Benefits That Benefit You

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Presentation transcript:

Benefits That Benefit You Cathy Sapp Executive Director Teladoc Change first slide reflecting full P&C presentation…change art, etc.

A modern way of delivering care that is becoming mainstream WHAT IS TELEMEDICINE? A modern way of delivering care that is becoming mainstream Who has ever been sick? How often do you know what’s wrong? Where do you go for treatment? How many of you like to sit in a waiting room when you don’t feel well? How many would like to receive treatment from the comfort of your home? How often do you know that a simple prescription would resolve your issue?

INCREASING MEDICAL CLAIMS COSTS THE PROBLEM Aging population demanding more care Fewer Primary Care Physicians in the marketplace Longer wait times to get appointments Longer wait times at the doctor’s office Misuse of Emergency Room ALL OF THIS ADDS UP TO INCREASING MEDICAL CLAIMS COSTS

THE SOLUTION Technology Convenience Flexibility Access Cost Effective Access to treatment on the phone or online Convenience Treatment without leaving your home Flexibility 24/7/365 Access Broad provider networks Cost Effective Compare to traditional sources of care: - Emergency Room - - Urgent Care Center - - Primary Care Physician -

HOW DOES IT WORK? REGISTER FIRST – Employee (or enrolled family member) registers with telehealth network At point of registration, employee provides medical history, current prescriptions, allergies, etc. At time of illness, employee calls or connects online Intake specialists asks some questions Specialist connects you to a doctor directly or the doctor returns call – usually within 10 minutes Doctor prescribes medication when appropriate Prescription waits at employee’s chosen pharmacy

WHERE TO GO FOR CARE $0 $ $$ $$$ $$$$ WHERE TO GET CARE WHAT IT IS Source: United Healthcare WHERE TO GET CARE WHAT IT IS TYPE OF CARE COST NURSE LINE NurseLine connects you with registered nurses 24/7. Choosing appropriate medical care Finding a doctor or hospital Understanding treatment options Achieving a healthier lifestyle Answering medication questions $0 VIRTUAL VISIT (TELEMEDICINE) A virtual visit lets you see a doctor via your smartphone, tablet or computer. Allergies Bladder infections Bronchitis Cough/colds Diarrhea Pink eye Rashes Seasonal flu Sinus problems Sore throats $ CONVENIENCE CARE CLINICS Visit a convenience care clinic when you can’t see your doctor and your health issue isn’t urgent. These clinics are often in stores. Common infections (e.g. strep throat) Minor skin conditions (e.g. poison ivy) $$ Vaccinations Pregnancy tests Minor injuries Ear aches PRIMARY CARE PHYSICIAN Go to a doctor’s office when you need preventive or routine care. Your primary doctor can access your medical records, manage your medications and refer you to a specialist, if needed. Checkups Preventive services Minor skin conditions General health management URGENT CARE Urgent care is ideal for when you need care quickly, but it is not an emergency (and your doctor isn’t available). Urgent care centers treat issues that aren’t life threatening. Sprains Strains Small cuts that may need a few stitches Minor burns Minor infections Minor broken bones $$$ EMERGENCY ROOM The ER is for life-threatening or very serious conditions that require immediate care. This is also when to call 911. Heavy bleeding Large open wounds Sudden change in vision Chest pain Sudden weakness Major burns Spinal injuries Severe head injury Breathing difficulty Major broken bones $$$$

WHAT KIND OF CONDITIONS ARE BEST SUITED FOR TELEMEDCINE? Types of conditions treated include: Allergies Asthma Bladder infections Bronchitis Cough/colds Diarrhea Earaches Fever Headaches Nausea Pink eye Rashes Seasonal flu Sinus problems Sore throats Stomach ache Behavioral Health added or coming soon!

HOW CAN IT SAVE MY PLAN MONEY? Reduces unnecessary claim cost for non-emergency care Teladoc / Healthiest You average = $517 per claim Reduces absenteeism – time away from work for doctor or urgent care center visit Reduces presentism – employees get care for their minor illnesses before coming back to work Contributes to productivity

Upper Respiratory Infection Urinary Tract Infection COMPARE COSTS Source: Debt.org CONDITION EMERGENCY ROOM COST URGENT CARE COST TELEHEALTH COST Allergies $345 $97 $0 - $45 Acute Bronchitis $595 $127 Earache $400 $110 Sore Throat $525 $94 Pink Eye $370 $102 Sinusitis $617 $112 Strep Throat $531 $111 Upper Respiratory Infection $486 Urinary Tract Infection $665

TRENDS IN TELEMEDICINE Increased offering Increased utilization Baked into fully insured plans Cigna calls it Telehealth United Healthcare calls it Virtual Visits CareFirst calls it Video Visits Self-Insured plan sponsors adding service to their plan Through carrier vendor Through third party vendor – such as Teladoc High Deductible Health Plans

Teladoc growth in members and visits 2008 - 2016 GROWTH IN ENROLLMENT Members Visits 15 million + 900,000 forecast Teladoc growth in members and visits 2008 - 2016

GROWTH IN VISITS VISITS Who would you like to see today? 2013 2014 2015 2016 900,000 575,000 298,000 156,000 VISITS Who would you like to see today?

