701 COOL SPRINGS BLVD. | FRANKLIN, TN 37067 | 800.327.3822 | WWW.HEALTHWAYS.COMCOPYRIGHT © 2012 HEALTHWAYS, INC. ALL RIGHTS RESERVED. SENIOR_FSHEET_0412

Healthways Well-Being Improvement for Seniors: A Comprehensive Medicare Advantage Strategy

Each day, about 8,000 baby boomers reach the age of 65.1 Many seniors aging into Medicare are experienced online consumers, comparing plans and seeking benefits beyond basic coverage. CMS star ratings have raised the profile of quality measures. Ratings publicly indicate how well plans help members stay healthy, manage chronic conditions, and more.

Medicare Advantage plans seeking to attract and serve a growing population of seniors need strategies that recognize the importance and value of proactive health support. Multiple studies demonstrate reductions in health care use and cost through large-scale senior wellness programs.2

Healthways offers a comprehensive, research-based strategy for your senior population. Our holistic approach goes behind physical health to assess, target, and improve well-being. It’s designed to attract and engage plan members, to positively influence your star ratings, and to reduce health risks and future care costs.

An Advanced Assessment for Seniors Healthways Senior Well-Being Assessment (WBA) delivers an insightful view of member health history, status, social and emotional health, and health-related behavior.

Healthways provided input to CMS guidelines for a senior wellness assessment. Our CMS-approved, Senior WBA fully addresses star rating criteria. It combines our traditional, NCQA-accredited, health risk assessment with key well-being metrics leveraged from the Gallup-Healthways Well-Being Index®.

Questions cover six, scientifically defined areas of well-being and explore challenges specific to seniors: risk of falls, hearing and vision issues, the strength of social ties, and the ability to perform the instrumental activities of daily living.

Members can complete the annual assessment online or in print with phone support.

• Colorful, easy-to-read reports show each person the risk factors and behaviors that are helping or hurting well-being.

• Aggregate reports for your total population compare metrics against national, regional, state, or local benchmarks from the Well-Being Index.

Personalized Well-Being PlansEach person in your population receives a Well-Being Plan building on data captured in the Senior WBA. Both resources are integrated through Well-Being Connect, a guided online experience with an engaging, easy-to-use interface and extensive behavior change science behind the scenes.

HEALTHWAYS WELL-BEING IMPROVEMENT FOR SENIORS

Raise Star Ratings

Beyond plan responsiveness, customer service, and drug plan performance, CMS star ratings emphasize two primary domains:

Staying healthy: screenings, tests and vaccines

Managing chronic (long-term) conditions

Our well-being improvement strategy addresses every measure within these domains in more than one way:

Capturing data through the Senior WBA

Identifying issues (such as missed screenings and tests) as actionable risks

Intervening with members, through Well-Being Connect and direct coaching, to address those risks and change behaviors

Providing related patient education

Reduce Big Risks with Proven Solutions

Obesity and tobacco use are two of the biggest risks for health care and cost. Our well-being improvement strategy includes proven solutions for both: QuitNet® for tobacco cessation, and Innergy™ for healthier weight. Participants are identified for both programs using Senior WBA data.

Developed in collaboration with major research university Johns Hopkins Medicine, Innergy brings a model for sustained weight loss, successfully tested in the Johns Hopkins POWER trial, to your population. (Nearly 40% of participants receiving intervention lost and maintained a loss of 5% or more of their initial body weight.4)

The program includes frequent contact with a weight management coach and online social support, accessible via Well-Being Connect.

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701 COOL SPRINGS BLVD. | FRANKLIN, TN 37067 | 800.327.3822 | WWW.HEALTHWAYS.COMCOPYRIGHT © 2012 HEALTHWAYS, INC. ALL RIGHTS RESERVED. SENIOR_FSHEET_0412

Personal Well-Being Plans:

• Recommend behaviors for improvement and relevant steps to action, directly related to individual health risks.

• Allow members to focus on behaviors they are most motivated to change, to work on multiple behaviors at once, and to set and track personal goals.

• Integrate the full Transtheoretical Model (TTM) of behavior change through embedded technology and strategies, developed in partnership with Dr. James O. Prochaska and Pro-Change Behavior Systems, Inc. Beyond just the stages of change, action steps reflect individual self-confidence and decisional balance (views on the pros and cons of change).

• Link members to purposeful, relevant tools, articles and video segments, and health professionals.

Guided Online Improvement Nearly 50% of adults age 65 and over use the Internet.3 Seniors are increasingly comfortable with online tools. Well-Being Connect is simple to access and update. It engages your senior population at every level of health. Guided improvement in behaviors like self-management, appointment adherence, healthy eating, and weight management directly influence star rating measures.

Well-Being Connect also offers:

• Highly configurable messaging to support member communication

• A flexible incentive platform, easily modified as CMS guidelines evolve, to accommodate effective use of member rewards

• Dynamic health trackers that encourage frequent interaction (tracking exercise, healthy eating, medication adherence, weight, and more)

• Access to social support features for tobacco cessation (QuitNet.com), weight management (Innergy™), and more

Senior-Focused Telephonic Health CoachingTo further drive risk reduction, behavior change, long-term health care savings, and star rating gains, our well-being improvement strategy includes direct health coaching. We focus coaching support on members with high health risks and on improving specific star rating metrics. Our sophisticated identification process draws data from the Senior WBA and available claims and reflects the unique dynamics of senior populations.

Healthways coaches for seniors are highly experienced health professionals who understand the aging process and related social and emotional needs. Coaches apply evidence-based knowledge and bring compassion to each call. They have access to all aspects of member health and program involvement: well-being risks, medications, conditions, needed tests or exams, and personal health goals.

Each interaction builds on previous contact to support specific action plans. Call frequency and intensity reflect individual health status and change.

High-Risk Cost AvoidanceAdd short-term impact to your well-being improvement strategy with Healthways High Risk Cost Avoidance. Through customized predictive models, we anticipate and prevent high-cost events by targeting highly personalized outreach to identified seniors. For those entering the end of life process, specially trained nurses can provide telephonic compassionate care counseling and education that improves quality of life and reduces costs.

Built-In Engagement SupportMarketing and engagement support is included in our work with your population. A fully developed, easily customized communications campaign drives initial and ongoing participation. Messages and resources make personal connections.

Integration with Healthways SilverSneakers® Fitness ProgramOur well-being improvement strategy integrates with existing, successful programs—including SilverSneakers—to create opportunities for cross-promotion and increased participation. Well-Being Connect can link to the SilverSneakers fitness center search tool and educate members about the benefit, while SilverSneakers facilities encourage completion of the WBA and awareness of Well-Being Connect.

1AARP. Boomers @ 65: Celebrating a Milestone Birthday. Available at http://www.aarp.org/personal-growth/transitions/boomers_65/. Accessed 4/10/2012.2Coberley C et al. Effectiveness of Health and Wellness Initiatives for Seniors. Popul Health Manag 2011; Vol 14, Supplement 1.3Pew Internet & American Life Project. Demographics of internet users, February 2012. Available at www.pewinternet.org/Static-Pages/Trend-Data/Whos-Online.aspx, Accessed 4/10/2012.4Appel LJ et al. Comparative Effectiveness of Weight Loss Interventions in Clinical Practice. N Eng J Med 2011; 365:1959-1968.