What can it do for your company and your employees? · 2018-04-03 · 3 Upcoming Programs, Training, & Events WWCMA and NEEBC Networking Event Date: Thursday, September 8th Time:

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Telemedicine: Reimagining Healthcare

What can it do for your company

and your employees?

Presenter:

Annie Lorenzo

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Thank You WWCMA Corporate Sponsors

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Upcoming Programs, Training, & Events

WWCMA and NEEBC Networking Event Date: Thursday, September 8th

Time: 4:30 – 6:30 PM

Location: Marriot Long Warf, State Street, Boston

WWCMA Annual Conference Date: September 20

Time: 8:30 – 3:00 PM

Location: Gillette Stadium, Foxboro

Obesity and Weight Management in the Workplace Date: Wednesday, October 19th

Time: 8:30 AM – 11:00 AM

Location: Sheraton Hotel, Needham

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Become a WWCMA Member

The Council is the first non-profit in the Commonwealth representing

health promotion professionals and business leaders dedicated to

promoting worksite wellness programs across the state. Member

benefits are designed to help your company stay abreast of the latest

trends in worksite wellness, learn from leading experts in the field of

health promotion, network with other professionals, and successfully

deliver results-oriented worksite wellness programming.

Join Us! Professional and Corporate Levels Available

• Program, Training, Event Discounts

• Worksite Wellness Resources, Best Practices, Content

• Extensive Network of Industry Pros, Thought Leaders, Experts

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Annie Lorenzo

Director of Client Success,

MD Live

Our Speaker

Reimagining

Healthcare. Presented by: Annie Lorenzo, Director MDLIVE

2015 MDLIVE – Confidential and Proprietary2

Landscape of Telehealth

& the Benefits

CONFIDENTIAL - ©2016 MDLIVE, Inc.

The Perfect Storm

The overuse of emergency departments (EDs)

in the U.S. is responsible for $38 billion in

wasteful spending each year.

30 million uninsured to be

added to system

Four out of five smartphone users are

interested in mobile health technologies

that allow them to interact with a healthcare

provider.

Average family practice wait time

is 20.3 days and counting.

More payers (including CMS) are covering

telehealth visits and increasingly, self-

insured employers are requiring telehealth

visits be covered benefit.

44 states have now passed regulations

to allow full delivery of telehealth services

via phone and videoCONFIDENTIAL - ©2016 MDLIVE, Inc. 3

Wait time to see a doctor (in days)

Average wait time to schedule

an appointment with a

specialist in cardiology,

dermatology, orthopedic

surgery, or ob/gyn

Average wait time to

schedule an appointment

with a family physician.

Merritt Hawkins 2014 Physician Appointment Wait Times SurveyCONFIDENTIAL - ©2016 MDLIVE, Inc.

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Overuse of ER

ER Care Necessary, And Not Avoidable

29%

At home or Over the Counter Treatable

24%

Primary Care Treatable41%

ER Care Necessary, But Avoidable

6%

Studies suggest that up

to 71% of Emergency

Room visits were

unnecessary

or could have been

avoided.

Truven Health Analytics StudyCONFIDENTIAL - ©2016 MDLIVE, Inc.

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Virtual Care as a Solution

ImproveProductivity

Decrease Absenteeism &

Add Value to Your Benefit Offering

IncreaseAccess&Reduce

Costs

In 2015, 48% of 140 large

employers surveyed by NBGH

had telehealth options available.

In 2016, that number

will jump to 74%.

National Business Group on Health (NBGH)CONFIDENTIAL - ©2016 MDLIVE, Inc.

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A New Business Imperative

In the New Health Economy,

digitally-enabled care is no

longer a nice-to-have, but

rather a fundamental

business imperative.

