Empowerment to Control Your Healthcare & Related Costs
1. Empowerment To Control Your Health Care
& Related Costs
November 2008
CONSUMER CARE SOLUTIONS, INC. CONTACTS
50 HARRISON STREET – SUITE 312 PAT DILEO (PatD@CCSHealthcare.com)
HOBOKEN JERSEY 07030 ADAM H. GOODFRIEND
TELEPHONE: (201) 233-4000 (AdamG@CCSHealthcare.com)
LORRAINE SPIOTTA
(LorraineS@CCSHealthcare.com)
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2. OVERVIEW –
Consumer Care Solutions, Inc. (“CCS”) empowers members to control and manage
health care and related spending by offering a combined insurance and savings/
cost management suite of services
CCS Offers members these 3 Bundled Healthcare Services:
• Customized High Deductible Health Insurance (“HDHP”)
Premium reductions more than offset increases in deductible
Significant savings combined with full catastrophic protection
“Guaranteed” savings
• Health Savings Account (“HSA”) / Account Management
Employer / employee may share in savings
Premium savings fund deductible via pre-tax contributions to a portable employee owned HSA
• CCS’ Product Suite:
DirectAccess is a highly evolved web-based platform offering CCS members access to tools,
goods and services to help them managed and direct their healthcare choices and spending
Completely HIPPA compliant
CCS:
• Helping members understand, control & manage healthcare and related costs
• Positioned to be a dominant Consumer Directed Health Care (“CDHC”) player
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3. HDHP & HSA Basics
There are a number of benefits of CDHC for both the employer and the employee
• HDHPs:
A low-premium insurance policy that features higher annual deductibles than other traditional
health plans
Qualifying 2009 deductibles start as low as $1,150 (individual) and $2,300 (family)
Higher deductibles produce dramatically lower premiums more than offsetting increased
deductible exposure
Employers can share all or portion of these savings with employees
• HSAs:
A banking / investment account funded with pre-tax contributions
2009 pre-tax contributions of $3,000 (individual) and $5,950 (family)
Savings can be withdrawn - tax-free - to use for qualified medical expenses
Employee owned and portable from job to job
Unused funds accumulate tax-free
• Qualified HDHPs with an HSA
Helps to build savings for future medical expenses, and all money saved is portable and
transferable to an estate
Allows greater flexibility and control over use of health care dollars
Premiums are paid with pre-tax dollars & funds grow tax free
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4. Democratic Administration: HSA Views
Bush authorized HSAs in 2003 Medicare bill. Legislation was enhanced in 2006
• President Obama and CDHP
Obama’s Universal Health Care Plan
Public insurance program for those without access to Medicaid, SCHIP or employer plans
Create a National Health Insurance Exchange to help Americans purchase private health insurance
Require all employers to contribute towards health coverage for their employees (public or private plans)
Mandate that all children have health care coverage
Expand eligibility for the Medicaid and SCHIP programs
Allow flexibility for state health reform
HSAs
President Obama: “HSAs may be a helpful way of saving taxpayers money but HSAs don't do enough”
May limit income levels for HSA participants
Primary Care & Preventive Medicine
Increased spending on high-value preventive services (i.e. cancer screening and immunizations)
Health care plan will include coverage of all essential medical services, including preventive, maternity and
mental health care
Will require that plans that participate in a new public plan, Medicare or the Federal Employee Health
Benefits Program (FEHBP) to cover proven disease management programs
Universal Coverage
Every American should have access to affordable, high-quality health coverage
No mandated coverage except for children
Obama has signaled support for more consumer choice, wellness and greater
expense management
Source: Response to survey of American Academy of Family Physicians
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5. Recent CDHP News
CDHP Usage is on the Rise
• WellPoint finds CDHPs yield cost savings to employers
Employees with CDHPs spend more on preventive care than those with traditional plans
