The document discusses issues with the current healthcare system such as long wait times to see a doctor, high costs, and inefficiency. It notes that traditional healthcare offices are closed most of the time each week, the average wait to make an appointment is 3 weeks, and the average time spent waiting in an office is 23 minutes. Over 66% of emergency room visits are for non-emergency reasons. The document then introduces telehealth/telemedicine as a solution, noting that it provides convenient 24/7 access to care from anywhere via phone, video, or email without high fees. Telehealth solutions allow people to consult with doctors without missing work or paying high costs for visits to urgent care centers or emergency rooms.
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The System Is Broken: How Telehealth Solves Healthcare's Biggest Problems
1.
2. The System Is Broken
It doesn’t matter who you are, we’ve all felt the pain of
the current healthcare system and we feel in the core of
our being that there has to be a better way!
2
3. THE PROBLEM: TRADITIONAL HEALTHCARE
Most offices closed over 75% of hours/week
Avg. time to make an appointment, 3 weeks
Avg. time spent in waiting room, 23 minutes
Over 66% of ER visits are for non emergent reasons
25% or people have skipped a recommended medical
test due to cost
24% of people do not fill prescriptions
16% cut pills in half or skip doses
75 - 90% of visits originate from stress factors
25 million Americans will have an episode of depression
3
4. IMPACT: THE AFFORDABLE CARE ACT
Healthcare now a right for all by 2014
Est. 37 million Americans added to the system
Medical school enrollment has decreased by nearly
52 % since 1997
Estimated 100,000 doctor shortfall by 2025
NYTimes Article: Doctor Shortage Likely to Worsen With
Health Law
4
5. YOU PAY THE PRICE!
Average family spends $1,430 and loses around 35
hours each year on doctor’s office visits alone.
Around $1,000 and 24 hours are unnecessary!
That’s about $85 and 2 hours every month, wasted!
Bottom Line
Highly inconvenient
Extremely expensive
Wastes our time and money
Something has to change… right?
5
6. Paradigm
a philosophical and theoretical framework of a scientific
school or discipline within which theories, laws, and
generalizations and the experiments performed in
support of them are formulated
6
7. TELEHEALTH IS THE ANSWER AND CADR+
IS THE BEST BUNDLE AVAILABLE!
It’s convenient – 24/7 access from anywhere
It’s unlimited – no hidden fees or per-use charges
It’s easy – just call or click and you’re connected
It’s quality – Masters-level Clinicians, US Board Certified
Doctors, Vetted Partners/Resources
It’s proven – our partners have over 3 million members
It’s comprehensive – for the body, mind and pocket book
It’s affordable – $15 PMPM for individuals, $10 for groups
It’s healthcare… the way it should be!
7
8. CADR+
Unlimited, 24/7 access to the healthcare you need,
from the comfort and convenience of your phone and
computer. PLUS, discounts on prescriptions, vision,
dental & more!
8
9. WHAT IS CADR+?
• A technology that connects a member and a physician
• A network of 6,000 physicians
• EMR, MD’s access yours
• SureScripts, MD’s access two years of prescription drug history
• Consult by phone (land and mobile) email and video
• Prescriptions are available
• No Life Style drugs or narcotics are prescribed
• Your PCP receives records of your CADR+ consultations
• Pre-paid benefit, unlimited use
• All family members can use CADR+
• Flu Line, Allergy Line, and much more
9
10. Consult A Doctor
On-demand, 24/7 phone, video and e-mail access to
licensed physicians, allowing members to consult
immediately with a network of U.S.-based, state-
licensed doctors for common medical conditions.
10
11. 24/7 Telemedicine Physician Network50
Talk to a Doctor (+/-)90
secs
Total consults / most mature telemedicine platform200k
state
plus
Diverse client populations. S-M-L-XL1500
clients
2010-2011, breakthrough success280%
growth
Personalized post consult follow up100percent
Very satisfied, would recommend, would use it again96%
11
12. Telemedicine, means using informationTelemedicine, means using information
and communications technologies for theand communications technologies for the
delivery of healthcare servicesdelivery of healthcare services.
