This document describes a telehealth solution called REALdietitian that connects patients with registered dietitians for Medical Nutrition Therapy (MNT). MNT helps treat diet-related diseases but is underutilized due to access issues. REALdietitian addresses this by offering MNT appointments via telephone or video with specialized dietitians. Their process involves prescribing MNT, referring patients to their platform to schedule appointments, conducting appointments, providing follow-up reports, and keeping patients engaged throughout the full three-year treatment. Their customers are healthcare providers seeking more cost-effective MNT access. REALdietitian aims to reduce costs and improve outcomes for buyers while simplifying access and connecting patients to experts for convenient MNT.

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Telehealth solution for medical nutrition therapy

2. Problem
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The cost of diet-related diseases and conditions (diabetes,
heart disease, obesity, etc.) is on the rise, yet registered
dietitian (RD) administered Medical Nutrition Therapy (MNT) is
underutilized.
More than 14 million Medicare beneficiaries are eligible for
MNT, yet less than 2.5% of patients utilized it in 2012.
http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Chronic-Conditions/Downloads/2012Chartbook.pdf

3. Medical Nutrition Therapy
Medical Nutrition Therapy (MNT) is a therapeutic approach to
treating medical conditions and their associated symptoms
via the use of a specifically tailored diet devised and
monitored by a registered dietitian (RD). The diet is based
upon the patient's medical, psychosocial, and dietary history.
Three years of MNT is reimbursable by Medicare (CPT or
HCPCS: 97802 & 97803 )
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4. Our Solution
A platform where patients can connect with specialized registered
dietitians for Medical Nutrition Therapy.
We are a nationwide network of 380+ registered dietitians, enabling
providers and insurance companies to offer Medical Nutrition Therapy
more cost effectively via mobile consultations.
For the first time ever, we make MNT an accessible treatment option.
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5. Our Process
1. The patient is prescribed MNT for a recent diagnosis of a diet-related condition
2. The doctor or health provider refers the patient to REALdietitian.com to schedule their
initial MNT appointment
3. The MNT appointment occurs via telephone or video with a dietitian who specializes in
their specific disease or condition
4. The patient receives a detailed personalized follow-up report, schedules their next MNT
appointment, and is encouraged and reminded to adhere to their MNT with constant
engagement and patient check ins
5. The patient's health provider is billed by REAL Dietitian, and REAL Dietitian assumes the
responsibility of keeping the patient engaged throughout the full three year MNT process
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6. Customers
Our customers are large healthcare providers who
currently use or wish to utilize dietitians services more
cost effectively, including:
1. Employer Benefit Providers
2. Insurance Companies
3. Accountable Care Organization (ACOs) and Health
Systems
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7. Our Value Propositions
Buyers
Reduce Spending - Each dietitian visit was associated with 4.70 fewer hospitalizations per 100 person
years and a $6,503 reduction in total hospital charges
Improved Outcomes - Nutrition therapy interventions implemented by registered dietitians reduced
HbA1c levels by an average of 1% to 2% for patients with diabetes
Patients
Simplified Access - A frictionless online (or phone) booking process to seamlessly schedule their MNT
appointments anywhere at anytime
Connected to Specialized Expert - Patients can now consult with disease-specific dietitians they might
not have been able to before due to previous geographical, financial, or time constrictions
Convenient Scheduling - MNT appointments now fit patients' schedule and allow patients to save
travel time and money compared to an in-person appointment
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2423227/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3938438/

8. Market Opportunity
45+ million Americans have diabetes, renal disease or an
MNT reimbursable diet related condition
These patients are eligible for three years of Medical
Nutrition Therapy
Total Addressable Market is $13.5 billion
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9. June - Began operations at 1871 Chicago
July - Mobile appointment MVP
October - 380+ RDs in recruitment process
November - Enterprise sales, REALportal MVP
December - Three employee exchange clients; 500+ RDs
January - Paid clinical trial with a South Carolina ACO
February - Provide MNT for national telehealth companies
May - 750+ RDs in 50 states and results from clinical trials
Timeline
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10. Healthcare Buyer Advisors
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• 24 years experience in the healthcare industry with leadership positions at
UnitedHealthcare, Cigna, and MetLife
• National Vice President of Employer & Individual at UnitedHealthcare
• Previously, Chief Operating Officer of UnitedHealthcare of Illinois
Michael Cole
Richard Ferrans, MD, ScM
• Strategic planning, operations, and implementation consulting for ACOs
across the country
• Previously, CEO at Chicago’s largest ACO
• As an MD, understands the clinical implications and effects of MNT
Specialty: selling services to private insurance
Specialty: ACO strategic consulting and implementing new programs

11. CEO
Previous dietetic student; 4 years
marketing and business
development for dietitians
Sidonia Rose Swarm
Meet the REAL Team
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Dietitian Recruitment
Liz Zinsmeister, RD
Sales
Kristen Alfonsi
Business Development/Tech
Front-end developer, Co-founder and
Sales for Hutster, a subletting
marketplace.
Thomas Gorczynski
Product Manager/Tech
Sean Crowe
13 years in pharma sales, Whole
Foods consultant, and clinical
dietitian at Northwestern University
Director of Nutrition at Lifestart, a
national corporate wellness
company, and Founder of RD Now
iOS developer, Co-founder and
CTO of Hutster, operated out of
RocketSpace in SF
Advisor
Jenny Westerkamp
Founder of All Access Internships,
Lead Dietitian at Kitchfix and
Author of Green Foods for Men

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Better health through better nutrition