SlideShare a Scribd company logo
1© 2016 Teladoc, Inc. All rights reserved.
Reduce health plan
claims by making
healthcare easy
We’re kicking apps and taking claims!
2© 2016 Teladoc, Inc. All rights reserved.
+
= The industry leading telehealth,
member engagement, & claim
redirection solution!
Working Together Making
Healthcare Great
3© 2016 Teladoc, Inc. All rights reserved.
Consumer Engagement Experts
Owns no doctor offices
Something Strange Is Going On…
World’s largest taxi
company,
Largest provider of
accommodations,
Most popular
media owner,
Most valuable
retailer,
Owns no vehicles Owns no real estate Has no stores Creates no content
4© 2016 Teladoc, Inc. All rights reserved.
Continued Industry Leadership
COMPANY VISITS IN 2015 (MARKET SHARE)
575k+ (70%)
125k-150k (15%)
60k-80k (10%)
50k (5%)
Only 30%
COMBINED
Market Share
900k
PROJECTED VISITS IN 2016
5© 2016 Teladoc, Inc. All rights reserved.
Care Options
Google/Web MD
Call Mom
Minute Clinic
Do Nothing
Primary Care Physician
Emergency Room
Urgent Care
Call HealthiestYou First!
$0 Consult Fee (FREE!)
NO Germs!
NO Travel Time!
NO Claim!
Available 24/7 from anywhere
6© 2016 Teladoc, Inc. All rights reserved.
Top 9 Reasons We Visit The ER
Allergies
Bronchitis Earache Sore Throat
Pink Eye SinusitisStrep Throat
Urinary Tract
Infection (UTI)
Upper
Respiratory
Infection
71% of employer
sponsored ER visits
are unnecessary*
*Truven Health Analytics, April 2013.
7© 2016 Teladoc, Inc. All rights reserved.
User Friendly HealthiestYou Platform
OLD SCHOOL PHONES
SMART WATCHES
SMART PHONES TABLETS
COMPUTERS
SMART TVs
8© 2016 Teladoc, Inc. All rights reserved.
We Place The Member In The Center
9© 2016 Teladoc, Inc. All rights reserved.
Teladoc Doctors
Visit with a doctor… NO CONSULT FEES!
24/7/365 Access with no time
limits for visits
Diagnose, treat and prescribe
Service available in 49 states
(excluding Arkansas)
Licensed and reside in the US
Board certified, with an
average of 20 yrs. experience
NCQA-certified physician peer
review credentialing program
10% of medical charts reviewed
Provider level patient
satisfaction tracked
Monitor medication frequency,
continuously measured against
industry benchmarks
10© 2016 Teladoc, Inc. All rights reserved.
Teladoc Clinical Specialties Deliver
Maximum Value
Behavioral Health
Industry’s first
comprehensive solution
Longitudinal provider
relationship
Psychopharmacology,
Psychotherapy, Counseling
Collaborative care
Dermatology
Convenient, high
quality access
Secure image exchange
Tailored clinical protocols
Dermatologist follow up
included
Tobacco Cessation
Multi-faceted program to
help members quit
Physician directed protocols,
including Rx
Proactive coaching &
reminders
Completion certificate available
11© 2016 Teladoc, Inc. All rights reserved.
And The Survey Says…
95%
Patient Satisfaction1
82% industry standard2
90%
Would Use It Again1
92%
Resolution Rate1
1. Teladoc Patient Satisfaction Survey 2015. 2. “2014 Chartbook: What Patients Say About
Their Health Care Providers and Medical Practices,” CAHPS.
$673
Average plan
savings
9 min
Average Call
Back Time
95%
Client Retention
Rate
12© 2016 Teladoc, Inc. All rights reserved.
KICKING APPS AND TAKING CLAIMS
Healthcare
Innovation
13© 2016 Teladoc, Inc. All rights reserved.
v
• Over 10,000 locations
Geo-Fenced
• Convenient reminders to save
money, time and reduce claims
in health plan.
• HY can handle over 70% of
typical reason to visit the
doctor’s office!
Geo-Fencing Reminders
14© 2016 Teladoc, Inc. All rights reserved.
• Don’t overpay for medication,
shop first.
• We’ve mapped and geo-fenced
each and every Pharmacy
across the country. All 76,000+
of them.