By 2015 Industry experts realistically foresee
100 million individuals/year
accessing virtual care services like telemedicine.
This level of growth mirrors the development of
the popular MinuteClinic model, which had less
than 100,000 visits in 2006
and in late 2011 grew to more than
10 million visits/year
GROWTH IN TELEMEDICINE
12
13. PRODUCTIVITY LOSS
$2.7 Trillion…
Total U.S. healthcare expenditures in
2011
$225.8 Billion…
Annual costs to employers for
productivity losses related to
personal/family health problems
70 Million…
Employees miss work annually due to
illness and medical appointments, for a
total of 408 Million missed days
*Stewart WF, Ricci JA, Chee E, Morganstein D. Lost productive work time costs from health conditions in the
United States: results from the American productivity audit. J Occup Environ Med. 2003;45(12):1234-1246.
Opportunity is calling!
13
14. Ways to Consult
• Telephone
• Secure email
• Video
• Mobile App for
iPhone
““High Tech - High Touch”High Tech - High Touch”
Virtual Care:
• Reduce Cost
• Expand Access
• Improve Outcomes
• Extend services
beyond boundaries
• Right size care
14
15. Improve Access
Multiple ways to
Consult 24/7
Drastically Lower Costs
Avoid high cost settings
like the Doctor’s office,
Urgent Care/ER
Care Coordination
24/7 Physician consultations
Clinically efficient, effective
and most convenient
Quality Care
Licensed Physicians that
can provide information,
diagnose and prescribe
Rx medication*
* If appropriate
Phone, Email, Video,
Mobile Application
Save Time
Save Money
Reduce Absenteeism
Get
Information/Diagnosis
Anytime, Anywhere
24/7
Feel Better Fast
Most Affordable Cost
Setting
Better Outcomes
+ ++
15
16. Activate Call or Click Virtual Care
Online or by phone.
So easy and convenient.
Connect to a board
certified doctor in minutes
Fast, safe, lowest cost
setting care 24/7
EASY FOR MEMBER
16
18. Symptom Checker
Interactive questionnaires designed to
narrow down condition or illness
Health Risk Assessment
Interactive health tools identify health
risks and promote wellness.
Wellness Tool & Lab Ordering
Promote prevention with discount
wellness tests for at risk population.
ePrescribing to Choice Pharmacy
Safer and faster way to get RX
medication when necessary.
Interactive Health Tools
Programs to help stop smoking, learn
about diet, nutrition & more
Health Library
The latest articles sorted by topics,
most popular or key words
18
20. USE CONSULT A DOCTOR WHEN YOU:
Need care after hours or on weekends
Need medical care access from remote locations
Need Rx prescription/refills* for common conditions
Can’t meet face-to-face with physician / specialist
Can’t get a timely appointment
Can’t get to a doctor due to disability
Don’t want to go to ER/UC
Can’t afford to take off work
Are traveling and need advice
20
21. 50 STATE PHYSICIAN NETWORK
50-state network of licensed primary care physicians/specialists
US Board certified, state licensed
Specialists, including:
Pediatrics, Cardiology, OB / GYN
Mental Health , Endocrinology
NCQA Credential review process
Annual re-credentialing
170 Languages Supported
Detailed and Stringent Quality Protocols
Chief Medical Officer: Dr. Douglas Smith, Co-Founder:
MinuteClinic
21
22. CREDENTIALING CRITERIA
Each applicant goes through a 7 stage evaluation process prior to
acceptance into our network of physicians
Requirements:
1. Active and current license
2. Board certification (if more than 20 years experience,
may be exempted)
3. Education/training – at a U.S. based medical school,
residency or specialty program
4. Minimum of 3 years experience in clinic or office setting
(average is 10 years)
Stage 1 – Physical Application
Stage 2 – Personal Interview - Physicians Operations
Stage 3 – Initial Credentialing
Stage 4 – Personal Interview with the Medical Director
Stage 5 – 3rd Party Credentialing- NCQA
Stage 6 – Acceptance/Contracting
Stage 7 Monitoring Physicians Ongoing‐
22
23. Patients triaged to alternative
level of care when necessary.
