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Cloud Based Telemedicine Solutions

Revolutionizing Healthcare Access & Delivery


                    The information contained in this presentation is confidential and proprietary to Consult A Doctor, Inc. and may not be
                    copied or distributed for any reason without express written authorization of Consult A Doctor, Inc. Nothing contained in
                    this presentation should be considered as a formal commitment, solicitation or binding in any way.
Our Vision & Mission

To be the leading healthcare technology company
 providing cloud-based telemedicine services and
         technology platform solutions.
Problem: Access, Cost, Delivery
Problem: Access, Cost, Delivery
70% of All Doctor’s Office Visits are Unnecessary
        Avoidable by phone or online- email/video consult



66% of all ER Visits are Non-Emergencies


Doctors are hard to see
        1/3 of patients have problems timely seeing their doctor
        1/4 of patients cant take time from work to see a doctor
        Less than 25% of doctors communicate via e-mail or phone
        Historically, providers only get paid when patient comes to office - not phone or email
             CADR pays physicians for these consultations

National Center for Policy Analysis – Fathers of HSA – Convenient Care and Telemedicine Study
How Consult A Doctor Reduces Costs
                  65% of members would have gone to PCP at cost of
                  $153
                  10% of members would have gone to Urgent Care at cost of
                  $150
                  15% of members would have gone to Emergency Room at cost of
                  $1029

                   Average total savings (medical + productivity loss)
  $491
                  Estimated lost productivity to employers Consult A Doctor
 $100B            telemedicine services help eliminate 1000’s of hours of lost
                  productivity due to medical absenteeism & presenteeism
 Data and dollar amounts are based on national averages. Amounts listed may not reflect actual billed charges
Consult A Doctor – Proven Results
   2    Average physician response time
  min


  14    Average consultation duration
  min

        Avoided a doctor office visit
  65%

        QA follow up with patient, within 72 hours of consult
 100%

  92%   Reported being very satisfied with their consult
Actual Results
90%+ of Members who used CADR 24/7-Said they would have gone to a higher cost setting
Benefits to Providers
•   Add TeleHealth / TeleMedicine to Service Offering
•   Provide Remote Triage for ER and Urgent Care Facilities
•   Expand Geographic Branding and Reach
•   Provide Access to the Inaccessible
•   Reduce Travel Costs for Disabled Patients
•   Improve Access to Specialty Physicians
•   Reduce Cost of Specialty Care
•   Provide Remote Aftercare Consultations
•   Provide Remote Home Health Services
•   Provide or Enhance Existing Chronic Disease Management Programs
Current Reimbursement Codes
CPT Code: 99201-GT
CPT Code: 99202-GT
CPT Code: 99203-GT
CPT Code: 99211-GT
CPT Code: 99212-GT
CPT Code: 99213-GT
CPT Code: 99444
CPT Code: 99441
CPT Code: 99442
CPT Code: 99443
Consult A Doctor Value-Add
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 information,
                               Urgent Care/ER              and most convenient              diagnose and prescribe
                                                                                                Rx medication*




 Phone, Email, Video,          Save Time               Get Information/Diagnosis               Feel Better Fast
  Mobile Application          Save Money                Anytime, Anywhere 24/7           Most Affordable Cost Setting
                           Reduce Absenteeism                                                 Better Outcomes


* If appropriate
Benefits of Using CADR
Multiple Ways to Consult!
Scope of Services
          Common Conditions                                     Common Medications Prescribed

                                                                                     Metformin
            Cold/Flu                                          Zithromax Z-Pak
                                                                                     Flonase
            Sinus infections                                  Amoxicillin
                                                                                     Diflucan
            Upper Respiratory                                 Albuterol
                                                                                     HCTZ
             Infections                                        Augmentin
            Allergies                                                               Levaquin
                                                               Tessalon
            Headaches                                                               Macrobid
                                                               Azithromycin
            Urinary Tract Infections                                                Pyridium
                                                               Keflex
            Bronchitis                                                              Biaxin
                                                               Bactrim
            Stomach Ache/Diarrhea                                                   Allegra
                                                               Cipro
            Eye infections                                                          Bactrim
                                                               Lisinopril
            Ear Infections                                                          Ibuprofen 800
                                                               Tamiflu
            Rash/Skin Irritation                                                    Nasonex
                                                               Prednisone
            Yeast Infection                                                         Lipitor
            Other GYN complaints                                                 No DEA controlled substances


   Well-defined and limited scope of telemedicine services.
   Evidence-based and quality improvement-oriented.
   Refer a patient to physician when patient’s symptoms exceed telemedicine’s scope of services.
   PHR- Personal health record systems -- compatible with the continuity-of-care record (CCR) supported by the
    AAFP --communicates patient information to a family physician’s office.
When to use it?
    Use Consult A Doctor when you:
    Need advice on non- emergent symptoms, common medical questions
    Need Rx prescription/refills* for common conditions
    Can’t meet with your primary care physician
    Can’t get a timely appointment
    Can’t get to a doctor due to distance
    Don’t want to go to ER/UC
            Save hundreds/thousands
    Can’t afford to take off work                       Informational
    Need care after hours or on weekends                or Diagnostic
                                                              24/7
    Are traveling and need advice
    Want access to care now!


