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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
* Non-Controlled Substances
24/7/365 On-Demand Physician Consultations
Via Phone, Web (Video/Email) and Mobile Apps
17
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
iDR 24/7 iPHONE APP
19
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
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
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
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%
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
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
“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
IN GOOD COMPANY
27
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
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
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
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
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.
resilience:
the ability to spring back into shape
after bending, stretching, or being
compressed; the opportunity to
recover readily from illness or
adversity.
32
TELEPHONIC CONSULTATION
 Unlimited access
 Masters-level clinicians
 Available 24/7
 Live Answer
 Confidential Service
 170 Languages
 Crisis Support
33
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
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
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
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
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
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
HOW IT WORKS: GIVE IT A TRY!
 Phone Number:
 1-877-856-1788
 Website:
 www.mylifevalues.com
 Login: CADRPdemo
 Password: demo
40
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
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
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
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
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
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
ONGOING MARKETING & AWARENESS
 Email Drip Campaigns
 Posters/Flyers/Brochures
 Onboarding Webinars
 In-Person Lunches
 Landing Pages, Website Support
 Customized Marketing Plans
47
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
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

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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
  • 17. * Non-Controlled Substances 24/7/365 On-Demand Physician Consultations Via Phone, Web (Video/Email) and Mobile Apps 17
  • 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
  • 19. iDR 24/7 iPHONE APP 19
  • 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. resilience: 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
  • 47. ONGOING MARKETING & AWARENESS  Email Drip Campaigns  Posters/Flyers/Brochures  Onboarding Webinars  In-Person Lunches  Landing Pages, Website Support  Customized Marketing Plans 47
  • 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

  1. 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
  2. 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.
  3. 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.