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Telemedicine

Telemedicine . Presented by: David Cloud Director of Sales MyidealDOCTOR. Definition.

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Telemedicine

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  1. Telemedicine Presented by: David Cloud Director of Sales MyidealDOCTOR

  2. Definition • Telemedicine is a doctor’s visit over the phone of via video technology. It is a 24/7/365 service that allows members to speak with a licensed physician who can consult, diagnose, and if needed prescribe medication for common and acute illnesses. • Telehealth is the delivery of health-related services and information via telecommunications technologies. Telehealth could be as simple as two health professionals discussing a case over the telephone or as sophisticated as doing robotic surgery between facilities at different ends of the globe.

  3. History of Telemedicine • 1964: Under a grant from the U.S. National Institute for Mental Health (NMH), the Nebraska Psychiatric Institute began using a two-way closed-circuit TV link between the Institute itself and Norfolk State Hospital about 112 miles away. • 1967: A medical station was established at Boston's Logan International Airport and linked to Massachusetts General Hospital (MGH),via two-way microwave audio/video link. • 1971: 26 sites in Alaska chosen for telemedicine testing via satellite communications. • 1972: NASA begins using telemedicine trials to help people living in remote locations with little or no medical services. • 1972: The U.S. Department of Health, Education and Welfare (HEW) funds seven telemedicine research and demonstration projects.

  4. History of Telemedicine • 1980’s: Multiple “start up” telemedicine providers market to rural individuals and rural small businesses with little consistency and regulations • 1994: 20 states adopt standard telemedicine regulations. • 1997: Georgia adopts standard telemedicine regulations • 2005: Telemedicine market grows to 2 million members nationwide • 2012: Current market at 8 million members • 2016: Due to physician shortages, new healthcare mandates, and access to healthcare concerns, market expected to grow to 40-50 million members.

  5. Physician Network Most networks have at least 1 if not 4 of the following: - Family Practice - Internal Medicine - Emergency Physician - Pediatrician • Most physicians on telemedicine networks hold multi-state licenses. • Member must be speaking with a physician that is licensed in the state they are currently in regardless of where they live.

  6. Healthcare Access of the future According to the American Medical Association, 70% of doctors visits and 40% of ER visits could be avoided through telemedicine.

  7. Common Conditions treated by Telemedicine - Asthma - Muscle Strains - Allergies - Insect Bites - Bronchitis - Joint Aches - Cold and Flu - Nausea - Constipation - Pink Eye - Diarrhea - Rashes - Ear Infection - Urinary tract infections - Fever - Prescription refills - Gout - Stomach Virus - Headache - Sore Throat - Infections - Chronic Heartburn

  8. Telemedicine Liability • Liability falls under each physician’s state license. • Similar to a primary care physician, if physician is not comfortable with a diagnosis they will refer a patient to another physician/specialist. • No prescriptions for Class II Narcotics or lifestyle medication’s. • Most providers publish zero malpractice claims.

  9. Additional Telemedicine Benefits Additional Benefits offered my most providers: - Nutrition Management - Weight Management - Patient Advocacy - Lab Testing - Life Counseling - Naturopathic Doctors - Nutraceuticals - Behavior Health (additional cost)

  10. Additional Telemedicine Benefits • Member Health Portal/EMR System - Allows members to complete health history, schedule appointments, research physicians. - Stores doctor notes and recordings of all telemedicine consultations. - Allows members to share medical records with PCP or other physicians. - Allows members to store all medical records including previous lab results, x-rays, doctors visits, etc on one secured site. - Allows members to email information only questions to licensed physicians (live Web MD with physician).

  11. Telemedicine Plan Designs • PMPM Fee with Co-pay - PMPM between $1.50- $4.00. - Co-pay between $38-$50. - Designed for large self funded/partially self funded groups. - Integrated with health plan. - PMPM employer paid. - No broker commission/fees. - Must comply with ERISA guidelines. - Common in large employers. - Providers include: Tel-a-doc, Consult a doc, MD live, Stat Doctors.

  12. Telemedicine Plan Designs • PMPM Fee with No Co-pay - PMPM fee between $5-$20. - Available as employer paid, as a voluntary benefit, or on a direct basis. - Pays broker commissions/fees. - Stand alone product, not attached to health plan. - Can be used with self funded, fully insured, or uninsured groups. - Common in small to medium size employers (less than 5K) - Only sold through brokers - Providers: MyidealDOCTOR

  13. Telemedicine Plan Designs • Bundled Product - Typically bundled with Legal plan, pet ins., discount drug card, vision and dental discount card, road side assistance, etc. - Most are No Co-pay products - Voluntary Only - Typically sold by “direct” sales people - PMPM fee between $15-$69. - Providers: New Benefits

  14. Member Benefits of Telemedicine • Saves Time and Money - 24/7/365 access to licensed physicians. - Free consultations, no co-pays. - Convenience of care via phone or video. - Convenience of consultations from home, work, on the road, or out of town. - No more waiting in doctor’s office/ER waiting rooms.

  15. Employer Benefits • Reduces doctor visits saving money on employer healthcare cost. • Reduces ER visits saving money on employer healthcare cost. • Reduces employee absence, increasing company profitability. • Increases employee satisfaction in benefit package. • Direct Return on Investment (see calculator). • Provides employees with state of the art benefits.

  16. Changing Habits • For Telemedicine to have the greatest impact on healthcare, the public must change their existing healthcare habits in regards to common and acute illnesses: • Become ill, take off work, wait in waiting room, see physician, pay co-pay, pick up prescription from local pharmacy. - Become ill, call telemedicine provider, pick up prescription at in network pharmacy.

  17. Question and AnswerDavid Cloud770-485-7119dcloud@myidealdoctor.com

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