’s vice president of enterprise infrastructure services, says the overall volume growth of data storage requirements in the healthcare sector is doubling every 18 months. UPMC currently stores five petabytes of enterprise data, a figure he expects to grow to 20 petabytes by the year 2016. That growth encompasses all types of data, from structured data in the electronic medical record (EMR) to unstructured data and imaging data, he says.

High potential for ML

IBM invested 4B+ in Watson Health between 2015 and 2016
Healthcare dominating other sectors in terms of AI start-up VC investments

Deals to AI startups in healthcare have been dominating over deals to other categories in the last 2 years

Our initial areas account for X-YB
organizations need to leverage data & insights to transform the way they develop, manufacture and deliver devices and solutions

Value-Based Care (VBC)

Enhance patient experience; Improve the health of populations; Reduce the per capita cost of healthcare; Improve the caregiver and clinician experience
VBC is driving a shift to outcome-based reimbursement and a focus on the Quadruple Aim: Enhance patient experience; Improve the health of populations; Reduce the per capita cost of healthcare; Improve the caregiver and clinician experience
GC ability to leverage the data flow across the value chain that can enable critical processes around payment/reimburse

Existing systems and infrastructure failing

(Link) Of the 57 doctors the study looked at, about a quarter of their work day was spent with patients. Nearly half of their day was spent doing desk work, or filling in electronic health records, the data that's kept on a patient so that doctors can track their progress and remember key details, like what prescriptions a patient is on or any allergies they might have. That means that for every one hour spent with patients, two hours are spent working on these health records. And for those who kept track of the work they did after-hours, about 1-2 hours of otherwise free time were spent doing EHR-related tasks.

(Link)
Data fragmented and siloed
Current systems not set-up to meet growing data demand
60% say EHRs have detracted from patient interaction
Physicians spend 21% of their time on non-clinical paperwork, the equivalent of 168,000 physician FTEs not engaged in clinical activities

Antiquated data infrastructure

http://electronichealthreporter.com/data-explosion-the-rising-threat-for-healthcare-it/

Healthcare organizations in general need a secure, future-proof, and compliant solution that can help eliminate data explosion while remaining cost-effective. This is where hybrid cloud solution comes in

EHR adoption

http://www.practicefusion.com/blog/ehr-adoption-rates/

Government incentive programs in 2009 accelerated adoption of EHR to now XX% of hospitals (up from YY%)

Access and quality overtime

Access to healthcare over time: https://www.cdc.gov/nchs/data/nhis/earlyrelease/earlyrelease201605.pdf
HCquality increasing over time: http://www.healthsystemtracker.org/insight/measuring-the-quality-of-healthcare-in-the-u-s/
Wait times over time: https://www.ncbi.nlm.nih.gov/books/NBK316141/ - US -

international http://www.healthpolicyjrnl.com/article/S0168-8510(13)00175-9/fulltext

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Providing predictive analytics for more efficient allocation of resources

60% of healthcare executives are using predictive analytics²

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Marketing Proxies Can Help Find At-Risk Populations

�“[Google.com searches] show exponential growth roughly 2-3 weeks prior to comparable growth in confirmed COVID-19 cases and 3-4 weeks prior to comparable growth in COVID-19 deaths" �-- “An Early Warning Approach to Monitor COVID-19 Activity”

Proprietary + Confidential

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Economic Impact

For each 1% increase in number of cases per 100,000 the GDP will decrease by .01%.

-Federal Reserve Bank of Dallas, October, 2020

For each 1% reduction in number of cases, hospitalization costs will decrease $7.7M/monthly. -Google Analysis, 2020

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Unstructured Data Accounts for 90% of Enterprise Healthcare Data^*

Cloud Machine Learning Helps Make Sense of It

*Source: IDC

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Global collaboration around ML/AI has shown great potential around improving diagnosis, treatments, cures, new solutions and insights

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Diagnosing diabetic eye disease

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What else can we see in the retina?

