2. Managing Healthcare Costs
Corporate America—The
Challenge
Employers have been, are currently,
and will continue to seek creative
solutions to reduce absenteeism,
increase productivity and decrease
overall healthcare costs.
They have been forced to restructure
their benefit plans.
With more people entering the
system, a shortage of physicians,
increased waiting times, as well as
rising deductibles and co-pays,
innovative solutions are needed.
3. Managing Healthcare Costs
We Have a Solution:
FlexCare offers an innovative, timely
and sensible solution.
This program offers convenient, accessible
and affordable healthcare.
These benefits offer the employee
and his/her entire family
thousands of dollars in savings.
At the same time, it offers the
employer those creative solutions
they seek.
4. The supply-demand gap
The demand in the number of yearly PCP consults
due to population increase and expanded
coverage will drive the need for more PCPs.
POPULATIONBASELINE AGING ACA EFFECT (health reform)
280,000
240,000
200,000
160,000
2010 2025
"Projecting US Primary Care Physician Workforce Needs:
2010-2025"; Stephen M. Petterson, PhD, Winston R. Liaw,
MD, MPH, Robert L. Phillips Jr, MD, MSPH, David L. Rabin,
MD, MPH, David S. Meyers and Andrew W. Bazemore, MD,
MPH; November/December 2012
ADDITIONAL PCPs NEEDED
52,000
Additional PCPs
needed by 2025
5. Average appointment wait times (in days) for five medical
specialties included in the Merritt Hawkins Survey (2010).
Family Practice wait time was 20.3 days on average
Average appointment wait times (in days)
Seattle 14.2
Portland 14.4
Minneapolis 19.8
Detroit 12.0
Denver 15.4
Los Angeles 24.2
San Diego 20.2
49.6 Boston
19.2 New York
27.0 Philadelphia
22.6 Washington D.C.
11.2 Atlanta
19.2 Dallas
23.4 Houston
15.4 Miami
6. Employer adoption of telemedicine
Workplace telemedicine is a growing trend, and one that is
gaining increasing attention.
• “Health care delivery and treatment
settings continue to evolve, leading to
the acceleration of alternate network
strategies, including high-performance
networks, third-party providers and
telemedicine.
• For example, 17% plan to offer
telemedicine by 2013, and another
27% are considering it for 2014 and
2015.”
• The Challenge: Most telemedicine services have had low
utilization rates due to two significant barriers.
• FlexCare has eliminated these barriers.
1 Health Care Changes Ahead Survey Report, Towers Watson, October, 2012. Link:
http://www.towerswatson.com/assets/pdf/8139/TW-HealthCare-Trends-Survey-NA-2012.pdf
Source: Towers Watson, Health Care Changes Ahead Survey Report, October
2012
http://www.towerswatson.com/en/Insights/IC-Types/Survey-Research-
Results/2012/10/health-care-changes-ahead-survey-report
7. Introducing Teladoc
Teladoc is quality healthcare made simple, on your terms,
when and where you need it.
• An affordable alternative that allows members to resolve
many of their medical issues 24/7/365 through the
convenience of phone or online video consultations.
Anytime. Anywhere.
• Provides members with access to a national network of
physicians who can diagnose, treat, and prescribe
medication, when appropriate, for many medical issues. All
physicians are U.S. board-certified and licensed to practice
medicine in your state.
8. An Innovative Solution
Providing solutions for three of the biggest issues in
healthcare:
• Timely access
• Lower cost
• Quality care
Employee / Member
satisfaction is one of the
many benefits of addressing
these issues
9. What can it be used for?
Top 10
Diagnoses
• Sinus Problems
• Urinary Tract Infection
• Pink Eye
• Bronchitis
• Upper Respiratory Infection
• Nasal Congestion
• Allergies
• Flu
• Cough
• Ear Infection
• Headaches and Migraines
• Stomach aches
• Prescription refills
• Electronic prescribing
(SureScripts) or by phone if needed
• Frequency of prescribing similar to provider
practice (about 75%)
• Use of antibiotics limited to short durations No
prescribing of DEA-controlled substances,
medication for psychiatric illness, or lifestyle
drugs (i.e. erectile dysfunction, diet, etc.).
• Generic drugs are automatically recommended
Prescription
Management
10. Prescribing of Medications
Teladoc's prescribing patterns are similar to those found in
face-to-face consultations.
PRESCRIPTION RATE GENERIC PRESCRIPTION RATE
80%
TELADOC
83%
PCP/ER
98%
TELADOC
Teladoc prescriptions
are for durations of
30 days or less
11. Teladoc provides non-emergency medical assistance when a
doctor is not available.
• When the physician is unavailable and cannot be seen on a timely basis
• Schedule doesn’t permit traveling to see your physician (work, etc.)
• On vacation or a business trip
• For refill of recurring prescription (short term only)
• Geographical barriers (distances to a providers office)
• Pediatric care for any age
When can it be used?
12. Where can it be used?
Teladoc is compliant with current state regulations in order to
operate in 50 states.
13. How does Teladoc work?
An employee has cold-like symptoms but doesn’t have the time to sit in an
urgent care waiting room. Instead they call Teladoc:
Step 2.
Request consult
Step 3.
Talk with a physician
Step 4.
Resolve the issue
Step 6.
Results
They simply log on to their account or
call Teladoc, 24/7/365, to request either
a telephone or video consultation.
There is NO CONSULT FEE with
FlexCare.
