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Improving Health Care Quality and Cost Effectiveness

We provide personalized health care guidance by assembling and organizing personal health data, identifying opportunities for improvement, and delivering actionable information to individuals, physicians, and care managers. Our expertise lies in data analytics, clinical knowledge, and personalized communications.

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Improving Health Care Quality and Cost Effectiveness

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  1. Improving Health Care Quality and Cost Effectiveness Dean Souleles Chief Operating Officer November 21, 2008

  2. Resolution Health Our Vision Create a world where each individual achieves their optimal health through the best, most cost effective health care. Our Beliefs It is possible to create that world.Getting patients, doctors and relevant health information together is at the heart of achieving this vision.

  3. Resolution Health

  4. Resolution Health Our Mission We send a smarter patient to the doctor. We provide a more informed doctor for the patient.

  5. The Smarter Patient

  6. The More Informed Doctor

  7. Guiding the Way to Better Health CareOne Person at a Time™

  8. Guiding the Way to Better Health Care… One Person at a Time™ Personal Health Picture™ • We assemble and organize personal health data for each health plan member (not just those with “Big 5” chronic diseases) Personal Health Scan™ • We identify specific opportunities for health care quality improvement and cost reduction for the individual Personalized Communications • We provide actionable information to the individual, their physicians and their care managers

  9. Personal Health Care GuidanceOur Expertise Data Analytics Expertise Personal Health Picture™ 9

  10. Personal Health Care GuidanceOur Expertise Data Analytics Expertise Clinical Expertise GAP IDENTIFIED ! Personal Health Picture™ Personal Health Scan™ 10

  11. Personal Health Care GuidanceOur Expertise Data Analytics Expertise Personalized Communications Expertise Clinical Expertise GAP IDENTIFIED ! Personal Health Picture™ Personal Health Scan™ 11

  12. Our Customers Entities at financial risk for health care costs • Health Plans • Self-Insured Employers • Pharmacy Benefits Management Companies • Unions

  13. Our Customers Entities at financial risk for health care costs • Health Plans • Self-Insured Employers • Pharmacy Benefits Management Companies • Unions Companies that help “at-risk” entities manage their risk • Disease Management Companies • Third Party Administrators • Portal Companies • Benefits Consulting Firms

  14. Our Customers Entities at financial risk for health care costs • Health Plans • Self-Insured Employers • Pharmacy Benefits Management Companies • Unions Companies that help “at-risk” entities manage their risk • Disease Management Companies • Third Party Administrators • Portal Companies • Benefits Consulting Firms Current Client List • 193 Individual Accounts • 10 Major Health Plans • 2 Major Pharmacy Benefits Management Companies • 1 Major Portal Vendor

  15. What Differentiates UsOur Business Personal Health Picture™ • Sophistication and breadth of our of data analytics • Focus on individuals in entire population, not just “Big 5” diseases • Analysis of Lab Results, HRA -- moving toward real-time analyses

  16. What Differentiates UsOur Business Personal Health Picture™ • Sophistication and breadth of our of data analytics • Focus on individuals in entire population, not just “Big 5” diseases • Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan™ • Comprehensive, cutting edge rules library • Rules which consider individuals’ plan benefit design details • Glide path predictive modeling • Johns Hopkins University School of Medicine relationship

  17. What Differentiates UsOur Business Personal Health Picture™ • Sophistication and breadth of our of data analytics • Focus on individuals in entire population, not just “Big 5” diseases • Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan™ • Comprehensive, cutting edge rules library • Rules which consider individuals’ plan benefit design details • Glide path predictive modeling • Johns Hopkins University School of Medicine relationship Personalized Communications • Focus on engaging and motivating individuals • Consumer communications, behavioral science expertise • Coordination of individual, physician and care manager messaging • Personalized “tailoring” of messages and delivery methods

  18. What Differentiates UsOur Impact Matched-Control Study • Proved member-targeted messaging increases compliance with evidence-based guidelines and formulary preferences. Randomized Control Test • Proved physician-targeted messaging increases compliance with evidence-based guidelines.