Based on Oct. 2008 survey of 7,977 employer groups
• Canopy’s recent HSA Market Report shows 43% of surveyed employers will offer
HSAs or HRAs
Results from 2Q08 Canopy study:
Indivual Family Indivual Family
HSA Balance $ 969 $ 1,663 Transfer to Investments $ 1,901 $ 2,897
HDHP Deductible $ 1,805 $ 3,279 Transfer From Investments $ 665 $ 1,216
Employer Contribution (Mo.) $ 57 $ 116 Amounted Invested (Age 25-40) $ 2,827 $ 356
Employee Contribution (Mo.) $ 347 $ 173 Amounted Invested (Age 41-50) $ 1,065 $ 2,437
Monthly Spend $ 78 $ 97 Amounted Invested (Age 51+) $ 1,040 $ 3,011
Accountholder Age 41 45 Source: Canopy 2Q08 HSA Report
Source: WellPoint Institute of Health Care Knowledge Releases Study on the Value of Consumer-Directed Health Plans (Oct. 2008)
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6. Consumer Directed Health Care
CCS + HSA + HDHP: Working together for the CDHC Solution
• HDHP
HDHP premium savings fund HSAs
Vanishing deductibles
Employer may keep or pass on savings
Same quality of service with enhancements
During deductible period, “any doctor” can be used
No “additional” co-payments
Savings may be targeted to HSAs to reap tax benefits
• HSA
Medicare Modernization Act of 2003 establishes pre-tax accounts to be used for medical expenses
HDHP premiums and deductibles were specifically allowed
Attempts to promote “Stay Healthy, Get Wealthy” Mentality
No “use it or lose it” feature
Portable
Employee owned
HSA is employee owned, transportable between jobs and does not expire
• CCS – Tools for Transparency
Broad physician network
Dual purse Visa Card and other HSA administration tools
Rx and medical discounts (including Medicare Part D Administration)
Wellness, patient advocacy and health management tools
Tools to manage and control all their short and long-term health care needs and related spending
The better the employee cares for himself, the more money he saves (gets to keep)
“Stay healthy & get wealthy”
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7. DirectAccess.com – Products & Services
DirectAccess.com is CCS’ proprietary member based web portal, tying our
services together
• INSURANCE
To lower costs, CCS offers major medical insurance, through a customized qualified HDHP from
the nation’s best-rated and financially sound insurance companies
HDHPs finance expensive and chronic medical needs while HSA sourced funds cover the routine
costs including expenditures incurred to advance wellness
HDHP insurance, with its high deductible, produces an enormous premium reduction, which can
be used to fund HSA deposits, which are tax-advantaged
• HSA MANAGEMENT
HSA funds can be invested through CCS’ FDIC insured bank (or any other FDIC bank) and also,
if elected, through a self-administered investment fund manager, carried over year-to-year and
could, if unused, be used like a retirement account for future health needs
No time restrictions on funds’ use
Funds are fully employee owned and become part of the owner’s estate
Unlike other health flexible spending accounts, HSAs are portable and can be taken from job to job
HSA spending can be managed using CCS’ dual purse Visa card
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8. DirectAccess.com – Products & Services
DirectAccess.com is CCS’ proprietary member based web portal, tying our
services together
• MEDICAL DISCOUNTS
In conjunction with a CCS sponsored HDHP plan, members and their families receive the
DirectAccess discount card
Significant discounts on Rx & vision, hearing and dental care, chiropractic service and medical/laboratory
testing through LabCorp
These negotiated savings are passed to members so HSA dollars may be invested longer
• PHYSICIAN NETWORK
CCS is expanding its nationwide network of 500,000 doctors and 5,000 medical service providers
CCS’ provider network is PHCS
PHCS offers >500,000 doctors, services 40 million consumers
Expands your “in-network” coverage
Members can choose from this network or may make a request to have their own choice of doctors added
Members can search for doctors based on location, education/credentials or other members’ ratings
E-visits enhance access to doctors
CCS is the only company that offers and administers a private provider network for its members.
