TripleTree Announces Twelve Finalists for 2013 iAwards
Evive Health is nominated as one of the twelve finalists for the 5th Annual TripleTree iAwards for Connected Health. The TripleTree iAwards recognize exceptional companies that are demonstrating insight, innovation, and initiative in healthcare and we are honored to be one of the finalists.Read More
Evive Health CEO offers three tested strategies on nudging employees to better health engagement
Peter Saravis reflects on best practices in applying behavioral economics to data-driven, personalized healthcare communications.Read More
Evive Health COO Addresses HERO Annual Meeting on Ways to Increase Engagement in Health and Wellness Programs
Read Prashant Srivastava's discussion from the annual HERO meeting, October 2nd-4th, in Minnesota. Srivastava, together with Lisa Shu, Assistant Professor of Management and Organization at The Kellogg School of Management, discuss how personalized messaging can be key to increasing employee engagement in preventative health and wellness programs.Read More
6 Ways to "Nudge" Employees Toward Better Health
How can HR executives close the loop and persuade employees to take better care of themselves? Research shows a simple nudge may do the trick.Read More
How Employers Can Create a Healthy, More Productive Workforce
Read FOXBusiness' article influencing the development of healthy habits for employees.Read More
Getting Engaged: Giving Employees a Nudge Toward Better Health
Read Prashant Srivastava's article published in Compensation & Benefits Review focusing on the challenge of getting employees to take advantage of wellness and prevention programs and making overall better health care choices.Read More
Incentive programs help drive member behavior
Check out Prashant Srivastava featured in June's Healthcare Payer News, starting on page 9. Srivastava discusses Evive's data-driven, personalized incentive program that focuses on the individual, rather than company as a whole. Everyone starts on their own path, dependent on their personal health, granting each person the same opportunities to earn the same amount of money regardless of their history.Read More
Personalization Drives Participation in Wellness Initiatives
Read Peter Saravis featured in June's edition of Chicago Hospital News as he discusses five ways to increase engagement in wellness programs.Read More
Employees must take active role in their health
Employees should take more responsibility for their health and employers are in a position to provide them with the tools and resources needed to do so. Employees may have the necessary information they need to make these informed health decisions, but if employees are not actually engaging in their own well-being, those health care costs will only continue to rise. CEO Peter Saravis encourages employers to create an environment for their employees that is conducive towards each individual health journey.Read More
New "Know Your Options" Personalized Communications Program from Evive Health Helps Consumers Make Better Choices in Use of Retail Health and Urgent Care Centers vs. Emergency Departments
Evive's urgent care program is personalized to each recipient while offering simple, specific and practical information concerning retail health clinics and urgent care centers. The program provides recipients with a wallet card and key fobs that direct them to nearby in-network retail health and urgent care centers. By having the tools right at hand, this program was launched to help consumers, employers and health plans realize the savings and convenience of alternative treatment sites, such as urgent care centers.Read More
And the Winner Is...
Evive Health won the Strategic Patient Adherence Award during April's 11th annual Forum on Patient Adherence. The awards recognize excellence in adherence programs administered by drug manufacturers, PBM organizations, and employers - a new category introduced this year that had Evive coming out on top. The judges were especially impressed with Evive's large pool of covered lives, nearly one million since 2008, and Evive's ability to document an average of 15 to 28 percent increase in adherence over baseline in the first year alone in the populations covered by its sponsor programs.Read More
Why We Do It: Average Procedure Costs
by Jennifer Lindner
Imagine you're shopping for a new couch, and you end up in a furniture store that you suspect might be slightly too swanky for your price range. No problem. When you spot the sectional of your dreams -- plush, deep-seated, in a wonderful espresso tone -- you see a yellow "80% OFF" tag affixed to it. But here's where The Twilight Zone episode kicks in for you. "It's 80% off," the saleswoman confirms, white teeth gleaming. "You pay 20%." She's in a loop, however pleasantly.