Geo-Fencing Reminders
v
15© 2016 Teladoc, Inc. All rights reserved.
HealthiestYou App
16© 2016 Teladoc, Inc. All rights reserved.
Radar
v
v
v
• Find providers nearby wherever
you go
• Great for business trips or
vacation
• Alert reminding to use
telehealth first
• Filter results for doctors,
pharmacies, urgent care
centers, hospitals and even
locate the nearest vet
17© 2016 Teladoc, Inc. All rights reserved.
• Alert reminding to use
telehealth first
• Choose your physician by
specialty and location
• See star ranking from other
patients
• Access bio specifics about your
physician such as languages
spoken, education and more!
Search In-Network Providers
v
v
v
18© 2016 Teladoc, Inc. All rights reserved.
Doctor Consultations
v
• Confidential and secure
• Choose modality: Phone or video
(where applicable)
• No time limits on visit
• Upload and share photos with
the doctor
• Have your prescription
(if prescribed) sent to a preferred
pharmacy or one time location
v
19© 2016 Teladoc, Inc. All rights reserved.
Prescription Savings
v
v
v• Offer to save by finding generic
drug first
• Find and compare Rx prices at a
glance
• Show discount to pharmacy to
get the lowest cash price
• Option to add to Apple Wallet
• Pin/save drug to your circles for
quick reference later
20© 2016 Teladoc, Inc. All rights reserved.
Procedure Pricing
v
v
v
• Find and compare procedure
prices
• See low, high, and average price
actually paid by people near you
• Filter cash price or insurance
price
21© 2016 Teladoc, Inc. All rights reserved.
Sync & Check Your Insurance
v
v
• Always know where you stand
• Carry your insurance card
digitally in your pocket
• Check in-network and out-of-
network deductibles
• View co-pay amounts
22© 2016 Teladoc, Inc. All rights reserved.
DEVOTED TO OUR CLIENTS
Client Success
23© 2016 Teladoc, Inc. All rights reserved.
We Support Our Admins
CLIENT SUCCESS TEAM MEMBER ADMIN EMPLOYEES
COMMUNICATION / EDUCATION COMMUNICATION / EDUCATION
24© 2016 Teladoc, Inc. All rights reserved.
Covering Every Angle
Client Portal
Admin Kits
Phone Calls
Webinars
Contests/App Drives
Email Campaigns
Seasonal Marketing
25© 2016 Teladoc, Inc. All rights reserved.
Fulfillment Kits
26© 2016 Teladoc, Inc. All rights reserved.
Marketing Fun
EMAIL MARKETING PAYROLL STUFFERSPOSTCARD MAILERS
State of the art in-house design
and production capabilities
27© 2016 Teladoc, Inc. All rights reserved.
Targeted Campaigns
28© 2016 Teladoc, Inc. All rights reserved.
Utilization Reporting
29© 2016 Teladoc, Inc. All rights reserved.
CASE STUDIES, UTILIZATION, AND MORE
By The Numbers
30© 2016 Teladoc, Inc. All rights reserved.
Our Passion = Utilization
58%
Groups that
have been
with HY for at
least 1 year
42%
Claim Redirection
Specialists
1-5%
Telehealth Vendor
1-5%
31© 2016 Teladoc, Inc. All rights reserved.
42% Utilization
210 X $673* $141,330
$36,000$6.00
Total Redirection
X 500
=
X 12
$105,330
ROI FOR 42%
HY Spend
58% Utilization
*TELADOC AVERAGE EPISODE OF CARE SAVINGS.
Value Story – Claim Reduction
(500 Employee Group)
=
MonthsEmployeesAvg. PEPM
Consults Avg. Savings
290 X $673* $195,170
$36,000$6.00
Total Redirection
X 500
=
X 12
$159,170
ROI FOR 58%
HY Spend
=
MonthsEmployeesAvg. PEPM
Consults Avg. Savings
32© 2016 Teladoc, Inc. All rights reserved.
Large Employer Success Stories
Large National Retailer
$1,157 savings per episode
($21.30 savings PMPM)
ROI
9.0x
Total Medical Savings
$5.4mm
Total benefits spend
est. 9.8%
Rent-A-Center
PCP savings / ER savings
$284 / $2,419
ROI
11.8x
Total Medical Savings
$1.7mm
Total benefits spend
est. 5.5%
33© 2016 Teladoc, Inc. All rights reserved.