  19. The Personal Health Picture™

  20. Creating the Personal Health Picture™ Personal Health Picture

  21. Creating the Personal Health Picture™ Personal Health Picture • Demographic • Age 62 • Male • Married

  22. Creating the Personal Health Picture™ Personal Health Picture • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008)

  23. Creating the Personal Health Picture™ Personal Health Picture • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008)

  24. Creating the Personal Health Picture™ Personal Health Picture • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008)

  25. Creating the Personal Health Picture™ Personal Health Picture • Lab Test Results • Total Cholesterol 214 (May 23 2008) • LDL Cholesterol 109 (May 23 2008) • HDL Cholesterol 85 (May 23 2008) • Triglycerides 100 (May 23 2008) • Fasting Blood Sugar 123 (Mar 28 2008) • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008)

  26. Creating the Personal Health Picture™ Personal Health Picture • Lab Test Results • Total Cholesterol 214 (May 23 2008) • LDL Cholesterol 109 (May 23 2008) • HDL Cholesterol 85 (May 23 2008) • Triglycerides 100 (May 23 2008) • Fasting Blood Sugar 123 (Mar 28 2008) • Biometrics • Height 6’ 2” (May 23 2008) • Weight 215 (May 23 2008) • BMI 27.6 (May 23 2008) • Abdominal Girth 39in (May 23 2008) • Blood Pressure 145 / 90 (May 23 2008) • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008)

  27. Creating the Personal Health Picture™ Personal Health Picture • Lab Test Results • Total Cholesterol 214 (May 23 2008) • LDL Cholesterol 109 (May 23 2008) • HDL Cholesterol 85 (May 23 2008) • Triglycerides 100 (May 23 2008) • Fasting Blood Sugar 123 (Mar 28 2008) • Biometrics • Height 6’ 2” (May 23 2008) • Weight 215 (May 23 2008) • BMI 27.6 (May 23 2008) • Abdominal Girth 39in (May 23 2008) • Blood Pressure 145 / 90 (May 23 2008) • Health Participation • Disease Mgt Program – Enrolled (Mar 17 2008) • Wellness Program - Targeted • Wt Loss – Targeted • Smoker – Targeted • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008)

  28. Creating the Personal Health Picture™ Personal Health Picture • Lab Test Results • Total Cholesterol 214 (May 23 2008) • LDL Cholesterol 109 (May 23 2008) • HDL Cholesterol 85 (May 23 2008) • Triglycerides 100 (May 23 2008) • Fasting Blood Sugar 123 (Mar 28 2008) • Biometrics • Height 6’ 2” (May 23 2008) • Weight 215 (May 23 2008) • BMI 27.6 (May 23 2008) • Abdominal Girth 39in (May 23 2008) • Blood Pressure 145 / 90 (May 23 2008) • Health Participation • Disease Mgt Program – Enrolled (Mar 17 2008) • Wellness Program - Targeted • Wt Loss – Targeted • Smoker – Targeted Lifestyle • Exercise – 3X per week (Feb 18 2008) • Smoker (Feb 18 2008) • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008)

  29. Creating the Personal Health Picture™ Personal Health Picture • Lab Test Results • Total Cholesterol 214 (May 23 2008) • LDL Cholesterol 109 (May 23 2008) • HDL Cholesterol 85 (May 23 2008) • Triglycerides 100 (May 23 2008) • Fasting Blood Sugar 123 (Mar 28 2008) • Biometrics • Height 6’ 2” (May 23 2008) • Weight 215 (May 23 2008) • BMI 27.6 (May 23 2008) • Abdominal Girth 39in (May 23 2008) • Blood Pressure 145 / 90 (May 23 2008) • Health Participation • Disease Mgt Program – Enrolled (Mar 17 2008) • Wellness Program - Targeted • Wt Loss – Targeted • Smoker – Targeted Lifestyle • Exercise – 3X per week (Feb 18 2008) • Smoker (Feb 18 2008) • Demographic • Age 62 • Male • Married • Medical History • Atrial Fibrillation (Jul 22 2007) • Diabetes (Mar 01 2006) • Office Visit Dr. Lynn (May 23 2008) • Office Visit Dr. Wilson (May 17 2008) • Office Visit Dr. Jones (Apr 12 2008) • Prescriptions • Metformin 500mg (May 01 2008) • Metformin (Dec 01 2007) • Lipitor 20 mg (Feb 10 2008) • Lipitor 20 mg (Jan 18 2008) • Accupril 20 mg (Mar 28 2008) • Accupril 20 mg (Feb 18 2008) • Accupril 20 mg (Jan 12 2008) • Nexium 20 mg (Feb 12 2008) • Nexium 20 mg (Jan 10 2008) • Lab Tests • Cholesterol Panel (May 23 2008) • Metabolic Panel (Mar 28 2008) • CT X-Ray Sinuses (Feb 04 2008) COMPLETE

