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© WorldCare. All Rights Reserved.CONFIDENTIAL
CLICK TO EDIT MASTER TITLE STYLE
Click to edit Master subtitle style
Click to edit Master title style
Click to edit Master subtitle style
WorldCare
CLICK TO EDIT MASTER TITLE STYLE
Click to edit Master subtitle style
WorldCare
CLICK TO EDIT MASTER TITLE STYLE
Click to edit Master subtitle style
Click to edit Master title style
Click to edit Master subtitle style
WorldCare
CLICK TO EDIT MASTER TITLE STYLE
Click to edit Master subtitle style
WorldCare
CORPORATE PRESENTATION
November 2011
© WorldCare. All Rights Reserved.CONFIDENTIAL
• Finance• Energy• Communications• Manufacturing• Food and Pharmaceutical Industry• Education• Entertainment
2
Global Industries and Services
© WorldCare. All Rights Reserved.CONFIDENTIAL
• Slow adoption of innovation• Local laws and restrictions• Isolated islands of knowledge• Business model poorly defined• QA and QC processes not universal• Diffusion of knowledge is slow
3
Major Exceptions to Globalization Healthcare Services
© WorldCare. All Rights Reserved.CONFIDENTIAL
To improve the quality of health care worldwide by
maximizing timely, efficient & strategic access to the best
Health Care.
WorldCare Mission
4
© WorldCare. All Rights Reserved.CONFIDENTIAL
• Recurring yearly investment in research and development in excess of USD $130 Billion
• Best of U.S. Healthcare are privately owned and run: Enhanced Competitiveness
• U.S. Citizens: - Healthcare Awareness- Legal Empowerment
• U.S. Medical Credentialing: QA and CME obligations by law
5
U.S. Healthcare: World Leader
© WorldCare. All Rights Reserved.CONFIDENTIAL
6
History & Background•1
992
Spin-off of MGH to do Teleradiology
•1992
WorldCare ConsortiumS
M
formed
•2000
E-health contract with AIG/ALICO to market in 13 countries; WorldCare Global
Health Plan launched
•2004
Massachusetts Service Export Award by Associated Industries of Massachusetts
•2005
Arab Health Award “Best Use of International HealthCare Partnership,” along with
Security Forces Hospital and WorldCare ConsortiumS
M ; Entered Canadian market
•2006
Spin-off of WorldCare Clinical with ProScan
•2007
Manulife Financial signed
•2010
Operations in over 40 countries
•2011
More than 1 million Canadian lives covered; nearly 3 million lives covered worldwide
© WorldCare. All Rights Reserved.CONFIDENTIAL
• Children’s Hospital Boston
• Duke University Health System
• Mayo Clinic
• Partners Healthcare System – Massachusetts General Hospital
– Brigham and Women's Hospital
– Dana-Farber/Partners Cancer Care
– McLean Hospital
– Spaulding Rehabilitation Hospital
• UCLA Healthcare
The Worldcare ConsortiumSM
Provider Network
7
© WorldCare. All Rights Reserved.CONFIDENTIAL
The WorldCare ConsortiumSM
8
AN UNPARALLELED
WORLDCLASS
CONSORTIUM
WORLDCARE
CONSORTIUM
HOSPITALS
Number of Specialists17,000
Annual Research Budget
$2.6 billion
#2 Massachusetts General
Hospital
#3 Mayo Clinic
#5 UCLA Medical Center
#8 Brigham & Women’s Hospital
#9 Duke Medicine
© WorldCare. All Rights Reserved.CONFIDENTIAL
• WorldCare Second Opinion
• Patient Referral & Insurance Services (Global Health Services)
• Health Information Services and CME
• Mindfulness Programs
• Mayo EmbodyHealth Portal
• Consulting and Management
• Wellness Center
WorldCare Products
9
© WorldCare. All Rights Reserved.CONFIDENTIAL
Population
Cost
SeriousIllness
Insurance
Care Coordination Cost Containment
Second OpinionHealth Information Services
Wellness Services
WorldCare Healthcare Products
10
© WorldCare. All Rights Reserved.CONFIDENTIAL
11
1. Member contacts WorldCare
2. Case manager sends out Toolkits to member and referring physician
3. Case manager collects medical records (charts, images, pathology) at no cost to member
4. All components looked at individually (multi-disciplinary)
5. Synthesized by sub-specialist
6. Records reviewed and sent to one or more institutions (multi-institutional)
7. Report generated and sent to member and physician (secure email, fax, flash disk, or mail)
WorldCare Second Opinion: How Does it Work?
