Benefits That Benefit You Cathy Sapp Executive Director

Benefits That Benefit You Cathy Sapp Executive Director Teladoc

WHAT IS TELEMEDICINE? A modern way of delivering care that is becoming mainstream • • • Who has ever been sick? How often do you know what’s wrong? Where do you go for treatment? How many of you like to sit in a waiting room when you don’t feel well? How many would like to receive treatment from the comfort of your home? How often do you know that a simple prescription would resolve your issue?

THE PROBLEM • Aging population demanding more care • Fewer Primary Care Physicians in the marketplace • Longer wait times to get appointments • Longer wait times at the doctor’s office • Misuse of Emergency Room ALL OF THIS ADDS UP TO INCREASING MEDICAL CLAIMS COSTS

THE SOLUTION Technology Access to treatment on the phone or online Convenience Treatment without leaving your home Flexibility 24/7/365 Access Broad provider networks Cost Effective Compare to traditional sources of care: - Emergency Room - Urgent Care Center - Primary Care Physician -

HOW DOES IT WORK? • REGISTER FIRST – Employee (or enrolled family member) registers with telehealth network • At point of registration, employee provides medical history, current prescriptions, allergies, etc. • At time of illness, employee calls or connects online • Intake specialists asks some questions • Specialist connects you to a doctor directly or the doctor returns call – usually within 10 minutes • Doctor prescribes medication when appropriate • Prescription waits at employee’s chosen pharmacy

WHERE TO GO FOR CARE Source: United Healthcare WHERE TO GET CARE NURSE LINE VIRTUAL VISIT (TELEMEDICINE) WHAT IT IS • • • Choosing appropriate medical care Finding a doctor or hospital Understanding treatment options • • Achieving a healthier lifestyle Answering medication questions A virtual visit lets you see a doctor via your smartphone, tablet or computer. • • • Allergies Bladder infections Bronchitis Cough/colds Diarrhea • • • Pink eye Rashes Seasonal flu Sinus problems Sore throats • • Common infections (e. g. strep throat) Minor skin conditions (e. g. poison ivy) • • Vaccinations Pregnancy tests • • Minor injuries Ear aches • • • Checkups Preventive services Minor skin conditions • • Vaccinations General health management • • • Sprains Strains Small cuts that may need a few stitches • • • Minor burns Minor infections Minor broken bones $$$ • • • Heavy bleeding Large open wounds Sudden change in vision Chest pain Sudden weakness • • • Major burns Spinal injuries Severe head injury Breathing difficulty Major broken bones $$$$ Visit a convenience care clinic when you can’t see your doctor and your health issue isn’t urgent. These clinics are often in stores. PRIMARY CARE PHYSICIAN Go to a doctor’s office when you need preventive or routine care. Your primary doctor can access your medical records, manage your medications and refer you to a specialist, if needed. EMERGENCY ROOM COST Nurse. Line connects you with registered nurses 24/7. CONVENIENCE CARE CLINICS URGENT CARE TYPE OF CARE Urgent care is ideal for when you need care quickly, but it is not an emergency (and your doctor isn’t available). Urgent care centers treat issues that aren’t life threatening. The ER is for life-threatening or very serious conditions that require immediate care. This is also when to call 911. $0 $ $$ $$

WHAT KIND OF CONDITIONS ARE BEST SUITED FOR TELEMEDCINE? Types of conditions treated include: • • Allergies Asthma Bladder infections Bronchitis Cough/colds Diarrhea Earaches Fever • • Headaches Nausea Pink eye Rashes Seasonal flu Sinus problems Sore throats Stomach ache Behavioral Health added or coming soon!

HOW CAN IT SAVE MY PLAN MONEY? • Reduces unnecessary claim cost for non-emergency care o Teladoc / Healthiest You average = $517 per claim • Reduces absenteeism – time away from work for doctor or urgent care center visit • Reduces presentism – employees get care for their minor illnesses before coming back to work • Contributes to productivity

COMPARE COSTS Source: Debt. org CONDITION EMERGENCY ROOM COST URGENT CARE COST TELEHEALTH COST Allergies $345 $97 $0 - $45 Acute Bronchitis $595 $127 $0 - $45 Earache $400 $110 $0 - $45 Sore Throat $525 $94 $0 - $45 Pink Eye $370 $102 $0 - $45 Sinusitis $617 $112 $0 - $45 Strep Throat $531 $111 $0 - $45 Upper Respiratory Infection $486 $111 $0 - $45 Urinary Tract Infection $665 $112 $0 - $45

