Call A Doctor Plus Success through Utilization August 11 th, 2014.

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Call A Doctor Plus Success through Utilization August 11 th , 2014

Transcript of Call A Doctor Plus Success through Utilization August 11 th, 2014.

Call A Doctor PlusSuccess through Utilization

August 11th, 2014

COMMON BUSINESS CHALLENGES Looking for ways to deliver the best value for minimal cost Adjusting to the constantly rising cost of Healthcare Navigating the waters of the ACA and other legislation Driving productivity and overall employee output Attracting and keeping the very best talent Your HR team is inundated, leaving very little time to

evaluate and implement new concepts

Call A Doctor Plus Can Help!!

SOLUTIONS USED TO LOWER COSTS Increase Deductibles Increase Co-pays Carve out certain services

For years we have been shifting the cost of healthcare onto the backs of the employees in “hope” that they will become more cost conscious consumers.

WELCOME TO CADR+Call a Doctor Plus is a program designed

specifically to help you save money and drive

productivity by utilizing technology to provide your

employees with efficient, immediate access to

Healthcare solutions and other personal services.

A NEW PARADIGM IN HEALTHCARE Talk to a Doctor in minutes, 24/7/365 On-demand access via phone, computer or mobile app

78% of office visits can be handled via phone* No co-pays, deductibles or per-use charges 14 minute average response time, 91% resolution rate Covers employees and their families

Convenient Access to Licensed Physicians!

*American Medical Association

Step 2.

Request consultStep 3.

Talk with a physician

Step 4.

Resolve the issueStep 6.

Follow-up

You simply log on to your account or call Teladoc, 24/7/365, to request either a telephone or video consultation.

A board-certified physician licensed in your state reviews your medical history and provides a consultation over the phone or through video, just like an in-person visit.

The physician recommends the right treatment for your medical issue. If a prescription is necessary, it is electronically sent to your pharmacy of choice.

Teladoc sends you a follow up email to ensure that you got the care you needed and to see if you have any feedback on your experience.

Step 1.

Medical history

You are required to complete your medical history online, by phone, or by faxing a paper form prior to requesting a consultation.

Step 5.

Continuity of care

The physician documents the results of the consultation in your medical history. Consultation information can be sent to your primary care physician.

HOW IT WORKSYou have cold-like symptoms but don’t have the time to sit in an urgent care waiting room. Instead you use us!

Top 10Diagnoses

1. Sinus Problems2. Urinary Tract Infection3. Pink Eye4. Bronchitis5. Upper Respiratory Infection6. Nasal Congestion7. Allergies8. Flu9. Cough10. Ear Infection

Electronic prescribing (SureScripts) or by phone.

Frequency of prescribing lower than same diagnoses when comparing best provider practices (about 80% vs. 83%)

Use of antibiotics limited to short durations; patient education and physician reminders for appropriate use

No prescribing of DEA-controlled substances, medication for psychiatric illness, or lifestyle drugs.

Generic drugs automatically recommended

PrescriptionManagement

COMMON USE

HIGHEST QUALITY OF CAREBetter clinical quality comes from directly managing our own network or physicians.

97%Teladoc physician satisfaction rate

Board-certified Board-certified in internal medicine, family practice, emergency medicine or pediatrics.

State-licensed State-licensed in their respective states.

Experienced Experienced, with an average of 15 years of practice.

Primary Source Verified

Verified through the National Practitioner Data Bank (NPDB) and the American Medical Association (AMA) Board certification, work history, peer reference, State licenses, monthly state sanction reports, DEA license, criminal and civil background.

Credentialed The first and only telehealth company in the US to have a provider credentialing process that is certified by NCQA.

U.S. residents U.S. residents, living and working in the United States.

*NCQA is the National Committee of Quality Assurance

14 min

95%

91%

100%

$0

Average Physician response time

Member satisfaction

Patient issues resolved

Follow up QA email within 48 hrs.

Cost per consultation

USE CADR+ WHEN YOU: Need basic medical care 24/7 Don’t want to go to UC/ER Can’t get a timely appointment with your PCP Need Rx prescription/refills* for common conditions Can’t afford your insurance copay or deductible Can’t take off work or school Can’t meet face-to-face with physician/specialist Need medical care access from remote locations Traveling and in need of medical care

*If appropriate

“PLUS” THESE ADDITIONAL SERVICES

Telephonic CounselorsSpeak directly with highly educated consultants who are ready to help guide you through life’s challenges.

Legal & Financial AdvisorsTalk with a network attorney or financial consultant by phone for as long or as many times as you need.

Childcare & Eldercare ServicesComprehensive services to help with all your needs while providing care for the loved ones in your life that need it most.

Medical Bill SaverLet our Bill Saver team work on your behalf to reduce what you owe. Pay only 25% of the total savings!.

WellCard Discount CardSavings on a wide range of healthcare products and services like prescription drugs, lab tests, vision and dental care.

Online Work-Life ResourcesIn-depth resources and guides for issues from adoption to college planning, elder care to emergency care and more.

THE ADMIN PORTAL All member info stored in the cloud Available to you on-demand, 24/7 Add, edit or terminate employees in real time Your information is secure, redundant and backed up We can add any number of employees in minutes Members emails and phone numbers are 100% private

BUSINESS CASE FOR CADR+ Every time CADR+ is used

there is an economic benefit to the Employer

The less traditional insurance used the greater the savings for the Employer

Improves employee productivity due to less time off needed

Possible Carrier credits available to help offset cost

Provides you with maximum plan design flexibility to raise co-pay or deductible offset by CADR+

Lowers employee’s out of pocket expenses

Drives Goodwill Enhanced benefits package

A True Win/Win for Employers and Employees!

WHY PITCH CADR+ TO CLIENTS?1. Good for the Employer

2. Good for the Employee

3. Good for you the Producer

4. Helps Attract New Business

5. Helps Retain Business

6. If You Don’t Offer It Someone Else Will!

ONBOARDING A CASE – IT’S EASY! To onboard a group, we need 3 documents completed and submitted (see below).  The instructions are also outlined on the onboarding page: http://cadrplus.com/group-enrollment-onboarding/

1. Group Enrollment Questionnaire: http://cadrplus.com/group-enrollment-questionnaire/  – This form is completed and submitted online (it cannot be printed).  There are

places on this form to attach the Customer Service Agreement and Group Census form.   We prefer to have everything submitted at once so that docs are not lost in the mix.

2. Group Service Agreement: https://cadrplus.box.com/csg

3. Employee Census Data: https://cadrplus.box.com/census-file

QUESTIONS: Michele Lewis - [email protected].  

YOU’RE IN GOOD COMPANY