8/8/2019 Delivering Outcomes - Insights in Well-Being Improvement

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OPPORTUNITY FOR IMPROVEMENT

Industry experts have long agreed that programs to

improve health and wellness, such as disease management

or health risk reduction, can reduce healthcare costs and

raise productivity. Well-being improvement solutions

require further advances in outcomes measurement.

Historical limitations

Statistical challenges, such as regression to the mean,

and narrow metrics, such as a heavy reliance on inpatientadmissions, have limited past ability to accurately capture

solution impact. And customers have not always understood

or had access to the details behind “results.”

To inform management decisions, solutions must clearly

define outcomes and demonstrate value.

HEALTHWAYS APPROACH

Focused interventions – specific outcomes

Interventions within our Well-Being Improvement Solution

cut costs and improve performance by:

• Preventing avoidable and costly episodes of

illness through proactive clinician outreach.

• Preventing hospital readmissions through

contact at discharge.

• Reducing and eliminating health risks and

closing clinical gaps through coaching.

• Maintaining and encouraging healthy

behaviors through guided online support.

 An improved framework for measuring value

Healthways invests extensively in outcomes research. With

internal and external experts, we developed a framework

for measuring and valuing solution impact that overcome

historical limitations and builds on sound, accepte

methodologies and tools.

Calculating claims savings – beyond inpatient costs,

connected to our interventions

• Using Episode Treatment Grouping to track the

frequency and severity of medical episodes thatour interventions are designed to affect (episodes

reflect care around a particular issue, including

hospitalization, outpatient care, ER visits, and pre-

and post-episode diagnostics and follow-up)

• Including additional reductions in readmissions

 Valuing behavior savings – achieved through risk

reduction, determined with greater accuracy and reflecting

impact over time

•  Applying risk reduction values developed through

our Simulation Model, created with The BostonConsulting Group

• Building on the work of Dee Edington to reflect

differences in cost impact by risk, interrelationships

of risks and demographics, and the cumulative value

of risk reduction over a five-year timeframe

• Eliminating overlap with claims savings

Including savings from reduced absenteeism – 

a clear impact on productivity validated by research

and quantifiable within most employer populations

Detailing the value chain – a series of measures that

show progressive engagement with our professionals,

interventions, and support tools

We use accurate, understandable measures to demonstrat

the value of our Well-Being Improvement Solution and

stand behind our ability to deliver with specific performanc

guarantees.

Well-Being

Improvement SolutionDELIVEROUTCOMES

WWW.HEALTHWAYS.

 Access more details at

 www.healthways.com/solutions/ourprocess

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