If you were getting 80% off gas at the pump, you'd probably have a pretty good idea where you stood, in terms of dollars and cents. (You'd also be fist-pumping.) 80% off a carton of eggs? Past experience would have you confident paying with a dollar bill, expecting change. But 80% off an amount you didn't know to begin with? What does that mean? And how is that even a call to action?
This is how healthcare purchases are like the luxury sofa you only shop for once in a decade.
If you don't know the retail price, you'll never appreciate or anticipate the mark-down price. That's why we grab the average billing price for medical procedures in our Evive Health reminders. Take a colonoscopy (a once-every-ten-years purchase decision for most). We tell people with 90% coverage that that probably means about $120 out of pocket; with 80% coverage, $240. Not only does that make the purchase more tangible for healthcare consumers, it makes the insurance coverage that much more meaningful. $1,000 or so off a life-saving procedure? Put it that way, I'd clip that coupon.
We look at every element on our healthcare reminders in light of the best consumer marketing out there. Why? Because even when it's 100% off, people recognize that the purchase is never free. It takes time. Effort. Self-confidence, to take action on a long-term healthcare objective. Even "free" comes with a personal bottom line. So we work to "sell" beyond the dollar-sign, but still make that dollar-sign as meaningful and concrete as possible.
What do you think? Do people have a good idea of how much preventive health procedures like cancer screenings would cost without their insurance coverage?
Research Roundup: Using Behavioral Economics for Better Results
by Jessica Guyton
This week's roundup discusses the recent article “Behavioral Economics Holds Potential to Deliver Better Results for Patients, Insurers, and Employers” by George Loewenstein, David Asch, and Kevin Volpp. You can find the paper in the July issue of Health Affairs (volume 31, issue 7).
I really enjoy reading papers by Loewenstein, Asch, and Volpp because they often discuss two of my favorite topics: health care and behavioral economics. They give great insight into human behavior and also provide LOTS of great ideas on how to apply their research into real world settings, because what good is research if you can't use it to actually help people? This blog post is intended to provide you with a few of their ideas on increasing engagement among employees enrolled in worksite programs using some key concepts from the article:
- Don't assume that decreasing the cost of co-pays or certain procedures will get more people to use a service. While some people are cost sensitive and may avoid certain procedures because of cost, more than likely there are also individuals in your company that see no value in services such as seeing their physician for a high value service like a cholesterol screening. Use techniques such as increasing salience of the benefits of high-value procedures by providing relevant information through mailings and email. Frequent reminders bring attention to the importance of seeing a physician and can influence them to set an appointment. The authors also recommend providing salience through monetary compensation, consider sending a rebate for certain services and providing these rebates in the form of check, rather than lumping it into a paycheck where the savings may be overlooked.
- Once again, rather than using large payments at the end of fitness or HRA completion challenges, consider smaller levels of incentives on a more frequent basis. Frequent payments will keep people aware that their health behaviors are resulting in a beneficial return. Another idea is using payments that are made in the form of gift cards or lottery tickets. These are unique and employees will keep in mind that they received the gifts because of their successful completion of a health related activity.
- Use social-pressure and norms to encourage engagement. Researchers found that when employees were placed into teams of 4-8 and encouraged to complete HRA's in order to be entered into a lottery to receive $100 and a $25 bonus if 80% of the team completed the HRA, there was a 24% overall increase in completion of the HRA. The control group, which was not divided into teams, was told that their reward would double from initial $25 to $50 if they completed the HRA. Completion among the controls only increased completion by 4%. These results demonstrate that spending more money doesn't always have the desired result.
- Opt for active choices rather than defaults. The authors highlight an example with CVS Caremark where the company needed people to decide whether to receive prescription refills automatically, but didn't want to switch the default option so they had people call in to make a decision. The choices were “Press 1 if you prefer to refill your prescriptions by yourself each time” and “Press 2 if you would prefer for us to do it for you automatically.” This active choice design increased member enrollment in automatic refills by more than 100%.