Cold/Flu
Sinus infections
Upper Respiratory
Allergies
Headaches
Urinary Tract (UTI)
Bronchitis
Zithromax Z-Pak
Amoxicillin
Albuterol
Augmentin
Tessalon
Azithromycin
Keflex
Bactrim
Macrobid
Pyridium
Biaxin
Allegra
Bactrim
Ibuprofen 800
Nasonex
Lipitor
* No DEA Controlled Substances
Less prescribing than office
settings
Doctor less pressured
More convenient
More accessible
Less effort/ aggravation for patient
~40%
Cipro
Lisinopril
Tamiflu
Prednisone
Metformin
Flonase
Diflucan
HCTZ
Levaquin
Top 25 diagnosis
Top 50 diagnosis
Stomach Ache/Diarrhea
Eye infections
Ear Infections
Rash/Skin Irritation
Yeast Infection
Other GYN complaints
Conditions treated with Telemedicine
73%
Common Medications PrescribedCommon Medications PrescribedCommon ConditionsCommon Conditions
23
82%
24. Data and dollar amounts are based on national averages. Amounts listed may not reflect actual billed charges
65% of members would have
gone to PCP at cost of
$153
10% of members would have gone
to Urgent Care at cost of
$350
15% of members would have gone to
Emergency Room at cost of
$1029
Estimated lost productivity to employers Consult A Doctor
telemedicine services help eliminate 1000’s of hours of lost
productivity due to medical absenteeism & presenteeism
HOW CADR REDUCES COSTS
24
25. Summary:
Reduction of Claims Costs
Expanded Access to Care
Improved Patient Outcomes
Program & Product Extension
Provider Panel Options
Private Label Availability
Well-defined Scope of Services
Most Cost-Effective Setting
New Benefit Options
Competitive Market Advantage
Fraud Mitigation
Most Comprehensive – Service + Platform
Most Mature Platform
Most Proven Platform
Most Ways to consult with a doctor- phone,
online - secure email, video, mobile APP
Highest Utilization in the market
Highest ROI in the Market
Most Flexible platform
Lowest cost to deploy
Lowest cost to maintain
WHY CONSULT A DOCTOR?
NOTE: iPad not required
25
26. “Simply want to say that it's so nice to
be able to call in for things like sinus
infection or ear infection and not have
to miss work or kids to miss school for
minor issues. And the price =)” -
Employer
“Was recommended with our AETNA
insurance and we’re so happy with it”
- Employer
“One client had an employee who
was on the road and feeling really
bad; she called Consult-A-Doctor and
received prescription from a local
pharmacy and was able to continue
her travels and business meetings.. –
Broker Partner
“Many KUDOS to you for wonderful
cost savings, time savings and friendly
service” – Broker Partner
“As premiums increase and benefits
erode, telemedicine services are a
low-cost way to moderate the loss. My
Groups absolutely love it!” – Broker
Partner
“I have heard nothing but good
reports from my employees regarding
all aspects of the service. Access for
rural areas really helps – versus high
cost of ER”
- Employer
BROKER COMMENTSBROKER COMMENTSEMPLOYER COMMENTSEMPLOYER COMMENTS PAYER
COMMENTS
PAYER
COMMENTS
SCORE
D
9
OUT OF
10
26
28. WHY WE’RE BETTER
Multiple Access Points (6): On-Line, Email, Telephone,
Mobile APP, Video, Text
Unlimited, 24/7 access in all 50 states
Mobile APP, providing Physician access, Personal Health
Manager and Wellness from your iPhone
Over 200,000 Consultations Provided To-date
Access to Physicians by Telephone in 2 minutes or less
No Web Access Required to Consult w/ Physician
All Video and Phone Consultations Recorded and Attached
to Health Record
28
29. Resources for Living
Aetna Resources For Living provides the resources you
need to help you handle life’s challenges, whether that
be emotional, financial or legal. They’re your partner in
achieving resiliency.
