#Health30 - Jay Eisenstock of Provider eSolutions at Aetna

sNotes from the final day at the Health 3.0 Conference.

First up Jay Eisenstock in Provider eSolutions at Aetna.

Aetna is focused on leveraging distribution channels to achieve decision support.

Aetna have partnered with Navinet to provide multi-payer support for providers.

They now see the technology as commodity and intend to differentiate on the services they provide.

Clinical Tools:
- PHR
- Lab orders, results and trending
- ePrescribing

Financial:
- Electronic remittance
- EFT
- Payment Estimator

Admin:
- 150M eligibility transactions per year
- 96% electronic referrals

Created the EDI Savings Calculator. An interactive tool that calculates savings for EDI transactions. Targeted at the smaller doctors that still use manual transactions. Use savings from Milliman to help advise when Providers don't have an idea of their costs. Tool takes about 10 minutes to use to come up with an estimate of savings.

Care Considerations is a tool that mixes claims data and research to send alerts to members and providers where issues such as drug interactions are identified.

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#Health30 - Larry Kissner - VP Sales and Marketing - Independence Blue Cross

The final session of the day at #Health30

Larry Kissner is the VP, Sales and Marketing at Independence Blue Cross.

If your BMI is

BMI 30% =$7600/yr
in Health Care Costs

How do plans know about member health:

- Claims
- Providers
- Self Reported by Members

Independence uses NaviNet to print Gaps in care at the provider office at a member's appointment.

Rewards don't have to be direct financial. alternatives:

- Amazon Rewards
- Incent One
- Contribution to school programs
- Entry in prize drawings

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#Health30 Mark Mixer - Alliant Health Plans Using tech to create incentives

After my presentation - which will go on to my SlideShare ekivemark account when I get to a high speed uplink...

Mark Mixer is a Lead for eProvider solutions at Alliant Health Plan. He is  talking about Using Technology to create incentives and Health Record interaction with members, providers and employers.

Employers are the ones buying insurance.

PHRAnywhere branded completely separately to avoid being associated with the health plan. A lifetime PHR that is provided free of charge.

Alliant has 90% market share in their area. This makes transparency (for health plan benefits) an interesting proposition.

Hospitals are normalizing their reimbursement rates across carriers and networks.

Questions:

- Can health plans be the consumers' trusted source of information to assist them in navigating the health system

- Can health plans encourage healthy behaviors among enrollees as a means of reducing costs and improving population-based outcomes

- How can health plans help members save money and receive better health care from providers

- How should health plans engage with employers to enhance employee wellness and healthy living

- How should health plans assist individuals in making clinical decisions, selections of providers and self-care

This was an interesting, contrarion talk.

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#Health30 - John Mills, Dir Prod Dev at Emblem Health - mobilize your org to support Social Media

More from Health 3.0 Conference:

John Mills tlaking about how to mobilize your organization to support Social Media

Emblem Health is based in NY and has 4M members.

Benefits of Social Media:

- Great for message testing
- Direct access to customers (no media filtering)
- Good way to build a buzz
- Promote image

General Issues:

- Trust
-- Members like their plan but distrust Health Plans in general
-- Concerned about PHR and Privacy
-- Concerned about bad image from negative comments - this is happening anyway - out of sight

Internal Issues - Apprehension - rises as you go up the organization:
-- Lack of control
-- Fear of unknown
-- Negative Publicity

Overcome by pointing to:
-- Competition is already there
-- Early mover advantage
-- Low cost with potentially high reward
-- Overcome bad publicity

A question arose about the difference in access between fans and friends. Ie. What can the owner of a fan page see about their supporters.

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#health30 - Cheryl Pegus of J&J's SymCare

Lunchtime session at Health 3.0....

Johnson and Johnson started Symcare in 2007. The presentation came from Cheryl Pegus.

The first product is inTouch Diabetes.

This offers a monitoring solution with bluetooth interface that can connect to a mobile phone and post results to a HIPAA certified website to allow remote monitoring.

A new direction for HealthCare:

- use cellphones - everyone has them.- Health Literacy - customize information. Make it simple.
- Engage health care professionals
- Rewards

Exception based reporting from home reporting led to nurse patient handling from 1 to 300 to 1 nurse for 500 patients.

The patient invites the HealthCare Professional. This reduces resistance that typically comes from Payer originated Care Management programs.

People are preferring rewards to discounts.

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#health30 Breana Mercer - HealthPartners Online tools for exceptional experience, population health and ROI

More from Health 3.0...
Breana Mercer, Manager of Product Development at HealthPartners

JourneyWell is a division of HealthPartners. the largest member governed integrated health system.

The Triple Aim: Population Health, Exceptional Experience and Return on Investment/affordability.