TRENDS IN TELEMEDICINE • Increased offering • Increased utilization • Baked into fully insured plans o Cigna calls it Telehealth o United Healthcare calls it Virtual Visits o Care. First calls it Video Visits • Self-Insured plan sponsors adding service to their plan o Through carrier vendor o Through third party vendor – such as Teladoc • High Deductible Health Plans

GROWTH IN ENROLLMENT Teladoc growth in members and visits 2008 - 2016 15 n illio + m t Members Visits , 00 0 0 9 0 as c e r o f

GROWTH IN VISITS 900, 000 Who would you like to see today? VISITS 575, 000 298, 000 156, 000 2013 2014 2015 2016

WHO USES TELEMEDICINE? Teladoc statistics regarding visits per population segment: Primary vs Dependents 69% Primary 31% Dependent Age % of all Visits 15% 6% 24% 19% 11% 1% 0 -18 19 -24 25 -34 35 -44 % Of Visits Female 63% Male 37% Age 0 -18 19+ 45 -54 55 -64 65+ Average Age % of Visits Female Visits Male Visits 9 15% 52% 48% 43 85% 65% 35% = Pediatric

WITHOUT TELEMEDICINE– WHERE DO MEMBERS GO? [PERCENTAG E] No Treatment [PERCENTAG E] ER Urgent Care PCP

EMPLOYEE ENGAGEMENT • Education is key o Employees register before service is needed o Understand economic advantage o Understand convenience o Employee shares Telemedicine/Virtual Visit results with Primary Care Physician BY SAVING PLAN DOLLARS, EMPLOYEE SAVES THEIR OWN DOLLARS

1 6 MEMBERS WANT CHOICE IN HOW THEY ENGAGE SMART PHONES COMPUTERS LAND LINES TABLETS SMART WATCHES SMART TVs coming soon

Members receive information through various channels Webinars Admin Kits Client Portal Email Campaigns Seasonal Marketing Phone Calls Contests/App Drives

GEO-FENCING REMINDERS Intercepts at Urgent Care Centers u’re in an o y s r a e p “It ap enter. ” c e r a C t n Urge • Over 10, 000 locations Geo-Fenced • Convenient reminders to save money, time and reduce claims in health plan v

EMPLOYER MARKETING = RESULTS Up to 5 0% engag greater ement ! Campaign Control October November December

MESSAGING THROUGHOUT THE YEAR Monthly Communication Guide JANUARY FEBRUARY MARCH APRIL Get Started With Teladoc Focus on getting your employees registered for Teladoc. So Many Reasons to Use Teladoc Highlights the benefits of using Teladoc. Download the App Get healthcare in the palm of your hand. Allergy Season Don’t let your employees suffer through allergy season. MAY JUNE JULY AUGUST Vacation & Travel Our doctors travel with you. Summer Illnesses Don’t let summer illnesses get you down. Avoid the ER Before going to the ER, give Teladoc a call. Back to School Before heading back to school, register and update your medical history. SEPTEMBER OCTOBER NOVEMBER DECEMBER Open Enrollment Teladoc is a great added benefit to your healthcare plan. Cold & Flu Season Fight back during cold & flu season. Holiday Travel If you get sick while traveling, remember you’ve got Teladoc. Don’t Spend the Holidays Waiting Avoid the waiting room by calling Teladoc.

RESULTS: MEASURED & DELIVERED 21

CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT 2, 231 Employees | Self-funded EMPLOYER PLAN SNAPSHOT OLD PLAN NEW PLAN PCP CO-PAY $25 $35 URGENT CARE CO-PAY $50 $75 $100 AFTER DED. $200 AFTER DED. INDIVIDUAL DEDUCTIBLE $2, 500 $3, 500 FAMILY DEDUCTIBLE $5, 000 $7, 000 $25 $45 ER CARE CO-PAY PRESCRIPTION CO-PAY HY UTILIZATION RATE 44. 4% TELEHEALTH CONSULTS (1, 071) $311, 661 Saved URGENT CARE SPEND REDUCED 37%

CASE STUDY: TELADOC/HEALTHIEST YOU CLIENT 225 Employees | Fully-insured HY UTILIZATION RATE 86. 6% 2015 -2016 INSURANCE RENEWAL -2% = RAISES FOR THE TEACHERS & STAFF For the first time in years!! Previous Year’s Increase 10%-20% DR. CONSULTS 177 OUT OF POCKET $0 FREE consultation for employees

Creating meaningful impact Convenience Outcomes Value

Questions & THANK YOU Cathy Sapp Executive Director Teladoc csapp@teladoc. com 813. 927. 0694