TeleCare An innovation whose time has come! Peak Performance Group - - PowerPoint PPT Presentation

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

TeleCare

An innovation whose time has come!

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

WELCOME TO TELECARE

TeleCare is a program designed specifically to save companies and individuals time and money by utilizing technology to provide efficient, immediate access to healthcare solutions and other personal services. TeleCare products can be used via phone, smart phone, tablet or video.

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

What the Experts are Saying…..

Using Telemedicine Means Big Savings

Towers Watson expects a 68% increase in the number of employers offering telemedicine in 2015

August 11, 2014 (Arlington, VA)

“While this analysis highlights a maximum potential savings, even a significantly lower level of use could generate hundreds of millions of dollars in savings,” said Dr. Allan Khoury, a senior consultant at Towers Watson. Thirty-seven percent of employers surveyed said that by 2015 they expect to offer their employees telemedicine consultations as a low-cost alternative to emergency room or physician office visits for nonemergency health issues. Currently, 22% of employers offer such programs. The percentage of employers offering

telemedicine is expected to rise from 22% to 37%, a 68% increase. These percentages

are based on Towers Watson’s 2014 Health Care Changes Ahead Survey. It is expected that the use of telemedicine will continue to increase, driven by lower costs of telemedicine technology itself and by more insurance companies supporting telemedicine to cut costs.

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

STATE OF HEALTHCARE

• Getting well has become extremely inconvenient
• Most doctors offices are closed 75% of the hours/week
• It can take weeks or even months to see your doctor
• 80% of adult ER visits are due to lack of access
• Additionally, it isn’t cheap
• Average family spends $1,730 each year on doctors visits
• 25% of people skip recommended tests, do not fill Rx due to cost
• For most people, healthcare reform will inevitably lead to
• Increased costs
• Longer waits, shorter interactions
• Increased stress levels

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

IMPACT: THE AFFORDABLE CARE ACT

• Healthcare now a right for all
• Est. 30 million Americans will be added to the system
• Medical school enrollment has decreased by nearly 52%

since 1997

• Estimated 100,000 doctor shortfall by 2025
• NY Times Article: Doctor Shortage Likely to Worsen With Health

Law

• Higher Deductibles have become the norm!

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

• 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!

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

A NEW PARADIGM

• Cell phones (early ’80s)
• Google (late ’90s)
• Online banking (past 3 years)
• Telemedicine or telehealth (next 5 years!)
• 4 of 5 office visits can be better handled over the phone
• 91% of calls solve problem with no need for follow-up
• 4% of population today, expected to grow to 40% in 2 years

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

Step 2.

Request consult

Step 3.

Talk with a physician

Step 4.

Resolve the issue

Step 6.

Follow-up

You simply log on to your account or call Teladoc, 24/7/365, to request either a telephone or video consultation. A board-certified physician licensed in your state reviews your 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 your medical

• issue. If a prescription is necessary,

it is electronically sent to your pharmacy of choice. Teladoc sends you a follow up email to ensure that you got the care you needed and to see if you have any feedback on your experience.

Step 1.

Medical history

You are required to complete your 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 your medical history. Consultation information can be sent to your primary care physician.

HOW IT WORKS

You have cold-like symptoms but don’t have the time to sit in an urgent care waiting room. Instead you use us!

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

Top 10 Diagnoses 1.

Sinus Problems 2. Urinary Tract Infection 3. Pink Eye 4. Bronchitis 5. Upper Respiratory Infection 6. Nasal Congestion 7. Allergies 8. Flu 9. Cough

• 10. Ear Infection
• Electronic prescribing

(SureScripts) or by phone.

• Frequency of prescribing lower than

same diagnoses when comparing best provider practices (about 80% vs. 83%)

• Use of antibiotics limited to short

durations; patient education and physician reminders for appropriate use

• No prescribing of DEA-controlled

substances, medication for psychiatric illness, or lifestyle drugs.

• Generic drugs automatically

recommended

Prescription Management

COMMON USE

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

HIGHEST QUALITY OF CARE

Better clinical quality comes from directly managing

• ur own network or physicians.

97%

Teladoc physician satisfaction rate Board-certified Board-certified in internal medicine, family practice, emergency medicine or pediatrics. State-licensed State-licensed in their respective states. 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. Credentialed The first and only telehealth company in the US to have a provider credentialing process that is certified by NCQA. U.S. residents U.S. residents, living and working in the United States. *NCQA is the National Committee of Quality Assurance

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

USE TELECARE WHEN YOU:

• Need basic medical care 24/7
• Don’t want to go to UC/ER
• Can’t get a timely appointment with your PCP
• Need Rx prescription/refills* for common conditions
• Can’t afford your insurance copay or deductible
• Can’t take off work or school
• Can’t meet face-to-face with physician/specialist
• Need medical care access from remote locations
• Traveling and in need of medical care

*If appropriate

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

WHY TELECARE…..

• Licensed physicians available 24/7/365
• No waiting rooms, closed offices, or unhealthy

waiting rooms

• Board certified State Specific Physicians
• Answers & treatment in minutes via phone, video
• r app
• Feel better faster!

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

Creating a recipe for success…..

Quality + Convenience

=

Utilization + Savings

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

DELIVERING COST SAVINGS

Based on Teladoc reporting. Actual savings may vary based on geography. Productivity savings based on U.S. Dept. of Labor data.

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

Our data has proven that lower member copays drive much higher utilization (and, therefore, help reduce avoidable ER claims).

How can plan design drive ROI?

All material proprietary and confidential. Presented by Teladoc, Inc.

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

Kubi Display With Tablet Health Spot Station

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

BUSINESS CASE FOR TELECARE

• Lowers your plan’s claim

expense once implemented

• The higher the plan utilization

the greater the company savings

• Return on Investment can be

significant 100% to +300%

• Improves employee

productivity less time off needed

• Possible Carrier credits

available to help offset cost

• Provides you with

maximum plan design flexibility to raise co-pay or deductible offset by CADR+

• Lowers employee’s out of

pocket expenses

• Significantly less expensive

than typical OV, UC or ER visits

• Drives Goodwill

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

* If appropriate

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*

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

+ + +

Peak Performance Group 804-205-5180 info@ppgsolutions.com VA Government Finance Officers’ Association 2014 Fall Conference

THANK YOU!!! QUESTIONS?