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The Results are in:webVisit a Win for Doctors, Patient and Payors
This material contains confidential and proprietary information of RelayHealth Corporation, which is protected by copyright, patent, trade secret and trademark law. This material is not meant for distribution without the express written consent of RelayHealth Corporation. This material is incomplete without the accompanying verbal commentary.
Eric Zimmerman, MPH, MBA
CONFIDENTIAL.NOT FOR DISTRIBUTION.
Overview
Introduction
The RelayHealth webVisitSM Study
• Key Questions
• Study Overview
• Results
Summary
CONFIDENTIAL.NOT FOR DISTRIBUTION.
Introduction:Doctors & Patients
Online
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90% use the Internet
MDs online spend and average of 3 hours/week on medical activities
Approx. 19% have used email with patients; 39% say they will within 18 months
66% use the Internet (U.S. Adults)
76% seek health information online; 39% do so monthly
90% of those online want to communicate with their doctor online – over 50% say online access would influence their choice of health plan or doctor
Physicians Patients
Sources: McKinsey & Co., 2000; Cyber Dialogue, Oct. 2000; Harris Interactive, Oct. 2000, Deloitte Research/Cyber Dialogue, Dec. 2000; Boston Consulting Group (Harris Interactive Survey) Sep 2001, Harris Interactive, April 2002.
Doctors and Patients Online
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• Not HIPAA compliant– Not secure– Limited audit trail
eMailHIPAA ready
Secure servers, 2 firewalls, 128-bit, SSL encryptionFull audit trail
• One-to-one exchange without workflow support
• Free-form
• Non-chargeable
• Limited feature set Comprehensive feature sete-Prescribing, e-ReferralsClinical content and forms
Clinically structured
Reimbursable
Advanced workflow supportMessage routing by typeDistinct roles/proxy rights
e-Mail vs. RelayHealth
CONFIDENTIAL.NOT FOR DISTRIBUTION.
73% of physicians rate
reimbursement as
critical to adopting on-
line consults
37% of online consumers
would be willing to pay
out-of-pocket to
communicate online with
their own doctor (~ $5-7)
Patients
Sources: McKinsey & Co., 2000; Harris Interactive, April 2002, Jupiter Research, May 2002; Forrester Research, October 2002
Reimbursement Matters
Physicians
Will Payors Bridge the Gap?
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The RelayHealthwebVisitSM Study
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Key Questions
What is the impact of secure, structured, reimbursed online doctor/patient communication on healthcare utilization and cost of care?
How does the availability of secure online communication affect patient satisfaction? Access? Perceived quality?
How do physicians respond to secure online patient communication in a reimbursed environment? Do they find it convenient? Easy to integrate? Acceptable as a form of care for patients with non-urgent medical needs?
CONFIDENTIAL.NOT FOR DISTRIBUTION.
How do webVisits Work? Patients select from 140+ Common Symptoms or Chronic Conditions
CONFIDENTIAL.NOT FOR DISTRIBUTION.
How do webVisits Work? Patient Completes an MD-Authored Interactive Online Interview
CONFIDENTIAL.NOT FOR DISTRIBUTION.
How do webVisits Work? Physician Receives Concise, Structured Message with Summary Health Record
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How do webVisits Work? Physician Replies using Customizable Templates and Time-saving Attachments
CONFIDENTIAL.NOT FOR DISTRIBUTION.
Study BackgroundParticipating Health Plans• Blue Shield of California• ConnectiCare• 10 self-insured employers and 4 ASO carriers
Study Scope• California and Connecticut• 3,688 member treatment group (PPO/POS)• 3,390 member control group• 282 MDs
Principal Investigator • Laurence Baker, PhD – Stanford University
CONFIDENTIAL.NOT FOR DISTRIBUTION.
Study Background
MD Reimbursement: $25
Patient co-payment: $0-$10
Measures & Methods
• Cost (claims analysis: treatment vs. control group)
• Patient satisfaction (random sample telephone survey)
• MD satisfaction (random sample telephone survey)
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Selected Study ParticipantsEmployers Health Plans Medical Groups
ASO CarriersASO Carriers
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Results: Significant Cost Savings
Methods
• Pulled claims data (6/1/00 – 2/28/02)
• Compared treatment group to matched control group
• Analyzed utilization and costs pre- and post- intervention
Findings
• Total & MD office savings exceed $1.50# PMPM
• Hospital outpatient savings exceed MD office savings
• Total webVisit claims costs of $0.33 PMPM in treatment group
• Patients who messaged their doctor using RelayHealth were 45% less
likely to report having had an office visit
#p < .01
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Results: Reduced Absenteeism
Patients who messaged their doctor using RelayHealth were…
• 50% less likely to report missing work# due to illness
• 40% less likely to report having limited work capacity† due to illness
#p < .01†p < .05
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Results: Patient Satisfaction
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Results: Physician Satisfaction
CONFIDENTIAL.NOT FOR DISTRIBUTION.
Summary
Pent-up patient demand
Reimbursement matters
Independent controlled trial demonstrated:
• Significant cost savings
• Strong patient satisfaction
• Strong physician satisfaction
• A shared preference for webVisits for non-urgent medical needs
CONFIDENTIAL.NOT FOR DISTRIBUTION.
www.relayhealth.com1900 Powell Street, Suite 600, Emeryville, CA 94608
510.428.7821
For more information contact:
eric.zimmerman@relayhealth.com
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