teladoc presentation for cbao© 2002-2016 teladoc, inc. all rights reserved. we equip you to drive...
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© 2002-2016 Teladoc, Inc. All rights reserved.
#WellWithinReach
The complete telehealth solution
Administered by:
© 2002-2016 Teladoc, Inc. All rights reserved.
Consumer expectations are in conflict with healthcare trends
CONSUMERS ARE MORE ACCESSIBLE & CONNECTED
80%+ of adults <50 years old have smartphones & are connected1
1/3 of consumers have a health, fitness or medical app, 2x vs 20132
LACK OF ACCESS IS DRIVING COSTLY CHOICES
Avg wait time for a first visit with a psychiatrist: 25 days3
65M people live in primary care desert4
71% of employer sponsored ER visits are unnecessary5
1. Pew Research Center, November 2016. 2. PwC, 2016. 3. HealthDay, October 2014. 4. MarketWatch, March 2016. 5. Truven Health Analytics, April 2013.
© 2002-2016 Teladoc, Inc. All rights reserved.
Operating at the scale to support your business from day one
Who would you like to see today?
• We handle 1 request every 10 seconds*
• The time to see a doctor has declined as our volume has grown
• We’ve maintained 95% member satisfaction
* During peak hours.
2013 2014 2015 2016
900,000
575,000
298,000
156,000
VISI
TS
© 2002-2016 Teladoc, Inc. All rights reserved.
The Teladoc solution simplifies healthcare
1: REGISTER 4: RESOLVE2: REQUEST 3: VISIT
4© 2002-2016 Teladoc, Inc. All rights reserved.
© 2002-2016 Teladoc, Inc. All rights reserved.
The Teladoc differenceMEMBER
CHOICE AT SCALE
Request via phone, app, web
Visit via phone, video, visualized
24/7 live, in-house support
Built to handle 100M members
PROVEN PERFORMANCE
Unmatched utilization & ROI
Results verified by 3rd party studies
95% customer satisfaction for 5 years running
SUPERIOR CLINICAL MODEL
Scalable provider network
Policies driven by proprietary analytics
Robust clinical Quality Assurance
programs
EXPERT ENGAGEMENT
INCLUDED
In home, at work and online reach
Analytics driven customization
Communication innovation thru mobile & social
+ + =
© 2002-2016 Teladoc, Inc. All rights reserved.
Create an ecosystem around the decision maker
Create an experience that delivers superior value
At work
In the home
On the go
Engagement throughout the member lifecycle
© 2002-2016 Teladoc, Inc. All rights reserved.
Delivering connected healthcare
My Teladoc Care TeamTeladoc physician, behavioral health,
nutritionist, pharmacist, specialists
My Health InformationEHR exchange, device data integration, my doctors, health alerts, screeners & tools
I can get the care I need on my terms, control my health information and provide
care for my family.
Support & GuidanceReferrals, caregiver & family care, community, incentives
EngagementChoice of convenient,
affordable options at every touchpoint
Member
© 2002-2016 Teladoc, Inc. All rights reserved.
REMOVE THE BARRIERS TO CARE
Access
© 2002-2016 Teladoc, Inc. All rights reserved.
We equip you to drive change by transforming access to care
MEMBERCHOICE
Request via mobile, web, and call center
Visit via video, phone, and images
On-demand & scheduled
ROBUSTINTEGRATIONS
Health plans & benefit administrators
Prescription routingBenefit vendors
Transparency toolsWorksite clinicsEMR integration
CLINICALSPECIALTIES
General medicalPediatrics
Mental healthSubstance abuse
DermatologySexual health
Tobacco cessation
© 2002-2016 Teladoc, Inc. All rights reserved.
Delivering a simple member experience
Member engagementStored & real-time eligibility
EnrollmentPayment Information
Demographic informationEMR
Care record & paymentsPatient educationMessage center
eRxFollow-upReferrals
Clinical QAMember & provider satisfaction
Claims, ROI & clinical data
Real-time member responsibilityGeneral Medical
DermatologyBehavioral Health
On-demand & scheduledImage sharing
Custom networksQueuing, routing & scheduling
Evidence-based guidelinesGaps in care alerts
Clinical documentation
1: REGISTER 4: RESOLVE2: REQUEST 3: VISIT
SUPPLYDEMAND
MATCHING
PROVIDER ECOSYSTEMCLIENTS & PARTNERS
MEMBER
PROVIDER
MO
BILE
DEV
ICES
, IN
TER
NET
, PH
ON
E
© 2002-2016 Teladoc, Inc. All rights reserved.
A CONSISTENTLY SUPERIOR EXPERIENCE• Fully insourced & dedicated solution• 400+ employees on site• 24/7 client and member issue resolution• Multilingual services available
Teladoc member services campus
© 2002-2016 Teladoc, Inc. All rights reserved.
Member preference and need drive how care is received
50%Web/Mobile
50%Member
Services Agent
56%Telephonic
44%Visualized
Internal Teladoc visit data (July 2016)
© 2002-2016 Teladoc, Inc. All rights reserved.
