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WaveFront Brokerage Services

Cloud Based Telemedicine Solutions

Revolutionizing Student and Staff Healthcare Access & Delivery

[Insert College/University Logo Here]

Presented by

WaveFront Brokerage Services

The Problem: Healthcare Most Doctor offices open less than 35 hours/week or approx. 21% (Closed

nearly 80% of the time (168 hours/week)

Average time to make an appointment – 3 WEEKS (Over 6 weeks to see a specialist; Estimate 7 weeks under the ACA)

Average time spent waiting in a doctor’s waiting room – 23 minutes (Average time spent waiting in an ER – 93 minutes)

Top 3 reasons for ER visits are sinus, ear and upper respiratory infections (not broken bones or other type of injuries)

These top 3 reasons are easily diagnosed and treated via telephone 75 – 90% of visits originate from stress issues

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WaveFront Brokerage Services

The Solution: TELEMEDICINE 4 of 5 office visits better handled via phone

~American Medical Association~ Avg. time to talk to our doctors, 90 seconds 90%+ who call, don’t need a follow-up 100% availability in all 50 states (24/7/365) 89% of healthcare execs believe telemedicine will (and

must) revolutionize healthcare Telemedicine will save minimally $70 per employee in

healthcare savings (utilization is the key) ~Business Insurance News December 2012~

Solution: Improve Access to Care

Ways to Consult• Telephone• Secure email• Video• Mobile Application• Text Messaging

“High Tech - High Touch”

Virtual Care:• Reduce Cost• Expand Access• Improve Outcomes• Extend services beyond

boundaries• Right size care

Improve AccessMultiple ways to

Consult 24/7

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

Urgent Care/ER

Care Coordination24/7 Physician consultations -Clinically efficient, effective

and most convenient

Quality CareLicensed Physicians that can provide information, diagnose and prescribe

Rx medication*

* If appropriate

Phone, Email, Video, Mobile Application

Save TimeSave Money

Reduce Absenteeism

Get Information/Diagnosis Anytime, Anywhere 24/7

Feel Better FastMost Affordable Cost Setting

Better Outcomes

High Tech – High Touch

+ ++

Activate Call or Click Virtual Care

Easy for Member

Online or by phone.So easy and convenient.

Connect to a board certified doctor in minutes

Fast, safe, lowest cost setting care 24/7

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WaveFront Brokerage Services

• Low-PMPM of $5 (Physician consult = $38/consult; Wellness consult = $27/consult)

• 2% utilization rate nationally (lowest in nation)

• Avg. Physician response time: up to 3 hrs.

• Consultations available by telephone only after going online prior.

• No recording of consultations

• SureScripts Access – No.

• Secure Email Consultations – No.

• Very modest physician network (reason physician response time slowest)

• Student + Family $30/month (Unlimited usage; no fees)

• 18 % utilization rate

• Avg Physician response time: 24 mins.

• Consultations available by telephone, internet and video.

• Record consultations and post to personal health record.

• SureScripts Access – No.

• Secure Email Consultations – No.

• 2,000 GP Physician network

• Student + Family $10/month (Unlimited usage; no fees)

• 26+% utilization rate

• Avg. Physician response time: 90 secs.

• Consultations available by telephone, internet, video, smart phone app, secure email, chat, and text msg.

• Record consultations and post to personal health record.

• SureScripts Access – Yes.

• SecureEmail Consultations – Yes.

• Nation’s largest physician network; includes specialists

The lowest cost, highest impact soluction to many of the issues plaguing the healthcare system today.

Key Differentiators Between CADRPlus and the Competition

1. How can students and staff connect with a physician? Because we understand that members use technology differently we have multiple ways for them to connect to CADR. They can call our care center; request a call from a physician via the member portal, secure email, chat, video, mobile application and, of course, telephone. Others require that members go online first; we understand that not all will have access to a computer or the internet so this is not a requirement.

2. Education/Communication: Driving utilization is what makes us superior to our competition. Across our book of business, CADR boasts a 26+% utilization rate for clients that have been with us for at least 12 months. We will work with students and staff to understand how to best work with your different populations. This can consist of email blasts, phone mail messages, mailers, hard copy flyers, posters, etc.

3. A student/staff can be on the phone with one of our physicians in less than 90 seconds. When deciding whether to go to a higher cost setting or whether a condition can be handled via telemedicine this is key. No other telemedicine company has this functionality.

The lowest cost, highest impact soluction to many of the issues plaguing the healthcare system today.

Key Differentiators Between CADRPlus and the Competition

4. We are the only telemedicine organization that has the unlimited plan which includes all consultations.

5. We are the only telemedicine organization that records all consultations and attaches it to the personal health record of our patients. We do this not only for patient history but as a tool for quality control.

6. We are the only telemedicine organization that has access to SureScripts which allows us to see 24 months of prescriptive history for our patients. This is available whether or not the prescription has been prescribed through CADR or another physician.