    *when appropriate- non DEA/non-narcotic
Video / Face to Face
Video / Face to Face
Mobile Apps – Consult Center
             By Phone
             On Call – Connect with a doctor within minutes. Ask
             informational medical questions; receive advice and
             recommendations for common conditions.

             Priority
             Obtain a more comprehensive consultation that may
             include a diagnosis and treatment plan. Your
             consulting physician calls you within 1 hour
             (guaranteed 3 hours) with medical history in-hand
             and may be able to prescribe medication (Rx).

             By Appointment
             Similar to a Priority Consultation, but you can set a
             time that is convenient for you.

             Online
             E-Consult - Consult with a doctor discreetly using our
             secure, HIPAA-compliant messaging system.
Mobile Apps – On Call Consultation

               • Get connected to a licensed,
                 Board-Certified doctor anytime,
                 anywhere.


               • Tap “Get Connected” and you
                 will be connected immediately.
                 There is no waiting period!
Mobile Apps – My Messages
           View and respond to secure, HIPAA-
           compliant messages from your assigned
           physician regarding your E-Consult in
           addition to other Inbox notifications:

           •E-Lab Results
           •Adding Family Members
           •Your password
           •Welcome Message
           •Changes in billing information
Mobile Apps – My Health Center
             Access relevant medical information to
             make informed decisions about medical
             advice or treatment plans. Resources
             within My Health Center offer insight into
             your symptoms, conditions, and health
             issues as well as information on:

             •First Aid
             •Medications
             •Medical Tests
             •Support Groups
CADR TeleMedicine Kiosks Options
Personal Health Manager




Online PHR
Interactive Patient Engagement Tools



                                                            Instant Access
                                                            Exclusive click to call




Symptom Checker
Evaluate symptoms and          Risk Assessments
recommend treatment options.
                                 Interactive health tools
                                identify health risks and
                                     promote wellness.
Schedule Appointments & more




     Consult Center
Laboratory (eLab) Ordering
Convenient & User Friendly
100% Secure & HIPPA Compliant
CADR 24/7™ Telemedicine Physician Network
   50-state network of licensed primary care physicians and specialists
   US Board certified, state licensed
   Specialists, including:
       Pediatrics, Cardiology, OB / GYN
       Mental Health , Endocrinology

   NCQA Credential review process
       Annual re-credentialing

   170 Languages Supported
   Detailed and Stringent Quality Protocols
Cloud-Based Platform –Health Plans/Health Systems/Providers

 MyHealthPlan24/7
  Platform for health Plans
    100% Private label
    Health Plan Providers Participate
    Expand access
    Reduce costs
    Improve outcomes
    Extend services
    Increase revenues
    Competitive advantage in market

MyPractice 24/7 & MyHospital 24/7
  Platform for providers, hospitals, clinics
    Extend services beyond office visits
    New recurring revenue
    Member Portal
    Better patient outcomes
    Get paid for phone, email and online consults
    Turn patients into raving loyal fans

 Robust Enterprise Platform /Scalable/Expandable to Millions
Doctor Dashboard
                           hart/EMR Disposition

                           rap up
Your Logo
                           eview
                                 EMR
                                 Follow up care
                                  instructions

                           oding

                           PT

                           CD-9

                           inks tailored to conditions

                           ost Consult Report-PCP

                           eferrals

                           lose consult

                           ubmit Claim
e-prescribe
Your Logo                 eatures / Benefits

                          lectronic prescribing
                                 Less errors
                                 Surescripts
                                 RX history
                                 Med2Med
                                  interaction
                                 Decision support
                                 Evidence based

                          harmacy of choice
                               By home, work,
                                hotel
                               Less wait
                               Formularies
                               Insurance

                          ocumented in EMR

                          eported to PCP/Plan
Follow Up/Referral
Your Logo


                             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
Enterprise Platform
CADR Prescription Discount Cards
CADR PrePaid Cards
Awareness & Marketing
Welcome packet:
•Mail trifold
•Welcome letter
•Membership Card

