flexcare telehealth sales overiew
TRANSCRIPT
Managing Healthcare Costs Corporate America—The
Challenge Employers have been, are currently,
and will continue to seek creative solutions to reduce absenteeism, increase productivity and decrease overall healthcare costs.
They have been forced to restructure
their benefit plans.
With more people entering the system, a shortage of physicians, increased waiting times, as well as rising deductibles and co-pays, innovative solutions are needed.
Managing Healthcare Costs We Have a Solution: FlexCare offers an innovative, timely
and sensible solution. This program offers convenient, accessible
and affordable healthcare.
These benefits offer the employee and his/her entire family thousands of dollars in savings.
At the same time, it offers the employer those creative solutions they seek.
The supply-demand gap The demand in the number of yearly PCP consults
due to population increase and expanded coverage will drive the need for more PCPs.
POPULATION BASELINE AGING ACA EFFECT (health reform)
280,000
240,000
200,000
160,000 2010 2025
"Projecting US Primary Care Physician Workforce Needs: 2010-2025"; Stephen M. Petterson, PhD, Winston R. Liaw, MD, MPH, Robert L. Phillips Jr, MD, MSPH, David L. Rabin, MD, MPH, David S. Meyers and Andrew W. Bazemore, MD, MPH; November/December 2012
ADDITIONAL PCPs NEEDED
52,000 Additional PCPs needed by 2025
Average appointment wait times (in days) for five medical specialties included in the Merritt Hawkins Survey (2010).
Family Practice wait time was 20.3 days on average
Average appointment wait times (in days)
Seattle 14.2
Portland 14.4
Minneapolis 19.8
Detroit 12.0
Denver 15.4
Los Angeles 24.2
San Diego 20.2
49.6 Boston
19.2 New York
27.0 Philadelphia
22.6 Washington D.C.
11.2 Atlanta
19.2 Dallas
23.4 Houston
15.4 Miami
Employer adoption of telemedicine Workplace telemedicine is a growing trend, and one that is
gaining increasing attention. • “Health care delivery and treatment
settings continue to evolve, leading to the acceleration of alternate network strategies, including high-performance networks, third-party providers and telemedicine.
• For example, 17% plan to offer telemedicine by 2013, and another 27% are considering it for 2014 and 2015.”
• The Challenge: Most telemedicine services have had low utilization rates due to two significant barriers.
• FlexCare has eliminated these barriers.
1 Health Care Changes Ahead Survey Report, Towers Watson, October, 2012. Link: http://www.towerswatson.com/assets/pdf/8139/TW-HealthCare-Trends-Survey-NA-2012.pdf
Source: Towers Watson, Health Care Changes Ahead Survey Report, October 2012 http://www.towerswatson.com/en/Insights/IC-Types/Survey-Research-Results/2012/10/health-care-changes-ahead-survey-report
Introducing Teladoc Teladoc is quality healthcare made simple, on your terms,
when and where you need it. • An affordable alternative that allows members to resolve
many of their medical issues 24/7/365 through the convenience of phone or online video consultations. Anytime. Anywhere.
• Provides members with access to a national network of physicians who can diagnose, treat, and prescribe medication, when appropriate, for many medical issues. All physicians are U.S. board-certified and licensed to practice medicine in your state.
An Innovative Solution
Providing solutions for three of the biggest issues in healthcare:
• Timely access
• Lower cost
• Quality care
Employee / Member satisfaction is one of the
many benefits of addressing these issues
What can it be used for? Top 10 Diagnoses • Sinus Problems
• Urinary Tract Infection
• Pink Eye
• Bronchitis
• Upper Respiratory Infection
• Nasal Congestion
• Allergies
• Flu
• Cough
• Ear Infection
• Headaches and Migraines
• Stomach aches
• Prescription refills
• Electronic prescribing (SureScripts) or by phone if needed
• Frequency of prescribing similar to provider practice (about 75%)
• Use of antibiotics limited to short durations No prescribing of DEA-controlled substances, medication for psychiatric illness, or lifestyle drugs (i.e. erectile dysfunction, diet, etc.).
• Generic drugs are automatically recommended
Prescription Management
Prescribing of Medications Teladoc's prescribing patterns are similar to those found in face-to-face consultations.
PRESCRIPTION RATE GENERIC PRESCRIPTION RATE
80% TELADOC
83% PCP/ER
98% TELADOC
Teladoc prescriptions are for durations of
30 days or less
Teladoc provides non-emergency medical assistance when a doctor is not available.
• When the physician is unavailable and cannot be seen on a timely basis
• Schedule doesn’t permit traveling to see your physician (work, etc.)
• On vacation or a business trip
• For refill of recurring prescription (short term only)
• Geographical barriers (distances to a providers office)
• Pediatric care for any age
When can it be used?
Where can it be used? Teladoc is compliant with current state regulations in order to operate in 50 states.