Age: MAE 3.26 yrs

Gender: AUC 0.97

Diastolic: MAE 6.39 mmHg

Systolic: MAE 11.23 mmHg

HbA1c: MAE 1.4%

nature.com/articles/s41551-018-0195-0�Prediction of Cardiovascular Risk Factors from Retinal Fundus Photographs via Deep Learning�

�

.97 AUC

Age (3.26 years)

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Assisting pathologists in detecting cancer

Another example is using computer vision to detect cancer in from tissue samples. This work is critical because reviewing of pathology slides is a very complex task, requiring years of training to gain the expertise and experience to do well. On top of that each patient has multiple slides and the images are huge! For cancer in particular, a pathologist’s diagnosis has a profound impact on a patient’s therapy.For that reason we are investigating how deep learning can be applied to digital pathology, by creating an automated detection algorithm that can naturally complement pathologists’ workflow, using AI to assist doctors on this task in order to improve patient outcomes. -------

We used images (graciously provided by the Radboud University Medical Center) which have also been used for the 2016 ISBI Camelyon Challenge ¹ to train algorithms that were optimized for localization of breast cancer that has spread (metastasized) to lymph nodes adjacent to the breast.

The results? Standard “off-the-shelf” deep learning approaches like Inception (aka GoogLeNet) worked reasonably well for both tasks, although the tumor probability prediction heatmaps produced were a bit noisy. After additional customization, including training networks to examine the image at different magnifications (much like what a pathologist does), we showed that it was possible to train a model that either matched or exceeded the performance of a pathologist who had unlimited time to examine the slides.

**********

Source: https://ai.googleblog.com/2017/03/assisting-pathologists-in-detecting.html

DEEP VARIANT

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Demonstration of ML efficacy in complex clinical domain

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Improving outcomes starts with focusing on the patient

AI and analytics can unlock the value of data to transform healthcare

Personal Health Devices

(Wearables, digital health apps, and remote monitoring)

Help detect and manage health conditions

Diagnosis and Planning

(Lab tests and Imaging)

Enable faster diagnoses and personalized care plans

Treatment and Intervention

(Surgical planning, robotics, navigation, and visualization tools)

Support clinical staff to optimize clinical workflows w/real-time insights

Personal Health Data

(Demographics, genomics, and medical records)

Predict and intercept diseases

Rehabilitation and Recovery

(Remote monitoring, sensors, and care recovery apps)

Support patients and monitor recovery

Hospitals and Health Workers

(Patient scheduling �and records and care management)

Deliver administrative efficiencies and improve customer service

Proprietary + Confidential

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“80% of diagnoses are made on history alone, a further 5-10% on examination and the remainder on investigation.”

Clinical Examination, 4th ed, 2008

Proprietary + Confidential

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Future of Clinical Work: Blended, Multiprofessional and Flexible

AI/ML (Automation)

Ambient Voice

NLP

Virtual Care

Optical Recognition

Integration

Robotics

Remote Monitoring

Interoperability

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Build Infrastructure to Mitigate Risk:

Big Data Leaks that Include Patient Data
Device Functionality Manipulation
Ransomware
Regulatory Infractions
Third Party Access
Patient Care Compromised
Hospital Shut Down
Fear

Lay The Foundation For the Future:

Patient and Provider Centered Design
Implement Technology Roadmap
Cultural Change to Team Based Care
End-to-End Virtual Care (not just Telehealth)
Train Clinicians for Future Model
Executive & Political Buy-in
Pilot, Pilot, and Pilot

What Public Health Systems Need to Do Now for 2030

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That’s a wrap.

lopezesteban@google.com

@DrEstebanLopez

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Tech to Touch: Engaging Culturally and Linguistically Diverse Populations through Technology

March 26, 2022

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Our mission

Our country is multicultural, but healthcare isn’t.

We’re changing that.

At SameSky Health, we create cultural connections for a healthier, more equitable world.

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The demographics of the US are changing

In 25 years, there will be no racial or ethnic majority group.

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White, Non-Hispanic

Hispanic

Black, Non-Hispanic

Asian

Other

Source: https://www.brookings.edu/blog/the-avenue/2018/03/14/the-us-will-become-minority-white-in-2045-census-projects/-2019-mar2014; https://cdn1.vox-cdn.com/assets/4299563/Screen_Shot_2014-04-14_at_6.40.51_PM.png; https://www.brookings.edu/blog/the-avenue/2018/03/14/the-us-will-become-minority-white-in-2045-census-projects/

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We believe in meeting people where they are, with services that balance…

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…technology�for a deeper understanding and to scale, and

human touch�to build trust and connect with culturally diverse communities.

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Core components of CultureGuide^™

Analytics�Data • Segmentation • Insights

Social, behavioral, clinical and cultural data
Cultural cohorts
Actionable member opportunity and engagement insights

Outcomes�Engage • Influence • Empower

Establish a relationship and get to know members
Personalize the experience and build trust
Encourage and support members to act and meet desired outcomes

Services

Track • Measure • Act

Customer support
Interactive and actionable dashboards

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Analytics

Outcomes

Services

Culture

Technology

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Community and Cultural Detailing

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With culture, there is connection

By understanding cultures, and how people lead their lives, we can increase equity and trust, improve health outcomes and reduce costs.

