Shifting health plan landscape brings more competition focused on performance and value. Health care payers of all kinds must innovate, manage big data and harness new technology to deliver better performance at lower costs. Early results from this Survey of 180 commercial and Medicaid health plans feature population health management challenges and solutions, the use of data aggregation as a business strategy, resources to address complex populations, and the role of technology for health plans in the shift to value-based care.

1. 1 © 2018 ODH, Inc.
2018 ODH HEALTH PLAN SURVEY:
Are Health Plans Ready for
the Age of Innovation?
CEO & President | ODH, Inc.
Senior Associate | OPEN MINDS

2. 2 © 2018 ODH, Inc.
AGENDA
Introduction
About ODH
Role of Technology in Health Care
Survey Findings: Technology
Challenges facing Health Plans
Q & A

3. 3 © 2018 ODH, Inc.3 © 2018 ODH, Inc. Confidential Information — Do Not Duplicate or Distribute
• ODH, Inc. is a health technology company
• Provides data aggregation and analytics
solutions
• Enables data integration and the delivery of
coordinated care.
• Senior Associate with OPEN MINDS Consulting
Practice.
• + 10 years of experience in the health and human
services industry.
• BS in Psychology and MBA focused in Health
Sector Management. BS in Nursing, MS in Nursing
(Acute Care Advanced Practice).
Annie Medina, MBA, ACNP-BC
Senior Associate, OPEN MINDS

4. 4 © 2018 ODH, Inc.
ABOUT ODH INC.
ODH, Inc. is a health technology company providing data aggregation
and analytics solutions that enables data integration and the delivery of
coordinated care.
Our technology advances interoperability among legacy systems.
Our Mentrics technology platform helps identify and manage members
with complex illnesses, particularly those with co-morbid behavioral
and physical health conditions, enabling improved outcomes and
reduced costs.

5. 5 © 2018 ODH, Inc.
Who We Serve
Health Plans
& Payers
• Improve identification of
members with comorbid
conditions
• More rapid response to
individuals with high
behavioral health needs
Provider Organizations
& Provider-Sponsored
Systems Of Care
•Value-based reimbursement
arrangement
•Multiple EHRs looking to
integrate data for easy use
•Need to measure outcomes
within certain populations
Technology Partners &
Collaborators in
Healthcare IT
• Customized solution that
augments your system
including behavioral
health, risk scoring, and
cost and utilization trend
analyses

6. 6 © 2018 ODH, Inc.
Role Of Technology
In A Changing Healthcare Landscape
Payer Push For
“Integration” &
“Pay For Value”
New “Business
Model” For
Provider
Requiring Health
Technology
Reimbursement
Fee-For-Service Model
Provider Model
Transactional
Encounters
Data Sharing

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Industry Trends:
↑ Integration and Disruption
VERTICAL
HORIZONTAL

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Health Tech Trends
Wearables &
Invisibles
Artificial Intelligence
Interoperability
Blockchain
Machine
Learning
Cloud
FHIR
Telehealth

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2018 ODH Health Plan
Survey
Key Findings

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Top – Level Findings
Data Aggregation
Remains A Challenge
Social Determinants
Data:
An Outlier
New Technologies
Slowly But Surely
Being Adopted
More Resources
Needed To Combat
Opioid Crisis

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Implications
Industry | Payers

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Implications
Industry

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Implications
Payers

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INTEROPERABILITY:
The Key To Better Outcomes
Payer
ProviderClient
Health data are essentially useless if
systems are not integrated
Interoperability likely to be more of
an issue this year and in the future:
• Awareness of regulatory actions
• Pressure from value-based
payments & delivery models
• Partnerships between
physicians & payers

15. 15 © 2018 ODH, Inc.
Technology to
Support Solutions
Person | Provider | Health Plan

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Final Thoughts
State of the Industry

17. 17 © 2018 ODH, Inc.
2018 ODH HEALTH PLAN SURVEY:
Questions?

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22. 22 © 2018 ODH, Inc.
2018 ODH HEALTH PLAN SURVEY:
Are Health Plans Ready for
the Age of Innovation?
COMING SOON: 2018 Population Health Survey Results

23. 23 © 2018 ODH, Inc.
A HEALTHCARE
TECHNOLOGY COMPANY
www.ODHSolutions.com