How does Teladoc work? An employee has cold-like symptoms but doesn’t have the time to sit in an
urgent care waiting room. Instead they call Teladoc:
Step 2. Request consult
Step 3. Talk with a physician
Step 4. Resolve the issue
Step 6. Results
They simply log on to their account or call Teladoc, 24/7/365, to request either a telephone or video consultation. There is NO CONSULT FEE with FlexCare.
A board-certified physician licensed in their state reviews their 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 their medical issue. If a prescription is necessary, it is electronically sent to the member’s pharmacy of choice.
Your member’s medical issue gets resolved saving time and money.
Step 1. Medical history Member receives fulfillment kit with instructions. Member is required to complete their 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 the member’s medical history. Consultation information can be sent to the member’s primary care physician.
The highest quality care
By directly managing their own network, all doctors are:
97% Teladoc physician satisfaction rate
Board-certified Board-certified and state-licensed in internal medicine, family practice, emergency medicine or pediatrics.
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.
U.S. residents U.S. residents, living and working in the United States.
Connected Message Center enables our physicians to follow up with members inside the secure member portal. Easy-to-understand educational articles are available to provide to the member to help them understand their specific diagnosis.
100% Consults by new docs are reviewed
for the first 3 months or after 10 consults
15% Consults reviewed if physician
conducts more than 10 consults in a month
1,500 Charts reviewed on average per
month in 2013.
Teladoc physicians are constantly reviewed to ensure a high level of quality care.
WHAT WE DO THE RESULT
91% Patient medical issues resolved
9% unresolved: 4% referred, 2% out of scope for telehealth, 2%
seeking meds only, 1% sent to the ER
Teladoc quality management Processes and systems in place to ensure quality consultations.
Teladoc pursues excellence through
quality assurance and improvement.
• Before each doctor performs a consultation, all sections of the medical report must be reviewed and noted as performed
• Evidence Based Medicine and clinical guidelines embedded with hyperlinked references for each consultation
• Rigorous network management to deliver highest quality medical care
• Prescriptions are sent electronically to the patient’s pharmacy
• Patients are educated that antibiotics are not beneficial for colds or flu using the CDC “Get Smart” program and physicians are reminded the appropriateness using the CMA Foundation AWARE
• The patient's medical record is updated following a consultation, sent to the health plan and can also be sent to the patient's PCP
Teladoc Facts -- 2013
Telehealth’s time has come.
Based on Teladoc reporting and member surveys
97% Member Satisfaction
125,000 Consultations in 2013
99%+ Client Retention
0 Malpractice Claims
1hour Guaranteed Response Time
91% Patient Issues Resolved
Teladoc is the first and largest provider of telehealth medical consultations in the United States. Not only do they have the most experience, they have the results to prove it:
What the Employer Can Save A benefit of telehealth is appropriate redirection of utilization to an affordable alternative.
• Base on Teladoc reporting. Actual savings may vary based on geography.
IF THEY DIDN’T HAVE TELEMEDICINE, WHERE WOULD THEY HAVE GONE?*
HOW MUCH WILL YOU SAVE WHEN MEMBERS USE TELEMEDICINE CONSULTATION?
33% Urgent care
1% Specialist
43% PCP
15% Nothing
ER
Urgent care
Specialist
PCP
Avg savings per consult
Productivity savings**
Total savings per consult
$155.40
$86.96
$242.36
** Approx 4 hrs lost @ avg wage of 21.74/hr based on US Dept of labor data
$752
$122
$152
8% ER
$102
Making access easy Teladoc’s mobile application allows members to set up and
manage their account, as well as conduct video consults from their mobile device.
Communications We help you drive utilization by providing targeted marketing materials
FlexCare communications include: • Fulfillment Kit to each household • Can all be co-branded for client • A variety of marketing pieces
Welcome Letter
Getting Started
Monthly Campaign
General Reminders
The following have been found to drive utilization: • Send Member Kits and Cards • Include Teladoc information in benefit summary next to PCP co-pay • Highlight Teladoc during open enrollment • Highlight NO MEDICAL CONSULT FEE feature • Market to members several times a year – especially during cold/flu and allergy seasons • No two clients are alike: understand what messages and communication vehicles resonate
best with population. • Use of email and text messaging as a communication vehicles • Leverage employer’s logo/brand • Develop and agree to year long marketing strategy and plan in advance; review every 6
months, based on results
Drivers of low utilization include: • Not communicating • Burying Teladoc information in the benefits package • One size fits all marketing • Not personalizing (co-branding, using company name)
Build awareness and drive utilization
The value proposition Telemedicine addresses the biggest healthcare issues and FlexCare eliminates the barriers to utilization.
FlexCare has eliminated all barriers affecting utilization by offering this benefit with NO MEDICAL CONSULT FEES COMPREHENSIVE COMMUNICATION PLAN.
Provides comprehensive 24x7 access to appropriate care for all employees regardless of work location or travel
Significant impact on inappropriate ER and UC utilization; lowers self-insured healthcare costs
Reduced absenteeism and increased productivity
Highest clinical standards found in the industry
Valued benefit offsetting perception that benefits are being reduced as employee contribution is increased
Access
Satisfaction
Quality
Cost
Productivity