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HealthCare Benefits for College and University Students


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HealthCare Benefits for College and University Students

  1. 1. Cloud Based Telemedicine Solutions [Insert College/University Logo Here] Presented byRevolutionizing Student and Staff Healthcare WaveFront Brokerage Services Access & Delivery
  2. 2. The Problem: Healthcare Most Doctor offices open less than 35 hours/week or approx. 21% (Closed nearly 80% of the time (168 hours/week) Average time to make an appointment – 3 WEEKS (Over 6 weeks to see a specialist; Estimate 7 by Presented weeks under the ACA) Average time spent waiting in a doctor’s waiting room – 23 minutes (Average time spent waiting in an ERBrokerage Services WaveFront – 93 minutes) Top 3 reasons for ER visits are sinus, ear and upper respiratory infections (not broken bones or other type of injuries) These top 3 reasons are easily diagnosed and treated via telephone 75 – 90% of visits originate from stress issues
  3. 3. The Solution: TELEMEDICINE 4 of 5 office visits better handled via phone ~American Medical Association~ Avg. time to talk to our doctors, 90 seconds Presented by 90%+ who call, don’t need a follow-up 100% availabilityWaveFrontstates (24/7/365) in all 50 Brokerage Services 89% of healthcare execs believe telemedicine will (and must) revolutionize healthcare Telemedicine will save minimally $70 per employee in healthcare savings (utilization is the key) ~Business Insurance News December 2012~
  4. 4. Solution: Improve Access to CareVirtual Care: Ways to Consult• Reduce Cost • Telephone• Expand Access • Secure email• Improve Outcomes • Video• Extend services beyond • Mobile Application boundaries • Text Messaging• Right size care “High Tech - High Touch”
  5. 5. High Tech – High Touch Improve Access Drastically Lower Costs Care Coordination Quality Care Multiple ways to Avoid high cost settings 24/7 Physician consultations - Licensed Physicians that Consult 24/7 like the Doctor’s office, Clinically efficient, effective can provide Urgent Care/ER and most convenient information, diagnose and prescribe Rx medication* + + +Phone, Email, Video, Mobi Save Time Get Information/Diagnosis Feel Better Fast le Application Save Money Anytime, Anywhere 24/7 Most Affordable Cost Setting Reduce Absenteeism Better Outcomes * If appropriate
  6. 6. Easy for MemberActivate Call or Click Virtual CareOnline or by phone. Connect to a board Fast, safe, lowest costSo easy and certified doctor in setting care 24/7convenient. minutes
  7. 7. • Low-PMPM of $5 • Student + Family $30/month • Student + Family $10/month (Physician consult = $38/consult; (Unlimited usage; no fees) (Unlimited usage; no fees) Wellness consult = $27/consult)• 2% utilization rate nationally • 18 % utilization rate • 26+% utilization rate (lowest in nation)• Avg. Physician response time: • Avg Physician response time: • Avg. Physician response time: up to 3 hrs. 24 mins. 90 secs.• Consultations available by • Presented by Consultations available by • Consultations available by telephone only after going telephone, internet and video. telephone, internet, video, sma online prior. WaveFront Brokerage Services rt phone app, secure email, chat, and text msg.• No recording of consultations • Record consultations and post • Record consultations and post to personal health record. to personal health record.• SureScripts Access – No. • SureScripts Access – No. • SureScripts Access – Yes.• Secure Email Consultations – • Secure Email Consultations – • SecureEmail Consultations – No. No. Yes. • • Nation’s largest physician• Very modest physician 2,000 GP Physician network network; includes specialists network (reason physician response time slowest)
  8. 8. Key Differentiators Between CADRPlus and the CompetitionThe lowest cost, highest impact soluction to many of 1. How can students and staff connect with a physician? Because we understand thatthe issuesuse technology differently we have multiple system today. to members plaguing the healthcare ways for them to connect CADR. They can call our care center; request a call from a physician via the member portal, secure email, chat, video, mobile application and, of course, telephone. Others require that members go online first; we understand that not all will have access to a computer or the internet so this is not a requirement. 2. Education/Communication: Driving utilization is what makes us superior to our competition. Across our book of business, CADR boasts a 26+% utilization rate for clients that have been with us for at least 12 months. We will work with students and staff to understand how to best work with your different populations. This can consist of email blasts, phone mail messages, mailers, hard copy flyers, posters, etc. 3. A student/staff can be on the phone with one of our physicians in less than 90 seconds. When deciding whether to go to a higher cost setting or whether a condition can be handled via telemedicine this is key. No other telemedicine company has this functionality.