52%48%
PUBLIC SECTOR
63%
37%
RETAIL
Variation in how members engage by industry
Web/Mobile Call Center
51%49%
MFG
43%57%
TECH
42%
58%
FINANCE
Internal Teladoc visit data, 2015
© 2002-2016 Teladoc, Inc. All rights reserved. Source: Visit Data from Oct 2015 - Jun 2016
Incidence of visualized visits is highly condition specific
Insect Bite
Der
mat
itis
RashConjunctivitis URI
UTI Sinu
sitis
Greater than
50% VISUALIZED
Less than
10% VISUALIZED
© 2002-2016 Teladoc, Inc. All rights reserved.
PrimaryPrimary vs Dependents
Dependent69%31%
Female% Of Visits
Male63%37%
0-18% of all Visits
19-2415%6%
25-34 24%
Age
35-4445-5455-6465+
24%19%11%1%
0-1819+
Average Age9
43
% of Visits15%85%
Female Visits52%65%
Male Visits48%35%
Age
= Pediatric
Who uses Teladoc today?
© 2002-2016 Teladoc, Inc. All rights reserved.
Regulatory is becoming increasingly progressive
Regulatory wins toward more progressive
telemedicine laws
Texas:Limitations on
video
Idaho:Limitations on
audio only
PROGRESSIVE LIMITED
Arkansas:Only state that does not permit any form
of telemedicine
NOT PERMITTED
© 2002-2016 Teladoc, Inc. All rights reserved.
BEST PHYSICIAN NETWORK
Quality of Care
© 2002-2016 Teladoc, Inc. All rights reserved.
QA continuous monitoring• 10% of medical charts reviewed• Provider level patient satisfaction tracked • Monitor medication frequency, continuously
measured against industry benchmarks
Delivering quality clinical careDirectly recruit• Match local supply with local
demand & knowledge… at scale• Board certified and licensed • Specialties
Credential & train• NCQA-certified physician peer review
credentialing program• 100+ proprietary, analytics and
evidence based telehealth guidelines
Delivery of care• No time limits for visit• Not contractually obliged to refer
patients to specific providers• Stringent, condition specific
prescribing guidelines
© 2002-2016 Teladoc, Inc. All rights reserved.
The industry’s only complete telehealth solution
CLINICAL QUALITY• Fully credentialed network of experienced providers
across multiple specialties• Initial and ongoing psychometric assessment• Comprehensive program that’s tailored to telehealth• Follow up after every session• Custom formulary for psychiatrists
ENHANCED ACCESS• Option to see chosen provider through episode of care• Video and phone visit options• Targeted communications & reminders• Recurring scheduling support available
© 2002-2016 Teladoc, Inc. All rights reserved.
Quality by the numbers
Data reflects 2015 unless otherwise stated
3/90Flag for quality
review
93%Doctor satisfaction
58kChart reviews
92%Issue
Resolution
3,000+Providers
100%Chart for new
providers in first 90 days
© 2002-2016 Teladoc, Inc. All rights reserved.
Exceptional patient satisfaction
95%Patient Satisfaction1
82% industry standard2
90%Would Use It Again1
92%Resolution Rate1
1. Teladoc Patient Satisfaction Survey 2015. 2. “2014 Chartbook: What Patients Say About Their Health Care Providers and Medical Practices,” CAHPS.
© 2002-2016 Teladoc, Inc. All rights reserved.
#WellWithinReach
The complete telehealth solution
© 2002-2016 Teladoc, Inc. All rights reserved.
CUSTOMIZED TO FIT
Member Engagement
© 2002-2016 Teladoc, Inc. All rights reserved.
Expertise to serve diverse client and member needs• A dedicated team of experts focused on
client-specific member engagement• State of the art in-house design and
production capabilities • Predictive analytics shape audience
segmentation and member level content
© 2002-2016 Teladoc, Inc. All rights reserved.
Investing in continuous member communications
New member onboarding experienceFull welcome kit mailed to every householdDigital welcome kit assets available Progressive welcome emails to registered usersSeasonal campaignsDirect mail twice a year drives utilizationPersona driven content increases relevancy Leave behinds extend life of messageNurture campaignsDrive top of mind awareness
© 2002-2016 Teladoc, Inc. All rights reserved.
Our approach is rooted in surround sound
Social MediaMembers
In the Media
On the Go
In the home
When need arises
In the inbox
On SiteClient side
© 2002-2016 Teladoc, Inc. All rights reserved.
Analytics-fueledengagement strategies
SEGMENTATION• Client segment driven
marketing tactics
• Email communications by audience segment
• Member level creative customization
PERSONAS• Driving more informed
engagement amongst “opaque” memberships
EVENT TRIGGERED• Email campaigns based on
member behavior
• Outbound calling post care• Text campaigns (for
Medicaid)
© 2002-2016 Teladoc, Inc. All rights reserved.
Segmentation drives message relevance
REGIONAL
PSYCHOGRAPHIC INDUSTRY
DEMOGRAPHIC
© 2002-2016 Teladoc, Inc. All rights reserved.