7. CADR physicians have access to the patient’s formulary through SureScripts.

8. We provide secure email consultations; Teladoc does not.

The lowest cost, highest impact soluction to many of the issues plaguing the healthcare system today.

Simply put…

The lowest cost, highest impact solution to many of the issues plaguing students and staff of America’s leading Colleges & Universities,

and the healthcare system.

• It’s convenient – 24/7 access from anywhere

• It’s unlimited – no hidden fees or per-use charges

• It’s easy – just call or click and you’re connected

• It’s quality – Masters- level Clinicians, US Board Certified Doctors, Vetted Partners/Resources

• It’s proven – our partners have over 3 million members and counting

• It’s comprehensive – for the body, mind and pocket book

• It’s affordable - $15/mo. PMPM for individuals; $10/mo. for groups

TELEHEALTH IS THE ANSWER AND CADR+ IS THE VERY BEST BUNDLE AVAILABLE!

The lowest cost, highest impact soluction to many of the issues plaguing the healthcare system today.

So, how does this program work?

=+

+

Access to a nationwide network of 5,000+ licensed, board certified doctors & specialists anytime, anywhere – day or night; no one is denied, and there is no waiting, period.

Multiple Ways to ConsultCADR+ provides a technology and service platform which allows students & staff to consult with physiciansvia Telephone, Mobile APP, Video, On-line, Email & Text,on an immediate basis, 24/7/365 AND receive a refill or prescription for their illness…ready when they are!

Give them a call and you will be connected within 2 minutes!

Multiple Ways to Consult

Use When You…

Need care after hours or on weekends Need medical care access from remote locations Need Rx prescription/refills* for common conditions Can’t meet face-to-face with physician / specialist Can’t get a timely appointment Can’t get to a doctor due to disability Don’t want to go to ER/UC Can’t afford to take off work or class Are traveling and need advice* Medications on the DEA list or controlled substances, by law, are NOT permitted for prescription fills/refills.

National Telemedicine Physician Network

Telemedicine Services

Enterprise Platform PLUS CADR’s National Network of Primary Care Physicians 50 State PCP Provider Network U.S.-based, Board Certified/Eligible Credentialed to NCQA Standards 170 Languages Supported On-Demand (24/7) Via Secure Phone, Web

(Video/Email) or Mobile App Additional Specialties Now Online:

Pediatrics, Cardiology, OB/GYN Mental Health, Endocrinology

Quality Assurance & Patient Safety

Continuous Quality Improvement process as a tool to monitor, analyze and improve the medical care delivery mechanisms practiced by Consult A Doctor physicians

100% of consults are documented and recorded; controlled substances never prescribed

Regular CQI Medical Records Reviews are performed consisting of at least 3 initial priority consultations for each new doctor and at least 10% of randomly selected priority consultations per week for existing physicians

Weekly CQI Audio Recording Reviews consisting of 3 initial priority consultations for new doctors and 2 random priority consultations for existing doctors per week

More Quality Time

Average time spent with a Doctorduring a traditional office visit isonly 4 minutes

Average time spent with a Doctor during a

Consultation is over 15 minutes

1. Allergies

2. Bronchitis

3. Earache

4. Sore Throat

5. Pink Eye

6. Sinusitis

7. Strep Throat

8. Upper Respiratory Infections

9. Urinary Tract Infections

AND MORE!

9 Most Common Reasons People Visit a Doctor, Urgent Care or Emergency

Doctors address

the top 9 most common

reasons for a visit to the

doctor

Reporting & Data Mining

Common Medications Prescribed

Zithromax Z-Pak MetforminAmoxicillinFlonaseAlbuterolDiflucanAugmentin HCTZTessalonLevaquinAzithromycin MacrobidKeflexPyridiumBactrim BiaxinCiproAllegraLisinoprilBactrimTamifluIbuprofen 800PrednisoneNasonexLipitor

Call CADR+ to request a

consultation

Provide medical history

CADR+ schedules call

with an appropriate doctor

Doctor reviews the online patient

history and calls the member*

If prescription is

required Doctor calls in Rx to

member’s choice of pharmacy

Doctor updates EMR with

consultation notes

Call recording is posted

Member receives

follow-up survey call

Student/Staff Experience

*Average on-call response time by a physician is 2 minutes! Fastest in the nation.

+ HIPAA Compliant

+ Web-based for convenient access

+ Simple to use

+ Electronic Medical Records

+ Send emails to doctors

+ Upload pictures to send to Doctor or for reference

+ View Doctor’s notes and follow-up communications

immediately after consultation

+ All calls and video consultations are recorded and stored for

accurate history and reference

Member/Patient Portal

My Consult CenterSchedule appointments, e-mail a doctor, store and forward your medical history to your primary care physician and more.

My Message CenterSend and receive secure emails to a licensed physician for confidential and convenient information. Receive lab requisitions and results.

