GoTelecare Overview Presentation

SERVICES OVERVIEW41 Madison Avenue, 25th Floor, New York, NY 10010

*According to a study by the Robert Graham Center.

2© GoTelecare 2014-15| All Rights Reserved Private & Confidential

THE HEALTHCARE DILEMMA

Expanding Provider Shortage

The U.S. is expected to need 52,000 additional primary care physicians

by 2025.*

Prolonged Patient Wait Times

Steadily increasing due to the national provider

shortage

Increasing Healthcare Costs

Providers are primarily located in metropolitan areas but patients are spread throughout the

country which increases healthcare costs.


INCREASING PATIENT WAIT TIMES

9

7

98

24

12

21

23

0

5

10

15

20

25

30

Atlanta Miami Philadelphia Seattle

Average Wait Times(Days)

City

Average Wait Times for Family Practioners in Metropolitican Areas

2009

2013


NATIONAL AVERAGES

Metro Area Per 5 SpecialtiesAverage Wait Time in

Days Per Metro Area

Boston227 45.4

Denver 118 23.6

Philadelphia 103 20.6

Portland 97 19.4

Minneapolis 96 19.2

Detroit 89 17.8

Washington, D.C. 89 17.8

New York 84 16.8

San Diego 81 16.2

Seattle 80 16.0

Atlanta 70 14.0

Houston 70 14.0

Miami 68 13.6

Los Angeles 61 12.2

Dallas 51 10.2

Total Cumulative Average 92.3 18.5

CUMULATIVE AVERAGE WAIT TIME IN DAYS, 2013

Average patient wait times set to double in the next 5 years.


TELEMEDICINE IMPROVES ACCESS

The Hidden Supply of Provider Availability

→ Telemedicine can unveil a hidden supply of unused provider availability that currently exists.

Eliminate Geographic Barriers

→ Telemedicine connects patients to providers throughout the state without travel time or additional cost regardless of patient or provider location.

The Commonwealth Fund, Feb 2014

→ Implemented telemedicine Programs for Long Term Care Facilities

→ There was a significant decline in hospitalization rates at facilities that were deemed “more engaged” with the telemedicine service; hospitalization rates for this group declined 11.3 percent.

→ Based on the reduced hospitalization rates of the more-engaged facilities, Medicare could expect an average of about $151,000 in savings per nursing home per year. The annual cost of the telemedicine service was $30,000 per nursing home, suggesting that there could be $120,000 in net savings per year.


CASE STUDY


CMS TELEMEDICINE EXPANSION AUG 2014

The Medicare telemedicine Parity Act of 2014

→ Improves telemedicine coverage in Medicare

→ H.R. 5380 creates a phased approach over four years to expand coverage of telemedicine- provided services and remove arbitrary barriers for Medicare beneficiaries

The provisions include:

→ Gradual removal of geographic restrictions to patient care

→ Coverage for telemedicine healthcare services that take place in home and walk-in retail health clinics

→ Remote patient monitoring (mHealth capabilities)

→ Chronic Disease Management

→ March 11, 2015 - Centers for Medicare and Medicaid Services (CMS) allows Accountable Care Organizations (ACOs) to use telehealthservices.

→ The decision extends coverage for telemedicine services to millions of Medicare beneficiaries.

→ Medicare telehealth services can be covered without regard to longstanding rural and institution restrictions.

→ Telehealth coverage will be extended to 80 percent of Medicare beneficiaries living in metropolitan areas and from any service originating site, such as their home

THE CHANGING LANDSCAPE IN TELEHEALTH COVERAGE


CMS TELEMEDICINE EXPANSION AUG 2014

“Deloitte predicts this in 2014, there will be 100 million eVisits globally, potentially savings over $5 billion when compared to the cost on in-person doctor visits.”

“The Mayo Clinic announced a new telemedicine pilot project as part of its overall effort to reduce healthcare costs, with private kiosks – 10/3/14”


THE SOLUTION IS TELEMEDICINE

“Towers Watson expects a 68% increase in the number of employers offering telemedicine in 2015-Telemedicine could potentially deliver more than $6 billion a year in health care savings to U.S. companies”

"ObamaCare, Doctor Shortage To Spur $2 Billion telemedicine Market"


HOW DOES GOTELECARE WORK?

STEP-1Create a Profile

STEP-2Confirm your Appointment

STEP-3Attend the Consult

STEP-4Pick up your Prescription

Simple 4 Step Process


CREATE A PROFILE

Provider

→ Submit the provider enrollment package to GoTelecare.

→ Complete one-time webinar training offered M-F throughout business hours.

Patient

→ Create a profile including your demographics and insurance information.

→ Using the GoTelecare App, take a picture and upload your current insurance card


CONFIRM APPOINTMENT

Provider

→ Add availability to your calendar

→ Chose how many and what types of patients you would like to treat.

→ Confirm, deny, or reschedule incoming consultation requests.

Patient

→ Find your current provider or choose a different provider within your insurance network.

→ Click on a time that works for you and request the consultation.

→ Receive confirmation from provider that your request was scheduled.


ATTEND THE CONSULT

Provider

→ Sign in, click on the “Start Consultation” button and see your scheduled patient!

Patient

→ Sign in, click on the “Start Consultation” button and see your scheduled doctor!


PICK UP THE PRESCRIPTION

Provider

→ Use our EMR or your own EMR to ePrescribe the medication and send request to the patient’s nearest pharmacy.

Patient

→ Pick up your prescription at the pharmacy or have your pharmacy deliver your prescription directly to you!