  30. The Personal Health Scan™

  31. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition

  32. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition

  33. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition • Evidence-Based Care Scan • Has Condition Needs Drug • Has Condition Needs Test • Need Test Event Follow-up • Need Preventive Test-Age • Need Doctor Visit Follow-up ER • Need Preventive Info Condition • Need Info Warning Signs • Need Info Lab Result Ranges

  34. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition • Evidence-Based Care Scan • Has Condition Needs Drug • Has Condition Needs Test • Need Test Event Follow-up • Need Preventive Test-Age • Need Doctor Visit Follow-up ER • Need Preventive Info Condition • Need Info Warning Signs • Need Info Lab Result Ranges

  35. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition • Evidence-Based Care Scan • Has Condition Needs Drug • Has Condition Needs Test • Need Test Event Follow-up • Need Preventive Test-Age • Need Doctor Visit Follow-up ER • Need Preventive Info Condition • Need Info Warning Signs • Need Info Lab Result Ranges • Rx Cost Savings Scan • Brand Switch to Generic • Brand Switch to Formulary Preferred • Formulary-Preferred to Generic • Pharmacy Purchase to Mail Order • Test Result Indicates Doctor Follow-up

  36. Guiding the Way to Better Health Care… One Person at a Time™ PERSONAL HEALTH SCAN • Rx Safety Scan • Drug-Drug Interaction • Drug-Condition Interaction • Drug-Age Interaction • Drug-Lifestyle Interaction • Drug FDA Recall/BlackBox • Has Condition Needs Drug • Need Test to Optimize Drug Dose • Need Test to Assess Drug Side Effect • Test Result Indicates Dose Adjust • Non-Compliance Drug Regimen • Over-use of Drug • Need Doctor Visit to Follow Start New Med • Need Drug to Prevent Condition • Evidence-Based Care Scan • Has Condition Needs Drug • Has Condition Needs Test • Need Test Event Follow-up • Need Preventive Test-Age • Need Doctor Visit Follow-up ER • Need Preventive Info Condition • Need Info Warning Signs • Need Info Lab Result Ranges • Rx Cost Savings Scan • Brand Switch to Generic • Brand Switch to Formulary Preferred • Formulary-Preferred to Generic • Pharmacy Purchase to Mail Order • Test Result Indicates Doctor Follow-up

  37. Guiding the Way to Better Health Care… One Person at a Time™ Adam is at risk for stroke.

  38. Personalized Communications

  39. Guiding the Way to Better Health Care… One Person at a Time™ Adam is at risk for stroke.

  40. Guiding the Way to Better Health Care… One Person at a Time™

  41. Guiding the Way to Better Health Care… One Person at a Time™

  42. Guiding the Way to Better Health Care… One Person at a Time™

  43. Guiding the Way to Better Health Care… One Person at a Time™

  44. Guiding the Way to Better Health Care… One Person at a Time™

  45. Making a Difference Adam Achieves “optimal health” Risk of stroke reduced Avoids Emergency Room visit Avoids hospital stay Avoids compromised lifestyle Adam’s Employer Adam remains at work A productive employee Avoids finding, training new employee Adam’s Health Plan Avoids medical claim Avoids short / long term disability claim Avoids post-stroke medical costs

  46. Resolution Health Message Types Health Alerts Urgent information about your health Health Tips Ways to help improve your health Money Savings Ways to save money on prescription drugs and other health care services

  47. Reaching The Individual

  48. Coordinated Communications To Patient and Physician

  49. Patient / Physician CommunicationsStrong Results and Reaction Success / Compliance Rate 44% On Clinical Issues “It’s wonderful that my health plan does such a thing. These communications make me proud to be a health plan member.” – Personal Care Note Recipient “Compiling the patient's information in this easy-to-read format makes communication between the physician and the patient more interactive…a better feeling.” – Family Practice Physician

  50. Resolution Health Questions?

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