A board-certified physician licensed in
their state reviews their medical history
and provides a consultation over the
phone or through video, just like an in-
person visit.
The physician recommends the
right treatment for their medical
issue. If a prescription is necessary,
it is electronically sent to the
member’s pharmacy of choice.
Your member’s medical issue gets
resolved saving time and money.
Step 1.
Medical history
Member receives fulfillment kit with
instructions. Member is required to
complete their medical history
online, by phone, or by faxing a
paper form prior to requesting a
consultation.
Step 5.
Continuity of care
The physician documents the results of
the consultation in the member’s medical
history. Consultation information can be
sent to the member’s primary care
physician.
14. The highest quality care
By directly managing their own network, all doctors are:
97%
Teladoc physician
satisfaction rate
Board-certified Board-certified and state-licensed in internal medicine, family
practice, emergency medicine or pediatrics.
Experienced Experienced, with an average of 15 years of practice.
Primary Source
Verified
Verified through the National Practitioner Data Bank (NPDB) and
the American Medical Association (AMA) Board certification,
work history, peer reference, State licenses, monthly state
sanction reports, DEA license, criminal and civil background.
U.S. residents U.S. residents, living and working in the United States.
Connected Message Center enables our physicians to follow up with members
inside the secure member portal. Easy-to-understand educational
articles are available to provide to the member to help them
understand their specific diagnosis.
15. 100%
Consults by new docs are reviewed
for the first 3 months or after 10
consults
15%
Consults reviewed if physician
conducts more than 10 consults in
a month
1,500
Charts reviewed on average per
month in 2013.
Teladoc physicians are constantly reviewed to ensure a high
level of quality care.
WHAT WE DO THE RESULT
91%
Patient medical
issues resolved
9% unresolved:
4% referred, 2% out of scope for telehealth, 2%
seeking meds only, 1% sent to the ER
16. Teladoc quality management
Processes and systems in place to ensure quality consultations.
Teladoc pursues
excellence through
quality assurance and
improvement.
• Before each doctor performs a consultation, all sections of the
medical report must be reviewed and noted as performed
• Evidence Based Medicine and clinical guidelines embedded with
hyperlinked references for each consultation
• Rigorous network management to deliver highest quality medical
care
• Prescriptions are sent electronically to the patient’s pharmacy
• Patients are educated that antibiotics are not beneficial for colds
or flu using the CDC “Get Smart” program and physicians are
reminded the appropriateness using the CMA Foundation AWARE
• The patient's medical record is updated following a consultation,
sent to the health plan and can also be sent to the patient's PCP
17. Teladoc Facts -- 2013
Telehealth’s time has come.
Based on Teladoc reporting and member surveys
97%
Member Satisfaction
125,000Consultations in 2013
99%+Client Retention
0Malpractice Claims
1hour
Guaranteed Response Time
91%
Patient Issues Resolved
Teladoc is the first and largest provider of telehealth medical consultations
in the United States. Not only do they have the most experience, they have
the results to prove it:
18. What the Employer Can Save
A benefit of telehealth is appropriate redirection of utilization to an affordable alternative.
• Base on Teladoc reporting. Actual savings may vary based on geography.
IF THEY DIDN’T HAVE TELEMEDICINE, WHERE WOULD
THEY HAVE GONE?*
HOW MUCH WILL YOU SAVE WHEN MEMBERS USE
TELEMEDICINE CONSULTATION?
33% Urgent care
1% Specialist
43% PCP
15% Nothing
ER
Urgent care
Specialist
PCP
Avg savings per consult
Productivity savings**
Total savings per consult
$155.40
$86.96
$242.36
** Approx 4 hrs lost @ avg wage of 21.74/hr
based on US Dept of labor data
$752
$122
$152
8% ER
$102
19. Making access easy
Teladoc’s mobile application allows members to set up and
manage their account, as well as conduct video consults
from their mobile device.
20. Communications
We help you drive utilization by providing targeted marketing materials
FlexCare communications include:
• Fulfillment Kit to each household
• Can all be co-branded for client
• A variety of marketing pieces
Welcome Letter
Getting Started
Monthly Campaign
General Reminders
21. The following have been found to drive utilization:
• Send Member Kits and Cards
• Include Teladoc information in benefit summary next to PCP co-pay
• Highlight Teladoc during open enrollment
• Highlight NO MEDICAL CONSULT FEE feature
• Market to members several times a year – especially during cold/flu and allergy seasons
• No two clients are alike: understand what messages and communication vehicles resonate
best with population.
• Use of email and text messaging as a communication vehicles
• Leverage employer’s logo/brand
• Develop and agree to year long marketing strategy and plan in advance; review every 6
months, based on results
Drivers of low utilization include:
• Not communicating
• Burying Teladoc information in the benefits package
• One size fits all marketing
• Not personalizing (co-branding, using company name)
Build awareness and drive utilization
22. The value proposition
Telemedicine addresses the biggest healthcare issues and FlexCare eliminates the barriers to utilization.
FlexCare has eliminated all barriers affecting utilization by
offering this benefit with
NO MEDICAL CONSULT FEES
COMPREHENSIVE COMMUNICATION PLAN.
Provides comprehensive 24x7 access to appropriate care for
all employees regardless of work location or travel
Significant impact on inappropriate ER and UC utilization;
lowers self-insured healthcare costs
Reduced absenteeism and increased productivity
Highest clinical standards found in the industry
Valued benefit offsetting perception that benefits are being
reduced as employee contribution is increased
Access
Satisfaction
Quality
Cost
Productivity
