Telehealth Secrets Conference 2018 by VSee Speaker: Richard Popiel, MD, MBA (Cambia) More info here: vsee.com/conference

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Health Systems: Expanding Care
Communities With Telehealth
October 2, 2018
Richard Popiel, MD, MBA
Executive Vice President, Cambia Health Solutions

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Telehealth Concerns, Myths, Justifications*
• Just for basic primary care / urgent care
• It’s a video engagement – no physical exam
• Adds to versus replaces F2F visits
• Overly complex to implement
• Anyone can “buy” technology and start telehealth
• Hard to integrate with EMRs
• Inconsistent compensation
• No ROI; to expensive
• Regulatory issues
• Not secure
© 2018 Cambia Health Solutions, Inc.
* Variety of internet sources

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Our Cause
To serve as a catalyst to transform health care,
creating a person-focused and economically
sustainable system.
© 2018 Cambia Health Solutions, Inc.

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Over 20 companies
and growing
Cambia Profile
A tax-paying nonprofit
headquartered in
the Pacific Northwest
Nationally recognized:
Top 100 Healthiest
Workplaces
Almost 5,000 employees
in 30 states
100+ million people
touched nationwide
© 2018 Cambia Health Solutions, Inc.

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Cambia Leadership
© 2018 Cambia Health Solutions, Inc.
Board Leadership:
Our Board includes
executives from leading
consumer brands.
Cambia Leadership Team:
Our committed executives have
experience with some of the world’s
most well-known consumer and
technology companies.
Employees:
Our employees are
committed to our members
and to overall health.

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Cambia’s Journey
1917
Pierce County
Medical Formed
1997 2003
Cause
Created
2008-
2010
2012 2013 2014 2015
© 2018 Cambia Health Solutions, Inc.
A New
Name
2011 2017 20182016
100M+ people touched by our portfolio companies

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 > 115 research studies in past two years
• Overwhelmed with info and decision-making load
• Fragmented ecosystem, need navigation help
• Impersonal system, not sure who to trust
• Emotional + physical solutions needed
Our focus – solving for people
© 2018 Cambia Health Solutions, Inc.
© 2018 Cambia Health Solutions, Inc.

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Age 23: Diagnosed
with cancer
Birth
Completion
of Life
Age 32: Managing
young family, tears ACL
Age 25: In remission,
gets married
Age 40: Father-in-
law has Alzheimer’s
Age 45:
Cancer
returns
Age 10:
Diagnosed with
juvenile diabetes
Age 23:
First job,
out on her
own
Age 67:
Retirement
Birth
Completion
of Life
Age 40: Managing FT
career and three
children, maximizing
HSA
Age 30:
Pregnant with
first child
Age 50: Father
diagnosed with
cancer
Age 70:
Develops Heart
condition
Age 80: Struggling
to find
transportation to
visit family and
providers
Age 46:
Financially
struggling, coping
with depression
Second opinion services
Social support networks
Palliative care services
Transportation services
Caregiving support
Memory care resources Financial guidance
Birth through completion of life
© 2018 Cambia Health Solutions, Inc.
© 2018 Cambia Health Solutions, Inc.

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Human-Centered Design
© 2018 Cambia Health Solutions, Inc.
© 2018 Cambia Health Solutions, Inc.

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Voice of the Customer
Vocal Emotion
•Identify pain points
and prioritize them
Search Engine
•Search pain point
content in detail
Hierarchical
Topics
•Organize pain
points based on
topic
Analytics
•Track how pain
points change
over time
Data-driven insights via
Natural Language Processing
Listening to what people
say and how they say it
© 2018 Cambia Health Solutions, Inc.
© 2018 Cambia Health Solutions, Inc.

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Human Services Platform
The ability to deliver enhanced
consumer experiences through
the integration of user experience
services, operations, products,
technology and data science
capabilities integrated for use by
multiple go-to-market channels.
© 2018 Cambia Health Solutions, Inc.
© 2018 Cambia Health Solutions, Inc.

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Cambia’s approach to Telehealth
Community view Value creation
Engagement Ecosystem
© 2018 Cambia Health Solutions, Inc.

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Community view
© 2018 Cambia Health Solutions, Inc.

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Value creation
© 2018 Cambia Health Solutions, Inc.
Other Associated Cost Avoidance
Source: Cambia Health Solutions Informatics 2017
Median
Income
25th
Percentile
75th
Percentile
Mileage $2.31 $2.31 $2.31
Travel
Time
$8.33 $4.67 $14.62
Clinic Time $12.68 $7.12 $22.26
Total $23.32 $14.10 $39.19

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Engagement
© 2018 Cambia Health Solutions, Inc.

16. © 2018 Cambia Health Solutions, Inc.

17. © 2018 Cambia Health Solutions, Inc.

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Ecosystem
Doctor’s
Office
Urgent
Care
Emergency
Room
Telehealth
eCare
(Asynchronous)
House calls
Remote
Diagnostic
+ Monitoring
Secure
Chat
Retail
Clinics
Workplace
clinic
© 2018 Cambia Health Solutions, Inc.

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Health Care Built Around People
© 2018 Cambia Health Solutions, Inc.