  9. 9. Key Differentiators Between CADRPlus and the CompetitionThe lowest cost, highest impact soluction to many ofthe issues only telemedicine organization that has thesystem today. all 4. We are the plaguing the healthcare unlimited plan which includes consultations. 5. We are the only telemedicine organization that records all consultations and attaches it to the personal health record of our patients. We do this not only for patient history but as a tool for quality control. 6. We are the only telemedicine organization that has access to SureScripts which allows us to see 24 months of prescriptive history for our patients. This is available whether or not the prescription has been prescribed through CADR or another physician. 7. CADR physicians have access to the patient’s formulary through SureScripts. 8. We provide secure email consultations; Teladoc does not.
  10. 10. Simply put…The lowest cost, highest impact soluction to many ofthe issues plaguing the healthcare system today. The lowest cost, highest impact solution to many of the issues plaguing students and staff of America’s leading Colleges & Universities, and the healthcare system.
  11. 11. TELEHEALTH IS THE ANSWER AND CADR+ IS THE VERY 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 and counting• It’s comprehensive – for the body, mind and pocket book• It’s affordable - $15/mo. PMPM for individuals; $10/mo. for groups
  12. 12. So, how does this program work?The lowest cost, highest impact soluction to many ofthe issues plaguing the healthcare system today. + = +
  13. 13. Access to a nationwide network of 5,000+ licensed, board certified doctors &specialists anytime, anywhere – day or night; no one is denied, and there is nowaiting, period.Multiple Ways to ConsultCADR+ provides a technology andservice platform which allows students& staff to consult with physiciansvia Telephone, Mobile APP, Video, On-line, Email & Text,on an immediate basis, 24/7/365 AND receive a refill orprescription for their illness…ready when they are! Give them a call and you will be connected within 2 minutes!
  14. 14. Multiple Ways to Consult
  15. 15. Use 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 or class Are traveling and need advice* Medications on the DEA list or controlled substances, by law, are NOT permitted for prescription fills/refills.
  16. 16. National Telemedicine Physician NetworkTelemedicine Services Enterprise Platform PLUS CADR’s National Network of Primary Care Physicians  50 State PCP Provider Network  U.S.-based, Board Certified/Eligible  Credentialed to NCQA Standards  170 Languages Supported  On-Demand (24/7) Via Secure Phone, Web (Video/Email) or Mobile App  Additional Specialties Now Online:  Pediatrics, Cardiology, OB/GYN  Mental Health, Endocrinology
  17. 17. Quality Assurance & Patient Safety Continuous Quality Improvement process as a tool to monitor, analyze and improve the medical care delivery mechanisms practiced by Consult A Doctor physicians 100% of consults are documented and recorded; controlled substances never prescribed Regular CQI Medical Records Reviews are performed consisting of at least 3 initial priority consultations for each new doctor and at least 10% of randomly selected priority consultations per week for existing physicians Weekly CQI Audio Recording Reviews consisting of 3 initial priority consultations for new doctors and 2 random priority consultations for existing doctors per week
  18. 18. More Quality TimeAverage time spent with a Doctorduring a traditional office visit isonly 4 minutes Average time spent with a Doctor during a Consultation is over 15 minutes
  19. 19. 9 Most Common Reasons People Visit a Doctor, Urgent Care or Emergency 1. Allergies Doctors 2. Bronchitis address 3. Earache 4. Sore Throat the top 9 most 5. Pink Eye common 6. Sinusitis reasons for a 7. Strep Throat visit to the 8. Upper Respiratory Infections doctor 9. Urinary Tract Infections AND MORE!
  20. 20. Reporting & Data Mining
  21. 21. Common Medications Prescribed Zithromax Z-Pak Metformin Amoxicillin Flonase Albuterol Diflucan Augmentin HCTZ Tessalon Levaquin Azithromycin Macrobid Keflex Pyridium Bactrim Biaxin Cipro Allegra Lisinopril Bactrim Tamiflu Ibuprofen 800 Prednisone Nasonex Lipitor
  22. 22. Student/Staff Experience Provide CADR+Call CADR+ to medical schedules call request a with anconsultation history appropriate doctor Doctor reviews the online patient Member history and calls receives the member* follow-up survey call If prescription is Doctor updates required Doctor Call recording EMR with calls in Rx to is posted consultation member’s choice of notes pharmacy *Average on-call response time by a physician is 2 minutes! Fastest in the nation.