• PATIENT ADVOCACY
Members have 24/7 access to someone who can help with a referral, solve a problem or deal
with the financial administration
CCS’ Chief Medical Officer has 30 years of CDHC experience working with scores of physicians around the
country
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9. Combined Program Savings
HDHP savings are significant
• CCS helps contain costs and manage care allowing for managed spending from
HSA or similar accounts
The savings in premium more than offsets the increase in deductible
During the deductible phase, there are no co-payments and doctor choices are “unlimited”
$5,800 HSA annual funding, unused amounts carry forward Employee HSA
Asset (Based on
$5,800
Contribution)
HDHP vs. Traditional Coverage: Family Plan. Based on Actual Customer Quote
Traditional Health
HDHP Plan HDHP Savings
Plan
50+% Savings
Employee Asset Yes No
Allowable Expenses Broad Narrow
Permitted Physicians quot;Any Doctorquot; quot;In Network Onlyquot;
$9,360 Savings can be shared between Employer and Employee
Annual premium $7,920 $17,280
Monthly premium $660 $1,440 $780
Estimate of 10 visits + Rx + $1,000 of quot;otherquot; expenses
Estimated medical expenses $2,750 $1,400 ($1,350)
12 monthy payments of $39.95
DAW Membership $479 $0 ($479)
HSA funds the cost of medical expenses and DAW membership
Estimated HSA withdrawals $3,229 $0
$1,984 28% federal rate + 6.2% FICA tax savings on HSA Contribution
Estimated HSA tax savings $1,984 $0
$9,514 Premium + HSA Withdrawel (or Medical Expense) + HSA Tax Savings
Total annual cost $9,166 $18,680
Total monthly cost $764 $1,557 $793
$2,571 This carry‐over balance is an employee asset
Unused HSA Account Balance $2,571 $0
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10. Partners / Vendors / Customers
CCS has negotiated several important contracts
• An exclusive contract with the Credit Union National Association (“CUNA”) to co-
brand CCS’ offering to all of CUNA”s 90 million credit union members
• Other exclusive customer contracts:
• Usana, Tahitian Noni, Baptist National Convention
• CCS partners are quality branded
suppliers delivering Best of Breed
products to its members
CCS members access these products an
services primarily through a proprietary
and easy-to-use web portal:
www.MyDirectAccess.com
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11. Web-Based Tools
Members access CCS and through a suite of powerful, yet
friendly web-tools
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12. Member Tools
Membership has its benefits….The DirectAccess Card
• CCS is one of the first to offer a “dual purse” Visa debit card
Helps manage HSA spending
Private label / branding opportunities exist
Debit card administered by Visa
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13. The Bottom Line
CCS – Ready to fulfill America’s healthcare needs, one family at a time
• No implementation risk
Fulfillment outsourced to large and well established vendor partners (Visa®, Rx America, etc.)
• Proven market demand with exceptional growth fundamentals
Employee / employer stated demand
Federal, state and local support
• Products / services delivered through easy-to-use proprietary patented web
portal
Unique / fully open architecture
Private label ready
• Membership driven revenue, significant margin and highly variable cost model
Monthly membership is $39.95
Offered in conjunction with HDHP / HSA services or on a stand-alone (uninsured/ under insured) basis
Month-to-month commitment
Revenue sharing opportunities exist
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14. Your Team
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15. Your Team
Consumer Care Solutions has a broad team with deep experience
• Gerald Tsai, Jr. – Former Chairman
Consumer Care Solutions mourns the passing of its Chairman, Mr. Gerald Tsai in the summer of
2008
As a true visionary, Jerry saw Consumer Care Solutions as a company with the potential to be a
significant player in the consumer directed healthcare industry. He saw CCS as having similar
potential to what he saw in Primerica as he turned it from American Can to a financial services
giant.
• Pasquale (“Pat”) Dileo – President / CEO
Pat has 20 years of proven entrepreneurial and management experience in both guiding his own
companies and providing strategic advice and guidance to the CEOs of various corporations. As
a founder and principal of Select Business Implementation Group, he has spent over a decade
negotiating and closing complex corporate acquisition and merger business transactions for
several start-up and early-stage development companies, one of which he took public. Areas of
expertise include health care development and operations, environmental municipal waste
management and real estate/recreational businesses. He served as Commercial Real Estate
Director of Merrill Lynch Realty until they sold the subsidiary to Prudential Real Estate.