These are simple, yet creative solutions and can result in big cost savings for your company. Also, don't be afraid to evaluate how well certain incentives work and to make tweaks where your company sees success. Different cultures exist between companies and all of these ideas may not work for your company. Just remember, sometimes we have to step outside of our rational thinking to create successful solutions for our employee wellness programs.
Loewenstein, G, Asch, DA, and Volpp, KG. Behavioral Economics Holds Potential to Deliver Better Results for Patients, Insurers, and Employers. Health Affairs. 2013; 32 (7):1244-1250.
Library Nurses Offer Free Check-Ups and More
by Holly Gaspari
Six libraries in Pima County, located in Tucson, AZ, have implemented what seems to be the first program of its kind: library nurses. While the local libraries weren't turned into a hub of all their healthcare needs, it did become a place for quick, easy-access and, most importantly, free healthcare check-ups. Duties include anywhere between taking blood pressure, checking the feet of diabetics to giving out condoms and intervening in medical emergencies. They also provide information on eating healthy through games and activities.
They got the idea for library nurses after a San Francisco library hired a social worker. It occurred to the libraries in Tucson that there were more opportunities in their services that they weren't providing.
The goal is to provide education and refer patrons to local health-related resources in their area. And their help isn't only for those with healthcare. They reach out to anyone and everyone, providing important healthcare information and help, particularly, for the homeless community.
"The national association encourages libraries to create programs for homeless and other disadvantaged patrons because public libraries are about equal access to information for everyone," said Marcia Warner, past president of the Public Library Association, a division of the American Library Association.
Daniel Lopez, a nurse at Pima County Library, says that he spends a majority of his time on case management. He helps those who would otherwise go without healthcare find the most affordable and realistic options available to them. He makes their initial and follow-up appointments and also will help find temporary housing for those who may have no place to go.
Each library is proud to say their program has been successful so far; having only begun in January of 2012 with one nurse, the program has now expanded to 5 more nurses splitting the time of one full-time nurse. The biggest change is the number of emergency calls to police. Calls have dropped 14 percent last year; at another branch, 911 calls dropped 60 percent.
A nurse at the local library is a great way for the community to access quick and easy healthcare options. It provides care to those who might otherwise be forgotten in the overwhelming web of healthcare.
What do you think? Would a nurse at your library be beneficial to your community? Is the idea only suited for urban public libraries? Share your thoughts with us! http://azstarnet.com/news/science/health-med-fit/library-nurses-look-after-those-in-need/article_6ee73756-17a6-50ff-afb1-d3921b85e8b2.html  http://todayhealth.today.com/_news/2013/03/28/17401367-more-than-just-books-arizona-libraries-add-public-health-nurses?lite
Why We Do It: Reminder Prioritization
by Jennifer Lindner
Take a jeans and t-shirt sort of guy and tell him he needs cufflinks, now. It's just not going to happen.
Now try it this way. Comb through his closet and realize he doesn't have a dress suit. Reason with him. Say, "You never know when you'll need a suit. What if you have a job interview -- forbid it, a funeral? You just need to have one."
A mean of reason, he consents.
He ends up in a department store, where his aimless wandering befriends him to a salesperson who sells him a suit, then sells him the dress shoes that go with the suit, then sells him the aforementioned cufflinks. This is the only path to cufflinks.
We get it.
That's why we prioritize health reminders. Imagine the most unengaged healthcare buyer ever. He's wearing sweatpants, not jeans. He has no doctor on file, and he hasn't had so much as an appointment in the last ten years and—now—he's due for a colonoscopy. Health-critical? Aboslutely. Feasible? Not really.
First, we need to get our reluctant shopper to his doctor. Once he's there, the dress shoes-to-cufflinks up-sell is bound to happen. The doctor will get to know the patient: shake his hand, develop a relationship, make recommendations. Without the doctor, the colonoscopy prospect is as farfetched as cufflinks were to the man in jeans and a t-shirt.
