Cautionary Language Concerning Forward-Looking Statements

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1 Safe Harbor Statement Cautionary Language Concerning Forward-Looking Statements This presentation contains descriptions of products, services, features and functionalities that AT&T envisions for the future. AT&T reserves the right to modify, delay or withdraw any such product, service, feature or functionality. This document is not an offer, commitment, representation or warranty by AT&T and is subject to change. 1 AT&T Telehealth, m-health and Health Information Exchange Jeff Dygert, Executive Director, Public Policy 1

2 AT&T ForHealth SM We believe that the use of technology and smart networks can create a healthier world. 3 Healthcare is Important to AT&T Why Who How Affiliation Participation AT&T provides healthcare coverage for 1.2 million people 714,000 active employees and dependents 505,000 retirees and dependents Total Annual AT&T Healthcare Expense $5.5 billion Serves 10,000+ healthcare facilities Addresses the whole ecosystem including hospitals, pharmacos, payors, physicians, nursing homes, mental health consortiums, distributors Healthcare-focused organization 300+ dedicated healthcare team Key affiliations with leading healthcare organizations 4 2

3 AT&T Telehealth AT&T is uniquely positioned to deliver Telehealth solutions by combining a powerful array of network resources, video conferencing, and networked medical devices to provide virtual visits and monitoring between physicians and patients. 5 Our Telehealth Technology Solutions enable healthcare professionals to evaluate, diagnose and treat patients in remote locations Market Needs Extend the reach of clinicians beyond metro clinics/hospitals Make specialty medical care available across a wider geography Accelerate critical medical interventions AT&T Functionality Virtual Care Nonmanaged solution with video conferencing equipment and AMD medical peripherals ATS Telehealth Fully managed solution with Cisco HealthPresence equipment, AT&T Business Exchange and AMD medical peripherals Customer Benefits Expands the reach of scarce specialty care Reduces time and cost associated with travel for medical care Creates an efficient means to deliver continuing medical education and grand rounds Decreases hospital readmission rates 6 3

4 Funding Telehealth American Recovery and Reinvestment Act (ARRA) $1.4 billion to initiatives across the U.S. and territories Federal Grants USDA - Distance Learning and Telemedicine i Program (DLT) is designed d specifically to meet the educational and health care needs of rural America. Health Resources and Services Administration (HRSA) - Telehealth Resource Center Grant Program (G22), Telehealth Network Grant Program (H2A) CMS Reimbursement for Telehealth HCPS code Q3015 can be charged by a rural clinic/facility as a Telehealth originating site facility fee (Currently about $24) 66 CPT/HCPS reimbursable codes for professional services provided by the distant site physicians and practitioners Outpatient visits Individual psychotherapy Psychiatric diagnostic interview Follow-up inpatient consult End-Stage Renal Disease related service Medical nutrition therapy Pharmacological management Neurobehavioral status exam 7 AT&T Grant Support Program for Healthcare Expertise from a grants specialist at no cost to you AT&T has retained the services of Grants Office LLC to launch a program that: Helps you identify funding for your patient care initiatives Provides a Grant Research Customized Report that identifies grant options for your healthcare projects Offers a Consultative Call with insight on the most viable grant opportunities Includes a Four-Part Webinar Series sponsored by AT&T Medicare and Medicaid Incentives Mobile Telehealth Funding Regional Funding for Health Information Exchange Preparing for Funding in 2012 For more information, presentation and replays, or to register for future webinars, please visit Please note: AT&T neither writes grants or offers assistance beyond providing necessary and pertinent information. Page 8 4

