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Telehealth solution for medical nutrition therapy

Problem

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The cost of diet-related diseases and conditions (diabetes, heart disease, obesity, etc.) is on the rise, yet registered dietitian (RD) administered Medical Nutrition Therapy (MNT) is underutilized.

More than 14 million Medicare beneficiaries are eligible for MNT, yet less than 2.5% of patients utilized it in 2012.

http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf

Medical Nutrition Therapy

Medical Nutrition Therapy (MNT) is a therapeutic approach to treating medical conditions and their associated symptoms via the use of a specifically tailored diet devised and monitored by a registered dietitian (RD). The diet is based upon the patient's medical, psychosocial, and dietary history.

Three years of MNT is reimbursable by Medicare (CPT or HCPCS: 97802 & 97803 )

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Our SolutionA platform where patients can connect with specialized registered

dietitians for Medical Nutrition Therapy.

We are a nationwide network of 380+ registered dietitians, enabling

providers and insurance companies to offer Medical Nutrition Therapy

more cost effectively via mobile consultations.

For the first time ever, we make MNT an accessible treatment option.

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Our Process1. The patient is prescribed MNT for a recent diagnosis of a diet-related condition

2. The doctor or health provider refers the patient to REALdietitian.com to schedule their initial MNT appointment

3. The MNT appointment occurs via telephone or video with a dietitian who specializes in their specific disease or condition

4. The patient receives a detailed personalized follow-up report, schedules their next MNT appointment, and is encouraged and reminded to adhere to their MNT with constant engagement and patient check ins

5. The patient's health provider is billed by REAL Dietitian, and REAL Dietitian assumes the responsibility of keeping the patient engaged throughout the full three year MNT process

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CustomersOur customers are large healthcare providers who currently use or wish to utilize dietitians services more cost effectively, including:

1. Employer Benefit Providers 2. Insurance Companies 3. Accountable Care Organization (ACOs) and Health Systems

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Our Value PropositionsBuyers Reduce Spending - Each dietitian visit was associated with 4.70 fewer hospitalizations per 100 person years and a $6,503 reduction in total hospital charges

Improved Outcomes - Nutrition therapy interventions implemented by registered dietitians reduced HbA1c levels by an average of 1% to 2% for patients with diabetes

PatientsSimplified Access - A frictionless online (or phone) booking process to seamlessly schedule their MNT appointments anywhere at anytime  

Connected to Specialized Expert - Patients can now consult with disease-specific dietitians they might not have been able to before due to previous geographical, financial, or time constrictions   Convenient Scheduling - MNT appointments now fit patients' schedule and allow patients to save travel time and money compared to an in-person appointment

7http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423227/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938438/

Market Opportunity45+ million Americans have diabetes, renal disease or an MNT reimbursable diet related condition

These patients are eligible for three years of Medical Nutrition Therapy

Total Addressable Market is $13.5 billion

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June - Began operations at 1871 ChicagoJuly - Mobile appointment MVPOctober - 380+ RDs in recruitment process November - Enterprise sales, REALportal MVPDecember - Three employee exchange clients; 500+ RDs January - Paid clinical trial with a South Carolina ACOFebruary - Provide MNT for national telehealth companies May - 750+ RDs in 50 states and results from clinical trials 

Timeline

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Healthcare Buyer Advisors

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• 24 years experience in the healthcare industry with leadership positions at UnitedHealthcare, Cigna, and MetLife

• National Vice President of Employer & Individual at UnitedHealthcare • Previously, Chief Operating Officer of UnitedHealthcare of Illinois

Michael Cole

Richard Ferrans, MD, ScM

• Strategic planning, operations, and implementation consulting for ACOs across the country

• Previously, CEO at Chicago’s largest ACO • As an MD, understands the clinical implications and effects of MNT

Specialty: selling services to private insurance

Specialty: ACO strategic consulting and implementing new programs

CEO

Previous dietetic student; 4 years marketing and business development for dietitians

Sidonia Rose Swarm

Meet the REAL Team

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Dietitian RecruitmentLiz Zinsmeister, RD

SalesKristen Alfonsi

Business Development/Tech

Front-end developer, Co-founder and Sales for Hutster, a subletting marketplace.

Thomas Gorczynski

Product Manager/TechSean Crowe

13 years in pharma sales, Whole Foods consultant, and clinical dietitian at Northwestern University

Director of Nutrition at Lifestart, a national corporate wellness company, and Founder of RD Now

iOS developer, Co-founder and CTO of Hutster, operated out of RocketSpace in SF

AdvisorJenny WesterkampFounder of All Access Internships, Lead Dietitian at Kitchfix and Author of Green Foods for Men

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Better health through better nutrition