Independence Health�Employer Services and �Wood County BAC

Mike Ariss

2022

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Independence Health was developed to be a catalyst of change and betterment to the traditional way healthcare is provided and managed

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The Current State of US Healthcare and the Impact on Employers

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Although the US spends the most on healthcare per capita, life expectancy underperforms other countries

• The US Spends more on healthcare than any other OECD country (Organisation for Economic Co-operation and Development) more than $11,000 per person annually
• What this means for employers…
• Employers report highest annual increase in per-employee health costs in over a decade

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Source: Cohen, J. Dismal U.S. Life Expectancy Trend Reflects Disconnect Between Dollars Spent On Healthcare And Value Produced (Forbes, November 2020) https://www.forbes.com/sites/joshuacohen/2020/11/01/dismal-us-life-expectancy-trend-reflects-disconnect-between-dollars-spent-on-healthcare-and-value-produced/?sh=77e7b4c63847c

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Why Independence Health?�What is your cancer, musculoskeletal wellness, obesity and behavioral health strategy?

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The primary drivers of medical spend

US Employers’ Total Medical Costs^1-3

Source: 1. Artemis Health (Dec 2020) 2. Harvard School of Public Health (2022) 3. Johns Hopkins Medicine Healthcare Solutions (Sept. 2017)

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Globally, nearly half of deaths due to cancer can be attributable to preventable risk factors, including the three leading risks of: smoking, drinking too much alcohol or having a high body mass index

The Lancet, finds that 44.4% of all cancer deaths and 42% of healthy years lost could be attributable to preventable risk factors in 2019

Risk-attributable cancer deaths are on the rise, increasing worldwide by 20.4% from 2010 to 2019

Murray and his colleagues zeroed in on cancer deaths and disability from 2010 to 2019 across 204 countries, examining 23 cancer types and 34 risk factors

Source: 1. CNN Health (Aug 2022)

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What Differentiates IH Employer Services From Others?

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Two challenges hinder traditional healthcare from efficiently addressing employer needs

There exists inconsistent and fragmented data to inform the employer of the health and wellness status of their population

The majority of our spend is on medical factors when socioeconomic and behavior factors are driving most of our health problems

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By focusing on the behavioral, socioeconomic, and environmental factors of an individual’s health, employers can achieve optimal health equity for their entire member population

US Employers’ Total Medical Costs^1-3

Source: 1. Artemis Health (Dec 2020) 2. Harvard School of Public Health (2022) 3. Johns Hopkins Medicine Healthcare Solutions (Sept. 2017)

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To change someone’s health you must incorporate a change in behavior

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Behavioral Health is a critical component to any employer strategy

Overall 26% Increase in Patient Visits in Select Mental Health Diagnosis in 2021 vs 2019¹

PTSD

Anxiety

Bipolar

Insomnia

Depression

ADHD

Schizophrenia

Source: 1) IQVIA INSTITUTE Use of Medicines Report (April 2021). https://www.iqvia.com/insights/the-iqvia-institute/reports/the-use-of-medicines-in-the-us

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The Power of Care Navigation

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Currently, your members are responsible for coordinating their own care with various providers; this can be a daunting and costly process

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Our Care Navigators deliver personalized care coordination ensuring the appropriate care in the right setting at the right time for the right cost

Current State of Patient Care

Navigator Coordinated Care

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With our Care Navigation your members get targeted, personalized, and coordinated interventions that will improve their experience and provide high-quality results

Member

Appointments

Follow-Ups

Ancillary Testing

72 Hour Guaranteed Access

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Our Physician-Led Model is a Proactive Approach to Ensuring the Appropriate Care in the Right Setting at the Right Time

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Care Navigation & Medical Spend

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IH Care Navigation can go two routes

IHES Care Navigation

Intake

Assessment

Case Manager Driven

Direct Scheduling

Case Manager Assigned

Care Navigator Answers

Appointment Scheduled

Case Manger Follow-Up

Post-Visit

Support

• Addiction
• Behavior

• Primary/specialty care
• Ancillary services

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Why is care navigation important

21.5% increase in patient satisfaction

29% decrease in adverse event rate

Proactive care at the right place, at the right time, for the right cost

$100 billion in preventable medical costs per year

Cost

Patient

Satisfaction

Adverse

Events

Proactive

Care

Source: Advisory Board study May 6^th, 2020

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Two challenges hinder traditional healthcare from efficiently addressing employer needs

There exists inconsistent and fragmented data to inform the employer of the health and wellness status of their population

The majority of our spend is on medical factors when socioeconomic and behavior factors are driving most of our health problems

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You can’t manage what you don’t measure

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Data derived from a “Single Source of Truth” leveraging Cedar Gate to provide more targeted, personalized interventions providing employers with meaningful data around their healthcare spend and what opportunities exist to reduce that spend

Claims Data

Clinical Data

Self-Reported Data

Indirect Data

Big Data

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• Claims data provides meaningful insight into overall conditions and cost drivers but lags in timeliness and does not translate to real-time interventions

• Clinical data enables provider-driven interventions but is often restricted from socio-economic, physical environment, and most health behavior data

Why is IHES an active member of the Wood County BAC? Why is it important for more health care providers to partner with BAC?

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Questions / Comments�https://www.indhealth.org/

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