Best Practices for Corporate Wellness Enhancement Program

2. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
An Overview of
Heal n Cure

3. We are Heal n Cure
“Focusing on prevention first
and treating the underlying
cause is the future of modern
medical care”
• Medical wellness center.
• Primary care doctors office.
• Supervision of Board Certified, Award Winning physicians.
• In-network for PPO insurance plans.

4. We are Heal n Cure

5. We are Heal n Cure

6. Affiliations

7. Affiliations
American Society of Bariatric Physicians
(Non-surgical)
National medical society of licensed physicians offering
specialized programs in the medical treatment of obesity
(bariatrics) and associated conditions.
American Board of Obesity Medicine
Obesity medicine Diplomats are committed to providing
effective, evidence-based therapy for patients who are
overweight or obese. They recognize the need for a
comprehensive approach that considers the multiple factors
contributing to obesity.

8. Mentoring and training physicians at the Nation’s Top Ten Health System
We have been honored by being selected to mentor
Physicians –
“Mentor for physicians joining Advocate
Physician Partners because of your outstanding
performance in the Clinical Integration program,
your cost-effective practice and your leadership
characteristics.
You are one of the elite leaders within APP and
we hope you will agree to mentor new
physicians joining APP so that they, too, can
achieve outstanding performance.”

9. Cigna – Recognition for Cost Efficient Quality Care

10. United Healthcare recognition for quality of care and cost efficiency
• UnitedHealth Premium® Designation
• Recognizing physicians for meeting guidelines for quality and cost efficiency.
• The UnitedHealth Premium® designation program recognizes physicians and specialty
centers that meet or exceed quality of care and cost efficiency standards.
• Evaluations are based on industry standards, evidence-based and medical society
standards and guidelines from medical organizations and governmental agencies such
as the Ambulatory Care Quality Alliance, the National Committee for Quality Assurance
(NCQA), and the American College of Cardiology, plus scientific advisory boards.

11. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for
quality of care and cost efficiency.
• Efficiency scores rated under 1.0 indicate lower resource use, and scores over 1.0
indicate higher resource use.
• Heal n Cure scored a .73 efficiency score placing us in the Top Tier for
Blue Cross Blue Shield.
• Case Mix scores under 1.0 indicate a patient panel with low severity, and scores above
1.0 indicate patient panel with high severity.
• Heal n Cure scored a 3.86 in Case Mix.

12. Heal n Cure has been recognized by Blue Cross Blue Shield Illinois for
cost efficiency and quality of care.
Efficiency Score – Cost Savings Case Mix/Risk Factors

13. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
The INSPIRE
Program

14. INSPIRE Program – Implements USPSTF Recommendations
Patient provider interaction over a visit delivers
Multi-component behavioral and medical wellness
Care Coordination
Support & Intervention
Building Trust
Patient Education
Designing Personalized Plan
Diagnosis & Prognosis
Making Decisions
Self Management Tools
Physician Assistant – Lifestyle Educator
Medical Assistant
Exercise
Physiologist

15. Patient Engagement, Motivation, Compliance
& Tracking Outcomes

16. Driving Patient Engagement – Progress in Every Visit
Dropped 38.5 lbs, from size 16 to size 10. Feels proud that Heal n Cure worked with the
patient diligently on every visit to ensure successful clinical outcome.

17. Driving Patient Engagement – Tracking the Fat Loss
• Symptoms
Loss in Body Weight = 324.5 – 235.7 = 88.8 lbs
(191.1 - 183.4) + (133.4 - 52.2) = 88.8 Total weight loss

18. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Cost of Implementing
the Program

19. INSPIRE Program - Costs to Employees
• All Providers are Board Certified & Credentialed with Insurance
• All Care is based on evidence based medicine
• Care is billed as Primary Care.
• Care is personalized, visits are scheduled based on the medical
history and physical examination.
 Thus, all visits are covered by Insurance plans as primary care.
 There is no balance billing.

20. INSPIRE Program – Costs & Compliance for Employers
Ease of setup: Ready for use from day 1

21. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Inspire Program
Complements
Corporate Wellness

22. Inspire Complements Trustmark’s Corporate Wellness Offering
• Compliments HFN, applies only to those 10% of patients who HFN
identifies as requiring active medical advice.
• Utilizes data from HFN - Screening, HRA, Biometrics.
• Implements only pay for use policy.
• Incorporates recommendations and plans provided by health coaches.
• In person, face to face meetings and care provided by trained, licensed
medical professionals.
HFN

23. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Presentation of
Clinical Outcomes
& Savings

24. Heal n Cure selected to present at the upcoming
"Overcoming Obesity" conference, September 10-13, Austin, TX
Overcoming Obesity Conference - September 10-13, Austin
The Overcoming Obesity conference is held once a year by the American Society
of Bariatric Physicians. Obesity medicine experts will discuss the latest thinking
about our tools to prevent and manage obesity. Topics will cover adiposopathy and
fat mass disease and range from pediatric obesity, digital-care delivery and
patient-centered physical activity to long-term use of anorectic medications.

