August 12, 1998
AccordantCare Product Specification
Accordant Health Services Inc.Inc.- Background
A Population Disease Management Program Focused On 15
Complex,
Complex, Chronic Diseases averaging $9700 per year, 7200 per
million covered lives, over $70 million total claims cost per
million covered lives
Founded in March of 1995 - Greensboro, NC
40,000 sponsored members from 19 customers representing over 30 million
covered lives
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Over 200 Employees – 2 full time Medical Directors, Integrated RN – MSW
clinical operations teams, 14 Medical Advisors
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Fully integrated teletele-web communications backbone
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Focused on 15 complex, progressive chronic diseases
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Wholly Owned Subsidiary of AdvancePCS Inc.
Seizure Disorders
Multiple Sclerosis
Parkinson's Disease
Rheumatoid Arthritis
Systemic Lupus
Cystic Fibrosis
Hemophilia
Myasthenia Gravis
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Population Disease Management
Accordant Results:
Cost Reductions
Produces Sustainable Total Cost Savings
Result: Population
DM produces cost
savings by
diminishing the
magnitude of existing
high cost cases and
preventing crises
from occurring.
Regression to the Mean
tendencies counteract
one another through
time
PMPM (Constant Dollars)
PMPM by LOTIP
Case
management
interventions
accelerate
natural “high to
low” RTM
migration
Disease Management interventions blunt
disease progression and reduce low to
high RTM
migration
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Least costly
Most costly
CQI
Lower
Lower
Risk
Risk and
and
Stable
Stable
Class
Activation
Disease
Disease
Management
Management
Specialized
Specialized
Patient
Patient
Management
Management
Ongoing Assessments,
Education/Intervention
Ongoing Assessments,
Education/Intervention
Outcomes
& Reporting
CQI
5
$800
$600
$400
$200
$-
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3
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5
6
LOTIP Quarters
7
8
Source: Claims Data through 8/31/00 (Constant Dec. '99 Dollars)
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Client Server Computing Serves as the Perfect Metaphor for
Accrodant’s Complex, Chronic Care Management…
CQI
Program
Introduction
$1,000
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AccordantCare Process
Patient
Identification
Sickle Cell Anemia
ALS
Dermatomyositis
Polymyositis
Scleroderma
CIDP
Gaucher Disease
Assessment
and
Education
Higher
Higher
Risk
Risk and
and
Crisis
Crisis
Client Server Computing
Mainframe and Mini Computers
CQI
X Data
X Single
Processing Revolution
X Local desktop not dependable
Data Repository
X Exponential Increase
or Networked
in Dependability
X Exponential Information
X Incredible Promise
X LAN, WAN, Wireless,
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Sharing
Secure, Distributed
Computing
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August 12, 1998
Disease Management Evolves Integrated
Delivery...
“Integrated Delivery Model”
“Traditional Delivery Model”
Physician
MCO
Same
Patient
Routine Broadcast Mail Bulletins
Hospital
AHS
Internet Community
CTI Backbone Unified Messaging
Technology levers
IVR
Fax
Voice E-mail
Same
Patient
Patient
X Data
Wireless(TBD)
Phone
MCO
Hospital
Physician
Chronically
Ill Patient
TeleTele-Web Platform for Population DM
Processing Limited to Physicians
X Client (Patient)
X Disparate
Collection and Storage of
Patient/Clinical Record(s)
X Exponential Information
Sharing
Integrated Web & Call
Center RN Support
X Dramatic Outcomes Improvement
X “Best
Practices” Education is Limited to
Academia
Personalized
Educational
Content
Driven form
RDMS
Ongoing
Patient
Interactive
Inputs
Served by Accordant
Web
Chat
Rules engine allows for
rapid relational
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configuration
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AccordantCare Assessment IT Workflow
MD FYI Letter
e
Qu
sti
sC
on
e
ng
ha
s
sk
Ta
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Accordant ‘s 4 R’s: Reach the Population, Build a Relationship by
demonstrating Results thereby earning their Respect
Platinum Award Content
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Technology As The Enabler:Today
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Gold Award – Best eCare
DM Site
Streamline Call Center Operations Through
Interactive Voice Response (IVR) Techniques, Skills
Based Call Routing and Unified Messaging
Platforms
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Top 10 DM Site
HIRC - 2000
Enable “Real Time” Response by Integrating CrossCrossPlatform Communications (Fax, Phone, EE-mail,
Internet, Etc.) Into One PCPC-based User Interface
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Build OnOn-line Communities and SelfSelf-management
Opportunities Via Customized Web Applications
Top DM Web
Application – DMAA
2000
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August 12, 1998
IT Open Architecture Enables A Powerful
Healthcare Dynamic
Technology As The Enabler:Tomorrow
X Corporate/Organizations make available
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“Push” Customized Clinical Content to Patients
Based on ComputerComputer-generated User Profiles and
Content
information and transact in a virtual environment
MCO
Patient Centric =
Patient Empowerment
Build Brand Loyalty and Recognition Through the
Use of Participatory Multimedia and OnOn-line
Interactive Techniques
Successfully Integrate All Points in the Healthcare
Delivery System (Patients, Physicians, Health
Plans, Ancillary Health Providers, Etc.) Through OnOnline Connectivity and Other Technology Pathways
Integrated Delivery
System are Defined
by Connectivity
Firewall
Managers
X One to One
relationships
X Expert Training
in Disease State
Content
X Medical
Advisory Board
Logic
Assessment
Dialogue
Connectivity
X 24/7/365
Phone Access
to Nurse
X Branching
X Outbound,
X Dynamic,
X Auto Generation
Tailored
Education
Proactive
Model-Daytime
Coverage
of
Patient/Physician
Communication
delivered by Fax and
US Mail
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Physician
Patient
patients discover self serve
through web connectivity
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Accordant’s Client Server Application - Today
Nurse
AHS
X Individual
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X Trained Case
Hospital
Empowerment
X Disease
Profile and
Severity Dictate
Frequency of AHS
Interaction
X Nurse
Contact and
Education
Dependent on
Above Stratification
Accordant’s Client Server - Tomorrow
Nurse
X One to One
Relationship
X Leveraged
Case
X Patient Initiated
X Current Model
Intact
and Dependable
disease
Decision
Support through
the Web
X Unified
Multimedia
Messaging at the
Desktop
Discovery and
Publishing
X Exponential Growth
Load
X One Line
X Medical Advisory
Board
Managers
X Expert in
Connectivity
Content
X Trained Case
X Patient
Defines
Platform through
Interaction: Inbound
and Outbound through
Secure Email Offering
in Disease
Experiences and
Related Topics
X Dynamic,
Customized
Interaction now
available through
Self Service
X Audio,
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Video, Email,
Fax, Telephony, Web
chat enabled at the
desk top for patient and
nurse partner
Empowerment
X Disease
Profile and
Severity Dictate
Frequency of AHS
Interaction
X Nurse
Contact and
Education
Dependent on
Above Classification
X Patient
dictates
unique interaction
above and beyond
required frequency
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