HY- Success Story
(146 Employee Group)
# OF PEOPLE
FILED A CLAIM
-36.6%
CLAIMS
-39.0%
PAYMENTS
-37.2%
2.2 FEWER PTO
DAYS/EMPLOYEE $30,848 ANNUAL CLAIM
SAVINGS= |
34© 2016 Teladoc, Inc. All rights reserved.
HY- Success Story
(Slinger School District)
86.6% -2%177
DR. CONSULTS
225
# OF EMPLOYEES
$0 FREE consultation
for employees
OUT OF POCKET
= RAISES FOR THE
TEACHERS & STAFF
For the first time in years!!
HY UTILIZATION 2015 - 2016 INS. RENEWAL
Previous Year’s
Increase 10%-20%
35© 2016 Teladoc, Inc. All rights reserved.
HY- Success Story
(2231 Employees - Self Funded)
PCP CO-PAY
URGENT CARE CO-PAY
ER CARE CO-PAY
INDIVIDUAL DEDUCTIBLE
FAMILY DEDUCTIBLE
PRESCRIPTION CO-PAY
$25
$50
$100 AFTER DED.
$2,500
$5,000
$25
$35
$75
$200 AFTER DED.
$3,500
$7,000
$45
OLD PLAN NEW PLANEMPLOYER PLAN SNAPSHOT
44.4%
HY UTILIZATION RATE
$311,661 Saved
TELEHEALTH CONSULTS (1,071)
37%
URGENT CARE SPEND REDUCED
36© 2016 Teladoc, Inc. All rights reserved.
Benefit Plan Design
• 24/7/365 physician access
• No consult fees
• Sync your health plan and
search providers
• Prescriptions savings up
to 85%
• Major Medical
• Supplemental Medical
• Ancillary
• Stop Loss
OTHER MEDICAL
HEALTHIESTYOU
37© 2016 Teladoc, Inc. All rights reserved.
HealthiestYou Pricing
38© 2016 Teladoc, Inc. All rights reserved.
What can we do to
earn your business?
We’d like an opportunity to serve
you and your members.
Armen K Hamalian /
AdvantEdge Solutions
zerocopays@gmail.com
386-249-0615
Individuals or Family Plan
www.FreeDoctorCalls.com
Businesses or Associations
www.SaveYourCompanyMoney.com

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Armens TD_Sales_Presentation

  • 1. 1© 2016 Teladoc, Inc. All rights reserved. Reduce health plan claims by making healthcare easy We’re kicking apps and taking claims!
  • 2. 2© 2016 Teladoc, Inc. All rights reserved. + = The industry leading telehealth, member engagement, & claim redirection solution! Working Together Making Healthcare Great
  • 3. 3© 2016 Teladoc, Inc. All rights reserved. Consumer Engagement Experts Owns no doctor offices Something Strange Is Going On… World’s largest taxi company, Largest provider of accommodations, Most popular media owner, Most valuable retailer, Owns no vehicles Owns no real estate Has no stores Creates no content
  • 4. 4© 2016 Teladoc, Inc. All rights reserved. Continued Industry Leadership COMPANY VISITS IN 2015 (MARKET SHARE) 575k+ (70%) 125k-150k (15%) 60k-80k (10%) 50k (5%) Only 30% COMBINED Market Share 900k PROJECTED VISITS IN 2016
  • 5. 5© 2016 Teladoc, Inc. All rights reserved. Care Options Google/Web MD Call Mom Minute Clinic Do Nothing Primary Care Physician Emergency Room Urgent Care Call HealthiestYou First! $0 Consult Fee (FREE!) NO Germs! NO Travel Time! NO Claim! Available 24/7 from anywhere
  • 6. 6© 2016 Teladoc, Inc. All rights reserved. Top 9 Reasons We Visit The ER Allergies Bronchitis Earache Sore Throat Pink Eye SinusitisStrep Throat Urinary Tract Infection (UTI) Upper Respiratory Infection 71% of employer sponsored ER visits are unnecessary* *Truven Health Analytics, April 2013.
