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The Perfect Storm Four out of five smartphone users are interested in mobile health technologies that allow them to interact with a healthcare provider 30 million uninsured to be added to system The overuse of U.S. emergency departments (EDs) is responsible for $38 billion in wasteful spending each year. Average family practice wait time is 20.3 days and counting. Broker/Employer – *Display value to employer who is worried about loss ratios or paying claims (self-funded) by being able to mitigate exposures in the ER, doctor office and urgent care facility. *Shows value to employer by enhancing benefit package to increase employee satisfaction. Also provides a resource to help curb absenteeism, PTO for medical purposes and increase productivity. *Many reports show 70% of doctor visits can be prevented by utilizing telemedicine. *Addressing impact of ACA increasing the average wait time to see a physician and providing access to technology to provide quicker, more efficient access to healthcare. More payers (including CMS) are covering telehealth visits and increasingly, self-insured employers are requiring telehealth visits be covered benefit. 44 states have now passed regulations to allow full delivery of telehealth services via phone and video 900 million US doctor visits – more than half are low acuity.
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All material Private and Confidential. ©2014 MDLIVE Inc.
By The Numbers 800 Providers Nationally with 2,000 licenses (8M+ Members) 3 convenient ways to get care: video, telephone, secure mobile app 9.5 minute response from on call providers. Broker/Employer- *All supportive reasons for working with MD Live 1 MDLIVE is the only telemedicine company with extensive experience integrating with EMRs 120,000+ Consults Delivered Annually All material Private and Confidential. ©2014 MDLIVE Inc.
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All material Private and Confidential. ©2014 MDLIVE Inc.
Representative Partnerships EMPLOYER PAYER SYSTEM Broker/Employer – *Comfort associating with the clients currently contracted with MD Live. *Comfort that telemedicine is not new and that many employers, carriers and healthcare providers are utilizing telemedicine to reduce costs. All material Private and Confidential. ©2014 MDLIVE Inc.
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Mobile App and Video Market evolving to video
MDLIVE has been doing video consultations since 2008 Mobile App on 3 of Top 4 Devices iPhone Android Windows Mobile Comprehensive Mobile App: Schedule appointments Complete medical history Send and receive secure messages Symptom Checker MDLIVE Assist Prescriptions sent instantly to the patient’s preferred pharmacy Telephone support included for those who do not prefer video Broker/employer – *Supportive technology for what consumers would be looking for…the ability to use their smartphone to access MD Live. *As mentioned earlier, more people are using mobile applications to access healthcare.
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Continuity Of Care 1 2 3 Broker/Employer- *Maintaining continuity of medical records is key. Definitely a comfort level around consumers who know that their MD Live consult can be added to their medical records. Customer receives discharge instructions (via patient portal and secure ). Personal Health Record gets updated with consultation information. Member’s PCP receives consultation details.
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94% Provider Network Patient medical issues resolved*
State Licensed, Board Certified, and credentialed physicians Average 15 years of practice experience Specialized training in communication and diagnosing patients over the phone and through online video More than 800 board-certified physicians and 2,000 licenses Family practice, internal medicine, pediatrics, and emergency 94% *Network and credentialing of any telemedicine vender is very important. MDLIVE competes very well. Patient medical issues resolved* MDLIVE physicians adhere to highest quality standards and NCQA and URAC guidelines (NCQA Certification Complete Q3 2015*) * 6% unresolved: 2% Out of Scope for Telehealth, 2% Seeking Medication Only, 1% Referred Elsewhere, 1% Sent to the ER
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Medical Conditions Addressed
Adult Care Pediatric Care Acne Allergies Bronchitis Cold & Flu Fever Gout Headache Infections Joint Aches & Pains Nausea & Vomiting Pink Eye Rashes Sinus Infection Sore Throat Sunburn Urinary Tract Infection Cold & Flu Constipation Earache Fever Nausea & Vomiting Pink Eye *Employer is usually impressed when they learn all the conditions that can be treated and the supporting information that 70% of all doctor visits can be handled over the phone. Access to pediatricians.
