Online Medical Second Opinions from a Panel of Physician Specialists

1. BUSINESS OVERVIEW
Get an expert medical second opinion
wherever you are, whenever you want
SECOND OPINION EXPERT

2. 2© 2015 Second Opinion Expert, Inc.
Streamlines the process of
obtaining a medical second
opinion
Connects patients with
independent, expert
physicians
Provides a customizable
software platform allowing
healthcare networks to
provide their own health
services
What SecondOpinionExpert Does

3. 3© 2015 Second Opinion Expert, Inc.
Unnecessary Medical Services
$210 billion spent per year on unnecessary services
o 42% of Medicare patients
undergo unnecessary
procedures each year.
o 34% of all knee replacements
are unnecessary.
o 22% of implanted defibrillators
are unnecessary.
o 17% of spinal surgeries are
unnecessary.
The Problem
Unnecessary surgeries lead to higher insurance premiums, higher out of pocket expenses for individuals
and loss of productivity for employers

4. 4© 2015 Second Opinion Expert, Inc.
More than 50% of breast cancer patients receive different
treatment advice when seeking a second opinion.
Second opinions lead to a change in diagnosis or treatment in more
than 40% of cases.
The radiology interpretation error rate is as high as 33% for
abnormal studies
Second opinions help prevent unnecessary procedures by
enabling patients to make better decisions about their care.
In addition to improving treatment, second opinions provide peace of mind to patients
and families as they struggle to make difficult medical decisions.
The Solution - Second Opinions

5. 5© 2015 Second Opinion Expert, Inc.
Limited access to qualified
physicians
Difficulty in sending necessary
patient data to a physician
Disruption of patients’ lives due to
travel
Finding a physician the patient can
trust
The Problem with Traditional
Second Opinions

6. 6© 2015 Second Opinion Expert, Inc.
 Innovative technology platform synthesizes
medical data into a convenient report and
efficiently delivers it to physicians
 Our expert physicians review the data and
issue an independent, objective second
opinion within just days
 Because our physicians are not the patient’s
treating physicians, no incentive to
recommend unnecessary, costly procedures
or tests
Makes Obtaining a Second Opinion Easy and Affordable
The SecondOpinionExpert Solution

7. 7© 2015 Second Opinion Expert, Inc.
o Patients more comfortable with telemedicine and expect to request and
receive health services through their smartphones, tablets and
computers.
Expansion of consumer-driven healthcare
o Over half of US states require private insurers to cover telemedicine just as
they would cover in-person care
o Proposed FSMB Policy would regulate telemedicine across states
Easing of telemedicine regulations
Why Now?

8. 8© 2015 Second Opinion Expert, Inc.
Predicted to be $1.9 billion in
2018
Market Opportunity
Telemedicine is $580 million industry 31% annual growth from 2010-15

9. 9© 2015 Second Opinion Expert, Inc.
No competitor possesses a technology platform that delivers important
patient information to physicians as efficiently.
Competition

10. 10© 2015 Second Opinion Expert, Inc.
$4B investment in the digital health space in 2014 –Telemedicine
was the fastest growing category with $285M investment in 2014
oGrand Rounds – raised over $100M.
Valued at over $750M
oBest Doctors – raised a total of $65.5M
oTeledoc – raised $50M in 2014
(total of $96.6M)
oDoctors on Demand – raised $21M in 2014
Investment Environment

11. 11© 2015 Second Opinion Expert, Inc.
Direct Health Products provided to patients through our
platform by our panel of physician experts
Customized Technology Licensing of our platform to
healthcare providers and other customers
Our Product Categories

12. 12© 2015 Second Opinion Expert, Inc.
 Using our platform and panel of physician specialists to
provide health services directly to patients
 Five online, HIPAA-compliant services:
o Second Opinions by specialists
o eHealth Records
o Wellness Review and maintenance – in development
o Medical Consultation and/or evaluation – in development
o Ask a Doctor - in development
Direct Health Products

13. 13© 2015 Second Opinion Expert, Inc.
Second Opinion - currently functional and in use by patients
o Patient completes comprehensive, specialty-specific questionnaire:
Direct Health Services: Second Opinion

14. 14© 2015 Second Opinion Expert, Inc.
Second Opinion (cont.)
oPatient uploads medical records, test results or images, or we can retrieve records
on patient’s behalf
oPhysicians review images via platform’s image viewer:
Direct Health Services: Second Opinion

15. 15© 2015 Second Opinion Expert, Inc.
Platform collects, synthesizes and organizes patient responses
and records into physician-friendly format.
Appropriate physician specialist reviews information and creates
Second Opinion Report containing an assessment of patient’s
medical condition and treatment recommendations
Patient receives Second Opinion Report through platform within a
few days of submitting request
Patient has option of requesting a video conference prior to
physician completing Second Opinion Report
Direct Health Services: Second Opinion
Second Opinion (cont.)

