Tuesday, October 06, 2009

#health2con - Payers and Health 2.0

Brian Klepper - Health 2.0 Advisers introduces a panel of payers:

- Jerry Reeves, Health Innovations
- Mohan Nair, Regence BCBS
- Ingrid Lindberg, Cigna
- Nathan Moracco, State of Minnesoate Management and Budgets
- Chris Ohman, Kaiser Permanente

Nathan M - State of MN
At core they have a system to rank all payers on cost and quality. They incent members to go to higher quality care.
Lower or eliminate co-pays.

Mohan N - Regence
Looking at how to get system to change. System is broken, lacks transparency. Everyone is to blame.
Insurers have to change fast.
The centre of gravity has to switch from the physician to the Consumer.
Create Health Engagement through Consumer Engagement.

The solution comes from recognising Health Care is a community Asset.

Help the consumer to recognize it is their moenty and their future.

Chris Ohman, Kaiser Permanente
8.5M members in 10 states.
Direction - Clinical Care Management, Consumer Engagement

Right Care, right time, right place.

Chronic Disease Management is increasing focus.

Engaging the consumer
- Prescriptions, Doctor Dialogue. Next step is to coordinate the different aspects.

Ingrid Lindberg, Cigna
Cigna transformation to a Health Service Company with the Customer at the center.
Last 24 months focus on what consumers want.
Make Health Care easy to understand, Make it accessible
They have Facebook and Twitter presence. A Second Life Island.
Eliza for telephonic interaction and Intuit for account interaction.

Jerry Reeves, Health Innovations
Tough to get people to focus on actionable information.
Involved in applying data that drives change.

Action is no longer on in-patient but has moved to out-pattient./ambulatory and other MRI, imaging services.

132x cost to get someone to hospital v Doctor Office Visit.

Aligning incentives to make value-based decisions.

Brian Klepper - Get as much data and analyze then create incentives to make decisions more attractive.

Jerry - We now understand the importance of the consumer in the decision. The patient is the one who takes the pill.

Chris O - Developing key metrics in simple stop light form for Docs. eg. Risk of Patient for Heart Disease.

Ingrid L - Don't forget that people don't understand what we are talking about in the health care community.
We need to use the right language in the right context

Mohan N - Entrepreneurs believe logic will take over in adoption. We need to look at cultural.

Jerry R - For first time we are all coming together - Patients, Payers, Docs, Employers.

Adam Lee is now demonstrating Intuit's Health Product. Quicken Health Expense Tracker

40% of patients don't pay their doctor BECAUSE they don't UNDERSTAND what they owe.

Available via Cigna, United HealthCare and others.

Fred Goldstein, The prevention Plan


Access to HealthWise content. Programs to change behavior.
Integration to Personal Health Record (I wonder how this links to other systems)

Under $200/year. Selling to Employers. Participation rates up to 90% have been seen.
They sell to employers because of concern in sharing information with insurers.

Karl Ulfers, Optum Health

eSync platform. Telephonic support system.

Daniel Kogan, HealthWorldWeb
Plans have captive audiences and they come to the plan for static content.
Demonstrating how it takes 2 minutes with healthnet to find a list of 200 doctors with in a 10 mile radius.
[Me] And these tools are the most heavily used on many payer sites.


- Jerry Reeves, Health Innovations
Very interested in "Participatory Medicine. Don't try to guess or impose what consumers want. Engage them. Involve them.

- Mohan Nair, Regence BCBS
Are we engaging consumers. 80k posts on MyRegence. 500k people registered. All topics some of which may not be directly thought as health.
Health Plans are demonized - we need to work as a community. Buy from a plan you trust - that focuses on the consumer.

- Ingrid Lindberg, Cigna
Engage the consumer. Understand how people interact with the system.

Average US Citizen spends 30 mins to choose insurance and 4 hrs to choose a flat screen TV.

- Nathan Moracco, State of Minnesoate Management and Budgets
We are trying to set the information free. Make information available to employers and providers. Will have a PHR for employees by end of 2009. Expect to extend that to all State Citizens later.

- Chris Ohman, Kaiser Permanente
Regulators - We have to jump through too many hoops to bring tools to market.

Brian Klepper - Decision Support Tools at the point of care is transformative.

Ingrid L -
80% of Americans Think Provider means the Health Insurance Company.
Start with how we can help them save money. After that you can engage them in deeper discussions such as nutrition.

Regence 7k employees health plan reduced weight by 20k LBS in 2008. It required engagement. They have adopted walking meetings. and other healthy practices.

Jerry R - Enagement - Games fun - Jerry is from Vegas. What works in the retail and gaming work that engages people - how can we apply same principles to outreach programs. Move people from Passenger to Driver's seat.

Question - Have Regence expanded health plan to members?
Mohan - Yes - extended to installed base of employers. Looking to lower premiums. No customer has bought the plan. Employers won't pay more for this.

Healthy Behavior reduce absenteeism for employers. No research to prove it reduces health care costs.

Question - Matthew Holt - Why would people give their data to health plans?

Jerry R - Need to make some hidden information available.

Chris O - Very careful about maintaining trusted relationship between Doc-Patient. How can we get clinical information to consumers.

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