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ClickMedix Right care, at the right time, to improve population health outcomes while lowering costs. Ting Shih - Founder & CEO ([email protected]) Ms Jodi Lyons – Healthcare Advisor Dr Andrew Pumerantz – Medical Advisor http://clickmedix.com

Insurance Patient Health Coordination ClickMedix 2015

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Page 1: Insurance Patient Health Coordination ClickMedix 2015

ClickMedix

Right care, at the right time, to improve population health outcomes while lowering costs.

Ting Shih - Founder & CEO ([email protected])

Ms Jodi Lyons – Healthcare Advisor

Dr Andrew Pumerantz – Medical Advisor

http://clickmedix.com

Page 2: Insurance Patient Health Coordination ClickMedix 2015

Problem: Patients don’t know how to navigate the complex healthcare system – when to get what care and why

Health Complications

PharmacyGym /

Wellness Programs

Nutrition

Psychiatrist

Page 3: Insurance Patient Health Coordination ClickMedix 2015

Currently: Longitudinal Healthcare Tools Are Insufficient Across Fragmented Services

Patients have to navigate care pathways across multiple providers and health services in multiple geographic sites and a variety of health record charting (electronic and paper)

Average patient with multimorbidity has 11 providers

Fax is the predominant method of referring patients amongst providers

In the ideal world, navigating the healthcare system to find the right care should be as easy as navigating with a GPS

Page 4: Insurance Patient Health Coordination ClickMedix 2015

How it Works: Guided Patient Journey

DiscoveryI don’t feel well

Easy to UnderstandAt-a-glance health status and guided pathway to

get better

Increase AdherenceGuidance and support

through treatment planSee Results

Measure ImpactPatient perspective

Company perspectivePhysician perspective

Self assessment or facilitated

Page 5: Insurance Patient Health Coordination ClickMedix 2015

1<7.0(<53

mmol/mol)

SBP < 130

DBP < 80

<100 or <70 with

CVD

No Symptom

s & No Structural

Heart Disease

At risk; chronic cough, sputum

production; normal spirometr

y

NoNephropa

thy

NoRetinopat

hy

No Dental Infection

No Neuropath

y&

No PAD

18.5-24.9

No Depressi

onPHQ-9 score 0

2

7.0-7.9(53-63

mmol/mol)

SBP 130-139

DBP < 90101-130

No Symptom

s & +Structural Heart Disease

GOLD 1 or 2

& 0-1 exacerbations/yr &

mMRC 0-1 &

CAT<10

Albuminuria

30-299 mg/g

Non- Proliferati

veMild

Mild Gingival

Inflammation

Neuropathy 25-29.9

Minimal Depressi

onPHQ-9

score 1-4

38.0-8.9(64-74

mmol/mol)

SBP 140-149

DBP < 90131-160

Symptomatic&+

Structural Heart

Disease

GOLD 1 or 2 & 0-1

exacerbations/yr &

mMRC ≥2 &

CAT≥10

Albuminuria

300-999or

eGFR 30- 60

Non-Proliferati

veModerate

Moderate Gingival

Inflammation

+PAD&

+/-Neuropath

y

30-34.9

Mild Depressi

onPHQ-9

score 5-9

4

9.0-9.9(75-85

mmol/mol)

SBP <150DBP 90-

99161-190

Symptomaticw/

Heart Failure

GOLD 3 or 4

& ≥2 exacerbations/yr &

mMRC 0-1 &

CAT<10

Albuminuria

1000-2999or

eGFR 15-29

Non-Proliferati

veSevere/ Inactive

Proliferative

Severe Gingival

Inflammation

+ Ulcer History 35-39.9

Moderate

Depression

PHQ-9 score 10-

14

5

> 10.0(≥86

mmol/mol)

SBP > 150 -or-

DBP > 100

>191Refractory Heart Failure

GOLD 3 or 4

& ≥2 exacerbations/yr &

mMRC ≥2 &

CAT≥10

Albuminuria

>3,000or

eGFR ≤15

Active Proliferati

ve

Acute Dental

Infection

Previous Amputatio

n

≥40 or <18.5

Severe Depressi

onPHQ-9 score ≥15

Patient Receives Health Score Card, along with Care Plans and Service Referrals

BMI

Page 6: Insurance Patient Health Coordination ClickMedix 2015

1<7.0(<53

mmol/mol)

