reduce health plan claims by simplifying healthcare€¦ · employer plan snapshotold plan new plan...
TRANSCRIPT
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Reduce health plan claims by simplifying healthcare
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BUILT ON INNOVATION
Something Strange is Going on Here…
World’s largest taxi company, Largest accomdations provider, Most popular media owner, Most valuable retailer,
owns no vehicles owns no real estate has no inventory creates no content
King of healthcare consumer engagement
owns no clinics
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WE’RE EASY LIKE A SUNDAY MORNING
We are user friendly
OLD SCHOOL PHONES
SMART WATCHES
SMART PHONES
TABLET THINGYS
COMPUTERS
BIG SMART TVs
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WE’RE KICKING APPS AND TAKING CLAIMS
Centralized healthcare optionsFirst platform to shift consumers from expensive and inefficient healthcare end points, placing the member in the center.
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WE’RE KICKING APPS AND TAKING CLAIMS
Did You Know???
of all ER, urgent care, and doctor office visits can be safely handled over the phone or app.
OVER
- Wellness Council of America
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WE’RE KICKING APPS AND TAKING CLAIMS
A little info on telemedicine
“A report last year by consulting firm Deloitte projected as many as 300 million e-visits within a few years, compared with just 800,000 the American Telemedicine Assn. expects in 2015.”The doctor is online: Remote video medical exams gain popularity- LA Times 8/2015
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WE’RE KICKING APPS AND TAKING CLAIMS
Claim Redirection
$125
YES
YES
YES
LIMITED
Visit Fee:
Germs:
Travel:
Claim:
Availability:
$175
YES
YES
YES
LIMITED
Visit Fee:
Germs:
Travel:
Claim:
Availability:
$1,200
YES
YES
YES
24/7
Visit Fee:
Germs:
Travel:
Claim:
Availability:
Primary Care Urgent Care Emergency Room
$0 Consult Fee (FREE!)
NO Germs!
NO Travel Time!
NO Claim!
Available 24/7 from anywhere
START WITH HY!
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WE’RE KICKING APPS AND TAKING CLAIMS
Top 9 Reasons We Visit the Emergency Room
Allergies Bronchitis
Earache
Sore Throat Pink Eye Sinusitis
Strep Throat Urinary Tract Infection (UTI)
Upper RespitoryInfection
… and many more!
HealthiestYou doctors address the most common visits
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WE’RE KICKING APPS AND TAKING CLAIMS
Telehealth Doctors
Licensed and Reside in the US
All Board Certified, Licensed Physicians
Diagnose, Treat and Prescribe
Largest Telehealth Network in the Country
24/7 Access
Service Available in 48 states (excluding Idaho & Arkansas)
We can handle over 70% of your typical doctor’s office visits with NO CONSULT FEES!
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Call is scheduled withappropriate doctor
10
WE’RE KICKING APPS AND TAKING CLAIMS
The Member ExperienceCall HealthiestYou or schedule your appointment online or on smartphone app Provide medical history
Doctor reviews online patient history and calls the member
If prescription is required, sent via Escript to member’s choice of pharmacy
Doctor updates EMR with consultation notes
Consultation notes stored in your HealthiestYou member portal
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97%CUSTOMER SATISFACTION
94%PATIENT MEDICAL ISSUES RESOLVED
9MINAVG CALL BACK TIME FROM DOCTOR
95%CLIENT RETENTION
$0CONSULT FEE
AVERAGE CONSULT DURATION 13MIN
WE’RE KICKING APPS AND TAKING CLAIMS
Survey Says…
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WE’RE KICKING APPS AND TAKING CLAIMS
HY STRATEGY
DUCATE EMIND IMPLIFY
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OUR APP ROCKS
HealthiestYou Smartphone App
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OUR APP ROCKS
Geo-Fencing Reminders
It appears that you’re in an Urgent Care center, connect with a doctor now via phone for free!• Over 10,000 locations Geo-Fenced
• Convenient reminders to save money, time and reduce claims in health plan.
• HY can handle over 70% of your typical doctor’s office visits!
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OUR APP ROCKS
Geo-Fencing Reminders
It appears that you’re in a Pharmacy, check our prices first!
• 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.
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OUR UTILIZATION IS UNMATCHED!
The Engagement Pulse
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OUR UTILIZATION IS UNMATCHED!
Fulfillment Kits
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MARKETING FUN
Digital Consumer Engagement
EMAIL MARKETING RETARGETING ADS
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OUR UTILIZATION IS UNMATCHED!
Our Passion = Utilization
1-5%
%
THE OTHER GUYS
1-5%
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WE LOVE A GOOD SUCCESS STORY
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WE LOVE A GOOD SUCCESS STORY
HY Success Story – 146 Employees
459 Prev. Yr.
291 HY
# OF PEOPLE FILED A CLAIM
-36.6%
1997 Prev. Yr.
1218 HY
CLAIMS
-39.0%
PAYMENTS
-37.2%
$82,905 Prev. Yr.
$52,057 HY
2.2 FEWER PTODAYS/EMPLOYEE $30,848 ANNUAL CLAIM
SAVINGS
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WE LOVE A GOOD SUCCESS STORY
HY Success Story – Slinger School District
86.6% -2%
177 150RESULTING RXDR. CONSULTS
195 65 225# OF TEACHERS # OF ADMIN/SUPORT # ENROLLED
$0 FREE consultation for employees
OUT OF POCKET
RAISES FOR THETEACHERS & STAFFFor the first time in years!!
HY UTILIZATION RATE 2015-2016 INSURANCE RENEWAL
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WE LOVE A GOOD SUCCESS STORY
HY Success Story – 2210 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
9% SAVINGS
44.4%HY UTILIZATION RATE
$214,000 Saved
TELEHEALTH CONSULTS (1,071)
44.4%URGENT CARE SPEND
That’s
$2.8 Million!!
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A WAY SMARTER PLAN
Benefit Plan Design
9Over 70% of ER, Urgent Care, and Doctor Office Visits can be handled safely and effectively over the phone.
9 24/7 Access to Physician Network.
9No Consult Fees!
9 Sync Your Health Plan, Search Providers
9 Prescription Savings up to 85%.
START WITH HEALTHIESTYOU!
MAJOR MEDICAL
9HMO, PPO, High Deductible, HSA, Self Insured
SUPPLEMENTAL MEDICAL9Medical Bridge/Gap Plan,
Critical Care, Cancer, Accident
ANCILLARY9Dental, Vision, EAP,
Chiropractic, ID Theft
FINANCIAL9 Life, Disability, IRA, 401K
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A WAY SMARTER PLAN
The Perfect Match
• Fully Insured
• Self Funded
• ACA Plans
• MEC/Limited MED
• Payors
• TPA’s
• Associations
• Individuals (Non Group)
• Online Administrators
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WE’RE KICKING APPS AND TAKING CLAIMS
For More Information Including a Detailed ROI Analysis or a Customized Quote Contact
STEVEN D. WARD (502) 424.0360 | [email protected]