  • 7. 7© 2016 Teladoc, Inc. All rights reserved. User Friendly HealthiestYou Platform OLD SCHOOL PHONES SMART WATCHES SMART PHONES TABLETS COMPUTERS SMART TVs
  • 8. 8© 2016 Teladoc, Inc. All rights reserved. We Place The Member In The Center
  • 9. 9© 2016 Teladoc, Inc. All rights reserved. Teladoc Doctors Visit with a doctor… NO CONSULT FEES! 24/7/365 Access with no time limits for visits Diagnose, treat and prescribe Service available in 49 states (excluding Arkansas) Licensed and reside in the US Board certified, with an average of 20 yrs. experience NCQA-certified physician peer review credentialing program 10% of medical charts reviewed Provider level patient satisfaction tracked Monitor medication frequency, continuously measured against industry benchmarks
  • 10. 10© 2016 Teladoc, Inc. All rights reserved. Teladoc Clinical Specialties Deliver Maximum Value Behavioral Health Industry’s first comprehensive solution Longitudinal provider relationship Psychopharmacology, Psychotherapy, Counseling Collaborative care Dermatology Convenient, high quality access Secure image exchange Tailored clinical protocols Dermatologist follow up included Tobacco Cessation Multi-faceted program to help members quit Physician directed protocols, including Rx Proactive coaching & reminders Completion certificate available
  • 11. 11© 2016 Teladoc, Inc. All rights reserved. And The Survey Says… 95% Patient Satisfaction1 82% industry standard2 90% Would Use It Again1 92% Resolution Rate1 1. Teladoc Patient Satisfaction Survey 2015. 2. “2014 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices,” CAHPS. $673 Average plan savings 9 min Average Call Back Time 95% Client Retention Rate
  • 12. 12© 2016 Teladoc, Inc. All rights reserved. KICKING APPS AND TAKING CLAIMS Healthcare Innovation
  • 13. 13© 2016 Teladoc, Inc. All rights reserved. v • Over 10,000 locations Geo-Fenced • Convenient reminders to save money, time and reduce claims in health plan. • HY can handle over 70% of typical reason to visit the doctor’s office! Geo-Fencing Reminders
  • 14. 14© 2016 Teladoc, Inc. All rights reserved. • Don’t overpay for medication, shop first. • We’ve mapped and geo-fenced each and every Pharmacy across the country. All 76,000+ of them. Geo-Fencing Reminders v
  • 15. 15© 2016 Teladoc, Inc. All rights reserved. HealthiestYou App
  • 16. 16© 2016 Teladoc, Inc. All rights reserved. Radar v v v • Find providers nearby wherever you go • Great for business trips or vacation • Alert reminding to use telehealth first • Filter results for doctors, pharmacies, urgent care centers, hospitals and even locate the nearest vet
  • 17. 17© 2016 Teladoc, Inc. All rights reserved. • Alert reminding to use telehealth first • Choose your physician by specialty and location • See star ranking from other patients • Access bio specifics about your physician such as languages spoken, education and more! Search In-Network Providers v v v
  • 18. 18© 2016 Teladoc, Inc. All rights reserved. Doctor Consultations v • Confidential and secure • Choose modality: Phone or video (where applicable) • No time limits on visit • Upload and share photos with the doctor • Have your prescription (if prescribed) sent to a preferred pharmacy or one time location v
  • 19. 19© 2016 Teladoc, Inc. All rights reserved. Prescription Savings v v v• Offer to save by finding generic drug first • Find and compare Rx prices at a glance • Show discount to pharmacy to get the lowest cash price • Option to add to Apple Wallet • Pin/save drug to your circles for quick reference later
  • 20. 20© 2016 Teladoc, Inc. All rights reserved. Procedure Pricing v v v • Find and compare procedure prices • See low, high, and average price actually paid by people near you • Filter cash price or insurance price