"Health is a state of complete well being and not an absence of illness"

40% of health determinants are Behavioral elements

Approach:

1. Design
2. Experience
3. Health and Productivity
4. ROI

Focus on Potential rather than Risk - More positive approach. Risk has negative connotation.

Communications and Incentives drive engagement to start the program.

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#health30 Mike Gonzales of Kaiser talking about EMRs to optimize health prevention

More notes from the Health 3.0 Conference in Orlando.

Mike Gonzales works at Kaiser Permanente out of Colorado. He works in Employer Health & Wellness which is part of Population and Prevention Services.

Electronic Medical Record (EMR) integration seen through the eyes of a member, physician and employer.

Leading causes of death in USA are:
1. Heart disease
2. Cancer
3. Stroke
4. Chronic low respiratory disease

Leading behavioral causes of death in USA are:

1. Smoking
2. Obesity and inactivity
3. Alcohol
4. Motor vehicles

Lessons:

- No point in screening for risks if you don't connect the screened to the next step in changing behavior or get treatment.
- Focus screenings: Fasting Lipid panel and blood glucose, blood pressure. Assess risk factors for cardiovascular disease and diabetes - Tobacco use and Body Mass Index.
- Integrate testing to the EMR

- Do Framingham cardiovascular risk calculation

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#health30 Lessons from BlueShieldCA.com consumer web portal

Creating a Directed Consumer Sales Channel Through the IFP Web Portal to Facilitate and Expedite Sales 
Eskander Matta 
Vice President Business Transformation & eBusiness 
Blue Shield of California

In replacing their legacy web portal Blue Shield created an Agile skunk works team. Offshore development with a high offshore-onshore ratio.

A monthly development cycle. Less dependence on documentation and more on prototyping.

The result was in 9 months (at 10% of the original packaged solution cost) they built a web portal for 5 different groups (including consumers, brokers and customer support agents for the individual and family group market)

Lessons:

- images are powerful

- Keep decision points above the fold

- toll free numbers tied to key search terms to direct to products.

- Shoppers are price sensitive. Show the low price plans!

- Started with recommended plans model. Learned over time that you need to show cheaper plans even if it is not the best solution. It keeps them in the process and may buy a lower price plan rather than not buying at all.

- use every opportunity to include an "Apply Now" button. 

- Users think in a modular manner - ie. they are used to the shopping cart model. So include a progress indicator.

- Application form is a vehicle for cross-sell. Don't leave cross-sell to the end. People are done with the exhausting application. Include the Up-sell at an early stage.

- Message center - status emails, reminder emails. Looking at text messaging.

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#health30 @jaybernhardt CDC use of Social Media

My notes from the Health3.0 conference. Recorded and posted in real time so please excuse the brevity.

@jaybernhardt of the CDC is presenting on the CDC's use of Social Media.

CDC follow the Whitehouse protocol in their facebook page - which has 50,000 fans.

Monitor for wrong information and post data to counter/correct. Don't Censor!

People spend more time on the web watching video than any other activity.

The lesson with video is to bring it to where the audience is. ie. facebook, youtube etc.
e-cards are very powerful. People send to others. Link to content.

Widgets are also powerful to drive network effects. CDC have tens of thousands of widgets embedded across other sites.

Mobile is the most important development. High levels of penetration across all demographics. Often works when no other channels are operating. They are in close proximity to people almost at all times.

Mobiles are inseparable from the individual. Typically within arm's reach for 19 hours per day.

Mobile offers the best Point of Sale marketing. Offering support "At the point of decision"

CDC objective is to be available everywhere.
John Barry - "Pandemics. Most important weapon will be a vaccine. The second most important will be communications."

Facebook analytics: Comments and Likes vary by Type of information being presented.

Don't make people jump through hoops to get information - they won't. Deliver it to them.

eg. 19 videos on youtube watched 3 million times on Youtube but only 285,000 times on CDC.gov.

1.27M Twitter followers of CDC_ehealth

Mobile pilot - text "HEALTH" to 87000 this will deliver 3 text messages per week.

The future:
1. Location is on the cutting edge. Geocoding and GPS will add value.
All data collected should be geocoded.

2. Apps and more apps. There will be an app for everything.

3. Convergence of Everything. Media, data, devices, diseases/issues.

Overall Jay gave a great presentation.

The CDC web site still gets more visits from health professionals than from consumers. Most people come to the site through search engines.

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#health30 @jaybernhardt CDC use of Social Media

My notes from the Health3.0 conference. Recorded and posted in real time so please excuse the brevity.

@jaybernhardt of the CDC is presenting on the CDC's use of Social Media.

CDC follow the Whitehouse protocol in their facebook page - which has 50,000 fans.

Monitor for wrong information and post data to counter/correct. Don't Censor!