PwC Report – Healthcare Delivery of the Future

http://www.pwc.com/en_US/us/health-industries/top-health-industry-

issues/assets/pwc-healthcare-delivery-of-the-future.pdf

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Consumer Readiness for Telehealth

Smartphone Use by Age and Demographic

CONFIDENTIAL - ©2016 MDLIVE, Inc. 8

Regulatory Momentum

Source: Ernst & Young Healthcare Industry Post: Shaping Your Telehealth Strategy


Exhibit 1. Recent telehealth developments at the national and state levels

The telehealth Modernization Act, HR 3750, seeks to establish a federal standard for telehealth and clear

up the confusion from myriad state policies.

The TELEhealth for MEDicare (TELE-MED) Act of 2013, HR 3077, would allow Medicare providers to teat

patients electronically across state lines without having to obtain multiple state medical licenses.

The 21st Century Care for Military & Veterans Act. HR 3507, would expand access to telehealth services for

veterans and their families.

The Centers for Medicare & Medicaid Services announced changes to Medicare’s 2014 physician fee

schedule to expand coverage incrementally for telehealth services.

The Alliance for Connected Care was launched recently by former US Senators Tom Daschle, Trent Loft, and

John Breaux. The group will focus on raising awareness about the benefits of telehealth, while at the same

time pushing for regulations that will not impede patient access to care.

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Regulatory Momentum

Source: Ernst & Young Healthcare Industry Post: Shaping Your Telehealth StrategyCONFIDENTIAL - ©2016 MDLIVE, Inc.

Federal guidelines for mobile health apps

In late September 2013, the U.S. Food and Drug Administration (FDA) issued final guidelines for mobile

apps, outlining the apps that the regulations will affect the requirements those apps must meet to

achieve FDA approval.

The FDA’s approach focuses on regulating apps that carry significant risks if they do not operate

correctly – for example, those that enable a physician to make a diagnosis by smartphone or tablet, or

that transform a smartphone into an electrocardiography machine to detect abnormal heart rhythms.

The app is considered a device if its intention is to diagnose, treat or prevent disease, or affect the

function of the body. Apps that are an extension of medical devices, such as the remote display of data

from bedside monitors, are also subject to regulation.

The two categories of apps that will not be regulated are apps that 1) are not medical devices and 2)

might meet the definition of a medical device but pose low risk to the public. Apps that will not be

regulated include those that help patients:

Manage their diseases or conditions without providing specific treatment

Organize and track their health information

Easily access information on their health conditions or treatments

Document, show or communicate potential medical conditions to health care providers

Also unregulated are apps for providers that automate simple tasks and enable providers and

patients to interact with personal health record or EHR systems.

Source: Goldman Sachs: Digital Health

Revolution

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Physician Readiness

Medscape Survey: Survey of 1700+ residents in 24 specialties . Conducted May 14 through June 22, 2015.. All participants were required to be enrolled in a US medical

residency program.CONFIDENTIAL - ©2016 MDLIVE, Inc.

Yes No NoYes NoYes

70%

30%37%

63%

44%

56%

Would You See Patients Remotely Via Telehealth?

By Videoconferencing By Phone By Email

Surveys show that many patients like the convenience of being able to consult with a doctor remotely via email,

telephone, or videoconferencing without having to leave the house. However, many practicing physicians aren’t keen

on the idea of no-touch patient visits. But how do today’s residents, for whom the use of technology in medicine is

second nature, feel about seeing patients remotely via telehealth? The majority, our 2015 report found, have not

problem with it. Fully, 70% of our respondents said they would videoconference with a patient, 63% would consult

with a patient over the phone, and 56% would confer with a patient via email.

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Near Universal Adoption

Alaska Hawaii

FLTX

CT

NMAZ

COUT

NV

CA

OR

WA

ID

MT ND

WYSD

OHNE

KS

OK

MN

IA

MO

AR

LA

MS AL GA

TN

KY

ILIN

MIWI

SC

NC

VA

ME

PA

NY

WV

NH

MA

MDDC

DE

NJ

VT

RI

This map is not a legal opinion. It represents MDLIVE's understanding of state telehealth regulations and the applicability to MDLIVE's program.