We get it. And that's why Evive systematically moves in the right order, setting up winning streaks for people by sending them to their doctor first, then strategically building up to the bigger care activities like cancer screenings.
It's a subtle strategy, but it makes a difference.
by Jessica Guyton
Research Round-up is intended to provide readers with commentary on new and relevant research that may be useful to their business practices. At Evive Health, we use scientific research to help spark new ideas for products and data-mining. This week's round-up includes a recent article from Health Affairs and focuses on incentives in the workplace.
"Save 25% by acting today! Donate your old goods for a tax write-off! Don't get a speeding ticket, go the limit!" These are all examples of incentives designed to evoke different behaviors for different reasons. We all respond to incentives on a daily basis and use incentives to try to get others to act in certain ways. Incentives come in multiple forms—financial, moral and social—and can be both positive and negative (save money vs pay a fine). People often respond to incentives in different ways depending on the situation. In the examples above, financial incentives are used to encourage or deter a certain behavior, however social and moral incentives can be used without the threat or promise of money to achieve the same (or better) outcome.
Take for example, a study performed at a daycare where parents were often late picking up their
In the March 2013 issue of Health Affairs, Horowitz, Kelly, and DiNardo (Wellness Incentives in the Workplace: Cost Savings Through Shifting to Unhealthy Workers) examined the influence of the Affordable Care Act's health-contingent wellness programs on employee behavior, health status and medical spending. Health-contingent programs focus on changing high-risk behaviors in employees with certain conditions that are assumed to be high-cost. The authors gathered and reviewed previous research that examined the influence of financial incentives on improving health behaviors relating to weight-loss, cholesterol, high blood pressure, and tobacco use, and found that while short term gains are achieved, over time or once the program ends, individuals return to their unhealthy habits. The studies reviewed used variations of financial incentives, ranging from a single dollar per pound lost, to savings of $2,000 for achieving certain goals relating to risk factors such as high glucose and triglycerides. Most of the studies provided monetary incentives as a reward, rather than penalty for achieving certain outcomes. Although these variations existed, it was shown that financial incentives alone fail to produce sustainable behavior change.
So how can employers improve employee health if carrots and sticks don't work? Consider the fact that an individual establishes his or her health behaviors and habits over a lifetime. Your company's 3-month program offering them $100 won't reverse decades of nicotine addiction or unhealthy eating. Use multiple strategies to improve health, and rather than providing short-term incentives for employees to adopt behaviors, start building a culture of wellness within your company. Continue to offer discounts on premiums and rebates if individual's can improve health related outcomes such as their triglyceride levels or glucose. And sustain a culture of wellness by implementing new challenges per month, such as “take the stairs” or “replace your soda with water,” where employees can encourage each other to make these small changes. Sometimes the social pressure of taking the stairs or skipping the afternoon cigarette is more powerful than offering people money. These small changes can eventually result in new behaviors, leading to healthier outcomes and happier employees. http://www.nytimes.com/2005/05/15/books/chapters/0515-1st-levitt.html
The Future of Healthcare May Lie in Your Cellphone
by Holly Gaspari
You may or may not have heard of a little thing called mHealth, what PricewaterhouseCoopers (PcW) is calling the future of the healthcare industry. It's essentially a mobile driven technology to provide the best parts of healthcare right to your mobile device. With the population constantly growing, there simply isn't enough doctors and nurses to provide personal care to people on a day-to-day basis. Essentially mHealth is offering the opportunity to help people change their behaviors and to create for themselves a healthier lifestyle. These opportunities include providing lists of healthy activities to do, foods to eat, the best sleep patterns for the individual, what medicines to take and so much more. "It's the ability to practice medicine in a more productive manner," says Chris Wasden, EdD, Global Healthcare Innovation.
Will it work?
Having been implemented into healthcare communities all over the world, mHealth is making some big changes in the way we seek out healthcare.
According to PcW, $218 billion is spent per year in the U.S. on diabetes; mHealth is looking to save as much as $10,000 per patient. How? It's not just a matter of lowering costs, it's about patients taking control of their condition and “making better decisions to improve their lives.”
