UNLIMITED, 24/7 ACCESS to the doctors, counselors, and ... Fall Conference_files... · WELCOME TO TELECARE TeleCare is a program designed specifically to save companies and individuals

Peak Performance Group 804-205-5180 [email protected]

VA Government Finance Officers’ Association 2014 Fall Conference

TeleCare An innovation whose time has come!



WELCOME TO TELECARE

TeleCare is a program designed specifically to save

companies and individuals time and money by utilizing

technology to provide efficient, immediate access to

healthcare solutions and other personal services.

TeleCare products can be used via phone, smart phone,

tablet or video.



What the Experts are Saying…..

Using Telemedicine Means Big Savings Towers Watson expects a 68% increase in the number of employers offering

telemedicine in 2015 August 11, 2014 (Arlington, VA)

“While this analysis highlights a maximum potential savings, even a significantly lower level of use

could generate hundreds of millions of dollars in savings,” said Dr. Allan Khoury, a senior consultant at

Towers Watson.

Thirty-seven percent of employers surveyed said that by 2015 they expect to offer their employees

telemedicine consultations as a low-cost alternative to emergency room or physician office visits for

nonemergency health issues.

Currently, 22% of employers offer such programs. The percentage of employers offering

telemedicine is expected to rise from 22% to 37%, a 68% increase. These percentages

are based on Towers Watson’s 2014 Health Care Changes Ahead Survey.

It is expected that the use of telemedicine will continue to increase, driven by lower costs of

telemedicine technology itself and by more insurance companies supporting telemedicine to cut costs.



STATE OF HEALTHCARE Getting well has become extremely inconvenient

Most doctors offices are closed 75% of the hours/week

It can take weeks or even months to see your doctor

80% of adult ER visits are due to lack of access

Additionally, it isn’t cheap

Average family spends $1,730 each year on doctors visits

25% of people skip recommended tests, do not fill Rx due to cost

For most people, healthcare reform will inevitably lead to

Increased costs

Longer waits, shorter interactions

Increased stress levels



IMPACT: THE AFFORDABLE CARE ACT Healthcare now a right for all

Est. 30 million Americans will be added to the system

Medical school enrollment has decreased by nearly 52%

since 1997

Estimated 100,000 doctor shortfall by 2025

NY Times Article: Doctor Shortage Likely to Worsen With Health

Law

Higher Deductibles have become the norm!



PRODUCTIVITY LOSS

$2.7 Trillion… Total U.S. healthcare expenditures in

2011

$225.8 Billion… Annual costs to employers for

productivity losses related to

personal/family health problems

70 Million… Employees miss work annually due to

illness and medical appointments, for a

total of 408 Million missed days

*Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the United

States: results from the American productivity audit. J Occup Environ Med. 2003;45(12):1234-1246.

Opportunity is calling!



A NEW PARADIGM Cell phones (early ’80s)

Google (late ’90s)

Online banking (past 3 years)

Telemedicine or telehealth (next 5 years!)

4 of 5 office visits can be better handled over the phone

91% of calls solve problem with no need for follow-up

4% of population today, expected to grow to 40% in 2 years



Step 2.

Request consult Step 3.

Talk with a physician

Step 4.

Resolve the issue Step 6.

Follow-up

You simply log on to your account or

call Teladoc, 24/7/365, to request either

a telephone or video consultation.

A board-certified physician licensed in

your state reviews your medical history

and provides a consultation over the

phone or through video, just like an in-

person visit.

The physician recommends the

right treatment for your medical

issue. If a prescription is necessary,

it is electronically sent to your

pharmacy of choice.

Teladoc sends you a follow up email to

ensure that you got the care you

needed and to see if you have any

feedback on your experience.

Step 1.

Medical history

You are required to complete your

medical history online, by phone, or

by faxing a paper form prior to

requesting a consultation.

Step 5.

Continuity of care

The physician documents the results of

the consultation in your medical history.

Consultation information can be sent to

your primary care physician.