Collateral:
•Cobranded website*
•Posters
•Flyers
•Payroll Stuffers
•Seasonal messages
•Email messages
•Voice shots

For an additional fee, there are magnets, FOBs, postcards, tabletop collateral
Most collateral is provided in PDF format
*Optional
Marketing Samples
Reports – Utilization/ROI
Utilization and Reporting
Client will be assigned a dedicated Account Marketing Manager to help
  meet/exceed utilization and goals

Utilization and savings reports can be provided upon request. On a
 monthly, quarterly or YTD basis

Reports include:

7.Number of members (primary and dependent)
8.Consultations by type
9.Utilization Percentage
10.Benefit Utilization Savings
In Good Company

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Cadr sales presentation 02 mar12 - general - jk

  • 1. Cloud Based Telemedicine Solutions Revolutionizing Healthcare Access & Delivery The information contained in this presentation is confidential and proprietary to Consult A Doctor, Inc. and may not be copied or distributed for any reason without express written authorization of Consult A Doctor, Inc. Nothing contained in this presentation should be considered as a formal commitment, solicitation or binding in any way.
  • 2. Our Vision & Mission To be the leading healthcare technology company providing cloud-based telemedicine services and technology platform solutions.
  • 4. Problem: Access, Cost, Delivery 70% of All Doctor’s Office Visits are Unnecessary Avoidable by phone or online- email/video consult 66% of all ER Visits are Non-Emergencies Doctors are hard to see 1/3 of patients have problems timely seeing their doctor 1/4 of patients cant take time from work to see a doctor Less than 25% of doctors communicate via e-mail or phone Historically, providers only get paid when patient comes to office - not phone or email  CADR pays physicians for these consultations National Center for Policy Analysis – Fathers of HSA – Convenient Care and Telemedicine Study
  • 5. How Consult A Doctor Reduces Costs 65% of members would have gone to PCP at cost of $153 10% of members would have gone to Urgent Care at cost of $150 15% of members would have gone to Emergency Room at cost of $1029 Average total savings (medical + productivity loss) $491 Estimated lost productivity to employers Consult A Doctor $100B telemedicine services help eliminate 1000’s of hours of lost productivity due to medical absenteeism & presenteeism Data and dollar amounts are based on national averages. Amounts listed may not reflect actual billed charges
  • 6. Consult A Doctor – Proven Results 2 Average physician response time min 14 Average consultation duration min Avoided a doctor office visit 65% QA follow up with patient, within 72 hours of consult 100% 92% Reported being very satisfied with their consult
  • 7. Actual Results 90%+ of Members who used CADR 24/7-Said they would have gone to a higher cost setting
  • 8. Benefits to Providers • Add TeleHealth / TeleMedicine to Service Offering • Provide Remote Triage for ER and Urgent Care Facilities • Expand Geographic Branding and Reach • Provide Access to the Inaccessible • Reduce Travel Costs for Disabled Patients • Improve Access to Specialty Physicians • Reduce Cost of Specialty Care • Provide Remote Aftercare Consultations • Provide Remote Home Health Services • Provide or Enhance Existing Chronic Disease Management Programs
  • 9. Current Reimbursement Codes CPT Code: 99201-GT CPT Code: 99202-GT CPT Code: 99203-GT CPT Code: 99211-GT CPT Code: 99212-GT CPT Code: 99213-GT CPT Code: 99444 CPT Code: 99441 CPT Code: 99442 CPT Code: 99443
  • 10. Consult A Doctor Value-Add 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 information, Urgent Care/ER and most convenient diagnose and prescribe Rx medication* Phone, Email, Video, Save Time Get Information/Diagnosis Feel Better Fast Mobile Application Save Money Anytime, Anywhere 24/7 Most Affordable Cost Setting Reduce Absenteeism Better Outcomes * If appropriate
  • 12. Multiple Ways to Consult!
  • 13. Scope of Services Common Conditions Common Medications Prescribed  Metformin  Cold/Flu  Zithromax Z-Pak  Flonase  Sinus infections  Amoxicillin  Diflucan  Upper Respiratory  Albuterol  HCTZ Infections  Augmentin  Allergies  Levaquin  Tessalon  Headaches  Macrobid  Azithromycin  Urinary Tract Infections  Pyridium  Keflex  Bronchitis  Biaxin  Bactrim  Stomach Ache/Diarrhea  Allegra  Cipro  Eye infections  Bactrim  Lisinopril  Ear Infections  Ibuprofen 800  Tamiflu  Rash/Skin Irritation  Nasonex  Prednisone  Yeast Infection  Lipitor  Other GYN complaints No DEA controlled substances  Well-defined and limited scope of telemedicine services.  Evidence-based and quality improvement-oriented.  Refer a patient to physician when patient’s symptoms exceed telemedicine’s scope of services.  PHR- Personal health record systems -- compatible with the continuity-of-care record (CCR) supported by the AAFP --communicates patient information to a family physician’s office.
