How Telemedicine Is Used To Lower Healthcare Costs. Presented By:

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1 Personal Service. Innovative Ideas. Proven Success How Telemedicine Is Used To Lower Healthcare Costs. Presented By: Group Benefits Agency and Consult-a-Doc 1105 SCHROCK RD., SUITE 500 COLUMBUS, OHIO

2 Personal Service. Innovative Ideas. Proven Success Presenters: Sean Morrisey Director of Business and Technology Development Group Benefits Agency Michael Puestow Vice President of Business Development Consult-A-Doctor

3 Why Telemedicine? Personal Service. Innovative Ideas. Proven Success Survey of members after a consultation by a Telemedicine service results show: 79% Of all employees surveyed responded that the consultation saved them from a visit to the doctor's office or the ER. 83% Said the consultation saved them money or time. 56% Said if they did not have Telemedicine service, they would have had to miss work. 100% Stated they would use this service again. 98% Would recommend this to their friends and family. 98% Responded the physician answered all their questions. 94% Felt the physician spent an appropriate amount of time. *Utilization and survey results as of 02/23/09

4

5 Problem Antiquated and Inefficient Healthcare Delivery System Experts agree- over $100 billion wasted yearly. Research shows: Over 70% of doctor office visits are unnecessary (Average Cost: $153) Over 66% of all ER visits are non-emergencies (Average Cost: $1200) Doctors not paid for phone or consultations. -No incentive to use lower cost settings 50 million uninsured, tens of millions underinsured -Even insured making choices between rent, groceries & basic health care.

6 Problem: Lack of Care Due to Cost Putting Off Care Because of Cost In the past 12 months, have you or another family member living in your household because of the COST, or not? Relied on home remedies or over the counter drugs instead of seeing a doctor Skipped dental care or checkups Put off or postponed getting health care you needed Not filled a prescription for a medicine Skipped recommended medical test or treatment Cut pills in half or skipped doses of medicine Had problems getting mental health care Percent saying yes 34% 34% 30% 26% 22% 17% 6% The cost to companies has more than tripled and the share shouldered by families is becoming prohibitive. Towers Perrin/2009 Health Care Cost Survey Did ANY of the above 53% Source: Kaiser Family Foundation Health Tracking Poll (conducted November 5-12, 2009)

7 Problem: Inefficient Access & Delivery Patients Barriers to Care Reasons for Visiting ER 63% 33% 24% 51% 41% 12% 12% No timely Appointment After hours Couldn t get DR/phone Dr too far away More convenient After hours No timely appointment National center for policy analysis Convenient Care and Telemedicine Study- 2007

8 Problem: Where are the Doctors? National Telemedicine Initiatives: Essential to Healthcare Reform Medical Experts Say Telemedicine Key to Health Care Reform NCPA Convenient Care and Telemedicine The Crisis of Primary Care Physicians States Faces Shortages of Primary Care Doctors Can't Find a Doctor? You're Not Alone Primary Care Doctors in Short Supply Many Primary Care Doctors Plan to Quit or Cut Back: Survey

9 Telemedicine- Just What the Doctor Ordered BEST access LOWEST cost IMPROVED outcomes

10 Solution = Telemedicine Revolutionizing the delivery of healthcare, telemedicine is one of the most important modern innovations in healthcare, and will benefit from rapid adoption and growth over the coming years, settling as a $24 billion dollar industry by Research and Markets, 2006

11 Telemedicine Defined Telemedicine is the use of medical information exchanged from one site to another via electronic communications to improve patients' health status. Closely associated with telemedicine is the term "telehealth," which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Videoconferencing, transmission of still images, e- health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth.

12 Georgia Hub & Spoke

13 Telemedicine Licensure available in Massachusetts? Recently, Massachusetts State Representative, Dan Winslow (R- Norfolk), and the House of Representatives approved the following legislation: a plan to allow doctors licensed anywhere in the United States to consult, diagnose and treat Massachusetts residents by internet video examinations. This is big news for Massachusetts and the Telemedicine industry as a whole. If approved by the Senate and signed by the Governor, this new technology will be a godsend to worried parents in the middle of the night, to seniors who are confined to home, to residents in rural areas who lack convenient access to primary care physicians, and to anyone who can t wait a few days or a week to obtain a prescription, said Winslow.

14 Solution: Lowest Cost of Delivery, Greatest Access STUDIES CONCLUDE: Telemedicine has the potential for restructuring medical care in ways that can solve many of the problems, while reducing costs and improving quality of care 1 Cost of Physician Access $1200+ Revolutionizing the delivery of healthcare, telemedicine is one of the most important modern innovations in healthcare, and will benefit from rapid adoption and growth over the coming years, settling as a $24 billion dollar industry by $150 Telemedicine Essential to Healthcare Reform Avg. ER Visit Avg. Doctor Office Visit Telemedicine 1-National Center for Policy Analysis Fathers of HSA Convenient Care and Telemedicine Study 2-Research and Markets 3-White Paper Study- e-health Magazine

15 Proven Savings / Outcomes Actual Case Study Results: In addition to tracking utilization- CADR also tracks outcomes after every consultation. Follow up call results: Where would you have gone instead? 90%+ - Avoided a Doctors Office, ER OR UC Visit 71% - Saved Time and Money 92%+ - Would Recommend Service 35%+ - Would have taken off work- but did not 93% - Physician Spent Appropriate Time 91% - Physician Answered All Questions Telemedicine= Lowest cost setting for Employer, Payer, Consumer

16 Proven Savings Consult A Doctor Patient Survey* 15% 1% 10% 2% 2% 5% 65% Local Doctor Specialist ER Walk In - UC Internet Nowhere Other

17 Reports Utilization/ROI

18 Proven ROI / Saving $$ Millions Case Study Eligible Members: 10,000 Annual Investment (fees paid by payer $2.00): $240,000 Total Lives (including family): 30,000 - cost per live- $0.67 Member Utilization 23.00% Annual Doctor Office Savings $228,735 Annual ER Savings $355,005 Annual Urgent Care Savings $34,500 Productivity Add-Back $538,448 TOTAL ANNUAL COST SAVINGS $1,156,688 ROI 481%

19 Patient-Provider Empowerment Solution Shift care away from high cost settings. Improve access. Engage and empower members.

20 The Most Ways to Consult 24/7 24/7/365 On-Demand Physician Consultations Via Phone, Web (Video/ ) and Mobile Apps * Non-Controlled Substances

21 Video / Mobile Apps

22 Doctor Dash What the Doctor sees

23 Cloud Based Telemedicine Solutions Revolutionizing Healthcare Access & Delivery HIMSS IT Venture Fair & Strategic Partner Forum Wolf Shlagman, CEO The information contained in this presentation is confidential and proprietary to Consult A Doctor, Inc. and may not be copied or distributed for any reason without express written authorization of Consult A Doctor, Inc. Nothing contained in this presentation should be considered as a formal commitment, solicitation or binding in any way.

24 CLICK TO EDIT MASTER TITLE STYLE What can GBA do for you? GBA can meet with you and discuss your goals. GBA can build a benefits and services package around your company s needs. GBA has partnerships with many carriers and venders to get the best product and benefit packages for you. Personal Service. Innovative Ideas. Proven Success

25 CLICK TO EDIT MASTER TITLE STYLE Questions Personal Service. Innovative Ideas. Proven Success Sean Morrisey Group Benefits Agency Website: Upcoming Webinars: Exchanges Consumer Driven Plans Executive Benefits

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