The Results are in: webVisit a Win for Doctors, Patient and Payors This material contains confidential and proprietary information of RelayHealth Corporation,

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


Introduction:Doctors & Patients

Online


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


• 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


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?


The RelayHealthwebVisitSM Study


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?


How do webVisits Work? Patients select from 140+ Common Symptoms or Chronic Conditions


How do webVisits Work? Patient Completes an MD-Authored Interactive Online Interview


How do webVisits Work? Physician Receives Concise, Structured Message with Summary Health Record


How do webVisits Work? Physician Replies using Customizable Templates and Time-saving Attachments


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


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)


Selected Study ParticipantsEmployers Health Plans Medical Groups

ASO CarriersASO Carriers


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


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


Results: Patient Satisfaction


Results: Physician Satisfaction


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


www.relayhealth.com1900 Powell Street, Suite 600, Emeryville, CA 94608

510.428.7821

For more information contact:

[email protected]

Documents

The Results are in: webVisit a Win for Doctors, Patient and Payors This material contains confidential and proprietary information of RelayHealth Corporation,