People spend more time on the web watching video than any other activity.

The lesson with video is to bring it to where the audience is. ie. facebook, youtube etc.
e-cards are very powerful. People send to others. Link to content.

Widgets are also powerful to drive network effects. CDC have tens of thousands of widgets embedded across other sites.

Mobile is the most important development. High levels of penetration across all demographics. Often works when no other channels are operating. They are in close proximity to people almost at all times.

Mobiles are inseparable from the individual. Typically within arm's reach for 19 hours per day.

Mobile offers the best Point of Sale marketing. Offering support "At the point of decision"

CDC objective is to be available everywhere.
John Barry - "Pandemics. Most important weapon will be a vaccine. The second most important will be communications."

Facebook analytics: Comments and Likes vary by Type of information being presented.

Don't make people jump through hoops to get information - they won't. Deliver it to them.

eg. 19 videos on youtube watched 3 million times on Youtube but only 285,000 times on CDC.gov.

1.27M Twitter followers of CDC_ehealth

Mobile pilot - text "HEALTH" to 87000 this will deliver 3 text messages per week.

The future:
1. Location is on the cutting edge. Geocoding and GPS will add value.
All data collected should be geocoded.

2. Apps and more apps. There will be an app for everything.

3. Convergence of Everything. Media, data, devices, diseases/issues.

Overall Jay gave a great presentation.

The CDC web site still gets more visits from health professionals than from consumers. Most people come to the site through search engines.

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#Health30 workshop @lisagualtieri How consumers use the internet andhow to help them

I am at the Health 3.0 Conference in Orlando, FL. It is bizarre to have a 3.0 conference with no Internet access but we have ways to get online.... So here we go. These are my on the fly notes... a little rough in parts.

Lisa Gualtieri, PhD, Adjunct Clinical Professor in Health Communications at Tufts is running a workshop at the Health 3.0 conference

 

What interests Lisa about Online Consumer Health.

"Most mobile health apps are developed because people have a health issue"

In "The Internet Saved My Life!"  Lisa (@lisagualtieri) told the story of a woman using the internet to research about bat bites after she had been bitten. She took her research to the hospital. The woman was more informed than any of the physicians and nurses who were treating her.

Internet use in the 65+ age range tends to be shallow - primarily email and search

In Mobile in the USA 78% of the population had cell phones in 2008.  (The USA is expected to reach 100% penetration by around 2012).

1 in 4 users with a chronic condition use the Internet.

1 in 3 users with a chronic condition read blogs

Lisa referenced the updated Forrester Technographics Ladder from Groundswell: Winning in a World Transformed by Social Technologies. This is available on line here.

What do Health Consumers Do online?

86% of Health Consumers ask a health professional

68% ask a friend

57% go online

(Source: Pew Social Life of Health Information 2009)

Forrester: 

How do people start? - with a search engine.

If your data isn't discoverable from Google/Bing you are wasting your time.

Google One Box has changed habits for popular health searches. Bing has a similar feature.

41% of e-patients have read someone else's commentary or experience

24% of e-patients have looked at doctor and facilities

13% have  listened to a health/medical podcast

Females make 75% of the medical decisions. A combination of incentives and spousal engagement drives engagement.

iCrossing - 2008:

34% of Americans turn to Social Media for health.

HONCODE - Health on the Net Foundation - Certification for Health Web Sites. Geneva-based not for profit foundation.

How to Support Consumers through education and support. The Web Strategy to support the consumer:

1. Clear Goals and Meaningful Measures

2. Target users (e. research based personae) a) who are most important user populations b) list characteristics - age, gender, education, family, health literacy. c) develop personas for each of the 3-4 groups - make them seem real d) Are they accurate? what else do you need to know? Scenario development - What was the trigger. where did people come from? repeat use - why should they return. 

3. What are your competitors doing? Competitive analysis. Competitors may be defined by search term results. How can you be better?

4. Develop an execution plan (Design, technology, content, policies)

5. Evaluation plan

6. Review, Revise

three things to keep in mind:

1. Appeal

2. Usability

3. Effectiveness at achieving goals

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@SCRIMSHIRE /THE LOW ROAD 7in Featuring Marc Rapson remix. Mark Calendars for Feb 1st

Scrimshire - The Low Road 7-Inch Release by WahWah45s Wah Wah 45s blow the doors off a new decade with a brand new release from our secret weapon, the mighty Scrimshire! Having wowed us with his lush debut album “Along Came The Devil One Night...” in 2009, the young South London g

via s294292194.websitehome.co.uk

It is time for me to do the proud Dad dance. Feb 1st sees the release of @Scrimshire's latest single, a remix. Check out the tracks via the Soundcloud link: http://soundcloud.com/wahwah45s/02-i-was-love

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