  • 14. When to use it? Use Consult A Doctor when you:  Need advice on non- emergent symptoms, common medical questions  Need Rx prescription/refills* for common conditions  Can’t meet with your primary care physician  Can’t get a timely appointment  Can’t get to a doctor due to distance  Don’t want to go to ER/UC  Save hundreds/thousands  Can’t afford to take off work Informational  Need care after hours or on weekends or Diagnostic 24/7  Are traveling and need advice  Want access to care now! *when appropriate- non DEA/non-narcotic
  • 15. Video / Face to Face
  • 16. Video / Face to Face
  • 17. Mobile Apps – Consult Center By Phone On Call – Connect with a doctor within minutes. Ask informational medical questions; receive advice and recommendations for common conditions. Priority Obtain a more comprehensive consultation that may include a diagnosis and treatment plan. Your consulting physician calls you within 1 hour (guaranteed 3 hours) with medical history in-hand and may be able to prescribe medication (Rx). By Appointment Similar to a Priority Consultation, but you can set a time that is convenient for you. Online E-Consult - Consult with a doctor discreetly using our secure, HIPAA-compliant messaging system.
  • 18. Mobile Apps – On Call Consultation • Get connected to a licensed, Board-Certified doctor anytime, anywhere. • Tap “Get Connected” and you will be connected immediately. There is no waiting period!
  • 19. Mobile Apps – My Messages View and respond to secure, HIPAA- compliant messages from your assigned physician regarding your E-Consult in addition to other Inbox notifications: •E-Lab Results •Adding Family Members •Your password •Welcome Message •Changes in billing information
  • 20. Mobile Apps – My Health Center Access relevant medical information to make informed decisions about medical advice or treatment plans. Resources within My Health Center offer insight into your symptoms, conditions, and health issues as well as information on: •First Aid •Medications •Medical Tests •Support Groups
  • 23. Interactive Patient Engagement Tools Instant Access Exclusive click to call Symptom Checker Evaluate symptoms and Risk Assessments recommend treatment options. Interactive health tools identify health risks and promote wellness.
  • 24. Schedule Appointments & more Consult Center
  • 26. Convenient & User Friendly
  • 27. 100% Secure & HIPPA Compliant
  • 28. CADR 24/7™ Telemedicine Physician Network 50-state network of licensed primary care physicians and specialists US Board certified, state licensed Specialists, including: Pediatrics, Cardiology, OB / GYN Mental Health , Endocrinology NCQA Credential review process Annual re-credentialing 170 Languages Supported Detailed and Stringent Quality Protocols
  • 29. Cloud-Based Platform –Health Plans/Health Systems/Providers MyHealthPlan24/7 Platform for health Plans  100% Private label  Health Plan Providers Participate  Expand access  Reduce costs  Improve outcomes  Extend services  Increase revenues  Competitive advantage in market MyPractice 24/7 & MyHospital 24/7 Platform for providers, hospitals, clinics  Extend services beyond office visits  New recurring revenue  Member Portal  Better patient outcomes  Get paid for phone, email and online consults  Turn patients into raving loyal fans Robust Enterprise Platform /Scalable/Expandable to Millions
  • 30. Doctor Dashboard hart/EMR Disposition rap up Your Logo eview  EMR  Follow up care instructions oding PT CD-9 inks tailored to conditions ost Consult Report-PCP eferrals lose consult ubmit Claim
  • 31. e-prescribe Your Logo eatures / Benefits lectronic prescribing  Less errors  Surescripts  RX history  Med2Med interaction  Decision support  Evidence based harmacy of choice  By home, work, hotel  Less wait  Formularies  Insurance ocumented in EMR eported to PCP/Plan
  • 32. Follow Up/Referral Your Logo 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
  • 36. Awareness & Marketing Welcome packet: •Mail trifold •Welcome letter •Membership Card Collateral: •Cobranded website* •Posters •Flyers •Payroll Stuffers •Seasonal messages •Email messages •Voice shots For an additional fee, there are magnets, FOBs, postcards, tabletop collateral Most collateral is provided in PDF format *Optional
  • 39. Utilization and Reporting Client will be assigned a dedicated Account Marketing Manager to help meet/exceed utilization and goals Utilization and savings reports can be provided upon request. On a monthly, quarterly or YTD basis Reports include: 7.Number of members (primary and dependent) 8.Consultations by type 9.Utilization Percentage 10.Benefit Utilization Savings