Tackling Effective Patient and Team Member Engagement

© 2016 Health Catalyst
Proprietary and Confidential
Tackling the Challenge of Effective Patient
Engagement:
How Health Catalyst is Learning from an Innovative Internal Program
June 8th, 2016

Introduction
Jeff Selander – SVP, Chief People Officer
Chief Financial Officer…
…Chief People Officer
2011 - 2015
2

How we approach Population Health
Parallels between effective team member and patient engagement
Health Catalyst case study
Insights that support both team member and patient engagement
initiatives
Agenda
3

Jason
“Before joining Health Catalyst, my body had been on a
long slow road of neglect and degradation over the space
of about 10 years…”
“...it was to the point where I could not tie my shoes
without getting red in the face from held breath and
strain…”
4

Population Health Management
Health Catalyst thinking and definition – Sanders style
This definition, thinking and
approach also applies very
closely to the management of
healthcare costs within a
corporate team member
population…
Slide: Dale Sanders
Return on Engagement Webinar
March 23, 2016
www.healthcatalyst.comProprietary and Confidential
Population Health Management
…is to chronic disease what Public Health
Management has been to infectious disease
”…the science and art of preventing disease, prolonging life and
promoting health through organized efforts and informed choices
of society, organizations, public and private, communities and
individuals."
”…the health outcomes of a group of individuals, including the
distribution of such outcomes within the group."
5

How concentrated is healthcare spend within the US population? 101
respondents
a) Top 1% of spenders account for 10% of spend, top 5% account for 20% of spend. – 7%
b) Top 1% of spenders account for 15% of spend, top 5% account for 40% of spend. – 17%
c) Top 1% of spenders account for 20% of spend, top 5% account for 50% of spend. – 37%
d) Top 1% of spenders account for 40% of spend, top 5% account for 75% of spend. – 40%
Quiz Question
6

Distribution of Health Care Spending, 2009
Source: NIHCM Data Brief July 2012
Top 1% of spenders account for 20% of
spending…
…top 5% of spenders account for
50% of spending…
7

Population Health Framework
Stratifying Patient Risk
Complex &
High Risk
Latent
Risk
Rising
Risk
Members with current & predicted
significant risk & healthcare service
utilization.
Members with predicted “near” future
utilization if no intervention occurs.
Members with latent
risk, where continued
preventative measures
will keep risk latent.
8

Care Management
how we think about managing patient populations
How are our patients doing?
How are we performing to our plan?
Is it working? Are we getting “Return on Engagement”?
What do we do more of… what do we change?
Outcome
Process
Balance
Insights
9

How concentrated is the spend within the Health Catalyst team
member population? 105 respondents
Remember, Top 1% of spenders accounted for 20% of spend,
while top 5% of spenders accounted for 50% of spend in the national study...
a) More highly concentrated than the national concentration. – 10%
b) Less concentrated than the national concentration. – 40%
c) Much less concentrated than the national concentration. – 30%
d) About the same. – 20%
Quiz Question
10

0.1% 0.6% 1.3% 2.7%
4.5%
7.4%
11.7%
18.3%
31.5%
45.3%
68.3%
100.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
- 10 20 30 40 50 60 70 80 90 100
Cumulativepercentoftotalhealthcarespending
Percent of Health Catalyst member population, ordered by health care spending
Distribution of Catalyst Healthcare Spending, 2015
9995
The top 1% of consumers account for almost 32% of
total spending ($1.3 million).
The top 5% of consumers account for almost 55% of
total spending ($2.2 million).
Total Health Catalyst 2015
Healthcare Spend - $4.1 million
$200
Thousand
$3.9
Million
11

Team Member Health Framework
Stratifying Employee Risk
Complex &
High Risk
Latent
Risk
Rising
Risk
Members with current & predicted
utilization. May be skewed by
anything in smaller populations.
Members with predicted “near” future
utilization if no intervention occurs.
Members with latent
risk, where continued
preventative measures
will keep risk latent.
12