GoTelecare Benefits

• GoTelecare will be adding mHealth capabilities to their service offering beginning Summer 2015

• Services will include:

→ Mobile heart monitoring

→ Mobile diabetes monitoring

mHealth Capabilities

→ Health Insurance Processing

→ Pre-auth Collections

→ Flexible Technology Capabilities

→ Cloud-based platform is customized for client goals

→ Online Scheduling

→ Synchronization with EMR/Practice Management Calendars to show real time availability

→ Customer Support and Administration Services

→ Client On-Boarding Operations

→ We assist in complete implementation unique to client goals.


WHAT SETS GOTELECARE APART?

→ See your provider quickly and easily

→ Video conference with providers and specialists through an iPhone, iPad or Laptop.

→ Patients can utilize insurance plans

→ Patients can leverage their health plan to meet with in-network, board certified physicians 24/7/365.

→ Stay connected with your provider

→ Patients can reschedule appointments in seconds from the comforts of their own home.


HOW GOTELECARE HELPS PATIENTS

→ Connect

→ Get paid for off-hour calls by using video conference platform through an iPhone, iPad or Laptop to create a reimbursable claim.

→ Consult

→ Patients see their doctor and immediately schedule follow-up appointments in seconds.

→ Collect

→ Provider can submit his own claim or GoTelecare processes the insurance claim on the providers behalf and transfers the reimbursement to the provider’s bank account.


HOW GOTELECARE ASSISTS PROVIDERS

→ Reduce Hospital Re-Admissions

→ Utilize our telemedicine platform and/or provider network to have patients seen prior to regularly scheduled office visits.

→ Decrease ER Wait Times

→ On-call providers can now treat patients from other locations or from home.

→ Maintain Patients in your Ecosystem

→ Treat patients through home healthcare agencies, outpatient clinics, and nursing homes


HOW GOTELECARE CAN HELP HEALTHCARE ORGANIZATIONS

→ Medical Practices

→ Hospitals – General & Surgical

→ Nursing Homes & Personal Care Facilities

→ Home Health Agencies

→ Physical Rehab Centers

→ Public and Private Education Facilities

→ Pharmacies

→ Employers/Corporations

→ Correctional Facilities

→ Health Insurance Plans


WHO CAN IMPLEMENT TELEMEDICINE ?

Top Diagnoses

→ Sinus Infection

→ Urinary Tract Infection

→ Bronchitis

→ Routine Follow Up

→ Psych Evaluation

→ Allergies

→ Flu Symptoms

→ Prescription Refills

→ Skin Rash

Electronic Prescribing

→ Electronic prescriptions direct to patient’s nearest pharmacy or delivered to patient home.

→ Connected to 55,000 individual pharmacies and over 100 lab organizations

→ Stage 1 and Stage 2 prescription drugs can only be prescribed and refilled during in-office visits.


WHAT CAN IT BE USED FOR?

Specialties

→ Psychiatry

→ Neurology

→ Endocrinology

→ Urology

→ Internal Medicine

→ Family Practice

→ Dermatology

→ Rheumatology

→ Wound Care

Qualifications

→ Licensed, credentialed in the US.

→ Board Certified, Board Eligible

→ Malpractice proof for telemedicine is mandatory

→ CV, NPI, DEA #s to ensure clean background

Provider coverage in 46 States!


OUR PROVIDER NETWORK


WHERE CAN IT BE USED?

Private Health Insurance Plans

→ Plans are choosing to cover telemedicine without state legislation mandates.

→ For example, in the state of Wisconsin, the following health plans voluntarily chose to reimburse:

→ Blue Cross Blue Shield

→ Group Health

→ WEA Insurance Trust

→ Wisconsin Physicians Trust

→ Wausau Insurance


WHERE CAN IT BE USED?

→ Provider Accountability

→ Telemedicine Regulations

→ Insurance Reimbursement

→ EMR/ Platform Compatibility


GOTELECARE QUALITY CONTROL MANAGEMENT

Calendar Availability Policy

→ Provider can choose to confirm, deny, cancel, or reschedule appointments.

→ Update restrictions apply during current calendar week.

→ Policy protects both patients and providers.

Verified Patient Reviews

→ Once provider confirms consultation was completed, the patient can write a review based upon Overall Experience, Bedside Manner, and Wait Times

→ Reviews will be removed if they include vulgar language, cost complaints, or specific medical information deemed inappropriate.


PROVIDER ACCOUNTABILITY

GPS Enabled Technology

→ Ensures patient is located within the state of their licensed provider.

→ Patient must be located within the state at the time of the consultation.

Insurance Coverage Comprehension

→ We created a proprietary directory of telemedicine insurance coverage data for Medicare, Medicaid, & Private Insurance Plans.

→ GoTelecare maintains and adheres to the most current federal and state allowance legislation.


TELEMEDICINE REGULATIONS

HL7 Compatibility

→ Data transfer made easy

→ EMR (Emdeon) EMR (Provider)

OR

→ Platform EMR (Emdeon or Provider)

Previous Patient Hx

→ Patient face sheets can be upload for review by provider prior to consultation.

→ Current medical diagnosis, prescriptions, and recent medical activity are readily available

EMR/PLATFORM COMPATIBILITY



CURRENT CLIENTS & PARTNERS


MOVING FORWARD

Contact Information

Austin Deer

Account Director

212.206.0322

217.418.7229 (cell)

[email protected]

mailto:[email protected]

GoTelecare Overview Presentation

Healthcare

Transcript of GoTelecare Overview Presentation