Chief Architect of Independence Blue Cross, Gregory Barnowsky, discusses their mobile strategy from discovery to implementation.

1. Gregory Barnowsky
Chief Architect of Enterprise
Architecture at Independence Case Study: Independence
Blue Cross
Blue Cross Mobility Project
Jeffery Kendall
Director of Healthcare Sales at
Kony
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2. Independence Blue Cross
I d d Bl C
and the Kony Partnership
June 2012
Greg Barnowsky

3. Topics….
• Independence Blue Cross – Company Overview
• Our Mobile Technology Strategy
• Our Business Vision of Mobility in Healthcare
• Selecting a Mobile Vendor / Partner – Kony
• Key Considerations when selecting a Mobile Vendor
Technology Provider
• Our current Technology Implementation Approach
• Current Status of our Mobility and Kony Applications
• Examples

4. Independence Blue Cross – Company
Background
• Philadelphia based member of the Blue Cross and Blue Shield
Association
A i i
— Corporate Mission: To enhance the health and wellness of the people and
communities we serve by increasing access to quality healthcare and
delivering l through our products and services
d li i value th h d t d i
— Membership ~ 3 Million mostly across 5 southeastern PA counties; with
subsidiary businesses in NJ and DE
— Product offerings for all segments of the marketplace, including: Managed
marketplace
Care (HMOs and PPOs), Medicare, Medicaid, CHIP (Children’s Health
Insurance Program), and Traditional

5. Our Mobile Technology Strategy
CHOOSING THE RIGHT SOLUTIONS
• Challenges Overcome Costs • Investments Considered
Environmental and Internal Hurdles Technology GAPS to Address
Without HTML 5.0 adoption, top U.S. Smartphone New Infrastructure Support Middleware support to
application environments vary widely in capabilities manage the device access to backend data and
and in development tools and licensing* applications including additional web services
li ti i l di dditi l b i
capabilities,
Technology tools vary, infrastructure toolset required,
security and data management, backend host Updated security monitoring upgrades to provide
integration capabilities, support for IBC current remote wipe and other capabilities such as member
technology and operational environment
t h l d ti l i t login d th ti ti
l i and authentication services, etc.
i t
Rapidly changing market in device capabilities, New Training, and focus to “build rapidly internal
applications, and technology toolset and network & delivery capability
middleware capabilities
Resolve
R l GAPS in Resources and Solutions B l
i R dS l i Balanced d
Investment in skillsets, and mindset to best address delivery capability between internal, external or Third
the Smartphone technology is needed (e.g. new Party Solutions and External Staff augmentation
market includes gaming features, GPS, integrated
voice recognition, mapping, search, telephony, Address Cost Effective Mobile Development
mobility, etc. etc. etc.)
bili ) technology toolset

6. Our Business Vision of Mobility in Healthcare

7. Our Business Vision of Mobility in Healthcare
The Basics: mHealth: Gamification:
Customer Service, Wellness, Medical Marketing, Sales,
Administration Management Wellness
Mobile Member Exercise, Game Apps to
Portal for Nutrition, and Gain Market
Customers Tracking Apps Attention
Apps to Engage
Mobile
Members and
Apps for Brokers Connected
Reward
Devices
Behaviors

8. Our Business Vision of Mobility in Healthcare
The Next-Gen Mobile Insurer:
Key Apps and F
K A d Functionality
ti lit
Gamification
mHealth
Customer
Service and
Administration Common Themes
Rapid Innovation
Channel Integration
Ease of Use, Usability
Customer Engagement

9. Selecting a Mobile Vendor / Partner – Kony….
• Key Capabilities of Mobile Develop Toolset
• S
Support f HTML 5 0
for 5.0
• Cross platform support
• Security
• Integration with IBC Operating Environment
• Portals, transactional, datawarehouse, and internal
corporate technology (e g SharePoint)
(e.g.
• Support for “games” and high-localized performance
• Partnership and vendor viability
• Rigor – Followed IBC Technology Selection Process
• 40+ vendors evaluated initial “pool”
• > 1 year duration (longest on record)

10. The KONY CoE Fast, Agile and Cost effect
mobile solutions

11. Building Kony Applications
• Current activity
Initial Prototypes completed
I i i lP l d
— < 90 days for feature releases
— Launching our Member Mobile Release 2.0 w/ Kony team
— Agile Methodology
— Linked to IBC Strategic and Business Development group
• Lessons Learned
Take Center of Excellent (CoE) approach
— Application Architecture is a great start for these skills
Utilize Agile Methodology
Start small – revamp an existing mobile app and re-platform to Kony
Don’t forget your partner? Leverage KONY Support!