SBP < 130

DBP < 80

<100 or <70 with

CVD

No Symptom

s & No Structural

Heart Disease

At risk; chronic cough, sputum

production; normal spirometr

y

NoNephropa

thy

NoRetinopat

hy

No Dental Infection

No Neuropath

y&

No PAD

18.5-24.9

No Depressi

onPHQ-9 score 0

2

7.0-7.9(53-63

mmol/mol)

SBP 130-139

DBP < 90101-130

No Symptom

s & +Structural Heart Disease

GOLD 1 or 2

& 0-1 exacerbations/yr &

mMRC 0-1 &

CAT<10

Albuminuria

30-299 mg/g

Non- Proliferati

veMild

Mild Gingival

Inflammation

Neuropathy 25-29.9

Minimal Depressi

onPHQ-9

score 1-4

38.0-8.9(64-74

mmol/mol)

SBP 140-149

DBP < 90131-160

Symptomatic&+

Structural Heart

Disease

GOLD 1 or 2 & 0-1

exacerbations/yr &

mMRC ≥2 &

CAT≥10

Albuminuria

300-999or

eGFR 30- 60

Non-Proliferati

veModerate

Moderate Gingival

Inflammation

+PAD&

+/-Neuropath

y

30-34.9

Mild Depressi

onPHQ-9

score 5-9

4

9.0-9.9(75-85

mmol/mol)

SBP <150DBP 90-

99161-190

Symptomaticw/

Heart Failure

GOLD 3 or 4

& ≥2 exacerbations/yr &

mMRC 0-1 &

CAT<10

Albuminuria

1000-2999or

eGFR 15-29

Non-Proliferati

veSevere/ Inactive

Proliferative

Severe Gingival

Inflammation

+ Ulcer History 35-39.9

Moderate

Depression

PHQ-9 score 10-

14

5

> 10.0(≥86

mmol/mol)

SBP > 150 -or-

DBP > 100

>191Refractory Heart Failure

GOLD 3 or 4

& ≥2 exacerbations/yr &

mMRC ≥2 &

CAT≥10

Albuminuria

>3,000or

eGFR ≤15

Active Proliferati

ve

Acute Dental

Infection

Previous Amputatio

n

≥40 or <18.5

Severe Depressi

onPHQ-9 score ≥15

Patient Follows a Care Plan and Improves Their Health Metrics and Score Card

BMI

Page 7: Insurance Patient Health Coordination ClickMedix 2015

Live-Action Care Coordination Across Health System

Page 8: Insurance Patient Health Coordination ClickMedix 2015

Collaboration with Insurers

• Enhance patient experienceo Single-point of contact to guide patient through care (via technology

or coordinator)

o Increase treatment adherence

o Increase ability to self-manage

o Provide longitudinal healthcare data to improve health outcomes

• Demonstrate ROIo Increased workforce productivity

o Decrease use of unnecessary ER visits

o Correlate payments to patient outcomes

Page 9: Insurance Patient Health Coordination ClickMedix 2015

Care Coordinators

, Patients, Providers

Easy, One-Click Interface Tailored to User Needs

Page 10: Insurance Patient Health Coordination ClickMedix 2015

Mobile Applications to Enable Patients to Fill Out Self Assessments

Mobile Applications to Enable Patients to Fill Out Self Assessments

Page 11: Insurance Patient Health Coordination ClickMedix 2015

Easily Capture Comprehensive Data for Remote Management by Specialists Via Mobile DevicesEasily Capture Comprehensive Data for Remote Management by Specialists Via Mobile Devices

Page 12: Insurance Patient Health Coordination ClickMedix 2015

Consumer Medication Adherence Tracking (any language)

Page 13: Insurance Patient Health Coordination ClickMedix 2015

Medical Experts

Hub

Phar-macie

s

Clinics

Homes

Phar-macie

s

Clinics

Homes

Phar-macie

s

Homes

Clinics

Payers &

Third-Party Data

Systems

BMI

Aggregate Real-Time Population Health Data While Guiding Each Patient through the Optimal Care Pathway