leading the way to better health presentation to the twin cities chapter of iscebs april 2010

Leading the Way to Better Health

Presentation to the Twin Cities Chapter of ISCEBS

April 2010

Confidential — Please do not copy or distribute. © 2009 Buyers Health Care Action Group (BHCAG)

The Buyers Health Care Action Group

The Buyers Health Care Action Group is a coalition of public and private employers working to

recreate the health care system so consumers will get the care they need in the right place, at

the right time and at the right price. We develop purchaser strategies and seek out

consumer information tools that promote a safe, timely, efficient, effective, equitable and

patient-centered health care system.


Twenty Years as Catalyst for ReformThe Buyer’s Health Care Action Group is a multi-stakeholder membership organization, comprised primarily of large self-insured employers.Vision: Health care consumers get the care they need at the right time, in the right place, at the right price.Mission: Redirect the health care system to focus on a collective goal of optimal health and total value.Strategies Employed: •Openly challenge conventional practice and foster innovation.•Aggressively pursue performance improvement.•Actively influence the behavior of all stakeholders to achieve alignment in providing and purchasing health care.•Proactively engage and connect our members to initiatives that further our goal of optimal health and total value.


BHCAG Members 3M AMS Best Buy BlueCrossBlueShield of MN Cargill Carlson Companies CDI Medtronic MN Management and Budget Olmsted County Park Nicollet Resource Training and Solutions Rosemount SUPERVALU Securian Sanofi-Aventis

• Target Corporation• University of Minnesota• US Bank• G&K Services• General Mills• Pfizer• Medica• Glaxo Smith Kline• Honeywell• Jostens• Land O’ Lakes• Novartis• Merck & Co.• Wells Fargo• U of M Physicians


The Purchaser Vision

Implement an integrated, comprehensive PHR solution– Fully interoperable with Minnesota Health Information Exchange (HIE)

– Fully portable; not tied to any single employer, provider or plan

– Meets industry standards and best practices for privacy and security

– Managed and administered by experts in the areas of health care, information management, data collection, and engagement

Control health care costs– Enable consumers to seek higher quality products and services

– Reduce duplication and increase value

– Reduce absenteeism

– Enhance wellness management efforts

Build a culture of health – Personal ownership of health information; transparency

– Access to health information to support decision-making

– Easy to use and flexible enough to meet a wide variety of needs

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What is myHealthfolio?

A consumer-owned, portable, interoperable personal health management system Creates opportunities for people to connect with providers, manage their health,

improve quality and safety, and control costs Private and confidential personal Web

site, allowing people to organize andshare health information as needed, including:

– Health records– Health costs– Communication– Education– Periodic reminders for

preventive care– Timeline for health care issues

and events

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A new way of managing your health life

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Health Record Organizer

Health history, medications, immunizations, implanted device information, health care directives

and access to EMRs, imaging, laboratory tests

Communication Portal

Between consumers, health care providers, and health plans includes online consults, prior authorizations,

and benefit queries

Cost Management Tools

Pay for and track health care services and cost, budgeting of HSAs and

HRAs, definition of benefits of individual consumer plan

Health Education

Enroll in disease management programs, health assessment and

management, and health maintenance timelines

Calendar and Reminders

Health care appointments, health maintenance timelines and

preventive schedules, and daily health routines

Incentive Programs

Receive redeemable points for maintaining wellness schedule of risk assessment, healthy routines,

preventive programs, and maintenance


myHealthfolio:Everything revolves around the person

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Own and control personal health information; private and secure

Consider the true cost of health care when making decisions

Communicate effectively with health care providers

Know how to obtain quality health care

Pursue and maintain a healthy lifestyle

Choose appropriate plans, providers and procedures

Demonstrate self-care

Practice preventive care

Become a smarter health care consumer with decision-making confidence


Delivering better information, faster

By demanding the liberation of health data — through the efforts of BHCAG and its members — Minnesotans will have access to more information, faster, than anyone in the country:Information is owned by individuals — not health plans, providers or employersPeople have the health information they need, when they need itInformation is reliable, because it comes straight from the source Users can store more information, all in one safe and convenient locationNo need to manually input health records; the system connects to physician’s offices, hospitals, medical devices, insurance companies, social networks, and other information sourcesInterconnectivity and interoperability puts people at the center of care, allowing them to share only the information they chooseThe system is designed to operate with other platforms, as they become available, to meet evolving needs

