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Innovations that Empower ConsumersOctober 4, 2013

Shauna Sanford Howell & Ryan Schmid

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Castlight Health enables employees to make educated,

data-driven decisions about their healthcare

while offering employers visibility into their spend.

Right Provider

Right Care

RightEngagement

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Properly managed and appropriate referrals give

patients the exact care they need at the best value.

Providers get to treat patients the way they were trained and rewarded for improved health,

not number of services.

Patients are enabled to navigate healthcare using simple software

that incorporates familiar shopping tools.

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Data Driving Behavior

High Cost MRI:Employee uses Castlight mobile app to review referral options in doctor’s office & saves $1000 on a provider that fits his needs.

High Stage 4 Breast Cancer Rate: Due to high incidence of Stage 4, employer determines women aren’t having mammograms. Targeted messages were incorporated to address.

Under Utilized Surgery Support Benefit:Advertisement of the benefit & on the Castlight tool resulted in drastic increase of utilization.

Vera Whole Health is a market-leading healthcare service that delivers

comprehensive, intelligent primary care to employees via employer-funded worksite

clinics.

Right Care• Evidence based care• Primary, preventive, urgent, occ health, and wellness

services

Right Provider• Appropriate referrals; decision rules built into referral

process• Price and outcomes transparency

Right Engagement• Population health management• Comprehensive annual exam – Whole Health Visit – 60 min.• Coaching, disease management, provider relationships

Right care, right provider, right engagement

CURRENT COMPLIANCE: ALL LIVES(MEDai from 7/1/2012 – 8/30/2013)

Guideline Disease# Members w/Disease

# Members w/any Gap

Average % Compliance

% Members w/Chronic Impact

>= 95% Members w/Acute

Impact >= 95Preventive Care 3019 2909 16.50% 10.90% 2.70%Osteoporosis 64 48 25.00% 20.30% 1.60%HIV 17 17 29.40% 94.10% 5.90%CVA 16 15 31.60% 75.00% 12.50%Immunizations - Children 691 418 40.30% 0.10% 0.00%Hemophilia 225 198 40.60% 16.40% 3.10%Hyperlipidemia 397 205 48.40% 29.50% 2.00%Preventive Care - Women 4426 2444 53.00% 7.10% 1.70%Depression 108 58 53.90% 15.70% 8.30%Well Child Care 2442 1123 54.00% 0.70% 0.40%COPD 17 9 57.70% 52.90% 11.80%Hypertension 82 40 60.40% 20.70% 3.70%Pregnancy Care 320 318 61.00% 8.10% 6.60%Diabetes 224 206 63.50% 27.70% 5.80%CAD 47 22 66.40% 53.20% 12.80%Drug Management 652 205 73.30% 18.10% 2.80%Multiple Sclerosis 21 4 81.00% 4.80% 23.80%Rheumatoid Arthritis 53 27 83.30% 45.30% 7.60%Heart Failure 3 1 87.50% 66.70% 66.70%Renal Failure 22 2 90.90% 13.60% 18.20%Asthma 57 5 92.10% 36.80% 3.50%Migraine Headache 162 18 94.90% 87.00% 7.40%Low Back Pain 866 66 95.40% 23.70% 1.90%Schizophrenia 3 0 100.00% 100.00% 33.30%Hepatitis C 1 0 100.00% 100.00% 0.00%

MEDai Guideline Compliance Profile: Seattle Children's Employees (All Lives)