Throughout his business career, he has both participated in and managed the daily operations of
the various businesses he owned. Such participation included raising significant amounts of
capital and closing numerous equity and debt financing transactions.
He is one of the founders of Consumer Care Solutions, Inc, a company he created in August
2006. A U.S. Navy veteran, he graduated from the College of New Jersey.
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16. Your Team
Consumer Care Solutions has a broad team with deep experience
• Erol Y. Beker - Vice Chairman of the Board of Directors:
Erol Beker has been involved in the management of public and private companies since 1982,
when he became the then youngest CEO of a public company (Beker Industries) to be listed on
the New York Debentures Exchange. Subsequently, Erol headed Cedar Holdings, a firm that
specialized in commodities trading and leverage buyouts in the chemical business, and one that
eventually purchased Royster Company, an agribusiness pioneering company that today is
known as Royster-Clark. Over his 28 years of experience, he has performed workouts for large
banks, been a private investor and done consulting work.
Erol holds BA and MBA degrees from Babson College and Columbia University respectively.
• Adam Goodfriend – Executive Vice President – Director of Operations & Finance
Adam Goodfriend has approximately 20 years of investing, investment banking and capital
markets experience. He has acted as both principal and agent and has managed portfolio assets
for hedge funds. His principal focus has been on the high yield and bank debt finance markets for
middle market companies.
Adam began his finance career at Chase Manhattan Bank in 1990, and in 1992, co-founded its
high yield finance group. In 1997, he moved to SG Cowen as a founding member of its high yield
underwriting franchise and was made responsible for the firm's European high yield effort. In
2000, he was hired to help re-build Bank of America's high yield finance group as a Managing
Director. In 2003, Adam left banking to become a co-founder of Airlie Opportunity Group, a multi-
billion dollar multi-strategy hedge fund.
He holds an MBA from the Wharton School of Business and a BA from Johns Hopkins University.
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17. Your Team
Consumer Care Solutions has a broad team with deep experience
• Michael C. Cassady - Chief Marketing and Strategy Officer
Michael, a serial entrepreneur, is a proven leader with multiple successes in launching and
building profitable businesses.
Michael was a co-founder of Beach Rock Inc. and a Director of Operations with LoneStar
Hospitality. From 2993 - 2005, he was CEO/President of Global Affiliates Inc. (d.b.a. GlobalFit), a
health benefits company that operated in 49 US major markets with over 70 employees and a
rapidly growing client base of more than 2,000 of the nation's top employers, insurance carriers
and organizations representing more than 60 million employees and members.
Michael sits on the advisory board of Oceanus Partners, a consulting firm focusing on strategic
plans for expanding businesses. He is also an active member and supporter of the International
Health, Racquet & Sportsclub Association, the HRC Federal Club and the Sapphire Fund.
He holds a BA degree in Biology and Chemistry from the University of Houston, and a JD
Corporate Law from the University of Houston Law School.
• Robert B. Hyte - Chief Technology Officer
Over 20 years ago, Bob became aware of the need for medical data processing services and
created the first healthcare service bureau in the Intermountain West. After growing his business
to several million in revenues and serving most hospital and medical clinics in a three state
region. He sold this business to a large hospital service company.
Bob subsequently joined Control Data Corp. in their healthcare technology division where he
became one of the chief designers of the National Blue Cross/Blue Shield back office and claim
administration systems. Bob has served as CEO/President of several technology corporations in
the public and private sectors and is an author/patent holder/creator of Direct Access Worldwide.
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18. Your Team
Consumer Care Solutions has a broad team with deep experience
• Dr. Alan J. Iezzi - Chief Medical Officer
Dr. Iezzi is the Chief Medical Officer of Consumer Care Solutions ('CCS') and is the founder and
president of Patient Directed Care, Inc. ('PDC'), which is a health network, patient advocate, and
a discounted medical care organization recently acquired by Consumer Care Solutions. He is
responsible for medical supervision and patient advocacy, as well as health plan design.