25. Heal n Cure at the upcoming
"Overcoming Obesity" conference, September 10-13, Austin, TX
Abstract:
Corporations in the US are deploying 'Corporate Wellness Programs' to reduce
their healthcare expenses. These programs address the needs of majority of
employees. To deliver the ROI multiple, they can be enhanced to address the
medical needs of employees who are high health care utilizers.

26. Medical Costs and Savings

27. Medical Costs and Savings
Potential Savings
The program reduces urgent care and ER visits, and the need for costly,
invasive interventions.
Annual direct cost per medical condition for high needs employees:

28. Medical Cost Avoidance and Savings
According to another independent study3 by the National Institute for Health Care
Management Foundation, the average annual healthcare expenses for the high-needs
employees was $26,767 in 2009.

29. Key Research Findings

30. Key Research Findings

31. Key Research Results

32. Heal n Cure selected to present at the
“Overcoming Obesity” conference
Dr. Louis Aronne, MD.
Past President North American Association
for the Study of Obesity (NAASO)
Consulting Member, Endocrine and
Metabolic Drugs Advisory Subcommittee,
FDA
Executive Council, VHA
Chairman, Practical Guide Development
Committee, NIH – NHLBI for the Study of
Obesity.
Dr. John Foreyt, PhD
Professor, Medicine at Baylor College of
Medicine
Member, National task force on prevention
and treatment of Obesity, NIH
Member, Expert panel on the identification,
evaluation and treatment of overweight and
obesity in adults, NIH – NHLBI
Dr. Foreyt has published extensively in the
areas of diet modification, cardiovascular
risk reduction, eating disorders, and
obesity, including 17 books and more than
300 articles.

33. Heal n Cure is a member of:
The Midwest Business Group on Health &
Wellness Council of America

34. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Program Integration

35. Eligibility – Referral After Biometric Screenings
Alert Level (high acuity) is identified by Corporate Wellness Vendors, HRA,
Biometric Screenings, using the Heal n Cure criteria.

36. Eligibility – Referrals from On-Site Providers
• Referrals from HFN’s on-site providers and health coaches
• Referrals from Occupational Health Centers

37. Eligibility - Identification Through Medical Claims
Review the medical claims file to identify patients with the following ICD
Codes, as directed by Trustmark and the employer.
• Coronary Heart Disease
• Certain Types of Cancers
• Type 2 Diabetes
• Hypertension
• Obstructive Sleep Apnea
• Stroke
• Metabolic Syndrome
• Fatigue
• High Triglycerides
• High Cholesterol
• Fatty Liver Disease
• Erectile Dysfunction
• Obesity
• Overweight
• Pre-Diabetic
• Pre-Hypertension
• Dyslipidemia
• Insulin Resistance

38. Eligibility – Self Referral
• Educate Employees about
 Seamless employee experience – we accept their health plan
 Promoting INSPIRE Program as an already covered benefit
 Visiting healncure.com to learn more
• Promote electronically
 In flyers/email from HR Department
 On company website
• Promote using handouts
 Provide patients with Heal n Cure brochure, card
 Inform about Complimentary Consultations

39. Implementation – Outreach & Communications
1. Heal n Cure can send email invites and introduction to the program
(optional).
2. Heal n Cure can call eligible employees for an introduction to the
program (optional).
3. Heal n Cure can also invite eligible employees for a complimentary (no
cost, no obligation) consultation at the center.

40. Implementation – Complimentary Consultation
FREE No-Obligation Consultation
An INSPIRE Core Wellness Program
Counselor will provide an overview of our
programs and answer any questions you
may have. There is absolutely no-obligation.
If you are interested in booking an
appointment after your free consultation, we
accept PPO insurance plans or self pay for
services.

41. Implementation – Ease of Scheduling
• Book appointments 24/7 online at
healncure.com
• schedule a free consultation with a
Inspire professional
• All medical visits are covered by
insurance
• We are conveniently open 6 days.
Free Consultation
Appointment with Physician
Family Practice Physician
Appointment with PA
Same Day Appointments

42. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Future

43. Future Innovation – Shared Savings
Directly measure savings and ROI from clinical interventions by analyzing
year over year claims data from for the same cohort of patients. Similar to the
ACO model used by CMS, calculate incentives based on clinical outcomes
and shared healthcare savings.

44. An Overview of Heal n Cure
The Inspire Program
Costs
Inspire Program Complements Corporate Wellness
Presentation of Clinical Outcomes & Savings
Program Integration
Future
Questions?
Questions?

45. Thank You, Any Questions?
Heal n Cure
• Board certified and credentialed providers
• Accepting medical insurance
• Inspire trained and experienced professionals
INSPIRE Program - healncure.com/programs/inspire
• Evidence based comprehensive clinical care
• Patient education, patient engagement
• Tracking results and Providing explanations
• Help them with personalized medical program per USPSTF guidelines
Complement Corporate Wellness
• Leverage results from screenings and health risk assessments
• Already a covered benefit under the insurance plans
Visit www.healncure.com or email us at info@healncure.com for more information.