Value-Driven Healthcare: Real Benefits for Real People September 20, 2007 Jamie Spriet Vice President Business Develo

1. Value-Driven Healthcare: Real Benefits for Real People September 20, 2007 Jamie Spriet Vice President Business Development

2. Value-Driven Healthcare – Collaboration is Key “Coming together is a beginning; keeping together is progress; working together is success.” --Henry Ford 1863 - 1938

3. Value-Driven Healthcare – ePrescribing Initiative • Collaboration between the auto companies, • Henry Ford Health System (HFHS) and Health • Alliance Plan (HAP) in 2006 • Over 2.8 million eRx generated to date by over • 1,200 physicians. • Henry Ford Medical Group rollout complete • Huron Valley Physician Association (HVPA) • United Physicians / Premier Physicians Network--Beaumont Hospitals

4. Value-Driven Healthcare – eRx—the Benefits • Patients now avoid potential complications due to drug interactions • Saves healthcare dollars by using generics • Michigan has received national recognition • Newt Gingrich gave testimony to HAP’s eRx Initiative • Congress last year recognized eRx as innovative • and best practice • This past June, HAP shared with House Health Policy • Committee impacts of eRx on: • Prevention • Reducing health care costs • Information technology • Quality

5. Value-Driven Healthcare – More CollaborationThe Chrysler Group—Diabetes Initiative • Objective: • Assist diabetic Chrysler employees at the • Auburn Hills facility with HgA1C > 7 • To gain greater control of blood sugars • To live healthier through care management with • Certified Diabetic Educators • The Results? • Pilot concluded 1st quarter of ’06, • Participants achieving blood sugar control increased • from 68% to 77% • Participant knowledge of diabetes increased by 18.6% • 93% of participants were satisfied— • felt the program enhanced their quality of life • Next Steps? • The program is being rolled out to additional • Chrysler worksites

6. Value-Driven Healthcare – More Chrysler Collaboration • Chronic Care Excellence Initiative • - Focused care management for individuals w/ chronic disease(s) including: • *Diabetes • *Asthma • *Coronary artery disease • *Heart failure • *Depression • “We Got Your Back” • - Group treatment of guided relaxation techniques • that provide a stress-free state under all • circumstances + home healing techniques • - Mid-point results from 240 individuals: • Average of 33% peak pain reduction • 26% disability reduction • 39% depression reduction • 11% perceived stress reduction • 23% improvement in sleep

7. Worksite Wellness – Real Benefits for Real People • HAP partners w/employers to coordinate programs and helps empower them to continue these programs themselves • HAP offers wellnessprograms to help stimulate behavior change and to enhance a culture of health in the organization • HAP programs are easily customized to meet group needs, based on claims and/or Health Risk Assessment (HRA) data • Most programs at no cost to the group Value for Members, Purchasers, and Providers

8. Worksite Wellness – Real Benefits for Real People HAP Programs & Services—the Numbers • Health Fair Support Over 150 conducted annually • State of the art educational materials and displays • Cooking/fitness demonstrations • Chair massage • “Ask a Nurse”, “Ask a Dietitian” • Health Screenings Over 5,000 screened annually • Blood pressure, Body fat/BMI/Height & Weight • Cholesterol, Glucose • Mammography • Vision • Wellness Workshops Over 125 conducted annually • Seminars on various health topics • Campaigns Over 30 groups served annually • Walk for Better Health • Self-paced walking program • Includes all program materials and pedometers • The Prime of Our Lives • 6 sessions; targets women 45 years and over; physician lead • Weight Wise at Work • 2 sessions with Zonya Foco, RD; incl. cookbook, 8 weeks of email tips

9. Worksite Wellness – Real Benefit for Real People More Programs & Services—the Numbers • Flu Shots Over 5,000 HAP members served annually • Facilitate on-site clinics • No charge for HAP members (HMO, AHL) • Group works with vendor to schedule and arrange payment for non-HAP employees • Monthly e-newsletter Over 300 Groups on distribution • Targets group representative responsible for on-site wellness programs • “How-to”, tips, and information on worksite wellness programming • Online Wellness Program Over 36,000 uses to date • iStrive for better health – Includes HRA and 7 lifestyle management programs • Support for employer-sponsored incentives • Group aggregate HRA data available