5 AT&T healthcare strategy Mobile Health Telehealth AT&T Healthcare Community Online Electronic Medical Records Medical Imaging & Information Management 9 Telehealth: Portfolio ATS Telehealth Managed AT&T Telepresence Solution with Custom Pod. Specialized Teleclinic peripherals: blood pressure cuff, pulse oximeter, otoscope, general exam camera, etc. Both physician and patient have endpoints. Use environments: Hospitals Rural Clinics Retail Centers Employer Retail Clinics Virtual Care Non-managed solution that includes medical devices to capture a patient s vital signs aligned with video conferencing from Polycom and Cisco. Enables real time and interactive ti second opinions, consultations, and follow up. Both physician and patient have endpoints. Use environments: Hospitals Physician Offices Rural Clinics Retail Centers Employer Retail Clinics Remote Patient Monitoring Patients monitored remotely utilizing a combination of: Broadband connectivity ZigBee wireless Multimedia protocols Secure databases Advanced sensors Wifi and cellular Available devices can measure: temperature, weight, pulse rate, blood oxygen level, blood-pressure, and blood glucose. Use environments: Hospitals Home Health Agencies Long Term Care Facilities Nursing Homes Physicians 10 Pilot Status Current Offer In R&D 5

6 AT&T Telepresence Solution: Telehealth Cisco AT&T Business Exchange Managed AT&T Telepresence Solution with custom Pod. Specialized Teleclinic peripherals: blood pressure cuff, pulse oximeter, otoscope, general exam camera, etc. Both clinical locations have Cisco HealthPresence endpoints. Use Cases Delivering rural healthcare Retail and employment center healthcare delivery Continuing medical education Equipment Video Conferencing Equipment (Cisco HealthPresence) Medical Peripherals (AMD Telemedicine) Connectivity (Infrastructure / AT&T Business Exchange) Note: Teleclinic is currently in pilot/testing phase only and is not available generally. 11 AT&T Virtual Care Non-Managed 12 Equipment o Video Conferencing Equipment o Tandberg/Cisco o Polycom o Medical Peripherals - Standard Package (AMD Telemedicine) o General Exam Cam o ENT Scope o Escope Stand-alone solution that includes medical devices to capture a patient s vital signs aligned with video conferencing. Enables real time and interactive second opinions, consultations, and follow up. Facilitates deaf & language interpretation which are legislatively mandated today. Some Medicare and Insurance reimbursement (varies by state.) Use Cases Delivering rural healthcare Retail and employment center healthcare delivery Continuing medical education 6

7 AT&T Telehealth Connecting and collaborating Erases distance barriers between patient and caregiver Extends reach Improves care to specific populations Provides flexibility Effective response to emergencies or disasters AT&T Intellectual Property. All rights reserved. Remote Monitoring ** Offer in development and under evaluation ** Patients can be monitored remotely via electronic technology utilizing a combination of: Broadband connectivity ZigBee wireless Multimedia protocols Secure databases Advanced sensors WiFi and Cellular Available devices can measure: Equipment Actuarius Medical Gateway Medical Peripherals Connectivity Temperature Weight Pulse rate Blood oxygen level Blood-pressure Blood glucose Use Cases Monitoring of patients in home or in nursing homes. Monitoring for clinical trials 14 7

8 AT&T Healthcare Community Online Sharing data to improve care Increases quality of care by giving physicians relevant medical data in realtime Enables interoperability and retrieval of clinical data across continuum of care Reduces costs by automating clinical and administrative processes 15 AT&T Healthcare Community Online 16 8

9 Use Case: Optimize Scarce Resources with Virtual Experts Situation Challenge Illustrative Regional U.S. healthcare provider with: Limited clinician resources Remote and rural patients Seeking cost efficiencies in scaling service Specialized diagnosis and care traditionally require face-to-face interaction Solution Telehealth video pods in the remote locations connecting to the hub hospitals in larger metropolitan areas Result Services now available in remote and rural settings via virtual care: Specialty care Physician to physician consultation Continuing education Specialized diagnostic Physicians' collaboration improves diagnosis and treatment reducing cost of care 17 Benefits Improved access to scarce medical expertise Improved quality of care Reduced cost of care 18 9

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