© WorldCare. All Rights Reserved.CONFIDENTIAL
WorldCare Second Opinion: The Process
MGH
BWH
Children’s Boston
Duke
Mayo
Specialist Radiologist
/Pathologist
WorldCare Member
The WorldCare ConsortiumSM
Local Attendi
ng Physicia
n
WorldCare Case Manage
r
DFCI
Requests WorldCare
Consult
Gather Medical Records
Performs QA/QC
Triagesto
Consortium Hospital
WorldCare Telemedici
ne Hub
Provides WorldCare ConsultationReport to Member and Local
Physician
Returns to WorldCare for QA/QC
Provides Comprehensive e-
Consultation Report
Dia
gnostic
Reports
Sub/SpecialistClinician
© WorldCare. All Rights Reserved.CONFIDENTIAL
WorldCare Telemedicine Network
13
Internet
WorldCare Hub
Acquisition Station
Printer/Scanner/Fax
Digitizer
Router
Router
Router
Router
Router
Each Acquisition Station has a
Digitizer as well as a Printer/Scanner/Fax
Mayo ClinicPartners
Healthcare
Duke Medicine
Children’s Hospital Boston
UCLA Healthcare
© WorldCare. All Rights Reserved.CONFIDENTIAL
• Multidisciplinary consultation provided by one or more of the following:
– Sub-specialist Radiologist
– Sub-specialist Pathologist
– Sub-specialist Internist, Pediatrician
– Sub-specialist Oncologist
– Radiotherapist
– Sub-specialist Surgeon
• In complex cases: Multi-institutional opinion
• Turn around times– Typically 4 business days for routine cases
– Can be less than 24 hours in urgent cases
• Can be supplemented by– Audio conference
– Video conference
• Storage as electronic medical record: follow-up
Second Opinion Components
14
© WorldCare. All Rights Reserved.CONFIDENTIAL
What is in the WorldCare Second Opinion?
15
Cover letter
Feedback form
Patient’s original medical record
Sub-specialty consultations
Suggestions for next steps and follow-up questions
Educational material on condition
Support groups and resources
Background on Consortium hospitals
CV/bio of consulting physicians
Background on WorldCare
© WorldCare. All Rights Reserved.CONFIDENTIAL
1. AIDS2. Alzheimer's disease3. Amputation4. Any life threatening
illness5. Benign brain tumor6. Cancer7. Cardiovascular
conditions 8. Chronic pelvic pain9. Coma10. Deafness 11. Emphysema12. Hip and knee
replacement
13. Loss of speech14. Major burns15. Major organ transplants16. Major trauma17. Multiple sclerosis18. Neuro-degenerative diseases19. Paralysis20. Parkinson’s disease21. Renal insufficiency or kidney
failure22. Rheumatoid arthritis23. Stroke24. Sudden blindness due to
sickness25. Thrombophlebitis and
embolism
16
Covered Conditions (Sample)
© WorldCare. All Rights Reserved.CONFIDENTIAL
Oncology 30%
Neurology 12%Neurosurgery 8%
Orthopedics 10%
Cardiology 4%
Endocrinology 6%
Otolaryngology 5%
Gastroenterology 4%
Vascular 3%
Nephrology 2%
Oncology 30%
Neurology 12%
Neurosurgery 8%
Orthopedics 10%
Cardiology 4%
Endocrinology 6%
Otolaryngology 5%
Gastroenterology 4%
Vascular 3%
Nephrology 2%
Rheumatology 1%
Pulmonology 1%
Ophthalmology 1%
Urology 1%
Gynecology 1%
Infectious Diseases 1%
Hematology 1%
Obstetrics 1%
Dermatology 1%
Medicine 1%
Hepatology 1%
Plastic Surgery 1%
GI Surgery 1%
Thoracic Surgery 1%
Cases by Specialty
17
© WorldCare. All Rights Reserved.CONFIDENTIAL
• June 2000 - 200 PATIENT STUDY/INDEPENDENT CONSULTANT
