Blackstone Inc. · NYSE:BX
Blackstone — Equity Healthcare — Equity Healthcare Webinar on Getting the Most from Equity Healthcare Quarterly Dashboards (July 2012)
20 slides from Blackstone's conference presentation, Jul 30, 2012
Slide 1: Equity Healthcare Webinar: Getting the Most from Equity Healthcare Quarterly Dashboards
July 30, 2012 Equity Healthcare Webinar on Getting the Most from Equity Healthcare Quarterly Dashboards
Slide 2: Agenda
Agenda What is in the Quarterly Dashboards? How to interpret the results of the Quarterly Dashboards? How do you know if you are an outlier? What to do if you are an outlier? 2
Slide 3: Quarterly Dashboard Objectives
Quarterly Dashboard Objectives Guidelines 1. Monitor program performance: Integrated A. Over time B. Relative to benchmarks Accessible 2. Identify areas of opportunity Balanced 3. Help answer the “what next” question 3
Slide 4: Data Sources Currently in Truven Data Warehouse
Data Sources Currently in Truven Data Warehouse Medical Eligibility Prescription Drug Care Management/Program Participation Treatment Decision Support Biometric Screening 4
Slide 5: Orientation to Dashboard Pages
Orientation to Dashboard Pages Financials based on Paid Data Rolling 12 month reporting periods Traffic Lighting with +/-5% Thresholds Multiple Norms based on availability 5
Slide 6: Financial Overview
Financial Overview • Compare net payments versus budget projections • High cost claimants by clinical condition • Employee cost- sharing provisions relative to industry peers 6
Slide 7: Drill Down Using Truven Reporting Tool
Drill Down Using Truven Reporting Tool Age groups Coverage types Employee relationship Employee status Gender Hourly/Salary In and out of network Plans States Union/Non-Union Custom fields Questions about login? Contact Nina Braiman at nina.braiman@truvenhealth.com or phone: 31
Slide 8: Prescription Drugs
> OTIC D p = BG Prescription Brand Other Total) Genel Brand Other Tote Paid PMPM Bx Li Scripts per 1,000 (wii Previous 6,107, (2,647 198 8,952 211 172 1 394 Current yet Current 6,326 2,512 205 9,044 237 175 14 426 ~ % Change 3.6% 51% 3.7% 1.0% 12.4% 1.9% 30.2% 8.3% Paid per Script . Previous $19 $15
Slide 9: Prescription Drug Drill Down
Prescription Drug Drill Down • Plan design review: • Mail Order: Maintenance Choice? • Generic step therapy? All Classes? • Specialty Drug ( Exclusive, SGM, Step Therapy) • Drill down through Truven reporting tool • Track over time 9
Slide 10: High Cost Claimants & PMPM by Type of Service
High Cost Claimants & PMPM by Type of Service • Review break-out of high cost claimant information • Check if there were a few extremely high cost individuals • Drill down on Service Type areas with large increases to reveal underlying drivers: • Office Visits: PCP vs. Specialist • ER: Avoidable ER
Slide 11: Selected Conditions
Selected Clinical Conditions (Medical and Pharmacy Incurred Claims) Cancer Osteoarthritis aternily Back Disorders Mental Health CAD Diabetes Newborns "Paid Non-HCC Paid HCC. Hypertension Joint Digorders, NEC $2,000 $3,000 $4,000 $5,000 $6,000 $7,000 Claims Paid ($000s) Paid PMPY: Yr over Yr % Change
Slide 12: Drill Down on Cancer
Be Explore: Chronic Conditions Profile | > BR) .~Missing ¥ ..-Missing Show selections on: @ Rows ©Columns © Slicers 2 Clinical Analysis Incurrefal Clinical Conciitions ee Net Pay Net Pay Per a Age Groups —_— 4 Med Patient Med ©. © Clinical Condition © © Clinical Conditi _ Cancer - Skin 21 $4,621 $22
Slide 13: Mental Health & Substance Abuse
Mental Health & Substance Abuse 13
Slide 14: Key Utilization and Unit Cost Measures
Key Utilization and Unit Cost Measures • Consider relationships between Year over Year Comparisons measures Comparison to Norms 14
Slide 15: Engagement and Care Model Evaluation
Engagement and Care Model Evaluation Equity Healthcare monitors Quarterly Dashboards to identify measures that are outliers. These become part of the carrier Work Plans 15
Slide 16: Preventive Services
Preventive Services • Drill down by location, business unit, employee vs. dependent to inform the design of communication campaigns 16
Slide 17: Quality Markers & Glossary
Quality Markers & Glossary Best-in-Class Avoidable versus Non- Benchmark Emergent ER Visits Don’t forget to use the Glossary 17
Slide 18: Cost and Quality by Condition
Cost and Quality by Condition Some quality measures require 2 or 3 years of data Careful of small numbers 18
Slide 19: Calendar of Reports
Calendar of Reports Oct Dec Jan Feb Mar Apr May Jun Jul Aug Sep Data Through Date: 2011 2012 Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Report Delivery Date: 2012 Executive Executive Executive Executive Dashboard Dashboard Dashboard Dashboard C-Suite Report = Update to the data warehouse PE Firm
Slide 20: Give us your suggestions!
Give us your suggestions! Know More, Feel Better, Stay Healthy 20