HealthEngine Overview March 26, 2014
Kane County Profile • Western Edge of Northeast IL Region • Growing and Diverse population, 692,346 expected by 2030 • 1250+ Employees covered on Self-Funded Plan • BC/BS of IL
Vision • Being an innovative and strategic leader in a fiscally prudent manner • Being good stewards of the natural and economic resources • Promoting and environment that advocates health, welfare and safety; • Encouraging and valuing citizen communication, input, and involvement in governing so that residents are proud to call Kane County "home”
Health Plan Challenges • High Costs of Healthcare, Kane County current Burden on Tax Payer is 83% of a spend that is approximately $12M • Lack of transparency tools and concierge service to help employees shop • Price Variation Everywhere – Thomas Reuter Study • Service Sites impact cost – In study Chicago Average for Colonoscopy was $2330-6330, while New York Colonoscopy averaged $450 • Provider contracts vary within employer plan • Knee Arthroscopy patient out-of-pocket difference out of pocket $200- 500 Savings
Health Plan Challenges
Why Healthengine? • Leadership • Forward Thinking Approach • Large % of plans are becoming high deductible/shared cost with employees • Consumer Driven Health can’t work without Transparency in cost along with quality metrics • Transparency only the beginning • Stage 2 Negotiations within BCBS of IL provider network • Stage 3 Reverse Auction to enable providers to engage and compete • Employee Engagement Consulting • 3 rd Party needed to fill void • Singular Focus on driving down costs for employers and patients • Contractual Obligations - Health Plans contract with providers every 1-2 years • Difficult for Health Plans to expose pricing due to variations • Continual Interaction with Provider Network • More quality data from outside sources
Healthengine Approach • Claims Data Analyzed • Key Procedures Identified > than 50% of Cost • Employee Dashboard and 800# Concierge Service Implemented providing Cost/Quality information • Select High Quality, renowned providers in relevant geographies • Negotiate Drastically improved pricing for members’ employees • Benefit Advocacy – Specialized Negotiation unit pre/post charges • Monitor Patient Satisfaction • Monitor Provider Competitiveness • Competitive provider real-time bidding platform • Comprehensive Change Management Approach – Employee Engagement
Healthengine ROI • No Risk Partnership for Pilots • Kane county Health Benefit approximate cost $12M • HealthEngine Solution annual cost reduction long-term (2-5 year) goal (30% minimujm) - $ • Company Benefits • Employee Benefits
What Employees See – Personalized Dashboard Employees see their own deductible spending summary Search for procedure or select it from pre-defined lists 9
What Employees See – Provider Choices Employees can now select their provider based on price, quality and location Additional cost savings for flexible days/times 10
What HR & Managers See – Rollup Reports & Utilization Employees can now select their provider based on price, quality and location Additional cost savings for flexible days/times 11
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