The Results are in: webVisit a Win for Doctors, Patient and Payors This material contains confidential and proprietary information of RelayHealth Corporation, which is protected by copyright, patent, trade secret and trademark law. This material is not meant for distribution without the express written consent of RelayHealth Corporation. This material is incomplete without the accompanying verbal commentary. Eric Zimmerman, MPH, MBA

CONFIDENTIAL. NOT FOR DISTRIBUTION. Overview Introduction The RelayHealth webVisit SM Study Key Questions Study Overview Results Summary

CONFIDENTIAL. NOT FOR DISTRIBUTION. Introduction: Doctors & Patients Online

CONFIDENTIAL. NOT FOR DISTRIBUTION. 90% use the Internet MDs online spend and average of 3 hours/week on medical activities Approx. 19% have used with patients; 39% say they will within 18 months 66% use the Internet (U.S. Adults) 76% seek health information online; 39% do so monthly 90% of those online want to communicate with their doctor online – over 50% say online access would influence their choice of health plan or doctor PhysiciansPatients Sources: McKinsey & Co., 2000; Cyber Dialogue, Oct. 2000; Harris Interactive, Oct. 2000, Deloitte Research/Cyber Dialogue, Dec. 2000; Boston Consulting Group (Harris Interactive Survey) Sep 2001, Harris Interactive, April Doctors and Patients Online

CONFIDENTIAL. NOT FOR DISTRIBUTION. Not HIPAA compliant –Not secure –Limited audit trail HIPAA ready Secure servers, 2 firewalls, 128-bit, SSL encryption Full audit trail One-to-one exchange without workflow support Free-form Non-chargeable Limited feature set Comprehensive feature set e-Prescribing, e-Referrals Clinical content and forms Clinically structured Reimbursable Advanced workflow support Message routing by type Distinct roles/proxy rights vs. RelayHealth

CONFIDENTIAL. NOT FOR DISTRIBUTION. 73% of physicians rate reimbursement as critical to adopting on- line consults 37% of online consumers would be willing to pay out-of-pocket to communicate online with their own doctor (~ $5-7) Patients Sources: McKinsey & Co., 2000; Harris Interactive, April 2002, Jupiter Research, May 2002; Forrester Research, October 2002 Reimbursement Matters Physicians Will Payors Bridge the Gap?

CONFIDENTIAL. NOT FOR DISTRIBUTION. The RelayHealth webVisit SM Study

CONFIDENTIAL. NOT FOR DISTRIBUTION. Key Questions What is the impact of secure, structured, reimbursed online doctor/patient communication on healthcare utilization and cost of care? How does the availability of secure online communication affect patient satisfaction? Access? Perceived quality? How do physicians respond to secure online patient communication in a reimbursed environment? Do they find it convenient? Easy to integrate? Acceptable as a form of care for patients with non-urgent medical needs?

CONFIDENTIAL. NOT FOR DISTRIBUTION. How do webVisits Work? Patients select from 140+ Common Symptoms or Chronic Conditions

CONFIDENTIAL. NOT FOR DISTRIBUTION. How do webVisits Work? Patient Completes an MD-Authored Interactive Online Interview

CONFIDENTIAL. NOT FOR DISTRIBUTION. How do webVisits Work? Physician Receives Concise, Structured Message with Summary Health Record

CONFIDENTIAL. NOT FOR DISTRIBUTION. How do webVisits Work? Physician Replies using Customizable Templates and Time-saving Attachments

CONFIDENTIAL. NOT FOR DISTRIBUTION. Study Background Participating Health Plans Blue Shield of California ConnectiCare 10 self-insured employers and 4 ASO carriers Study Scope California and Connecticut 3,688 member treatment group (PPO/POS) 3,390 member control group 282 MDs Principal Investigator Laurence Baker, PhD – Stanford University

CONFIDENTIAL. NOT FOR DISTRIBUTION. Study Background MD Reimbursement: $25 Patient co-payment: $0-$10 Measures & Methods Cost (claims analysis: treatment vs. control group) Patient satisfaction (random sample telephone survey) MD satisfaction (random sample telephone survey)

CONFIDENTIAL. NOT FOR DISTRIBUTION. Selected Study Participants EmployersHealth PlansMedical Groups ASO Carriers

CONFIDENTIAL. NOT FOR DISTRIBUTION. Results: Significant Cost Savings Methods Pulled claims data (6/1/00 – 2/28/02) Compared treatment group to matched control group Analyzed utilization and costs pre- and post- intervention Findings Total & MD office savings exceed $1.50 # PMPM Hospital outpatient savings exceed MD office savings Total webVisit claims costs of $0.33 PMPM in treatment group Patients who messaged their doctor using RelayHealth were 45% less likely to report having had an office visit # p <.01

CONFIDENTIAL. NOT FOR DISTRIBUTION. Results: Reduced Absenteeism Patients who messaged their doctor using RelayHealth were… 50% less likely to report missing work # due to illness 40% less likely to report having limited work capacity † due to illness # p <.01 † p <.05

CONFIDENTIAL. NOT FOR DISTRIBUTION. Results: Patient Satisfaction

CONFIDENTIAL. NOT FOR DISTRIBUTION. Results: Physician Satisfaction

CONFIDENTIAL. NOT FOR DISTRIBUTION. Summary Pent-up patient demand Reimbursement matters Independent controlled trial demonstrated: Significant cost savings Strong patient satisfaction Strong physician satisfaction A shared preference for webVisits for non-urgent medical needs

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