29
30. THE STRESS EFFECT
Over 1/2 of Americans self-report that they are “struggling” with
life today and 1/3 state their average stress level as “extreme”.
75 – 90% of doctor visit are considered to be stress-related.
Stress is linked to all of the leading causes of death including
heart disease, cancer, accidents and suicide.
The World Health Organization estimates that the equivalent of
7.1 productive days are lost per employee each year due to
stress-related factors.
25 million Americans will have an episode of major depression
this year alone.
30
31. WHAT IS AETNA RESOURCES FOR LIVING?
A no cost, confidential telephone consultation and referral
service for employees and their household members.
24/7 online access to targeted resources
A starting place to address personal problems before they can
affect other areas of your life.
A proactive partner to work with you to facilitate a solution.
31
32. THE GOAL: RESILIENCY
We can’t promise you a stress-free life. But we can provide you
with tools and support to awaken your own resiliency.
resilience:
the ability to spring back into shape
after bending, stretching, or being
compressed; the opportunity to
recover readily from illness or
adversity.
32
33. TELEPHONIC CONSULTATION
Unlimited access
Masters-level clinicians
Available 24/7
Live Answer
Confidential Service
170 Languages
Crisis Support
33
34. EVERYDAY HELP FOR EVERYDAY STUFF
Someone to talk to… on your schedule.
Telephone consultation
Legal services
Financial consultation
Tax preparation discounts
Identity theft
Patient advocacy
34
35. LEGAL & FINANCIAL SERVICES
Telephonic or face to face attorney consultations*
Domestic/family, civil, landlord/tenant, criminal, estate planning,
immigration, motor vehicle, etc.
Free online will for all eligible dependents
Simple Wills, Power of Attorneys, Living Wills
Telephonic financial consultations*
Tuition & investment planning, debt and loan consolidation, mortgage and
refinancing.
Telephonic fraud resolution consultation
Provided by Certified Fraud Resolution Specialist
*First 30 minutes free per issue, unlimited issues
35
36. PATIENT ADVOCACY PROGRAM
Provides a personal negotiator who acts on the patient’s behalf,
mediating solutions for remaining bills with medical facilities.
Who is eligible?
Active member of a benefit plan which includes Patient Advocacy
Received care for a single related medical event at a hospital,
emergency clinic or surgical center
Have a minimum of $2,500 balance after discounts and medical
benefits were applied.
Solutions could include:
Applying for financial assistance
Negotiating a settlement
Arranging a payment plan
36
37. WORKLIFE RESOURCES
There are times in everyday life when you may
need a little guidance:
Child care
Parenting
Emergency care
Summer care
New baby care
Adoption
Colleges and universities
Elder resources
Disaster relief
Pet care
Primary/secondary education
Patient Advocacy
37
38. SELF-CARE AND WELL-BEING
Could you use a partner to help you achieve positive,
long-term improvement in health and wellness?
Fitness
Smoking cessation
Weight management
Stress management
Discount Center
Targeted webinars
38
39. ONLINE DISCOUNT CENTER
We can also help you save money by providing access to great prices for
over 3.5 million products and services.
Let the savings begin
We help you find the deals you’re looking for with easy search tools and
discount codes. We also feature zones that highlight hot offers, limited time
bargains and regional deals.
The online discount service features savings on brand-name products and
services like:
Computers and electronics
Travel, car rentals and hotels
Gifts and retail shopping
Movie tickets & video rentals
Theme parks
Fitness centers
Shoes and clothes
Restaurants… and more!