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Telehealth Is Becoming Universal
ME WA MT ND CT NH MA MD DC DE NJ VT RI NY OR MN WI ID SD MI WY PA IA OH NE IN NV IL WV VA UT CO CA KY KS MO NC TN SC OK AR AZ NM Full Services – Video + Phone AL GA MS Services Limited to Phone TX LA Broker- *Key aspect is ability to provide a telemedicine vendor that has far reaching acceptance. MD Live has very competitive footprint against other vendors. Map is a great resource. FL Services Limited to Video Only Limited Prescription Services (See below) Alaska Hawaii Services temporarily suspended. California: Prescriptions are limited to 72 hour supply for encounters which take place via telephone; Encounters occurring via secure online video are NOT subject to any limitation. Idaho: Idaho has just instituted legislation that indicates audio and visual engagement, hence video required.. Arkansas : Services temporarily suspended in Arkansas due to differing interpretations between respective state medical boards and MDLIVE over state regulations that govern telemedicine. MDLIVE is engaged in dialogue with board and hopes to return comprehensive telemedicine services in both states as soon as This map is not a legal opinion. It represents MDLIVE's understanding of state telehealth regulations and the applicability to MDLIVE's program. Please seek the advice of counsel for a legal opinion as to specific state regulations. MDLIVE reserves the right to revise this document at anytime in its sole discretion
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All material Private and Confidential. ©2014 MDLIVE Inc.
Monthly Client Reports Month and YTD Co branded and specific to eligible population Activation & Consultation Top 50 Diagnoses Top 50 Prescriptions Survey Results Numerous filters available Broker/Employer- *Proving ROI is very important and justifies that telemedicine is very legit. All material Private and Confidential. ©2014 MDLIVE Inc.
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Use Cases (Day In The Life)
A happy bedtime story for child with earache Business traveler with flu still gets the job done Broker/Employer- *Broker has turnkey quarterly marketing materials and the employer has comfort that they will be able to utilize professional looking materials. Mom’s day stays on track despite medical concern
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All material Private and Confidential. ©2015 MDLIVE Inc.
Client Case Study Based on MDLIVE Customer survey. Actual savings may vary based on geography. Productivity savings based on U.S. Dept. of Labor data. Redirection from Total Cases (812) Savings Emergency Room 13.6% (112) $1,000 ($112,000) Urgent Care Clinic 47.7% (387) $120 ($46,440) Primary Care Doctor 31.5% (256) $130 ($33,280) No treatment 7.2% (57) Plan savings from redirection: $191720 Savings from productivity: $70,611 (4 hours of lost productivity at an average wage of $21.74/hour*) Total Savings $262,331 Utilization Per Employee: % (812/1,445) Registration Per Employee: % (799/1,445) Program cost $95,370 Return on Investment (ROI): : 1 Broker/Employer- *Most consumers want to see if something is credible, this example will help prove that telemedicine is credible and actually shows it in detail. ROI is always a concern when an employer debates on where to invest his/her money in telemedicine. All material Private and Confidential. ©2015 MDLIVE Inc.
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All material Private and Confidential. ©2015 MDLIVE Inc.
What Would It Have Cost? $1,000 ER Visit MDLIVE $0 $1,000 Savings $190 Specialist MDLIVE $0 $190 Savings $160 Urgent Care Broker/Employer- *Good graphic to display costs that can be mitigated by telemedicine. MDLIVE $0 $160 Savings $130 PCP Visit MDLIVE $0 $130 Savings All material Private and Confidential. ©2015 MDLIVE Inc.
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All material Private and Confidential. ©2015 MDLIVE Inc.
Advantages For Employers Reduce healthcare costs while increasing access to high quality care Convenient access to care improves productivity – reducing visit times and getting employees back to work faster Provide a valued benefit that supports employee satisfaction and retention Summary of key components of MDLIVE. Additional closing highlights: EC provides competitive pricing at $4.50 with a $0 co-pay for consults. Entire household is covered, including dependents. API integration provides real-time enrollments. Plan setup automation allows for quick and easy deployment, we do all the work for you. Quarterly campaigns to employees. (Cold and Flu / Allergies / Vacation / Back to School) Quarterly access to utilization reports to justify ROI. Utilization of 10% yields ROI of $3 for every $1 spent on MDLIVE. Mitigate exposure at doctor office and ER with access to board certified physicians. Can be offered to all employees or just those on the medical plan. (Voluntary is not an option at this time.) One of the least expensive employer paid products providing most important value that employees and dependents appreciate, access to quality healthcare. All material Private and Confidential. ©2015 MDLIVE Inc.
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