Health Advocate™, Inc., is the nation’s leading independent healthcare advocacy and assistance company. Health Advocate™ helps millions of Americans personally navigate the often complex healthcare system. Though the broad spectrum of personalized, fully integrated solutions, Health Advocate’s innovative approach is a strategic resource that helps improve employee health outcomes and reduce healthcare costs across your organization.

This marks the first seven months that The School District of Palm Beach County, Florida has used the Health Advocate service. A unique benefit, Health Advocate gives each eligible employee of the school district, as well as their spouse, dependent children and parents and parents-in-law, access to their own dedicated Personal Health Advocate. Typically registered nurses, supported by medical directors and benefits and claims experts, Personal Health Advocates work one-on-one with members to resolve a variety of time-consuming healthcare and insurance-related issues.

For example, a Personal Health Advocate can:

• default_titleFind the right doctors, hospitals and other providers
• default_titleExplain conditions; research latest treatments
• default_titleHelp schedule appointments and tests
• default_titleResolve billing and insurance claims issues
• default_titleSecure second opinions
• default_titleClarify benefits coverage
• default_titleEstimate costs of common procedures
• default_titleHelp members make informed decisions
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Health Advocate’s Health Advocacy service has been in effect for close to seven months. Since its inception, it has experienced good utilization and the program is running well. The overall utilization for the Health Advocacy service is trending at 26.46% annualized. This is consistent with other Health Advocate large groups and is considered to be in the expected range.

Activity At-A-Glance

• default_titleEmployee Enrollment – 19,009
• default_titleMember interactions with a Personal Health Advocate – 2,515
• default_titleHours Personal Health Advocates have spent on member cases – 1,033
• default_titleAnnualized utilization – 26.46%
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We receive hundreds of thank you notes from satisfied members every week. Here are a few examples from REAL School District of Palm Beach County members:

“I am so pleased that I will send an email to all of the teachers and let them know about Health Advocate. I am so grateful for Health Advocate’s services, and so relieved that I can now get my prescriptions for the correct price.”

“Thank you very much for your attention to my case. I am so grateful for your efforts and tenacity in the matter of attempting to get some reimbursement. I have never experienced such dedication as yours! Even if nothing financial comes of it, I wanted to let you and your supervisor know how much your communication and upbeat updates have meant. Thank you.”

“Thank you so, so much for the time and work that you have invested in my case. I appreciate it so much! This problem has been in my mind ever since I found out about the error and the implications that could have on my insurance costs. You are amazing! I have already given this number to a dear friend! You are truly amazing! Again, one million thanks!!”

“Thank you for your time and patience today in solving my issue. I couldn’t have done this without you.”

Coming soon, The School District of Palm Beach County will be taking advantage of free upgrades available through the Health Advocacy program. Using claims and utilization data and leveraging state-of-the-art information technology, the upgrades allow Health Advocate to create valuable tools that offer significant, new opportunities to improve employee engagement, impact health outcomes and lower costs. These tools include:

New executive dashboard details monthly medical and pharmacy costs and includes powerful drill-down capabilities for deeper insight into healthcare spending.

• default_titleProvides detailed insight into monthly medical and pharmacy spending, 24/7
• default_titleValuable drill-down reports highlight PEPM costs, primary cost drivers and new savings opportunities
• default_titleFeatures condition-specific data (e.g., number of employees affected, compliance rates, aggregate costs)
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Employees get real-time access to their personal health profile on a secure website.

• default_titleIncludes updated summary of benefits utilization and healthcare spending
• default_titleHighlights important “gaps in care,” health risks and recommended actions
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Our powerful Health Cost Estimator™ generates detailed, pre-care medical cost estimates, promoting more informed decision-making.

• default_titleProvides location-specific cost estimates for dozens of medical procedures and services
• default_titleFees broken out by physician, facility and other key costs
• default_titleAccess on our free, downloadable mobile app, online or by telephone with help from a Personal Health Advocate
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Baseline and annual analyses help you evaluate year-to-year performance.

• default_titleAnalysis of your medical spending
• default_titleFocused on key cost drivers such as chronic conditions and preventive care
• default_titlePinpoints specific opportunities to improve care and decrease costs
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Due to the changing needs of both our clients and our members, Health Advocate continues to evolve and expand our product and service offerings, while continuing to provide a reasonably-priced service. Here are a few ways we are growing:

• default_titleStrong Growth. We currently serve over 10,000 clients and 40 million Americans. And this number continues to grow.
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  Launch of EmpoweredHealth™ EmpoweredHealth combines a host of key benefits and services—health advocacy, wellness coaching, employee and work/life assistance, healthy reminders and chronic care support and more—into one, integrated program on a single systems platform. One 800# connects employees to a dedicated team of interdisciplinary experts, who work side-by-side to improve overall employee health and productivity.

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  New Innovation Center. In July 2013, we opened a newly renovated Innovation Center. The Innovation Center includes the EmpoweredHealth work space, as well as new meeting rooms, an enhanced visitors lobby, and an employee café.

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  Provider Locator Database. Health Advocate is always looking for ways to improve our work flows and make operations more efficient. In 2012, we developed and implemented an enhanced Provider Locator Database for the tracking of the research we do on behalf of members to find doctors, specialists and other types of providers. The database has enabled better reporting and workflow management.

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  Client Service Help Desk. Launched in 2012, this tool allows for better tracking of requests received by the Client Services Department from the call center. The Help Desk tracks and expedites escalated issues or requests.

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