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A Case Study for Public Entity Pools
Amanda Clark, MMIA
Telehealth:
March 5, 2018
Libby Furry, Teladoc
2004 2860
85 5900
Pool Started Employees
Cities and Towns in MT Covered Lives
: By the Numbers
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24/7 availability
Can Dx & Rx
Handles
State Compliance
Works with TPA for eligibility
Call, Video, Upload Pics,
Mobile Ap
Share Info with PCP
What we liked about their offerings
Teladoc
PEPM fee = No Copay
03
Communication
Easy Implementation
Vendor Support to Market Service
01 02
04
Keys to Success
$
Share with PCP
Receive Call
Register
Request Consult
Provide personal info, medical history,
choose pharmacy, etc.
Scheduled or ASAP By phone or video
Upload photos
Have option to share
info, if give info and permission
Usually within 20 min
How it Works
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How Has it Gone?
Primary Utilization
Total Utilization
8%
6%
24%
1%
56%
5%
14%
Where Member Would Have Gone 2017
PCP
Specialist
Urgent Care
Emergency Room
No Treatment
341 claims
$176,000 savings
2.64:1 ROI
341 claims
$165,000 savings
2.47:1 ROI
For Pools HDHP/HSA Eligibility
Network Impact?
Future Thoughts For
MMIA
Other Considerations
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Telemedicine Market
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451k
800k
1,250k
1,400k
0k
250k
500k
750k
1,000k
1,250k
1,500k
0%
20%
40%
60%
80%
100%
2014 2015 2016 2017
Industry visits total (estimates) Visits done by Teladoc % of Large Employers offering telehealth
Teladoc is driving adoption of telehealth
more visits than ALL
competitors combined
3X 66% share
Sources: National Business Group on Health, Large Employers’ 2017 Health Plan Design Survey • Aranca Research • American Telemedicine Association
72% share
75% share
90%
38%
70%
22%
Telehealth Penetration
Visits
20+ million
members
3,800+ visits
per day
3,100 providers
nationwide
(with average
20 years
experience)
Who We Are
10-minute
average wait time
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Keys to Success
1. Communication
2. Buy-in from the top 3. Plan design
ROI 4:1
20%
10%
7%
5%
Social Media 72M+ ads drive
top of mind awareness
Members
In the Media On the radio, in the news,
when members are online
On the Go More than 600k app downloads
In the home 25 million pieces
of direct mail
In the inbox 20 million targeted emails
On Site 200+ pieces of customizable communications
materials available online
When need arises 3M+ ads when member searches on Google
Source: Teladoc Internal Data, 2016
Our approach is rooted in surround sound
POSTERS/FLYERS EMAILS
PROMOTIONAL ITEMS DIGITAL BANNERS
EMAIL SIGNATURE LINE
BUCK SLIPS
Licensed doctorsU.S. board-certifie
d doct ors average
20 years of experience
Get a diagnosisOur doctors recommend treatment and prescribe medication (when medically necessary)
24/ 7/ 365 care for:Cold & flu
, al ler gies, ear infections,
rash and much more!
Did you know?
Any time you need a doctor’s care, you’ve got Teladoc.
Speak with a doctor now!
<<URL>> | <<Phone>>
In minutesConnect with a doctor by phone or video
For full disclaimer visit : Teladoc.com/disclaimers
[<Made available by:>]
<<Card Name>>
UM-321_20E-261_<<CMSCODE>>
Did you know?
You’ve Got Teladoc“After many of my co-workers told me how happy they were with Teladoc. I signed up. Within an hour I was picking up my prescription & I’m now on the road to feeling better!”
Chris -Teladoc Member, Since 2012
Licensed doctorsU.S. board-cert ified
doctors average 15 years of experience
Get a diagnosisOur doctors can recommend treatment and prescribe medication (when medically necessary)
24/7/365 care for:Cold & flu
,
al ler gies,
rash, ear infectionsand much more!
For full disclaimer visit : Teladoc.com/<<URL>>
UM-326_60E-159_<<CMSCODE>>
<<URL>>
Download the app to get started!
You’ve got Teladoc Licensed doctorsU.S. board-certifie
d
doct ors
average 20 years of experience
Get a diagnosisOur doctors recommend
treatment and prescribe
medication (when medically
necessary)
24/7/365 care for:Cold & flu
,
al ler gies, rash,
ear infections and much more!
30E-328_UM-324_<<CMSCODE>>
Download the app now!
<<URL>>
As part of your benefits , you already have access to Teladoc. With Teladoc, you
can talk to a board certified doct or by video, anytime, anywhere.
For <<Consult Fee>> you have an affordable and effective healthcare alternative
to urgent care and ER visits for non-emergency care.
For full disclaimer visit :
Teladoc.com/disclaimers
When you ’re not
feeling well on the road,
you’ve got Teladoc.
It ’s not easy get ting the care you need when you are traveling.
That ’s why you have Teladoc as part of your benefits. Teladoc
lets you talk to a licensed doctor 24/7/365 by web, phone
and mobile app. A prescription can even be sent to a local
pharmacy, if medically necessary. Get the care you need without
the wait for conditions like:
Cold & f lu
Allergies
Respiratory infection
Ear infection
And more!
© 2016 Teladoc, Inc. All r ights reserved. Teladoc and the Teladoc logo are trademarks of Teladoc, Inc. and
may not be used without writ ten permission. Teladoc does not replace the pr imary care physician. Teladoc
does not guarantee that a prescript ion will be writ ten. Teladoc operates subject to state regulat ion and
may not be available in cer tain states. Teladoc does not prescribe DEA-controlled substances, non-thera-
peutic drugs and cer tain other drugs which may be harmful because of their potential for abuse. Teladoc
physicians reserve the right to deny care for potent ial misuse of services.
Not feeling well?
Set up your account today
Talk to a doctor now
Download the app
Get prescription notif ications
sent to your phone from the
award-winning Teladoc app.
Board-certified doctors
Dr. Browning is just one of
the many experienced doctors
ready to help you.
Learn more Learn more
Dr. Browning, MD, Family Pract iceTeladoc Member mobile app
Sample Materials Available
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Utilization Builds Over Time
Embedded Utilization Ramp
• Up to 100% of Year 1 PEPM fees
reinvested in member engagement
• Growing awareness results in
continued adoption and growth in
utilization in Year 2-3 and beyond
2x+ utilization rate in 2014-2013 “cohorts” versus recently on-boarded
2016 cohort Utilization Trends by Cohort(1)
0%
4%
8%
12%
16%
(1) 2016 Cohort 2015
Cohort 2014/2013
Cohort Average
<6%
~8%
~14%
(1) Cohort by fiscal year refers to membership base associated with clients onboarded in given fiscal year. Represents clients with less than 50k lives.
3:1 ROI for clients
Healthcare system costs
$600M
95% Patient
satisfaction
92% Resolution
rate
Results
Need multi-pronged approach
Turnover in staff, eligible membership
Benefits fatigue Buy-in from benefits/HR
teams
Communication is Key
Challenges for Multi-Employers
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THANK YOU