  • 21. 21© 2016 Teladoc, Inc. All rights reserved. Sync & Check Your Insurance v v • Always know where you stand • Carry your insurance card digitally in your pocket • Check in-network and out-of- network deductibles • View co-pay amounts
  • 22. 22© 2016 Teladoc, Inc. All rights reserved. DEVOTED TO OUR CLIENTS Client Success
  • 23. 23© 2016 Teladoc, Inc. All rights reserved. We Support Our Admins CLIENT SUCCESS TEAM MEMBER ADMIN EMPLOYEES COMMUNICATION / EDUCATION COMMUNICATION / EDUCATION
  • 24. 24© 2016 Teladoc, Inc. All rights reserved. Covering Every Angle Client Portal Admin Kits Phone Calls Webinars Contests/App Drives Email Campaigns Seasonal Marketing
  • 25. 25© 2016 Teladoc, Inc. All rights reserved. Fulfillment Kits
  • 26. 26© 2016 Teladoc, Inc. All rights reserved. Marketing Fun EMAIL MARKETING PAYROLL STUFFERSPOSTCARD MAILERS State of the art in-house design and production capabilities
  • 27. 27© 2016 Teladoc, Inc. All rights reserved. Targeted Campaigns
  • 28. 28© 2016 Teladoc, Inc. All rights reserved. Utilization Reporting
  • 29. 29© 2016 Teladoc, Inc. All rights reserved. CASE STUDIES, UTILIZATION, AND MORE By The Numbers
  • 30. 30© 2016 Teladoc, Inc. All rights reserved. Our Passion = Utilization 58% Groups that have been with HY for at least 1 year 42% Claim Redirection Specialists 1-5% Telehealth Vendor 1-5%
  • 31. 31© 2016 Teladoc, Inc. All rights reserved. 42% Utilization 210 X $673* $141,330 $36,000$6.00 Total Redirection X 500 = X 12 $105,330 ROI FOR 42% HY Spend 58% Utilization *TELADOC AVERAGE EPISODE OF CARE SAVINGS. Value Story – Claim Reduction (500 Employee Group) = MonthsEmployeesAvg. PEPM Consults Avg. Savings 290 X $673* $195,170 $36,000$6.00 Total Redirection X 500 = X 12 $159,170 ROI FOR 58% HY Spend = MonthsEmployeesAvg. PEPM Consults Avg. Savings
  • 32. 32© 2016 Teladoc, Inc. All rights reserved. Large Employer Success Stories Large National Retailer $1,157 savings per episode ($21.30 savings PMPM) ROI 9.0x Total Medical Savings $5.4mm Total benefits spend est. 9.8% Rent-A-Center PCP savings / ER savings $284 / $2,419 ROI 11.8x Total Medical Savings $1.7mm Total benefits spend est. 5.5%
  • 33. 33© 2016 Teladoc, Inc. All rights reserved. HY- Success Story (146 Employee Group) # OF PEOPLE FILED A CLAIM -36.6% CLAIMS -39.0% PAYMENTS -37.2% 2.2 FEWER PTO DAYS/EMPLOYEE $30,848 ANNUAL CLAIM SAVINGS= |
  • 34. 34© 2016 Teladoc, Inc. All rights reserved. HY- Success Story (Slinger School District) 86.6% -2%177 DR. CONSULTS 225 # OF EMPLOYEES $0 FREE consultation for employees OUT OF POCKET = RAISES FOR THE TEACHERS & STAFF For the first time in years!! HY UTILIZATION 2015 - 2016 INS. RENEWAL Previous Year’s Increase 10%-20%
  • 35. 35© 2016 Teladoc, Inc. All rights reserved. HY- Success Story (2231 Employees - Self Funded) PCP CO-PAY URGENT CARE CO-PAY ER CARE CO-PAY INDIVIDUAL DEDUCTIBLE FAMILY DEDUCTIBLE PRESCRIPTION CO-PAY $25 $50 $100 AFTER DED. $2,500 $5,000 $25 $35 $75 $200 AFTER DED. $3,500 $7,000 $45 OLD PLAN NEW PLANEMPLOYER PLAN SNAPSHOT 44.4% HY UTILIZATION RATE $311,661 Saved TELEHEALTH CONSULTS (1,071) 37% URGENT CARE SPEND REDUCED
  • 36. 36© 2016 Teladoc, Inc. All rights reserved. Benefit Plan Design • 24/7/365 physician access • No consult fees • Sync your health plan and search providers • Prescriptions savings up to 85% • Major Medical • Supplemental Medical • Ancillary • Stop Loss OTHER MEDICAL HEALTHIESTYOU
  • 37. 37© 2016 Teladoc, Inc. All rights reserved. HealthiestYou Pricing
  • 38. 38© 2016 Teladoc, Inc. All rights reserved. What can we do to earn your business? We’d like an opportunity to serve you and your members. Armen K Hamalian / AdvantEdge Solutions zerocopays@gmail.com 386-249-0615 Individuals or Family Plan www.FreeDoctorCalls.com Businesses or Associations www.SaveYourCompanyMoney.com