39
40. HOW IT WORKS: GIVE IT A TRY!
Phone Number:
1-877-856-1788
Website:
www.mylifevalues.com
Login: CADRPdemo
Password: demo
40
41. WellCard Health
A free prescription and health care discount card that
provides access to savings on a wide range of health care
products and services, including prescription drugs, lab
tests, vision care and dental care.
41
42. SIGNIFICANT SAVINGS
Medical – save up to 50%
Pharmacy Savings – save up to 65%
Dental Care – save up to 50%
Vision Care – save up to 50%
Hearing – save up to 15%
Diabetes Care & Supplies – save 52–70%
Lab Savings – save up to 50%
MRI & Imaging – save up to 70%
And more!
42
43. HOW IT WORKS
Step 1: Register for a Card
www.cadrplus.com/wc/
Step 2: Find a Provider
Select ‘Locate a Provider’ on www.wellcardhealth.com
Step 3: Schedule Your Appointment
Contact provider of choice, make appointment
Step 4: Pay Your Discounted Rate at Time of Service
Show your card and get the discounted rate
43
44. CADR+ PLANS & PRICING
Individuals & Families - $14.95 PMPM
Includes payroll deduct, worksite, etc.
Easy online enrollment via CADRPlus.com
Groups - $10 PMPM
Includes employers, unions, etc.
Discounted plans available or larger groups
Unbundled
CADR and Aetna RFL are available individually
Separate pricing applies
44
45. THE SIGN-UP PROCESS
Individuals & Families
Add your broker ID to referring URL
www.cadrplus.com/?broker=0316
Groups
Step 1: Complete the New Client Form
Collects client/broker info, payment info, etc.
https://cadrplus.wufoo.com/forms/new-client-information-form/
Step 2: Gather Member Census
Name, Address, Phone, Email, Gender, DOB
Download here: goo.gl/IHSEP
45
46. ONBOARDING COMMUNICATION
Account Set-Up Instructions
How to set-up accounts and access benefits
http://www.cadrplus.com/account-set-up/
Emails
Confirmation emails sent to members and brokers
Welcome emails sent to members on day of enrollment
Welcome Brochure
Tri-fold brochure mailed to members
Includes punch-out card for member’s wallet
46
48. THE DIFFERENCE: CADR+
Unlimited access for one low monthly price
As low as $10 PMPM
For the body, mind and pocket book
Best in class partners
Flexible, simple plan options
Whole Group & Individuals
48
49. WANT TO KICK THE TIRES?
Email the following to adaniels@cadrplus.com
Full Name
Phone Number
Email Address
Physical Address
We’ll set-up your VIP trial and send you activation
instructions.
49
Notas del editor
High tech – high touch Quality care – in an era where accountable care is becoming a necessary obligation, there is a strong push for more evidence-based practices. The tools that are available in CADR telemedicine platform enables such a shift to easily occur. The application has integrated team management tools, including: Alerts & notifications for patients and doctors Clinical guideline information e-prescribing Patient education information Patient access to their own data referrals and HIPAA compliant information sharing All calls are recorded and post consult reports can be shared with the consent of the patient
WebMD disclaims - WebMD does not provide medical advice, diagnosis or treatment. SOOO once a consumer accesses health information based on symptoms using their symptom checker they are left to Dr. Google to self – diagnose. Alternatively, with CADR, member can actually TALK to a doctor about their symptoms 24/7 with 1-click.
The demand for smart phone health applications is exploding and to answer the demand, iDr 24/7 a mobile extension of our award winning telemedicine services and platform solutions for employers, health plans, hospitals, providers and individuals. Features include: speaking to a doctor in 90 seconds or less, a comprehensive health center that is searchable by topic, medication or symptoms and ability to instantly email a doctor to ask questions or get advice. Should you like to try our Telemedicine services that include iDr 24/7, we can provide you and your team with complimentary accounts to see for yourself how easy and convenient it is to have a doctor in your pocket.