Welcome Remarks - Customer Advisory Board Summit

Presented by Ashish Kachru, Founder and CEO, Altruista Health

Transcript

2. 2 ABOUT THE CUSTOMER ADVISORY BOARD Brings together our customers to: • Understand how our products and people meet your needs today, and how you see them continuing to do so in the next few years. • Gives you an opportunity to shape the direction of our products and services. • Provides you valuable learning and networking opportunities with fellow health plan leaders and industry experts. • Challenge ourselves to strive towards moving the needle on the innovation spectrum Meets 4 times per year • Once in person and three times via webinar BRINGING OUR CUSTOMERS TOGETHER
3. 3 OUR HISTORY Altruista Health was founded to provide highly advanced yet intuitive care management solutions for the healthcare ecosystem. ALTRUISTA HEALTH FOUNDED HYDERABAD OFFICE OPENS FIRST NATIONAL CLIENT SIGNED INVESTMENT FROM SURPASS 16 MILLION MEMBERS ON PLATFORM 2007 2010 2014 2015 2017 2009 GUIDINGCARE AVAILABLE 2011 UM V1 MODULE RELEASED 2014 GUIDINGCARE G7 RELEASED 2016 MOBILE CLINICIAN APP RELEASE
4. 4 NATIONAL FOOTPRINT Altruista Health serves health plans in 35 states and manages over 16 million members on the GuidingCare platform. States partner with us to reduce avoidable healthcare expenses and improve health outcomes Medicaid Beneficiaries are Managed on our GuidingCare platform 1 in 5 HEALTH PLANS IN 35 16M+ Members are Managed on GuidingCare
5. 5 Mission: To achieve our vision we focus on building the best in class clinically relevant Health IT systems that help facilitate proactive delivery of care. Vision: We believe in improving patient health outcomes by focusing on proactive care and raising awareness of healthy lifestyle habits within the communities we serve Values: • We are passionate about our customers and their success first • We will enable our clients through well researched thought leadership that allows us to collective adopt effective behaviors and themes • We will always be guided by what is beneficial to achieve our vision when faced with tough decisions • We will always act with honesty and be ethical in everything we do • We will strive to create a diverse workforce that is guided by fairness and meritocracy • We will always respect any and all stakeholders we deal with and maintain utmost professionalism at all times • We will always be good corporate citizens bounded by responsibilities for social impact and cost consciousness in whatever we do OUR MISSION, VISION AND VALUES
6. 6 ALTRUISTA HEALTH TODAY SPACE PEOPLE PROCESS PRODUCT • Moved to 60,000 sq. feet of Class A Office Space • Expanded executive team – David McConney, COO • Expanded Sales and Marketing team – Tom Joyer, VP of Sales • Restructured Clinical Team • Establish US Based Customer Support • Implemented Scrum and Agile across the organization • Implemented performance metrics for improved reliability • Added mobile, social determinants of health, features for NY and Texas markets, FICO Rules, Integration through APIs • Continue implementation of single code strategy • Four (4) G8 implementations with 6 in progress to be completed in early 2018.
7. 7 END TO END CUSTOMER EXPERIENCE • Proprietary insight on customer value • Development that delivers on critical needs • End-to-end experience execution • Relentless feedback and learning • CX-oriented culture
8. 8 ACKNOWLEDGING THE CHALLENGES AND THE PATH FORWARD DATA MIGRATIONS THE PATH FORWARD IMPLEMENTATION DASH BOARDS MANAGING TO KPIs AUTOMATING TO VALIDATE DATA CHALLENGES
9. THE FUTURE OF POPULATION HEALTH/CARE MANAGEMENT WHAT DOES IT MEAN FOR OUR BUSINESS?
10. 10 WHAT DO WE KNOW ABOUT THE CHANGING LANDSCAPE Fee for Service PAST Value-Based Care FUTURE Medicaid driving innovation HIT MACRA Provider-led care management ACOs Analytics Shared Savings Episodes of Care DSRIP PCMH Health Home RBMC/MCO PHP MLTSS PCCM
11. 11 HOW IS THE INDUSTRY REACTING TO THE CHANGING LANDSCAPE PREDICTIVE MODELING ARTIFICIAL INTELLIGENCE & MACHINE LEARNING SOCIAL DETERMINANTS OF HEALTH AUTOMATED WORKFLOWS ENHANCED CARE MANAGEMENT INTERNET OF THINGS DATA AGGREGATORS REAL TIME ANALYTICS ENHANCED PHARMACY MANAGEMENT
12. 12 HEALTHCARE MONEYBALL Analytics has the potential to upend today’s health care knowledge SOCIAL DETERMINANTS OF HEALTH Integrating SDoH, ADLs and the community into enhanced care management REAL TIME ADL MANAGEMENT AGGREGATING DATA Aggregating Payer, Provider, Lab, Pharmacy, IoT and other data to create a more robust holistic picture of patient healthcare experiences ARTIFICIAL INTELLIGENCE & PREDICTIVE MODELING Utilizing the predictive power of advanced cognitive computation models for advanced identification of risk and costs In a nutshell payers need to get smart about: Collecting data Analyzing data Using data to identify and managing patients better Real time ADL management through HCBS services integration
13. 13 WHAT WILL YOU DO DIFFERENT?
14. 14 Choluteca River Bridge in Honduras