Teladoc statistics regarding visits per population segment: WHO USES TELEMEDICINE? Teladoc statistics regarding visits per population segment: Primary vs Dependents Age % of all Visits Primary 69% 0-18 15% Dependent 31% 19-24 6% 25-34 24% 35-44 24% % Of Visits 45-54 19% Female 63% 55-64 11% Male 37% 65+ 1% Age Average Age % of Visits Female Visits Male Visits 0-18 9 15% 52% 48% 19+ 43 85% 65% 35% = Pediatric

WITHOUT TELEMEDICINE– WHERE DO MEMBERS GO?

BY SAVING PLAN DOLLARS, EMPLOYEE SAVES THEIR OWN DOLLARS EMPLOYEE ENGAGEMENT Education is key Employees register before service is needed Understand economic advantage Understand convenience Employee shares Telemedicine/Virtual Visit results with Primary Care Physician BY SAVING PLAN DOLLARS, EMPLOYEE SAVES THEIR OWN DOLLARS

MEMBERS WANT CHOICE IN HOW THEY ENGAGE TABLETS SMART PHONES SMART WATCHES COMPUTERS LAND LINES SMART TVs coming soon

Members receive information through various channels Webinars Admin Kits Client Portal Email Campaigns Seasonal Marketing Phone Calls Contests/App Drives

GEO-FENCING REMINDERS Intercepts at Urgent Care Centers “It appears you’re in an Urgent Care center.” v Over 10,000 locations Geo-Fenced Convenient reminders to save money, time and reduce claims in health plan

EMPLOYER MARKETING = RESULTS Up to 50% greater engagement! Campaign Control October November December EMPLOYER MARKETING = RESULTS

MESSAGING THROUGHOUT THE YEAR Don’t Spend the Holidays Waiting Monthly Communication Guide JANUARY FEBRUARY MARCH APRIL Get Started With Teladoc Focus on getting your employees registered for Teladoc. So Many Reasons to Use Teladoc Highlights the benefits of using Teladoc. Download the App Get healthcare in the palm of your hand. Allergy Season Don’t let your employees suffer through allergy season. MAY JUNE JULY AUGUST Vacation & Travel Our doctors travel with you. Summer Illnesses Don’t let summer illnesses get you down. Avoid the ER Before going to the ER, give Teladoc a call. Back to School Before heading back to school, register and update your medical history. SEPTEMBER OCTOBER NOVEMBER DECEMBER Open Enrollment Teladoc is a great added benefit to your healthcare plan. Cold & Flu Season Fight back during cold & flu season. Holiday Travel If you get sick while traveling, remember you’ve got Teladoc. Don’t Spend the Holidays Waiting Avoid the waiting room by calling Teladoc.

RESULTS: MEASURED & DELIVERED

CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT 2,231 Employees | Self-funded pCP Co-Pay Urgent care Co-Pay ER care Co-Pay Individual Deductible Family Deductible Prescription Co-Pay $25 $50 $100 after ded. $2,500 $5,000 $35 $75 $200 after ded. $3,500 $7,000 $45 Old plan New plan Employer plan Snapshot 44.4% HY Utilization Rate $311,661 Saved Telehealth consults (1,071) 37% Urgent Care spend reduced

CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT 225 Employees | Fully-insured 86.6% -2% = RAISES FOR THE TEACHERS & STAFF For the first time in years!! HY Utilization Rate 2015-2016 insurance renewal Previous Year’s Increase 10%-20% 177 Dr. consults $0 FREE consultation for employees Out of pocket

Creating meaningful impact Convenience Outcomes Value Virtual healthcare delivery – this new healthcare experience that Teladoc is developing -- creates meaningful impact in the form of greater convenience, outcomes and value. Let’s start with convenience: when it comes to healthcare in our mobile world, consumers expect three big things: give me access on my terms – when & how I want it. a care experience that marries technology and their established behaviors to deliver a better quality care experience engage me on my terms – again when & where I am

Questions & THANK YOU Cathy Sapp Executive Director Teladoc csapp@teladoc.com 813.927.0694