16. 16© 2015 Second Opinion Expert, Inc.
o Over 250 board certified, experienced, independent physicians across
the United States
o Clinical privileges at leading medical centers (e.g., Cedars-Sinai, UCLA
and USC)
o Participation in leading clinical trials
o Coverage across most of the 50 States
o Passionate about providing effective care
Direct Health Services: Second Opinion

17. 17© 2015 Second Opinion Expert, Inc.
eHealth Records – currently functional and in use by patients
Platform creates a comprehensive Health Summary
from patient health information and medical records
Patient can securely share Health Summary through
the platform with any healthcare provider, caregiver or
family member
Facilitates patient involvement and control over health
information and records, improves communications
with physicians
Direct Health Services: eHealth Records

18. 18© 2015 Second Opinion Expert, Inc.
 Available on Apple and Android devices
 Version 1.0 approved for use and download from iTunes Store
eHealth Records Mobile App

19. 19© 2015 Second Opinion Expert, Inc.
SOE’s proprietary technology platform available for
licensing
 SOE can fully customize & integrate the following online services within a
customer’s website or platform:
Technology Licensing
o Second Opinions by specialists
o Wellness Review and maintenance
o Medical Consultation and/or evaluation
o Ask a doctor
o eHealth Records
o Sharing of radiology images with referring
physicians

20. 20© 2015 Second Opinion Expert, Inc.
Direct Health Services
 Transaction Fee Model
o E.g., $300 for each standard second opinion, $500 with videoconference
o We pay our physicians 50% of the fee for any second opinion performed
 Subscription Fee Model
o Monthly fee for specific access/services
Technology Licensing
 Transaction Fee - for each completed service
 Physician Fee - for each physician with access to platform
Business Model

21. 21© 2015 Second Opinion Expert, Inc.
o Assuming our Second Opinion service can
eliminate 25% of these costs, this results in a
reduction of $200 per patient per year.
o The total cost of the service over a patient
population is $15 per person assuming a 5%
utilization rate and a $300 cost.
o For a healthcare entity with 10,000 members,
this results in healthcare savings of $1.85 million
per year, or $185 per person.
Cost Savings: Second Opinions
o Unnecessary medical services account for approximately $800
per person in the U.S. every year.

22. 22© 2015 Second Opinion Expert, Inc.
Mohan Ananda, PhD, JD – Chief Executive Officer
o Founder and first CEO of Stamps.com, Inc. (Nasdaq: STMP) ($1.2B Mkt. Cap.)
o Former Director of Envestnet (NYSE: ENV) ($1.5B Mkt. Cap.)
o Ph.D. in Astrodynamics, UCLA
C.Thomas Peter, M.D. – Chief Medical Officer
o Cedars-Sinai Medical Center, 1977-2007. Over 20 years as Head of Electrocardiography and
Electrophysiology
o "Lifetime Achievement Award" by UCSF in 2007
Ash Davé – President
o Vice President and Chief Information Officer,Cedars-Sinai Health System, 1981-1994
o Founded Optimatrix Health Solutions, Inc., first for-profit Healthcare I.T. Services for Cedars-Sinai
Andre Henderson – ChiefTechnology Officer
o Former Director of InformationTechnology at Mission Community Hospital, Panorama City, CA
o Holds patent in Medical Media File Management
Mark K. Urman, M.D. –VP, Physician Relations, Quality Assurance
o Attending Cardiologist at Cedars-Sinai Medical Center (Former Clinical Chief of Cardiology)
o Clinical Professor of Medicine at the David Geffen School of Medicine at UCLA
Executive Team

23. 23© 2015 Second Opinion Expert, Inc.
For further information or inquiries,
please contact:
Mohan Ananda, PhD, JD
CEO, SecondOpinionExpert, Inc.
mohan.ananda@secondopinionexpert.com
(805) 907-0597