Dr. Iezzi has operated a successful family practice in Tampa, FL since 1986. He has served as
Chief of Family Medicine for both St. Josephs and University Community Hospitals in Tampa, is a
member of Quality Assurance Committees for St. Josephs Hospital and several major insurance
companies. He is active in many advisory boards for Florida insurance companies, and he has
extensive experience in healthcare service quality on both the physician and insurance side.
Florida is among the three states in which he holds licenses.
• Anthony Cipollone - Chief Financial Officer
Anthony Cipollone, a CPA, worked as a senior accountant for a large New York CPA accounting
firm early on in his career. He subsequently held positions as controller, treasurer and chief
accounting officer with both private and public NJ companies, including Unified Environmental
Services Group, LLC of New York and VRH Construction Company of Englewood, NJ. During his
ten-year employment as Controller with VRH Construction, he made significant staff and
programs changes in the accounting department.
Anthony received a B.S. in accounting from Herbert H. Lehman College in Bronx, NY and an
A.A.S degree in Data Processing from Westchester (NY) Community College.
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19. Your Team
Consumer Care Solutions has a broad team with deep experience
• Lorraine Spiotta - VP, National Sales
Lorraine Spiotta, since 1997, has become a widely recognized and acknowledged spokesperson
for the Long-Term Care Insurance industry in NJ. The president and founder of Senior Long-
Term Care Insurance Brokerage, Inc., she has completed the advanced training and educational
requirements for the prestigious Chartered Life Underwriter (CLU) and Chartered Financial
Consultant (ChFC), and her Certified Long-term Care Designation (CLTC).
Lorraine participates actively in numerous community and professional organizations, and was
the past president of the NJ Chapter of Women Life Underwriters Confederation. She is also
highly regarded in the long-term care insurance field, serving as a lecturer, keynote speaker and
panel moderator and has authored several articles and a Care-giving Handbook. She has served
as a Commissioner with the NJ Commission on Aging.
• Jeffrey Resnick - VP Marketing
25 years ago, Jeff co-founded an integrated Strategic Marketing/Sales Promotion/
Packaging agency in northeast Ohio. The company grew to over 30 people and handled full-
service national accounts such as Glidden/ ICI Paints, British Petroleum, The Scotts Company,
Marzetti Salad Dressings, Moen and General Mills.
Jeff subsequently established a sales promotion and marketing partnership with accounts such
as, American Express, Sherwin-Williams, National City Bank, Key Bank, Levi-Strauss, American
Greetings and General Electric. Jeff’s has historically emphasized driving sales through
aggressive targeted incentive programs, focusing on Strategic/Integrated Marketing that ties the
channels of marketing and distribution to the end user.
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20. Your Team
Consumer Care Solutions has a broad team with deep experience
• William H. White - VP Administration/Assistant to the President
For over 30 years, Bill White headed a major reference book publishing company, and after brief
stints in real estate and consulting, he subsequently joined Pat Dileo as a founder and principal
of Select Business Implementation Group
Bill is an active participant in a number of community organizations and affairs, and is actively
been involved as an alumnus of his alma mater, Dartmouth College.
• Bradley J. Hendricks - Assistant to the Chief Technology Officer
Since receiving his undergraduate degree from Brigham Young University and his Doctor of
Chiropractic from Los Angeles College of Chiropractic, Brad Hendricks has continued to practice
with and promote an integrative medicine approach to healthcare, working alongside family
practice physicians, neurologists, orthopedists, physical therapists, acupuncturists, massage
therapists and other specialists.
• George W. Connley - VP Insurance Relations
George has over 37 years experience in the insurance industry and holds licenses for both
Property & Casualty and Life & Health for the state of Florida. He served as president and CEO
of Southeastern Staffing, Inc., managing $227 million in revenue. George held several positions
with Wausau Insurance, including Sales Manager for the North and South Carolina territories.
He holds a BA Degree from Morehead State University.
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