TELEHEALTH truths tips & tricks Reid Rasmussen

healthcare TRUTHS

Medical Trend Health Spending (Trillions) Peterson-Kaiser Health System Tracker, KFF

Medical Trend Health Spending (Trillions) Peterson-Kaiser Health System Tracker, KFF

Employee Out Of Pocket: Employee Contribution: Out of Pocket Cost Trend Employee Out Of Pocket: $4,704 Family of 4 Costs Employee Contribution: $7,674 Milliman Medical Index 2018

Physician Network Trend

America will be short 40,800 to 104,900 doctors by 2030 The Association of American Medical Colleges

Wait Times Trend 24 days 18 days 30% increase 2014 2017

75% 35% ✔ ✔ ✔ Americans search online for health information to self-diagnose ✔

people feel OUT OF CONTROL

telehealth TIPS

SPECIALIST TELEHEALTH Different Levels of Medical Need Urgent/Emergent, Physicals, Significant Specialty, Surgery IN-PERSON DR. Primary Care, Acute, Short Term, Rx, Triage TELEHEALTH DOCTORS ONLINE Advice, Triage, No Rx, Primary & Specialists SPECIALIST TELEHEALTH

Telehealth Basics 24/7 consult with a U.S.-based Primary Care Doctor & get a prescription, if needed Phone / video Low/no monthly $ + visit fee OR Higher monthly $ + no visit fee Visit Steps

Top Diagnoses Nasal Congestion Flu Cough Urinary Tract Infection Allergies Pink Eye Sinus Issues Bronchitis Upper Respiratory Infection Ear Infection

Key Telehealth Metrics 95% <15 tens of millions 90% 10

How Much Does Telehealth Save? $517

How Does Telehealth Save? If they didn’t use telehealth, where would these people have gone? What would these visits have cost? 8% ER Visit ……………….…..…… hhhhhhhhhh $1,477/visit 42% Urgent Care ……………….…..…… $163/visit 39% Office Visit ……….…………….… $131/visit 11% Do Nothing ……………………… $? Unknown: neglected issues SHORT-TERM: Average medical savings per call: $237 2 hours lost productivity: $ 46 …………………………………..……………………..………………….………………… Immediate savings/visit: $283 LONG-TERM (ER, readmit & neglect): Actual savings/visit: $517

telehealth TRICKS

Engagement Keys Management support Communication: employees & management Prepare members when healthy

2% 7% 20%-50%+ Delivery Affects Usage Embedded in Medical Standalone Telehealth 20%-50%+ $0 Visit-Fee + Engagement

Case Study 1: High Techies Cloud Computing Company 350 engineers - many families Rich benefits - tight recruiting Self-funded medical Questions: 1. If telehealth fits, how would you promote it? 2. How much can you expect them to use it? 3. What are 3 criteria to judge success?

Case Study 2: Truckers Oil Transportation Company 2,400 Employees 90% males - mostly families (high users of ER & Dr. visits) Self-funded medical Questions: 1. If telehealth fits, how would you promote it? 2. How much can you expect them to use it? 3. What are 3 criteria to judge success?

Key Telehealth Takeaways Know your why & your ROI Not all services will get the same results Members prefer this

TELEHEALTH truths tips & tricks Reid Rasmussen