Care Management
as applied to team member wellness and financial return
How are we doing?
• Financial Incentives
• Wellness Baseline
How are we performing to our plan?
• Are we achieving our self-funded aspirations?
• GFSF app design and execution.
Are company and team members getting “Return on Engagement”?
• Company benefits
• Team Member benefits
What do we do more of… what do we change?
• Benefit Plan Design
• Gamification
• Managed interactions
Outcome
Process
Balance
Insights
13

Financial incentives misaligned between payers,
businesses, and employees
Apply a firm fixed price
philosophy/approach to our
corporate healthcare claims:
• Self funded
• Third-Party Administrated
• Stop-loss insurance
Slide: Dale Sanders
Return on Engagement Webinar
March 23, 2016
www.healthcatalyst.comProprietary and Confidential
Two basic types of professional
services contracts
14

Apply a fixed fee philosophy to our corporate healthcare claims:
• Self funded
• Stop-loss insurance
Implement appropriate care management tools:
• Get Fit Stay Fit™ (GFSF) Wellness program and app
• Biometric screening
• Gamification
• Manage provider/team member interactions at the POC
How do we better align financial and wellness
incentives within our business?
15

Corporate wellness economics
to fully fund or self fund?
Fully Funded Model
Time
Cost
Premiums
Claims
Time
Cost
Premiums
Claims
Fixed premium ✅
Rate control ❌
Return on engagement ❌
High Claims Scenario
“How it’s supposed to work.”
Fixed premium (for now) ❌
Rate control (going up) ❌
Return on engagement ❌
*10 year Healthcare Study, KFF, 2009
“Fixed price until next renewal.”
Improving Claims Scenario
Time
Cost
Premiums
Claims
Fixed premium (nope, going up) ❌
Rate control ❌
No incentive to engage members ❌
“You’re taking my winnings!”
13.1%*
15%
15%
40+%
16

Corporate wellness economics
to fully fund or self fund?
Self Funded Model
Time
Cost
Premiums
Claims
Time
Cost
Premiums
Claims
Fixed premium ✅
Rate control ✅
Return on engagement ✅
High Claims Scenario
“How it’s supposed to work.”
Fixed premium (for stop-loss) ❌
Rate control (decent) ❌
Return on engagement ✅
*10 year Healthcare Study, KFF, 2009
“Still greater control over swings.”
Improving Claims Scenario
Time
Cost
Fixed premium (nope, going up) ✅
Rate control ✅
Plenty of incentive for engagement✅
“Rewards for engagement”
40+%
Fixed Costs Fixed Costs
Premiums
Claims
Fixed Costs
10%
40+%
30%
17

What is Get Fit Stay Fit™ (GFSF)?
• Wellness Program
• Outcomes Improvement
• Employee Engagement
• Rewards Program
18

Available for iOS,
Android, and Windows
Mobile (HTML5).
Features
Gamification
Quarterly Challenges
Prizes
Activities
Personal Challenges
Leaderboards
Customizable
Self Select:
Favorite activities
Health habits
Personal challenges
Daily Status
Synchs with:
FitBit
Garmin
19

Outcome
how are team members doing?
Q1 2016 GFSF activity results
Exercise
Activity Result Metric
Walking/Running 119,750 Miles
Mountain Biking 1,809 Miles
Road Biking 9,413 Miles
Skiing Cross Country 214 Miles
Snow Shoeing 65 Miles
Swimming 169 Miles
Skiing 2,761 Runs
Snowboarding 924 Runs
Strength Training 113,688 Minutes
Very Active Minutes 589,742 Minutes
Active Team Sports 45,441 Minutes
Stairs 417,866 Floors
Gamification
Challenge Win 3,130 At Risk Points
Challenge Loss (3,130) At Risk Points
Healthy Habits
Eat Right 24,105 Points
Education 18,355 Points
Mindfulness 39,918 Points
Slept Right 28,530 Points
20

0
50
100
150
200
250
300
350
Jan-15 Mar-15 May-15 Jul-15 Sep-15 Nov-15 Jan-16 Mar-16
Claims Performance
Claims - PMPM
Outcome
how are team members doing?
21