12. Current IBC Kony Applications
EXAMPLES

13. Payment Reminders Application
Description
Payment reminders to help members to keep track of their bill payments
and due dates.
Benefits / Features Solution
Display a calendar with the due date
highlighted for each month
Notify the member in advance when a bill is
due by displaying an alert on the application MBR CRM
Reminder
icon
When payment is overdue the application
icon color can change to red
Display the payment amount and coverage
Kony MBR Contact Mgr
period dates
Payment
Display payment history information such as
the transaction date, the amount and the
status (paid)
Payment Notice Event Mgr eBilling (eBB)

14. Doctor, Pharmacy and Hospital Finders
Description
Doctor, Ph
D Pharmacy and Hospital Finders – graphical di
d H i l Fi d hi l directions and
i d
nearest locations with match to current Member Profile and
Preferences for Health Products. Solution
Benefits / Features
Profile based fast location services
Formulary finders/ 24 hour pharmacy
Emergency service and nearest ED (for
out of town emergencies)
Rank locations by cost and quality
location
Customized search, incentives, and
•Location history
“healthy workout locations” – (e.g parks, •Average Speed
swimming areas, etc.) •Previous Rewards

15. Enhanced Fitness and Personal Health
Description
Allow members to search for fitness centers check in for workouts, and
centers, workouts
enroll in the Healthy Lifestyles Fitness Program. Log visits to the gym using
GPS tracking, which counts towards the members’ discount program for
reimbursement.
Solution
GPS Geo fence
Benefits / Features
Fitness Center Search – search on fitness
Fitness
center, address or zip and state or using Center • Healthy Lifestyles
Rewards
current GPS location • Check in status
Fitness status to display on app – • Fitness data
Current/anniversary dates, number of visits,
/ y , ,
days remaining
Check in using GPS location to any
participating gym. Save member data locally
so no need to keep re entering it (Pin, USI,
p g ( , ,
etc.)
Member Data Fitness Center
Search
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16. Kony Overview

17. Who uses Kony
3 of the top 6 U.S. automobile brands
3 of the top 5 largest insurance companies
3 of the top 5 largest passenger airlines in the U.S.
US
2 of the top 3 banks in the U.S.
2 of the top 6 largest auto insurance companies
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18. Value to Payers for Mobile Apps
Member ID Cards:
On average, a replacement member ID card is $5.00
7.00 per card
PBM Functionality
Allowing patients to request mail order online can
increase net profit of about $10 00 per 90 day fill
$10.00 fill.
Reducing Call Center Interactions
Reduce cost by $12 15.00 per call
It’s in the RFP’s!
Companies such as Google, Intel and others have
placed REQUIREMENTS for mobile access in their
search for a new health plan
Healthcare Reform
In 2014 Health Insurance Exchanges will drive more
needs for consumerization of health plan
purchasing.
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19. Example Payer Use Cases for Mobility
Member Facing Apps Employee Facing Apps
Member Cards HR Mgmt
Rx Management Corporate Intranet
Claims Management Closed Loop Feedback
Wellness / Adherence
W ll Adh SFA / CRM
Plan Compare / Shop Broker / Enrollment
Cost Estimation
Provider Facing Apps
Formulary Mgmt
Claims Status
Cost Estimation
Pay for Performance
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20. Paths to Success
Custom B2C, B2E App
Configurable pre built apps
g p pp
Multi Channel Enterprise
Application Platform (MEAP)
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21. KonyOne Multi Channel Platform
KonyOne Studio KonyOne Server Kony Multi Channel
Application Management
Standards Based Eclipse Plugin
p g Lightweight orchestration
g g
Javascript & Lua based Mobile optimized Server Side
Define and test mobile apps: transport/messaging Assign policy to apps
Drag and drop widgets Enterprise connections Test & deploy apps to app
Customize widgets to specific Device database (9000+ devices) store
device, iOS Logging & Analytics Assign User/Group to app
Define
D fi events Push Notifications
P h N ifi i Send notifications to app
Connect to backend services App analytics & reporting
and data
Preview on the fly Client/Device Side
Generate apps for channels Secure device container
Test with emulators and devices App store app
Policies enforced at run time
DEVELOP DEPLOY MANAGE
Only Kony… Only Kony… Only Kony…
Supports multi channel development Offers integrated B2C, B2E server Supports BYOD for all devices
within code base Provides loosely coupled architecture Offers softly partitioned app
Supports 7 native OSs + HTML5 and lightweight middle tier container on device for security
Hybrid & Mixed Mode Supports integrated data and SMS Delivers centralized console for
Delivers standards based HTML5 synchronization management of server, sync,
APIs pp
apps
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22. Kony Pre Built Apps
Feature Complete Configurable
Leveraging industry experience Make changes without rebuilding or republishing
Hundreds of use cases per app
p pp Enable/disable features and rules
Extensible Universal Connectivity
Add custom or 3rd
party modules Standards based connectivity via Web Services (Rest or
Support business specific requirements SOAP), JSON, Java connectors or website data Scraping
Connectors to SAP, Oracle, Siebel, and other legacy
systems
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23. Empowering Members Everywhere: Health Plan App
New Revenue Medication Search
Research and shop Research medications
for plans and prices
Save search Rx journal and reminders
results
Request and get an Provider Rx ePrescribe
instant quote
Rx conversion
Contact a opportunities
representative
Find Facility /
Plan Info Provider
View benefits
information by member Find providers (geo
based locator)
View/track all claims
by plan member Find facilities (urgent
care,
care pharmacy)
Graphical 3D ID Cards Filter and sort results by
(view, e mail or print) specialty, type and distance
Plan expense
summary Research symptoms
Account balance and conditions
details Contact and schedule
appointments
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24. KonyOne SLA: Future Proofing
Kony Platform Version 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5
Today
4.x 5.x
2.3 3.0 4.0
6.0.0 7.0.0
Kony has you covered
OS Upgrade – 30 days*
New Device on New OS – 90 days*
7.0 from release to developers
* 8.0
1.0
10
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25. Questions?
Q ti ?
More information on www.kony.com/resources
www.kony.com
sales@kony.com
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