Changed diagnosis in 15% of cases Modified treatment in 71% of cases
• March 2003 – 79 PATIENT STUDY/BMJ Changed diagnosis in 5% of cases Modified treatment in 91% of cases
• August 2004 – 200 PATIENT, SINGLE CLIENT STUDY/WORLDCARE
Changed diagnosis in 18.5% of cases
Modified treatment in 44.5% of cases
Second Opinion Value Studies
18
© WorldCare. All Rights Reserved.CONFIDENTIAL
INDONESIA BAHRAINCLINICAL TRIALS BRAZIL AUSTRIA NETHERLANDS
MALAYSIA EGYPTTELEMEDICINE
SERVICES CHILE BELGIUM NORWAY
SOUTH KOREA JORDANCANADA COLOMBIA CROATIA POLAND
KUWAIT DOMINICAN REPUBLIC CYPRUS PORTUGAL
LEBANON ECUADOR CZECH REPUBLIC ROMANIA
HUNGARY TURKEY
LUXEMBURG
OMAN URUGUAY DENMARK RUSSIA
QATAR FINLAND SLOVAKIA
SAUDI ARABIA FRANCE SPAIN
UAE GERMANY SWEDEN
GREECE SWITZERLAND
ASIA MIDDLE EAST
NORTH AMERICA
LATIN AMERICA EUROPE
WorldCare maintains operations in over 40 countries worldwide
WorldCare Today
UNITED STATES
© WorldCare. All Rights Reserved.CONFIDENTIAL
20
Today, WorldCare operates in over 40 countries and has delivered over
19,000 second opinion studies worldwide.
WorldCare Today
© WorldCare. All Rights Reserved.CONFIDENTIAL
● Rigorous process:
Miniature electronic medical record
Multidisciplinary/simultaneous multi-institution
Electronic storage: Ideal for follow-up
● Provider network: Medical institutions with live connectivity to WorldCare’s global network, daily interaction 24x7
● Co-branding with Provider Network Logos
● Powerful quality control system
When the case is assembled
When received in Cambridge
When received by Provider Network institution
● Strict turn-around time
● Expanded to include audio and videoconference
WorldCare Differentiators
21
© WorldCare. All Rights Reserved.CONFIDENTIAL
22
WorldCare Differentiators
Feature WorldCare
The Competition
Multidisciplinary Yes ?
Virtual Tumor Board Yes ?
Multi-institutional Yes ?
Institutional Board Representation Yes ?
2 hour to 4 Business Day Turn-around Time Yes ?
Audio & Video Conferencing Support Yes ?
Technology Integration with Provider Network Yes ?
Storage of Electronic Medical Record Yes ?
Follow-up Second Opinion Yes ?
Patient Referrals Yes ?
Care Coordination Yes ?
Digital Acquisition Yes ?
Pioneers, Leaders & Most Experienced Professionals in the Field
Yes ?
15 Years Operations Yes ?
Successful Operations in 46 Countries Yes ?
Participant: Electronic and Hardcopy Yes ?
© WorldCare. All Rights Reserved.CONFIDENTIAL
23
WorldCare Testimonials
John’s Story | “Having a second opinion can mean everything to somebody who’s faced with a serious medical surgery or medical condition. Your health is all you have.”
Maureen’s Story | “To have your confidence back and to know that you’re being cared for properly and that you’re on the right track to recovery… Worldcare was there to give me that second opinion, to give me that ease, to ease my mind, that everything was handled properly. And so I was able to sleep at night again.”
Kendall’s Story | “If I hadn’t have made that phone call, I would have spent hundreds of hours doing research, getting more upset. I probably would have jumped… because you’re panicked. So, she might have gone through something that she didn’t have to go through. So thank God for that phone call.”
