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Transcript
TELEMEDICINE
2016
Your Benefits Now Include Telemedicine
What is Telemedicine?
A “virtual” doctor visit
The next phase of health care
• Quality care
• Convenient care
• Cost effective care
65%
of
Americans have a
smart phone
Growing
trend for
millennials
67%
of
Telemedicine
users are
ages 21 – 50
2
What Channel of Care is Appropriate?
Your PCP should be your first option, but if your PCP is unavailable, try:
EMERGENCY ROOM
TELEMEDICINE SERVICE
Doctor & specialist staffed 24/7
Doctor staffed 24/7
Provides highest level of care & services
Limited services
No appointment needed
Minor illnesses
Availability
(cold, flu, sinus infection, UTI, sore throat, pink
eye, headache)
Online registration
No appointment
Go immediately for stroke, chest pain,
heart attack, severe bleeding, major
trauma, loss of consciousness, blurred
vision
PCP
URGENT CARE CENTERS
RETAIL CLINICS
Doctor staffed
Nurse consult w/prescription privileges
Expanded hours
Expanded hours, within pharmacy locations
Provides moderate level of care
Minor illnesses
(colds, flu, ear infections, vaccines, strep)
Increased services
No appointment
No appointment
(stitches, fractures, sprains, IVs, X-rays)
Increased Risk
Non-Urgent
Emergent
Telemedicine ― Expands Your Network
More options for your employees
More providers
Increased member satisfaction
More services
Added convenience
More markets
More options
4
Telemedicine: Makes Health Care Easier
• 24/7/365
• No waiting for an
acute care
appointment
CONVENIENCE
• Telemedicine is
another option to
meet your health
care needs
• Board-certified
doctors
MORE
OPTIONS
QUALITY
HEALTH CARE
COSTEFFECTIVE
ACCESSIBLE
Less expensive
alternative for care
• Saves time
• No need to miss
work for an
appointment
Secure access via
• Computer
• Tablet
• Smart phone
5
Types of Telemedicine
Vendor Solutions
• Companies that provide telemedicine services
Secure platform
Provide national directory of board-certified doctors
Claims do not process via BlueCard®; submitted directly to Home plan
Local Providers
• Virtual PCP or retail clinic visit
 Your doctor may elect to practice medicine via telemedicine
 Must acquire the necessary technology
• Specialist Virtual Visit
 Office visit for follow-up care only
 Performed by a specialist via a secure video platform
 Two medical sites are involved:
1. Originating site (where the patient goes to have the service)
2. Distant site (where the specialist is located)
How It Works
Vendor Solution
TELEMEDICINE
SERVICE BENEFIT
Acute Care*
My head is
pounding, I can’t
stop coughing & my
stomach hurts …
a.m.
Local Provider Solution
VIRTUAL
PCP VISIT
MAY
2
For your next
appointment, I’d
like to do a virtual
visit as I just want to
see how those
prescriptions are
working out for you.
JULY
30
Your prescription
seems to be
working. I would
like you to get your
cholesterol rechecked.
7
Telemedicine Options ― Vendors
Vendor
Type of
Care
Available
States
Capabilities
Primary Care
Behavioral Health
46 states & DC
Not available in Alabama, Alaska,
Arkansas & Louisiana
Video consult only
Accessing
a Provider
Acute Care for
Minor Illnesses:
On-demand
appointments
2-minute average
wait time
Provider
Selection
Doctor is
assigned
Website
Behavioral
Health:
Scheduled
appointments
Patient may
select doctor
doctorondemand.com
Primary Care
Behavioral Health
46 states & DC
Not available in Alabama, Alaska,
Arkansas & Texas
Video & phone consults
Acute Care for
Minor Illnesses:
On-demand
appointments
2-minute average
wait time
Behavioral
Health:
Scheduled
video
appointments
Patient may select doctor
amwell.com
8
Telemedicine Options ― Local Providers
Did you also know that Teledermatology is covered under your Specialist Office Visit benefit?
Platform
Type of
Care
Available
States
Dermatology
23 states
Capabilities
Submit dermatological-related
issue along with digital photos
via website
Accessing
a Provider
Submit your request and doctor
responds within 3 days
Provider
Selection
Patient may select doctor
Website
dermatologistoncall.com
Your PCP, specialist, retail clinic or mental health provider
may also have secure video virtual visits available to you.
9
It’s as Easy as 1-2-3
Request a consult via web or app
amwell.com
doctorondemand.com
dermatologistoncall.com
➤ Register/create a profile
• Medical history
• Medications
• Allergies
Select a doctor
➤ For DermatologistOnCall,
a doctor will reply within
72 hours
See the doctor
➤ Select your location
• Doctors will be licensed in the
state in which the patient is
located
➤ Symptoms
10