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Advancing Healthcare Through Technology & Big Data. David Notari-CEO Innovation Health. Meet Innovation Health. Health plan administration expertise: Aetna’s national provider network Plan sponsor reporting Actuarial and underwriting Sales and marketing
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Advancing Healthcare Through Technology & Big Data David Notari-CEO Innovation Health
Meet Innovation Health • Health plan administration expertise: • Aetna’s national provider network • Plan sponsor reporting • Actuarial and underwriting • Sales and marketing • Employer, member and provider services • Claims and medical management • Regulatory and compliance services • Pharmacy services • Billing and collections • Clinically integrated health delivery system: • Inova’s nationally recognized centers of excellence, care delivery programs, and wellness programs • INOVA-developed provider network to drive improvements for efficiency, quality and patient satisfaction • Premium/costs below market resulting from significant unit cost reductions; additional value to be generated from network efficiencies over time • Health Information Technology and Health Information Exchange services to play a key role in enabling clinical integration to measure and improve performance through shared electronic health records, data analytic systems and evidenced-based guidelines 50 / 50 Ownership- A New Insurance Company
Over 600+ customers have chosen Innovation Health Leading innovationsPioneering networks and plan design Transparency tools Meaningful member engagement Serving the all segments Individual Exchange Small Group-2-100 Middle Market- 101-3000 National Accounts -3000+ Public Sector • 203% Membership growth since December 2013
Health Costs for Family of four hits $22,030 in 2013 Health Costs for Family of Four Hit $22,030 in 2013 Source: 2013 Milliman Medical Index, May 2013
Consumers’ Desired Role in Medical Decisions Trend Toward Being “In Charge” 92% want role in medical decisions Source: Altarum Institute Surveys of Consumer Health Care Opinions, Fall 2012, January 2013. January 2014
The power of health in members’ hands Convenient access to empowering tools Member Payment Estimator iTriage® Mobile | Web Personal Health Record Innovation Health Navigator® 24 MindbloomTM Life Game CarePass® 7 Get ActiveSM Member Cost and quality Ask Ann SmartSourceSM Wellness Integrated HealthInformation iTriage
Price Matter! Shopping for the best price • Actual cost data from Northern Virginia • Outpatient MRI, knee 513% difference Actual Contracted Price Facility $1,257 Facility # 1 $844 Facility # 2 $1,748 Facility # 3 $341 Facility # 4
Innovation – iTriage iTriage- Making a difference • Comprehensive healthcare info in one application • Facilitates actionable decisions • Helps answers these common consumer questions: • “What could be wrong?” • “Where should I go for treatment?” • Symptom-to-Provider™ Pathway: • Search symptoms and find possible causes • Research diseases, procedures, tests, medications • Decision support to better self directed care • Comprehensive provider information • Connectivity leads to action Innovation Health Plan, Inc.
Innovation Health Marketplace: Our private exchange solution Welcome. It’s time to shop for your benefits! Shop, Buy and Enroll • Single carrierintegration • Robust portfolio of benefits including Health, Dental and Life • Consistent experience for the population of choice • Defined contribution approach • Predictability to health insurance budgets 9