Please seek the advice of counsel for a legal opinion as to specific state regulations. MDLIVE reserves the right to revise this document at anytime in its sole

discretion

Full Services – Video + Phone

Services Temporarily Suspended

Services Limited to Phone

Services Limited to Video


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111

Engaging Consumers How They Want

A patient calls a toll-free

hotline that’s available

24/7/365.

Customer visits our

website and logs in.

Customer opens mobile

app and logs in.

222

Searches for a provider using

criteria, such as specialty,

language, gender, location, or

simply “next available”

Care coordinator evaluates

the patient and redirects

to a doctor. 3Our system automatically

calls and connects the

doctor to the customer.

3Our system automatically

connects the doctor to the

customer via our online portal.

3System automatically connects

the customer to the doctor via

their smartphone.

Searches for a provider using

criteria, such as specialty,

language, gender, location, or

simply “next available”

CONFIDENTIAL - ©2016 MDLIVE, Inc. 13

Common Conditions Treated

Pediatrics

Acne

Allergies

Constipation

Cough

Diarrhea

Ear problems

Fever

Flu

Headache

Cold & Flu

Constipation

Earache

Fever

Nausea & Vomiting

Pink Eye

Insect bites

Nausea / vomiting

Pink eye

Rash

Respiratory problems

Sore throats

Urinary problems / UTI

Vaginitis

…and more!

Primary Care

CONFIDENTIAL - ©2016 MDLIVE, Inc.14

Tele-behavioral Health


50 million years of

work could be lost

to anxiety and

depression.

The World Health Organization

says that without more

treatment, 12 billion working

days will be lost to mental

illness each year to 2030.

TheGuardian.com

Behavioral Health Issues Today


National average wait time for

an initial behavioral health visit

is 33 days and counting.

Access

Serious mental illness costs

America $193.2 billion in lost

earnings per year.

A quarter of Americans live with a

mental disorder, however

estimates indicate that nearly 66%

of all people with a diagnosable

mental illness do not seek

treatment.

AMERICANS

More than 50% of counties in

the United States have no

mental health professionals.

33 DAYS

50%

25%

COUNTIES

Four common types of service

use barriers: lack of recognition

that help is needed; lack of

awareness about services;

convenience of using services;

and fear of stigma.

$193 BILLION

Twelve million emergency

department (ED) visits involved a

diagnosis related to a mental

health and/or substance abuse

condition. — nearly 41% percent

of MHSA-related ED visits result

in hospitalization.

MILLION12

COMMON BARRIERSfor workers4

Barriers Cost

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Virtual Behavioral Health Services


We connect your members virtually with Psychiatrists and licensed behavioral health providers to engage in on-going therapeutic

care to tackle their behavioral health concerns.

• Diagnostic Assessment

• Ongoing Counseling

• ePrescribing

• Ongoing Med Management

• Care Coordination

• Psychologists

• Psychiatrists

• Licensed Professional

Counselors

• Licensed Marriage/Family

Therapists

• Licensed Clinical Social Workers

• Depression and anxiety

• Marital problems

• Child behavior and learning

issues

• Family counseling

• Coping with loss and grief

• Stresses and challenges of

everyday life

• 24/7 on-line scheduling

• Robust provider selection

• Secure messaging and 15-minute free consults

• After hours and weekend appointments

• Complete sessions in the comfort of your

own home

Provider Types Behavioral Services Common Issues Treated

Features

• Automatic appointment reminders

• Web and Mobile App available

• Live telephonic member support Mon-Fri

8am - 11pm EST

• After hours and weekend call center

support

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Behavioral Health Benefits


Turnkey solution

Eliminate network gaps in both

rural and urban areas

Reach chronically ill and/or

home-bound members

Improve health outcomes and

reduce unnecessary medical visits

Achieve high member satisfaction

Online behavioral healthcare can be as effective as face-to-face

visits. No special technology required for patient, just internet

access – we provide the platform.

