A look into the future of the WorldDoc User Experience

1. A look into the future of the WorldDoc User Experience Integration, Automation, Inspiration Updated August 2009

2. Introduction • Experience the synergy of our system with our Members, Payers, and Care Providers. • Learn how WorldDoc products integrate with other health systems and improve health care. • Understand how the complete WorldDoc Health Management System is a vital part of every health plan and every Member’s life.

3. Meet Sandy • In her 40’s • College-educated • Mother & wife • Has a house, 2.4 kids, a dog, and a white picket fence • Wouldn’t call herself a “geek”, but she’s fairly internet-savvy • Currently not feeling well • Member & User of WorldDoc

4. Sandy opens up WorldDoc 24/7 Sandy can connect via any internet-connected device : • her home computer • her mobile phone • her netbook - OR - Any computer that has WorldDoc Home installed locally.

5. Sandy uses the New and Improved PES

6. WWSD? What Would Sandy Do? Depending on the answer, Sandy would be directed to: • Treat herself • Go directly to the Emergency Room Or in this case… • Make an appointment to see her doctor

7. But Sandy doesn’t have a doctor! She uses WorldDoc to get a list of doctors who: • Are within 20 miles of her home • Accept her insurance • Are accepting new patients • Have a high approval rating and praising reviews • Match her criteria (age, gender, hours, language spoken, methodology, & philosophy)

8. But wait, there’s more!

9. It’s all about integration WorldDoc allows members to have an online Medical Home, enabling: • Doctor search & comparison • Cost & benefits lookup • Appointment scheduling • Send & receive medical information • Receive prescriptions and orders • Check HSA balance and related Claims • Receive & review test results

10. Get ready to go • The appointment confirmation suggests Sandy fill out the Personal Health Record (PHR) • The PHR advises as to what is required as medical history by physicians • Sandy sends her PHR to her doctor NO FORM TO FILL OUT!

11. The Complete PHR

12. PHR portability • The PHR can be accessed by any internet-connected device • Can be synced with HealthVault, Google Health, and other services • Can be exported and saved locally & securely • Access by other people to sharable data is controlled entirely by Member • Is accessible by a personal WorldDoc account even if the member loses sponsorship!

13. Now at the doctor’s office… • Doctor reviews the PES, lab results and PHR • The doctor AND Sandy can check WorldDoc for the most cost-effective medication under Sandy’s insurance • She locates the closest, cheapest pharmacy to fill her prescription • Doctor orders the Rx online

14. Later on… • Sandy reviews the imported results of her blood test • She learns what each measurement is for and what each result means. • Sandy is able to get some help from a nurse via web chat or phone • AND she feels a lot better and can get back to work!

15. Good for Sandy Sandy discovered that using WorldDoc could: • Help her understand her illness • Determine if she needs a doctor and WHICH doctor to go see • Save her WEEKS of waiting for treatment • Save her money on prescription costs Now, lets see what someone else can gain from his WorldDoc membership…

16. Meet Allen • Employed in tech field • Single, but looking • Was a jock in high school, but now… • Eats a LOT of take-out. • Computer geek, comic book geek, video game geek. • New member of WorldDoc

17. Allen takes the HRA • Allen’s new employer requested he take the WorldDoc Health Risk Assessment after registering • Allen finds out he’s as healthy as the average 38-year-old • Allen’s actually only 32 • He learns why there’s such a difference, and what he can do about improving the results

18. The WorldDoc HRA

19. Patient Activation Measure (PAM)* Assess Members beyond “readiness” and allow the system to understand them on various levels including: • Knowledge and Skills • Beliefs and Values • Motivation and Confidence Interventions become personalized by varying wording and tone to better suit each Member. *Development of the Patient Activation Measure (PAM): Conceptualizing and Measuring Activation in Patients and Consumers by Judith H. Hibbard, Jean Stockard, Eldon R. Mahoney, and Martin Tusler

20. Get your free coaching here! • Allen qualifies for a free personal health coaching program from his sponsor • Interactions are over the phone or web text, audio or video chat • The coach evaluates Allen’s progress and motivates him

21. Coaching • PAM assessment helps match Coaches to Members and helps Coach communicate • Allen keeps a journal on WorldDoc of his efforts and progress • Coach informs Allen about local resources • Allen may receive an incentive from his sponsor for completing Coaching* • *Maybe even a Wii Fit – right up his alley!

22. Help doesn’t end there • After the coaching sessions, Allen joins the Healthy Living program • He follows the automated and personalized guidance • Feeling empowered, Allen also uses other tools to continue his progress…

23. The Healthy-Do list WorldDoc also displays a personalized list of items to help Allen improve his health • Recommended assessments • Applicable programs to join • New relative content • Always adjusting based on new health data • Allows for “What If?” scenarios

24. The Healthy-Do List cont’d Alerts sent as Secure Message or SMS: • Medications (savings, refills, expirations, duplication, conflicts, etc) • Overdue tests, immunizations, appointments • Imported data that requires attention As new data is entered or imported, the list progresses.

25. Food Diary • Easily and accurately track important nutritional information, including suppliments • Instantly tally the total number of calories, fat, cholesterol, carbs in your food, and more! • Add foods by entering their name or by taking a picture of the menu item or nutritional information panel

26. Trackers & Graphs • Trackers record anything and are automatically added to any program • Trackers sync with HealthVault and Allen’s measuring/monitoring devices • Every value collected can be displayed historically in graphs • Values can be charted over each other to show trends

27. Allen’s a new man He has improved his health and changed his lifestyle Yeah, he’s still a geek, and he’s still single... But ladies, he’s healthy, thinner and will be around longer! AND… He’s got a new Wii Fit to keep him going

28. End of Member Experience • Questions • Additional Ideas Members are not our only users…

29. Who else uses WorldDoc? Care providers use WorldDoc too!

30. Care Providers cont’d • Lab work can be ordered before visits • Orders (CPOE) and prescriptions can be made • After appointments, a nurse is scheduled to follow-up via phone, secure message or web video conference • Care gaps are monitored and addressed

31. Everyone knows everything* • Every interaction with the Member is documented • Every member of the care team can see the Member’s history and progress to provide proper care and motivation to improve • Physician can track effectiveness at closing care gaps • Complete care team facilitation and coordination *Based on Member-assigned permissions of selected data

32. Doctors, nurses & coaches, oh my! The Coach experience is much like the Nurse experience. • Independent coaches can access the system from their own place of business • Members stratified and prioritized • Dynamic care plans and coaching plans to guide care • Communication between all care providers over txt, email, phone, fax or postal mail • Progress tracked and shared

33. And what about the payer? WorldDoc Pro provide the sponsor with everything they need: • Customize colors, messages, localized items, news & announcements, interventions, gap rules & triggers, programs & incentives • Promote their offerings with a selection of marketing materials • Monitor performance of promotions, programs, care providers & member activity

34. The payer (cont’d) • View real-time reports on all services including ROI • Perform hypothetical ROI estimates based on changing administrative options & programs • Receive automatic billing with online pay • Account managers always available for expert guidance with programs and settings

35. In the end… • Members that are educated, engaged, proactive, healthy and happy with a sponsor who really cares about their well being! • Customers that receive a great ROI and more productive employees in a healthier culture • A synergistic care team for every member that is fully-informed of their progress and communicates with the member and each other

36. …and for WorldDoc? • An indispensible health home • Bigger & better clients, more members • We help people become healthier, save time and money, and live in a better world • We all have a hand in a product, and a part in a company, we can be very, very proud of • And we all make lots of money in the process!