  23. 23. Member/Patient Portal+ HIPAA Compliant+ Web-based for convenient access+ Simple to use+ Electronic Medical Records+ Send emails to doctors+ Upload pictures to send to Doctor or for reference+ View Doctor’s notes and follow-up communications immediately after consultation+ All calls and video consultations are recorded and stored for accurate history and reference
  24. 24. My Message Center Send and receive secure emails to a licensed physician forMy Consult Center confidential and convenient information. Receive labSchedule appointments, e-mail a requisitions and, store and forward your medicalhistory to your primary care physicianand more.My Health Center My Symptom CheckerSymptom Checker, Health Evaluate symptoms andLibrary, Interactive Health Tools recommend treatment options
  25. 25. – Mobile Apps My Health Center First Aid Medications Medical Tests / Labs Wellness Chronic Condition Management Challenges Rewards Support Groups
  26. 26. ePrescriptions Features / Benefits Electronic prescribing  Less errors  Surescripts  RX history  Med2Med interaction  Decision support  Evidence based Pharmacy of choice  By home, work, hot el, school  Less wait  Formularies  Insurance Documented in EMR Reported to PCP/Plan
  27. 27. Follow Up/Referral Post Consult Benefits  Follow up care instructions  Telemedicine consultations  In-person referrals  Patient education  Scheduled messages/reminders  Diagnostic labs  Health tracking tools  Health risk assessments  Coding  CPT  ICD-9
  28. 28. Follow Up/Referral Through the use of next-stage technology CADR partners with Payers to enhance and support their care management and cost containment approach Data integration between CADR and Payer provides health related information to providers and patients at the point of care to Data Sources improve clinical outcomes Paid Claims Data Laboratory Results CADR’s data warehouse serves as the Prescriptions central repository of data derived from Health Risk Assessments numerous sources Evidence – Based Raw data becomes critical information Clinical Guidelines readily available to effectively manage care Member & Provider Communications
  29. 29. A free prescription and health care discount cardthat provides access to savings on a wide range ofhealth care products and services, includingprescription drugs, lab tests, vision care and dentalcare.
  30. 30. SIGNIFICANT SAVINGS• Pharmacy Savings – save up to 65%• Dental Care – save up to 50%• Vision Care – save up to 50%• Hearing – save up to 15%• Lab Savings – save up to 60%• MRI & Imaging – save up to 70%• And more!
  31. 31. Why are College Students so Stressed?Pressure to succeed“Students know their generation is less likely to be successful than their parents, sothey feel more pressure to succeed than in the past.” Jason Ebbeling, Director of Residential Education at SouthernFinancial pressures on self and parents“Paternal unemployment is at it’s highest level since we started measuring.” John Pryor, UCLA Higher Education Research InstituteAmount of school work“College students can get easily overwhelmed by the type and amount of schoolwork combined with the freedom to accomplish tasks on their own schedule.” Marcelina Hardy, MSEd, BCC, Board Certified Coach
  32. 32. According to the American College HealthAssociation, the top health issues for college studentsin 2012 were:1. Mental Health2. Sleep3. Infectious Disease4. Substance Abuse5. Exercise & Nutrition
  33. 33. Drugs & Alcohol Drug and alcohol abuse is the #1 cause of death for college students (age 17-24). Nearly half of America’s 5.4 million full-time students abuse drugs or drink alcohol on binges at least once per month. 22.9% of students meet the definition for alcohol or drug abuse (compared with 8.5% of all people 12 and up). ~National Center on Addiction and Substance Abuse (CASA) at Columbia University~Prescriptions The majority of college students arrive with prescriptions for birth control and conditions such as anxiety and ADHD. ~Core Institute Study, Southern Illinois University~ By a student’s sophmore year, half of their classmates have been offered the opportunity to abuse a prescription drug. ~Talk About Rx, Get the Facts website~
  34. 34. College Worklife ResourcesThere are times in everyday life when you mayneed a little guidance: Childcare  Colleges and universities Parenting  Elder resources Emergency care  Disaster relief Summer care  Pet care New baby care  Primary/secondary education Adoption  Patient Advocacy
  35. 35. Resources For Living – Student Assistance ProgramTELEPHONIC CONSULTATION Unlimited access Masters-level clinicians Available 24/7 Live Answer Confidential Service 170 Languages Crisis Support
  36. 36. Everyday Help for Everyday StuffSomeone to talk to…on YOUR schedule Confidential telephone counseling Legal Services Financial Consultation Tax preparation discounts Identity theft Patient advocacy
  37. 37. Online Discount CenterWe can also help you save money by providing access to great prices forover 3.5 million products and services.Let the savings beginWe help you find the deals you’re looking for with easy search tools anddiscount codes. We also feature zones that highlight hot offers, limited timebargains and regional deals.The online discount service features savings on brand-name products andservices like:  Computers and electronics  Theme parks  Travel, car rentals and hotels  Fitness centers  Gifts and retail shopping  Shoes and clothes  Movie tickets & video rentals  Restaurants… and more!
  38. 38. College Students, like all of us, need a little help sometimes; we provide the access to tools, support and resources needed to overcome challenges and build resiliency. Consult A Doctor Financial Consulting On-line Wellness Tools Physical Budgeting Skills Prescription Discounts Well-being Financial Advocacy Lifemart Discounts Emotional Financial Social Well-being Well-beingTelephonic CounselingSIGNALRelationshipsStress & Depression Resume Development Career Interview Skills Community Grad School Test Prep Well-being Well-being Translation Services Community Resources Concierge Services Housing Search Summer Opportunities Completely Confidential 24/7 Resource