Think about it, if patients are learning, right from their mobile device, what better actions they can take to improve their health, they could ultimately be saving themselves thousands of dollars in medical costs in the future. It's not a guarantee for every diabetic, but it certainly will help the cases where diabetes could have been avoided.
Take The Apollo Hospital Group in India for example. After seeing that so much the population owns a mobile device, but doesn't have healthcare centers in their rural area, they launched an mHealth database to be implemented for those without access to in-person healthcare on a regular basis. The results speak for themselves, with over 700,000 calls, with a potential reach of over 70 million people country-wide.
Another benefit of mHealth is that is has become the best way to stop counterfeit drugs in Kenya, which is a country-wide phenomena. To counteract this ongoing problem, healthcare centers have begun putting a unique number on all their medication. When patients receive medicine they can text the number to the mHealth database and, if it is not counterfeit, they will receive a confirmation if the drug is real or fake.
As mHealth technology continues to be integrated into the healthcare community it continues to make waves of changes for the better. With more and more people owning a mobile device, yet still miles from their nearest healthcare center, it seems that the PcW is accurate in saying that this is the future of healthcare. http://www.pwc.com/gx/en/healthcare/mhealth/mobile-healthcare-chronic-disease.jhtml  http://www.pwc.com/gx/en/healthcare/mhealth/rural-population-case-study.jhtml  http://www.pwc.com/gx/en/healthcare/mhealth/battling-counterfeit-drugs.jhtml
This February, Evive Health celebrates six years and millions of "acts of personalization"
People will make the right decisions in healthcare if they're given the right information, at the right time, in the right way.
We believe that passionately.
Six years ago this February, we came together to put that belief into business. We studied the best practices in retail science, behavioral economics, and consumer behavior. We developed proprietary healthcare analytics software to translate medical coding into usable communication elements. Then, we put the two together to create and deliver our core product of data-driven preventive healthcare reminders, each one as unique as its recipient.
From Day 1, each reminder was personalized with the individual's specific plan coverage and doctor's phone number. It arrived just-in-time before recommended care (like a mammogram or a cholesterol test) was personally due (no "National Awareness" Month campaigns here). Finally, it came packaged with a look and feel that resonated with their demographics, life situation, and cognitive biases.
The right information. The right time. The right way.
And people proved us right: they made the right decisions. We're proud to say we've helped increased preventive care adherence for all of our clients to date, now an overall messaging population of over 2,000,000 people across the country.
The key to our success? Bridging the human gap between health education and actual engagement. Sendhil Mullainathan said it best at his TED talk a few years ago: Convincing people to do something … is not an act of information. "Let's give them the data, and when they have the data they'll do the right thing." It's more complex than that.
That overarching complexity is what Sendhil calls the "last mile problem," the seemingly irrational failure of people to take action on simple, often low-cost, low-effort choices. In our world, the last mile is just picking up the phone and making the doctor's appointment. The act in itself is so simple. But the individual barriers are manifold: cognitive, social, spiritual, economic...
Life gets in the way. In 2,000,000 different ways.
And that's precisely why "acts of information" are not enough to fuel that last mile. Information needs to be enhanced, re-filtered, better represented. In a word, information just needs to be "smarter" if we expect it to drive smarter consumers. Richard Thaler and Will Tucker recently praised the market-changing power of select consumer "choice engines," services that combine the terms of sale with an individual's usage data, effectively connecting the dots for people to make their best decision in areas as diverse as finance, grocery shopping, and cellphone service.
Call it "smarter information," call it "consumer engagement." At the end of the day, we take a look at the healthcare communications that come out of our own "choice engine" and call them like we see them:
"Acts of personalization." Each as unique as snowflakes, millions strong, and still growing.
Thank you to our customers and friends – and to people, far and wide – for building our knowledge over the past six years of what personalization means in communications, how it changes from person to person, and just what a difference it can make in making “the last mile.”
Let's keep running.