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Chronic Care Coaching Slides 9.2.15
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- 2. 2 Practice Profile • Practicehas 5+ Providers- In order to meet enrollment targets of 50+ patients/week at least 2,500 Medicare FFS lives are needed. Even if an office has 2,500+ lives, but fewer than 5 providers, they do not see enough patients to meet the enrollment target. • Practice has a Leading EHR- Allscripts Athena Cerner eClinical Works e-MDs Epic GE Centricity Greenway McKesson NextGen Practice Fusion • Practice is located in a major U.S. city within an hour drive from an airport served by a major carrier
- 3. 3 Company Evolution MD Revolutionis a transformational digital health company focused on converging technology and the latest medical science for chronic disease care and prevention
- 4. 4 RevUp Overview RevUp isa digital health services platform for population health management Care Team Model Technology platform that scales human interaction Engagement Motivates individuals to undertake sustained behavior change Chronic Care & Prevention Outcomes-focused disease management
- 5. 5 Paving the Wayfor Value-Based Healthcare
- 6. 6 Clinical Algorithms Segmentthe Population Enabling Personalized Care at Scale Message Repository Large patient population 450+ chronic diseases and comorbidities Algorithms sort the population by: • Provider care plan • Patient goals • Clinical data • Lifestyle and habits Personalized coaching is provided by care teams using secure rule-based messaging
- 7. 7 REVERSAL OF DISEASES AFTER90 DAYS OF RevUp 1.4% BODY FAT LOST Better metric than weight loss3 1.6% WEIGHT REDUCTION 4% VISCERAL FAT LOST Reduces blood pressure, cholesterol and improves insulin sensitivity1 10% VO2 IMPROVEMENT VO2 = cardiorespiratory fitness2 CLINICAL OUTCOMES & IMPROVEMENT *2 or more chronic conditions including morbidly obese, diabetic, hypertensive 1. “Abdominal fat and what to do about it’, Harvard Medical School Family Health Guide; February 2007. 2. “Long-Term Effects of Changes in Cardiovascular Fitness and Body Mass Index on All-Cause and Cardiovascular Disease in Men”; Circulation, 124:2483-2490, 2011. 3. Science Magazine, The Health Risk of Obesity – Better Metrics Imperative, 2013. After three months, 125 high risk* users with 2+ chronic conditions REDUCTION OF EMPLOYEES WITH HYPERTENSIVE BLOOD PRESSURE REDUCTION OF EMPLOYEES WITH UNCONTROLLED DIABETES 30% 20% CONTINUOUS USER ENGAGEMENT 71% OF PARTICIPANTS REMAINED ACTIVE ON THE PLATFORM SIX MONTHS AFTER PROGRAM HAD BEEN COMPLETED RevUp Drives Results: Case Study
- 8. 8 Personal Dashboard —RevUp Nurse
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- 10. 10 Non-Internet Option StillFulfills 20min. Requirement • Personalized educational packets • Conference calls and webinars • Interactions digitized upon receipt
- 11. 11 MDR’s Proven End-to-EndCCM Solution Key Differentiators • Digital platform that scales human interactions and care team • Real time analytics on growing database supports personalized engagement • Lowest cost platform for broad chronic care management enables CCM business for physicians Pa#ent Enrollment Care Plan Crea#on Billing Automa#on Mul#ple Modali#es Clinically Relevant Messaging Full service, end-‐to-‐end solu#on minimizes fixed costs and disrup#on to the provider and office’s workflow
- 12. 12 CCM Potential Competitors SaaSCompetitors • Largely care coordination • Machine learning capabilities to personalize messaging is lacking • Analog delivery, high cost model • Extremely difficult to scale Technology-only Model • Physician “do-it-yourself” model • Does not provide the necessary monthly requirement of 20 min. of non face-to-face messaging • Low physician adoption given existing lack of adequate staffing • Does not scale CCM for the practice Examples include CareCliques, Citra, CircleLink Health, EQ Health Solutions, CareSync Examples include SmartLink, TAVHealth, HealthFusion, Phytel, Kryptiq, Wellcentive, Conversa Health, QualcommLife All informa+on derived from company’s website
- 13. 13 CCM Competitive Landscape So8ware as a Service Care Coordina+on Clinically Relevant Messaging & Care Coordina+on So8ware Pa#ent Engagement Sta#c Informa#on CONVERSA HEALTH CRIMSON CARE MGMT PHYTEL KRYPTIQ MYCARECOACH CARESYNC QUALCOMMLIFE CARADIGM CARECLIQUES EQ HEALTH CIRCLELINK SMARTLINK THOUGHTSWIFT CITRA WELLCENTIVE TAVHEALTH HEALTHFUSION All informa+on derived from company’s website