Segmentation drives relevance
0-10 11-18 19-23 24-30 31-45 46-55 56-65 66+Age
Con
sults
*
* Teladoc utilization data; 1/12016 – 5/10/2016
Remind members about pediatric visit availability
Focus on convenience and cost for student dependents
Speak to moms – decision makers for families with children
Response to healthy living and maintenance messaging
grows as patients age
Relevant messaging outperforms all benchmarks
• Mom targeted emails performed 3x better than Teladoc average on click thru rate.
• Heart Health email targeting 45+ outperformed Teladoc average by almost 4x.
© 2002-2016 Teladoc, Inc. All rights reserved.
25MILLION +Social Media Impressions
1,000+EngageCastparticipants
5MILLION +Emails sent
14MILLION +Direct mailpieces sent
13,000Marketing portal
logins
200+Marketing Monday
participants
Stats derived from Teladoc internal reporting
Member engagement at scale
- Trailing 12 months -
© 2002-2016 Teladoc, Inc. All rights reserved.
Customization at member and client level
CLIENT CUSTOMIZATION• Logos• Plan specific member pricing• Custom landing pages• And more!
MEMBER PERSONALIZATION• Robust proprietary library of imagery
(multicultural, industry specific, lifestage)• Target preferred modality• Spanish and bilingual materials
© 2002-2016 Teladoc, Inc. All rights reserved.
Proven to drive results
CampaignControl
October November December
© 2002-2016 Teladoc, Inc. All rights reserved.
Online library of customizable resources• Marketing Hub, our member
communication portal gives you access to wide breadth of targeted marketing resources
• Customizable marketing collateral designed for easy client communications
• Engagecast, our proprietary client education webinars
© 2002-2016 Teladoc, Inc. All rights reserved.
Communication channels usedWelcome kit 100% in home reach
Direct mail 14M pieces sent, 100+ variables per campaign
Engagecast 1500+ clients attended since June 2015
Marketing Hub 5,000+ Benefit Managers and other registered users
Social media Facebook, Twitter, YouTube, LinkedIn
Email Event based, seasonal campaigns, special offers
SMS messaging Drives awareness, supports care experience
Outbound calling In house solution ensures quality, consistency & expertise
© 2002-2016 Teladoc, Inc. All rights reserved.
DELIVERING VALUE
Client Savings
© 2002-2016 Teladoc, Inc. All rights reserved.
Only Teladoc delivers these episode-of-care savings
$191Teladoc savings
vs. office visit
$2,661Teladoc savings
vs. ER visit
$673Teladoc savings
vs. weighted average(office visit & ER)
Episode of care includes initial encounter and any subsequent utilization of follow up office visits, hospitalization, or ER utilization, resulting from initial encounter within a 30 day window for same and related diagnoses. Weighted Average is based
on redirection rates determined using member utilization of bricks and mortar services: 75% OV; 20% ER; 5% Do Nothing.
© 2002-2016 Teladoc, Inc. All rights reserved.
What telehealth can mean to your business
A 10K life employer with a plan copay of $0 can experience 22% utilization.
2,200visits
$673savings per visit
$1.5Mclient savings
© 2002-2016 Teladoc, Inc. All rights reserved.
The cost of lost opportunity
Comcast selected a competitor to provide telehealth services to its 74,484 eligible employees. After one year of service:
COMPETITORPlan design: $0 member copayAvg. utilization: 5%Year 1 visits: 3,724
TELADOCPlan design: $0 member copayAvg. utilization: 22%Year 1 visits: 16,386
$8,521,526Lost opportunity(-$9.53 PEPM)
$2,506,252Savings with competitor
Savings is calculated assuming an average episodic savings per visit of $673.
© 2002-2016 Teladoc, Inc. All rights reserved.
An independent study revealed...
Likelihood of a follow up visitPublished in Health Affairs, February 2014.
“Patients who used Teladoc were less likely to have a
follow-up visit to any setting, compared to those who
visited a physician’s office or emergency department.”
Teladoc patients
Office visit patients
ER patients
6%
13%
20%
© 2002-2016 Teladoc, Inc. All rights reserved.
DEVOTED TO OUR CLIENTS
Client Service
© 2002-2016 Teladoc, Inc. All rights reserved.
Dedicated client service drives satisfaction and results
Detailed monthly reportingROI, detailed savingsAutomated, in-depth utilizationTop conditions & RxsMember satisfaction
Designated account management
Average 18 years ofhealthcare experience
Core vendor integrationsEligibility, claims processing, health plans
© 2002-2016 Teladoc, Inc. All rights reserved.
The most robust technology platform built for our clients
HIGHLY SCALABLEBuilt for 100M members
SECURE & RELIABLE3rd party tested and validated
CUSTOMIZABLE Custom branded pages
FULLY INTEGRATEDReal-time eligibility
© 2002-2016 Teladoc, Inc. All rights reserved.
WE APPRECIATE YOUR PARTNERSHIP
Thank You