Transcript Patient

DBRA
Introduction to
Telemedicine
101, 201
What is Telemedicine?
• Telemedicine is the use of medical
information exchanged from one site to
another via electronic communications to
improve patients' health status.
• Telemedicine is not a separate medical
specialty.
• Telemedicine includes consultation, diagnosis
and treatment
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Improves patient care
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Increases patient access
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Reduces medical costs for payers and patients
* As defined by the American Telemedicine Association (ASA)
Telemedicine Market
• “Telemedicine has the potential for
restructuring medical care in ways that can
solve many of the problems, while reducing
costs and improving quality of care”
• “Revolutionizing the delivery of healthcare
telemedicine is one of the most important
modern innovations in health care, and will
benefit from rapid adoption and growth over
the coming years, settling as a $24B
industry by 2016”
• “Telemedicine essential to health care
reform”
1-National Center for Policy Analysis-Fathers of HSA-Convenient Care and Telemedicine Study
2-Research and Markets
3-White paper Study-e-health Magazine
Telemedicine
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Encompasses all aspects of care
PCP
Specialist
Remote location
Mental health
Surgery and specialty care
Acute care Telemedicine
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Not a replacement for PCP
Lower risk
High frequency of claim volume
Direct impact
Impacts
– Preventative care
– Chronic care
– Care compliance
– Wellness
Acute care-Stats
• 70% of doctors office appointments could have
been treated through telehealth
• 66% of ER visits are Non- Emergencies
• 1/3 of patients report difficulty in timely doctor
appointments
• ¼ of patients report they cannot take time from work
to see a doctor
• 28% of Pediatric ER visits could have been
handled with telehealth
• 42% of the 354M annual acute care visits are
treated by personal physicians the rest are made to:
 28% Emergency Room
 20% Specialists
 7% Outpatient clinics
*American Wellness Council -2008 Study ** Health Affairs 2010
*** National Center for Policy Analysis-Fathers of HSA-Convenient Care and Telemedicine Study
Telemedicine impacts
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Patient
Employer
Broker/Consultant
Payer
Provider
Patient-current
• Shortage of Primary care doctors
• 48M more people entering the
health care system
• Overuse of Emergency Room
• Average face time with a doctor
is less than 7 minutes
• Expensive
• Wait times
Patient-Telemedicine
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Easy Access
Low cost
Convenient
Readily available
Physician care advocacy
– Home or away
– 24/7/365
– Continuity of care
Employer-current
• 30% plus of insured EE’s do not
have primary care doctor-and
growing
• Overuse of ER
• Time off of work
• Rising health care premiums
• Drop in younger (good risk) plan
participants
• Dissatisfied employees
Employer -Telemedicine
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Reduce claim costs
Increase employee satisfaction
Low cost employee benefit
Increase in network compliance
Help employees navigate health
care system
• Reduce absenteeism
Broker-current
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Limited plan flexibility
Limited number of markets
Reduced benefits
Increased cost
Plan instability
Reduced commissions
Lack of differentiation
Broker-Telemedicine
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Health care reform
Plan flexibility
Added benefit
Reduces cost
Assist with member retention
Commissionable
Differentiation
Payer -current
• Shortage of primary care doctors
• Employees using more costly
care options
• Employers dropping coverage
• Shrinking plan enrolment
• Conditions going untreated
• Paralyzed with PPACA
Payer-Telemedicine
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Access to care
Reduces claim cost
Earlier intervention
Outside of MLR
PCP Provider-current
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32 patients per day
Reimbursement has been cut
Average PCP income $127k Yr
150k PHP shortage by Year
2020
• Less than 2% of medical school
enrollees elect PCP
• Deliver model is outdated
Provider-Telemedicine
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Deliver quality care
Quality of life
No overhead
Leverage strengths
Set scheduled
Increase revenue
Leverage current technology
Common Conditions Treated
Conditions Treated
Medications Prescribed
Allergies
Respiratory infections
Allegra
Keflex
Arthritic Pain
Sinus infections
Albuterol
Levaquin
Amoxicillin
Lipitor
Bronchitis
Stomach Ache/Diarrhea
Certain rashes
Strep throat
Augmentin
Lisinopril
Cold/Flu
Urinary tract infection
Azithromycin
Macrobid
Bactrim
Metformin
Gastroenteritis
General information
Many other illnesses
Biaxin
Nasonex
Minor joint trauma
(sprains & strains)
Cipro
prednisone
Diflucan
Pyridium
Flonase
Tamiflu
HCTZ
Tassalon
Ibuprofren 800
Zithromax Z-Pak
Headaches/Migraines
Insect bites
• ¼ of patients report they cannot
take time off from work to see a
doctor.
• Less than 25% of doctors
communicate via email and less
via phone
• Providers only get paid when
they see a patient in the office.
Cost of Physician Access