- 14. 14 Competitive Landscape CCM So8ware CCM Services Scalable Service Pa+ent Enrollment Assistance Care Plan Crea+on Clinically Relevant Messaging Mul+ple Delivery Modali+es Evidence of Care Billing Automa+on MD Revolu#on X X X X X X X X X Care Cliques X O X X O X X Care Sync X X X X X CircleLink Health X X X Citra X X X EQHealth X O X O O X TAVHealth Kryp+q X S S S S HealthFusion X S S S S* -‐ So8ware Solu+on(client must provider resource to deliver services) O* -‐ Op+onal Services A* -‐ Automated Service
- 15. 15 Practice Within aPractice Dedicated Enrollement Specialist (ES) drives patient enrollment so the practice can focus on what they do best Train staffEnroll patientsDevelop care plan MDR liaison Enrollment Specialist (ES) Practice StaffEnrollment Specialist for CCM
- 16. 16 Implementation Schedule Sales Handoff Plan &Design Integrate IT & Train Ongoing Support Client Details Form • Sales Rep completes CDF and collects required items regarding: • Provider Details • Patient List(s) • Software / IT Details • Marketing & Communication Client Project Scoped • Implementation Manager (IM) and RevUp IT team draft Work Plan. Kickoff Call • IM reviews Scoping Plan and next steps with Client. IT Call • Determine secure connectivity options, integration approach and roles. • Gain appropriate access to EHR. Enrollment Specialist (ES) • Begin sourcing onsite resource for enrolling CCM eligible patients. Marketing Collateral • Promotional, educational, and program enrollment materials provided to Client. CCD Exchange & EHR Integration • RevUp and EHR integration build. ES Orientation • RES trained to act as onsite practice champion for CCM service. Practice Training • Office manager and staff trained on CCM workflows and service. Enrollment Start • Begin educating patients and enrolling them in CCM program. Patient Engagement & Management • Begin delivering care. Reporting & Billing Documentation • Clinical data updates. • Evidence of care provided for billing at end of each month.
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- 18. 18 CCM Economic ModelVariables MDR (PROACTIVE) Number of Patients 1,000 CCM Revenue ($42.00 patient mo.) $504,000 Practice Clinical Team (Service + Documentation) $0 Technology/CCM Module Cost ($4 patient mo.) $0 Practice & Management Overhead - 25% $0 MD Revolution Engagement ($19.00 patient mo.) $228,000 Total Cost $228,000 Net Income $276,000
- 19. 19 MDR (PROACTIVE) Number of Patients1,000 CCM Revenue ($42 patient mo.) $504,000 Practice Clinical Team (Service + Documentation) $0 Technology/CCM Module Cost ($4 patient mo.) $0 Practice & Management Overhead - 25% $0 MD Revolution Engagement ($19 patient mo.) $228,000 Total Cost $228,000 Net Income CCM Economic Model Variables DO IT YOURSELF DO IT YOURSELF (REACTIVE) (PROACTIVE) 200 $100,800 $50,000 $9,600 $14,900 $0 $74,500 $276,000 $26,300
- 20. 20 MDR (PROACTIVE) Number of Patients1,000 CCM Revenue ($42 patient mo.) $504,000 Practice Clinical Team (Service + Documentation) $0 Technology/CCM Module Cost ($4 patient mo.) $0 Practice & Management Overhead - 25% $0 MD Revolution Engagement ($19 patient mo.) $228,000 Total Cost $228,000 Net Income CCM Economic Model Variables DO IT YOURSELF DO IT YOURSELF (REACTIVE) (PROACTIVE) 200 1,000 $100,800 $504,000 $50,000 $250,000 $9,600 $48,000 $14,900 $74,500 $0 $0 $74,500 $372,500 $276,000 $26,300 $131,500
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- 22. 22 Partner with Confidence “Based on a reasonable reading of the CCM documents and CMS commentary and rules…MD Revolu#on’s CCM services, including its RevUp online plaDorm, as set forth in the CCM document, comply with the billing requirements for the CCM Code.” Opinion conclusion -‐ 12/11/14 • Clinically validated and implemented • Follows recommended approaches from American College of Physicians (ACP) • Endorsed by Strategic Healthcare, D.C.-‐based consul+ng prac+ce on healthcare policy and government regula+ons • Legal opinion from Tier 1, interna+onally recognized law firm, Jones Day • PC magazine (Feb. 11, 2015) named RevUp 1 of the 10 apps changing healthcare
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