0%
10%
20%
30%
40%
50%
60%
70%
300
400
500
600
700
800
900
Q1'15 Q3'15 Q1'16
GFSF Participation
Actual Participants
% of Total
Process
are we performing to our plan?
57%
22%
22

Jan-15 Mar-15 May-15 Jul-15 Sep-15 Nov-15 Jan-16 Mar-16
Financial Performance
Claims
Fixed Costs
Premiums
Balance
is the company getting a return on engagement?
ROE: 10%
23

Balance
are our team members getting a return on engagement?
“Before joining Health Catalyst, my body had been on a
long slow road of neglect and degradation over the space
of about 10 years…”
“...it was to the point where I could not tie my shoes
without getting red in the face from held breath and
strain…”
“Health Catalyst's Get Fit Stay Fit challenges have added some
much-needed fun and accountability to the mix… at the start of
the Q4’15 Get Fit Stay Fit challenge until today, it has been over
a year since I made that commitment…”
“My quality of life, or at least my enjoyment of life, has been
increased exponentially just by doing ONE active thing per day,
every single day and by making it fun…”
Jason
24

Insights
what do we do more of…what do we change?
Team Members
self funded/wellness program with our team members
• Gamification
• Managed Interactions at POC
• Return on Engagement
Patients
Managing patient populations with our customers
• Social Determinants
• Care team interactions
• Care Companion
25

Questions?
26

Healthcare Analytics Summit 16
Here’s a sneak preview …
David F. Torchiana, M.D.
President and CEO
Partners HealthCare
Former Chairman and CEO of
the Mass, General Physicians
Organization
Summit highlights
Jam-Packed Agenda, all focused on outcomes
67 Sessions and stories
8 keynotes, 27 breakouts, 32 Analytics Walkabouts
Industry Leading Keynote Speakers
We’ll hear from well-known healthcare industry champions. And by
popular demand, we've invited back two of our top-rated speakers.
CME Accreditation for Clinicians
Last year’s HAS 15 summit was awarded 24.0 AMA PRA
Category 1 Credits ™ and we expect a similar number this year.
Improved "How-to" Case Study Sessions
We’ve increased the breakout session times to give more time for
detailed “how to” learning while also extending the Q&A time.
The Analytics Walkabout
Back by popular demand, we will feature 32 new projects
highlighting a variety of additional clinical, financial, operational,
and workflow analytics outcomes improvement successes.
Analytics-Driven, Hands-on Engagement for Teams
Analytics will continue to flow through the three-day summit
touching every aspect of the agenda.
Networking and Fun
We will have longer breaks, frequent fun-run/walk opportunities, a
night on the town, and some fun and games, including your
favorite retro arcade games.
Pre-Summit Classes and Training
An early half-day of pre-session classes and training options
specifically for Health Catalyst clients.
Liz Wiseman
President, theWiseman Group
Bestselling Author, Speaker &
Executive Advisor
“Rookie Smarts: Why Learning
Beats Knowing in the New Game of
Work”
Anne Milgram
Former NJ Attorney General
Senior Fellow at NYU School of
Law, VP of Criminal Justice,
Laura and John Arnold
Foundation “
“Criminal Justice Analytics”
Eric Siegel, Ph.D.
President, Prediction Impact, Inc.
Best Selling Author and Founder of
Predictive Analytics World
“The Power to Predict Who Will Click,
Buy, Lie, or Die”
Taylor Davis
VP, Analysis & Strategy, KLAS
Associate Professor of Statistics of
Utah David Eccles School of Business
Healthcare Analytics Mkt Overview
Don Berwick, M.D.
Former Administrator, CMS
Founding CEO, Institute for
Healthcare Improvement
Jay Bishoff, MD
Director, Intermountain
Urological Institute
Intermountain Healthcare
Top Rated HAS 15 speaker
Toby Freier, FACHE
President, New Ulm Medical Center
Hearts Beat Back ™
Heart of the New Ulm Project
HAS 16 Documentary
Salt Lake City
Sept 6-8 2016
The Grand America Hotel
27

Thank you
28

Tackling Effective Patient and Team Member Engagement

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