My Health CenterSymptom Checker, Health Library, Interactive Health Tools

My Symptom Checker

Evaluate symptoms and recommend treatment options

– Mobile AppsMy Health Center

First Aid Medications Medical Tests / Labs Wellness Chronic Condition Management Challenges Rewards Support Groups

ePrescriptions

Features / BenefitsElectronic prescribing

Less errors Surescripts RX history Med2Med

interaction Decision support Evidence based

Pharmacy of choice By home, work,

hotel, school Less wait Formularies Insurance

Documented in EMRReported to PCP/Plan

Follow Up/Referral

Post Consult Benefits Follow up care

instructions Telemedicine

consultations In-person referrals Patient education Scheduled

messages/reminders Diagnostic labs Health tracking tools Health risk assessments Coding

CPT ICD-9

Follow Up/Referral

Through the use of next-stage technology CADR partners with Payers to enhance and support their care management and cost containment approach

Data integration between CADR and Payer provides health related information to providers and patients at the point of care to improve clinical outcomes

CADR’s data warehouse serves as the central repository of data derived from numerous sources

Raw data becomes critical information readily available to effectively manage care

Data SourcesPaid Claims DataLaboratory ResultsPrescriptionsHealth Risk AssessmentsEvidence – Based Clinical GuidelinesMember & Provider Communications

A free prescription and health care discount card that provides access to savings on a wide range of health care products and services, including prescription drugs, lab tests, vision care and dental care.

SIGNIFICANT SAVINGS

• Pharmacy Savings – save up to 65%• Dental Care – save up to 50%• Vision Care – save up to 50%• Hearing – save up to 15%• Lab Savings – save up to 60%• MRI & Imaging – save up to 70%• And more!

Why are College Students so Stressed?

Pressure to succeed“Students know their generation is less likely to be successful than their parents, so they feel more pressure to succeed than in the past.”

Jason Ebbeling, Director of Residential Education at Southern

Financial pressures on self and parents“Paternal unemployment is at it’s highest level since we started measuring.”

John Pryor, UCLA Higher Education Research Institute

Amount of school work“College students can get easily overwhelmed by the type and amount of school work combined with the freedom to accomplish tasks on their own schedule.”

Marcelina Hardy, MSEd, BCC, Board Certified Coach

According to the American College Health Association, the top health issues for college students in 2012 were:

1. Mental Health2. Sleep3. Infectious Disease4. Substance Abuse5. Exercise & Nutrition

Drugs & Alcohol Drug and alcohol abuse is the #1 cause of death for college students (age 17-24). Nearly half of America’s 5.4 million full-time students abuse drugs or drink alcohol

on binges at least once per month. 22.9% of students meet the definition for alcohol or drug abuse (compared with

8.5% of all people 12 and up).~National Center on Addiction and Substance Abuse (CASA) at Columbia University~

Prescriptions The majority of college students arrive with prescriptions for birth control and

conditions such as anxiety and ADHD.~Core Institute Study, Southern Illinois University~

By a student’s sophmore year, half of their classmates have been offered the opportunity to abuse a prescription drug.

~Talk About Rx, Get the Facts website~

There are times in everyday life when you may need a little guidance:

College Worklife Resources

Child care Parenting Emergency care Summer care New baby care Adoption

Colleges and universities Elder resources Disaster relief Pet care Primary/secondary education Patient Advocacy

TELEPHONIC CONSULTATION

Unlimited access Masters-level clinicians Available 24/7 Live Answer Confidential Service 170 Languages Crisis Support

Resources For Living – Student Assistance Program

Everyday Help for Everyday Stuff

Someone to talk to…on YOUR schedule Confidential telephone counseling Legal Services Financial Consultation Tax preparation discounts Identity theft Patient advocacy

Online Discount Center

We can also help you save money by providing access to great prices for over 3.5 million products and services.

Let the savings begin We help you find the deals you’re looking for with easy search tools and discount codes. We also feature zones that highlight hot offers, limited time bargains and regional deals.

The online discount service features savings on brand-name products and services like:

Computers and electronics Travel, car rentals and hotels Gifts and retail shopping Movie tickets & video rentals

Theme parks Fitness centers Shoes and clothes Restaurants… and more!

College Students, like all of us, need a little help sometimes; we provide the access to tools, support and

resources needed to overcome challenges and build resiliency.

Physical Well-being

FinancialWell-being

CareerWell-beingCommunity

Well-being

EmotionalSocial

Well-being

Consult A DoctorOn-line Wellness ToolsPrescription Discounts

Telephonic CounselingSIGNALRelationshipsStress & Depression

Community ResourcesConcierge ServicesHousing SearchSummer Opportunities

Financial ConsultingBudgeting SkillsFinancial AdvocacyLifemart Discounts

Resume DevelopmentInterview SkillsGrad School Test PrepTranslation Services

Completely Confidential 24/7 Resource