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Mobile App, Web, and Video


Confidential and Proprietary – 21

Second Opinions

Second Opinions decrease medical errors, save lives

and reduce healthcare costs down by

preventing unnecessary surgeries and procedures

Second Opinions often convince people to choose

less invasive or alternate treatments in 60% of cases

> 75% of firms offer at least one wellness

program

Companies encourage workers to seek Second

Opinions prior to proceeding with expensive

medical treatments and procedures

Valuable health benefit at low/minimal cost

Improved medical outcomes and provides a

healthier, more productive workforce



Engagement and Results


Sustained Awareness is the Challenge

* http://www.radicati.com/wp/wp-content/uploads/2014/01/Email-Statistics-Report-2014-2018-Executive-Summary.pdf

HUMAN

NATUREThe average consumer

receives 80+ emails

per day.*

It takes 6-7 exposures

before the average

consumer engages with

a new concept.

92% of health care decisions

are made by women.

Barriers to Awareness

NOISE

REACHING

THE DECISION

MAKER

FREQUENCY

OF USE


Early & Ongoing Education is Critical

Understanding Telehealth

Grasping the concept of telehealth leads

to a greater chance of adoption

Knowing when to use it

Clearly understanding what doctors can

treat is an important trigger in the

engagement process

Creating an initial Call-to-Action

Driving members to activate their

account before they need to use

telehealth is key.

Clear, consistent communication of telehealth enables members to

understand, appreciate, & effectively utilize their telehealth benefit.

What is virtual care?

How does it work?

When can I use it?

What can they help me with?

How much does it cost?



• Plan Design: recommendation to make member co-pay as low as possible from $0, $5, $10

• Integration with benefits: integration with incentive points, open enrollment, and wellness vendors

• Account Activation: making a members account activation easy as possible by setting up auto-registration and/or requiring members to activate

• Leadership/HR Support: leadership demonstrates the importance of benefit, have telehealth champions at local level, including manager training

• Campaign Modalities: recommendations to match client population demographics and culture

• Welcome Strategy: email & mail based communications with built-in drip campaign to drive account activation

• Monthly Outreach: educational reminders to ensure that population members remember to use MDLIVE when they need it

• Simple Language: Focused messaging based on health literacy best practices

Keys to Success

Effective Telehealth Program


Consult Breakdown by

Assumed % of Visits

Assumed % of Visits (if

not through MDLIVE)

Assumed Net Cost Per

Visit (if not through

MDLIVE)*

Assumed Total Cost (if not

through MDLIVE

PCP 871 34% $175 $152,425

Urgent Care 1,255 49% $228 $286,140

Emergency Room 230 9% $813 $186,990

Retail (Other) 205 8% $88 $18,040

Total 2,561 100% -$643,595

Program Costs (PEPM & consults) - $192,630

Assumed Total Cost (if not through MDLIVE)

$643,595

Employee Productivity Savings $102,324

(4 hours of lost productivity at an average wage of $25.53**/hour)

Total Savings with Productivity $745,919

Total Net Savings Ratio 3.87

Example of Return on Investment

*Source: https://healthcarebluebook.com/page_ConsumerFront.aspx

**national US averageCONFIDENTIAL - ©2016 MDLIVE, Inc.

https://healthcarebluebook.com/page_ConsumerFront.aspx

Our Point of View

Comprehensive User ExperienceWe enable consumers to access

telehealth in the way they prefer- via

phone, online or the App.

Customizable PlatformSupports strategic initiatives and

integration with provider

networks.

Focus on InnovationEvolving with the telehealth landscape

to incorporate emerging uses such as

behavioral, dermatology, kiosks, etc.

True Behavioral TelehealthWe offer the only true behavioral telehealth

product to address some of healthcare’s

most costly unaddressed needs.CONFIDENTIAL - ©2016 MDLIVE, Inc. 27


Demo


What can it do for your company and your employees? · 2018-04-03 · 3 Upcoming Programs, Training, & Events WWCMA and NEEBC Networking Event Date: Thursday, September 8th Time:

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