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Raymond | Yakama Nation, WA

Yakama, 34, speaks English
Hearing impaired
Works part time at the local casino
Presently experiencing homelessness

Ximena | Cherry Valley, CA

Mexican, 71, speaks Spanish
Fruit picker
Traditional medicine first
60-minute drive to nearest services

Eldon | Linn, KS

White, 68, speaks English
Person with diabetes
40 minutes from his doctor
Doesn’t trust the healthcare system

Maribel | Miami, FL

Cuban-American, 26, speaks English
Not used to the cost of healthcare
Has anxiety but doesn’t talk about it (cultural taboo)
Spanish (home, friends) / English (work) bilingual

Toma | Detroit, MI

Iraqi refugee, 22, speaks Arabic
Prefers traditional Eastern medicine
Does not have a regular doctor
Works full-time while�attending night school

Kerry | Charlotte, NC

White, 42, speaks English
Recent Multiple Sclerosis diagnosis
Newly unemployed and qualified for public assistance programs

Collens | Baltimore, MD

Haitian-American, 19, speaks Creole
English (school, friends) / Creole (home, friends) bilingual
Currently experiencing homelessness
Has not received medical care in years

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The journey to creating cultural connections

SameSky Health has developed cultural pathways to guide members�on their journeys to accessing care when and where they need it

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Welcome �Includes regulatory requirements, communication preferences, consent to text, etc.

Get to know you�Collect / confirm race, ethnicity, language, and other relevant data.

Identify obstacles and needs�Community Health Guides�engage members to understand their needs.�

Identify individualized cultural pathways

Engage through culturally tailored �content including bidirectional �engagement in all modalities.

Connect

Navigate to relevant resources and member services.

Help understand key benefits

Re-engage with PCP

Ensure members are connected to a PCP within the first 30 days. Focus on Annual Wellness Visit / Initial Health Assessment.

Outcomes�The member is empowered to overcome obstacles and take action on their health needs.

Re-enrollment reminders

Overall member well-being and preventative health messaging

Quick member satisfaction check-in

Member ID guidance

Engage

Listen �and learn

Understand,�recognize�and respond

Build trust�and motivate

Empower

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Trust yields success

For members that participated in our multi-level, culturally-sensitive �engagement campaigns, the results are astounding

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28%�Cervical cancer screening �gap closed

47%�Well child �visit gap�closed

21%�Diabetes management �gap closed

Actual message from a member:

“Ok and thanks Eva. Haven't seen my dr. in a while as I have been really busy but I will call next week.”

Press Release and White Paper

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Case study: ROI of culturally-tailored outreach

For one major health plan, SameSky Health was engaged to improve COVID vaccination uptake — a complex challenge in any population. We were chosen for our ability to culturally adapt our outreach, and the benefits were clear.

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Odds of getting vaccinated were:

Outreach population:

Vaccinations due to intervention:

Conclusions from COVID-19 Vaccine Outreach Efficacy data analysis, conducted for SameSky Health by Cindy Gonzales, MPH Biostatistics, using data from our client outreach as well as publicly available statistics.

3.74x

higher

272,684�lives

51,711�vaccinations

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The results of our culturally-adapted outreach provided clear benefits in the Hispanic community

Focusing on key vaccine hesitancies of the Hispanic community, and meeting members where they are through tech and touch resulted in positive outcomes.

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Conclusions from COVID-19 Vaccine Outreach Efficacy data analysis, conducted for SameSky Health by Cindy Gonzales, MPH Biostatistics, using data from our client outreach as well as publicly available statistics.

20.8x�higher

in those who received text messages only vs. no outreach

12.2x�higher

in those who received phone calls only vs. no outreach

Within the sample Hispanic population, the odds of getting vaccinated were

higher in those who received outreach vs. those that did not.

18.4x

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…technology�for a deeper understanding and to scale, and

human touch�to build trust and connect with culturally diverse communities.

Improve Health Outcomes

Build Health Equity

Create Cultural Connections

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Lana Alman

lana.alman@sameskyhealth.com

216.390.0728

5200 Lankershim Blvd., Suite 310 • North Hollywood, CA 91601

(855) 735-6726 • sameskyhealth.com

@SameSkyHealth

SameSky Health

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