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How myHealthfolio works

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Information privacy and security

All Protected Health Information (PHI) is stored in Microsoft HealthVault “State of the art Fort Knox security”

Deborah Peel M.D., Founder, Patient Privacy Rights

Highest security and privacy standards, allowing users to share only theinformation they choose

Meets BHCAG specifications of no advertising, data mining, or persistent “cookies”

Meets evolving national standards, including Continuity of Care Document (CCD) and Continuity of Care Record (CCR)

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Features and functions

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Customization: Meets the needs of both sponsors and users– Can manage personal health records and also those of family members

– Users can choose to share only specific information from health records, or grant access to only certain subsets of data as needed

Interoperability: A wide variety of health providers (e.g., HealthPartners, Walgreens, CVS/Caremark, MinuteClinic, and others) are integrating with myHealthfolio/HealthVault

Access: Enables users to access and manage medical records from any provider connected to HealthVault, including providers that are not State vendors

Usability: Intuitive navigation makes it easy to set up and use Portability: Because it’s owned by the user (and not a health plan, provider or

employer), it can serve as a lifelong tool for managing health and health care costs


Why is this so important?Five “inconvenient truths” of health communication Unhealthy lifestyles are putting our nation’s workforce and economy

at risk The average person lacks the information and understanding to

make informed health decisions Engaging consumers in health care requires a fresh new approach

to grab people’s attention and motivate them to take action

Consumers don’t trust health plans to be caretakers of their health information

Consumers fear losing health information when they switch plans

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More than 91 million Americans cannot

adequately understand basic health care information

Source: U.S. Department of Health and Human Services, Office of the Surgeon

General, 2009


Leading the nation in health care innovation The BHCAG myHealthfolio Initiative — a national model to

empower people, control cost, and enhance quality and safety– Buyers Health Care Action Group– SmartBuy Alliance– Research Groups

(U of M and NIH)– Quality Improvement

Organizations– Provider Groups and Plans– Others

BHCAG Employer Advisory Group Health Care Purchaser Declaration MN HIE Position Paper

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Minnesota’s Health Care Environment

One of the lowest number of uninsured in the nation – 7.2 percent

Healthiest state in the nation, 4 of last 5 years

Most state-wide tools in the marketplace

Most use of health savings accounts – 9.2 percent

Most purchase of long term care insurance – 10 percent (over 50 years)

More integrated systems (hospitals, clinics)

More primary care physicians per citizen

More employer-sponsored insurance

Not-for-profit HMOs

Strong history of collaboration


What we can accomplish, together

Catalysts for Minnesota-wide community movement to adopt technology enabled, personalized, electronic health management systems

Convene multiple purchasers to advance widespread adoption and achieve critical mass until consumer driven movement gains momentum

Accelerator for electronic connectivity between “data holders” and individuals, devices for home monitoring, wellness, disease management, family members, social networking, information

Data holders support increased value to individuals and purchasers by encouraging use of electronic connectivity

Value is generated for individuals, providers, and sponsors by using technology and connectivity in new ways

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Leading the way to better health

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myHealthfolio is more than a product —it’s a unique opportunity to come together

as a community united for change

Liberating data, giving people quick and easy access to the health

information they need

Integrating data from a variety of sources — connecting patients, providers, and other

stakeholders

Empowering people with information, education and incentives to improve health and control costs

Ensuring personal health information is private and

secure

Reinforcing Minnesota’s leadership role in health

care innovation


For more information…

Carolyn ParePresident and CEO

Buyers Health Care Action Group7900 International Drive

Suite 1080Bloomington, Minnesota 55425

952 896 [email protected]

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leading the way to better health presentation to the twin cities chapter of iscebs april 2010

Documents

health care consumers

areas of health care

information management

right place

right time

right price

consumer information

total value