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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