10. HAP Worksite Health Promotion Worksite Wellness – Real Benefits for Real People *Flu vaccine not available

11. HAP Worksite Wellness Forums Worksite Wellness – Real Benefits for Real People • Employer groups to learn from one another, share ideas and resources • Hosted and facilitated by HAP Worksite Health Promotion team for over five (5) years! • Agenda based on participants’ identified interest(s)/need(s) • For example, on the September 20, 2007 agenda at the request of TI Automotive and Guardian Automotive: - Obesity Crisis Discussion led by Dr. Mary Beth Bolton, HAP Medical Director • Implementing wellness programs for a dispersed workforce

12. Worksite Wellness – Real Benefits for Real People Top Health Issues Programs • Overweight/Obesity • Physical Inactivity • High Blood Pressure **Programs easily customized to meet group needs Weight Watchers Discount Weight Wise at Work, featuring Zonya Foco, RD Healthy eating seminars Healthy cooking demonstrations BMI assessment Walk for Better Health Curves Discount On-site screenings Educational sessions

13. Member-focused Wellness Programs – Real Benefits for Real People • Wise Women Program – • 90,000 subscribers to quarterly magazine • Tender Loving Care (TLC) Day are to capacity 400+ members • Over 400 members attendance at every session • Weight Wise Program – • 9,443 members participating • Programs for Women, Families, Couples • Weight Wise Alumni sessions since inception • Prime Time Living Program – • 30,000+ retiree subscribers to quarterly magazine • Over 1,600 enrollees in the program in 2006 & 2007 • Healthy Living Program for Seniors – • Over 650 seniors enrolled in our first Weight Wise for Seniors • Two (2) more events Planned this year

14. NEW! Member-focused Wellness Programs – Real Benefits for Real People Weight Management Program • HAP expanded the nutritional counseling benefit beyond members with a chronic illness making this service available to all HAP members. • Discounts at Global Fit • HAP HMO members now can also join Curves and save 50% off the total enrollment fee • HAP HMO members who attend Curves at least nine times a month • HAP reimbursed Curves $10 toward their monthly dues for up to 12 consecutive months • 1,025 enrolled in two (2) months!

15. NEW! Member-focused Wellness Programs – Real Benefits for Real People Weight Management Program • Partnered with Weight Watchers to provide a low-cost opportunity for HAP HMO members • Partnership goes beyond the simple discounts offered by other health plans—why? • On July 1, HAP HMO plan members can join a Weight Watchers (12-week session for just $25) * HAP pays the balance for a total of four 12-week sessions —if member stays engaged * HAP members are developing healthy eating habits to last a lifetime * Demonstrates HAP’s commitment to promoting healthy lifestyles—the results? 4,100 enrolled since July • No other Michigan health plan offers Weight Watchers for just $25

16. NEW! Healthy Engagement Initiatives – What’s New?Real Benefits for Real People • Journey to Wellness • Interactive educational tool accessed via “kiosk” • Intranet site or individual computer that addresses an individual’s current health status • Provides a guide for addressing personalized health care needs • Program initiated at local churches through a • partnership between HFHS and HAP • HAP will be making the program available to community organizations, schools, etc.

17. NEW! Healthy Engagement Initiatives – More ToolsReal Benefits for Real People • Wise Consumer Education • Computer-based interactive course in collaboration with OE Learning on how to be a wise health care consumer • Topics include: • *Choosing and using a health plan *Choosing a physician • *Prevention and self care • *Managing chronic health conditions • *Emergency vs. Urgent Care • CDs available to members and employers • *On HAP’s guest portal, and • *Via DVD individual PCs or • computer based learning systems for both members and employers

18. Real Benefits for Real People—Is It Working? “A few months ago I could barely get thru my workday let alone anything else meaningful at home. (Thanks to ‘I Got Your Back’) my family sees the difference in me!” “Thank you so much for Curves!!!” “HAP’s Weight Management Programs are by far the best things you could have offered me… I am now on track with weight loss and it is all thanks to HAP!” “Getting my blood pressure checked at work is so easy and it is helping me keep it in check.” “Thank you for the discount to Weight Watchers HAP! Something real for real people!” “I’ve been a HAP Wise Woman from the get go and have learned so much from Zonya Foco about healthy eating. My husband and I are eating healthier and more active as empty nesters than we’ve ever been!” “My doctor can send all my prescriptions right to the pharmacy now! As soon as I get to the pharmacy after my appointment, my medications are ready. Now, that’s convenience… I love it!”

19. Real Benefits for Real People…