HOW IT WORKS You have cold-like symptoms but don’t have the time to sit

in an urgent care waiting room. Instead you use us!



Top 10 Diagnoses 1. Sinus Problems

2. Urinary Tract Infection

3. Pink Eye

4. Bronchitis

5. Upper Respiratory Infection

6. Nasal Congestion

7. Allergies

8. Flu

9. Cough

10. Ear Infection

Electronic prescribing (SureScripts) or by phone.

Frequency of prescribing lower than same diagnoses when comparing best provider practices (about 80% vs. 83%)

Use of antibiotics limited to short durations; patient education and physician reminders for appropriate use

No prescribing of DEA-controlled substances, medication for psychiatric illness, or lifestyle drugs.

Generic drugs automatically recommended

Prescription Management

COMMON USE



HIGHEST QUALITY OF CARE Better clinical quality comes from directly managing

our own network or physicians.

97% Teladoc physician

satisfaction rate

Board-certified Board-certified in internal medicine, family practice,

emergency medicine or pediatrics.

State-licensed State-licensed in their respective states.

Experienced Experienced, with an average of 15 years of practice.

Primary Source

Verified

Verified through the National Practitioner Data Bank

(NPDB) and the American Medical Association (AMA)

Board certification, work history, peer reference, State

licenses, monthly state sanction reports, DEA license,

criminal and civil background.

Credentialed The first and only telehealth company in the US to have a

provider credentialing process that is certified by NCQA.

U.S. residents U.S. residents, living and working in the United States.

*NCQA is the National Committee of Quality Assurance



USE TELECARE WHEN YOU: Need basic medical care 24/7

Don’t want to go to UC/ER

Can’t get a timely appointment with your PCP

Need Rx prescription/refills* for common conditions

Can’t afford your insurance copay or deductible

Can’t take off work or school

Can’t meet face-to-face with physician/specialist

Need medical care access from remote locations

Traveling and in need of medical care

*If appropriate



WHY TELECARE…..

Licensed physicians available 24/7/365

No waiting rooms, closed offices, or unhealthy

waiting rooms

Board certified State Specific Physicians

Answers & treatment in minutes via phone, video

or app

Feel better faster!



Creating a recipe for success…..

Quality + Convenience

= Utilization + Savings



DELIVERING COST SAVINGS

Based on Teladoc reporting. Actual savings may vary based on geography.

Productivity savings based on U.S. Dept. of Labor data.



Our data has proven that lower member copays drive much higher

utilization (and, therefore, help reduce avoidable ER claims).

How can plan design drive ROI?

All material proprietary and confidential. Presented by Teladoc, Inc.



Kubi Display

With Tablet

Health Spot Station



BUSINESS CASE FOR TELECARE Lowers your plan’s claim

expense once implemented

The higher the plan utilization

the greater the company

savings

Return on Investment can be

significant 100% to +300%

Improves employee

productivity less time off

needed

Possible Carrier credits

available to help offset cost

Provides you with

maximum plan design

flexibility to raise co-pay or

deductible offset by CADR+

Lowers employee’s out of

pocket expenses

Significantly less expensive

than typical OV, UC or ER

visits

Drives Goodwill



* If appropriate

Improve Access Multiple ways to

Consult 24/7

Drastically Lower Costs Avoid high cost settings like the Doctor’s office,

Urgent Care/ER

Care Coordination 24/7 Physician consultations Clinically efficient, effective

and most convenient

Quality Care Licensed Physicians that can provide information, diagnose and prescribe

Rx medication*

Phone, Email, Video, Mobile Application

Save Time

Save Money

Reduce Absenteeism

Get Information/Diagnosis

Anytime, Anywhere 24/7

Feel Better Fast

Most Affordable Cost Setting

Better Outcomes

+ + +



THANK YOU!!!

QUESTIONS?

UNLIMITED, 24/7 ACCESS to the doctors, counselors, and ... Fall Conference_files... · WELCOME TO TELECARE TeleCare is a program designed specifically to save companies and individuals

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