Transcript WFI PPT Horizontal Template 2007 version

Telemedicine
Meet George Jetson….
Kevin Cowden, MS
Vice President
Mid-Atlantic Health Strategies Practice Leader
Wells Fargo Insurance Services USA, Inc.
[email protected]
Fauquier/Prince William SHRM
August 23rd, 2013
Defining the problem:
Have changes in healthcare effected you and
your family?
Delivery?
Cost?
Quality of
Care?
1
The Challenge
Increasing cost, lack of access, gaps-incare
2
Healthcare reform…
The consequences:
Turning the crank:
•
Employer mandate
•
Individual mandate
•
Migration into plan (>30 hours)
•
Minimum actuarial value (60%)
•
Affordability (<9.5% HH income)
•
Looming Cadillac Tax
Risk
shifting
Employer
Health
Plan
Increased
morbidity
3
Dysfunctional system…
Access
Avg. ER Wait Time
71
Quality
4 hrs/ 7 mins
% have difficulty getting timely
60 mins
22minutes
5-10mins
Length of face-to-face
time with the physician
access to a physician
Avg. Wait Time in Urgent Care
Avg. wait time in doctor’s waiting room:
up to
Chronic disease patients are not
receiving adequate evidence based
care
According to the 2009 Marritt Hawkins
Survey the avg. time to secure a family
practice appointment…
20.3 days
4
One chart tells the story
Cumulative Increases in Health Insurance Premiums, Workers’ Contributions
to Premiums, Inflation, and Workers’ Earnings, 1999-2012
200%
180%
160%
140%
180%
Health Insurance Premiums
Workers' Contribution to Premiums
172%
Workers' Earnings
Overall Inflation
113%
120%
109%
100%
80%
60%
40%
20%
0%
38%
38%
11%
8%
47%
29%
38%
24%
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Source: Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 1999-2012. Bureau of Labor Statistics, Consumer Price
Index, U.S. City Average of Annual Inflation (April to April), 1999-2012; Bureau of Labor Statistics, Seasonally Adjusted Data
from the Current Employment Statistics Survey, 1999-2012 (April to April), accessed on January 28, 2013, available at
http://ehbs.kff.org.
5
Seven factors driving health care costs
1
We pay providers in ways that reward doing more, rather than being
efficient.
2
We’re growing older, sicker and more obese.
3
We want new drugs, technologies, services and procedures.
4
We get tax breaks on buying health insurance, and the cost to
patients of seeking care is often low.
5
We don’t have enough information regarding which medical care is
best for us.
6
Our hospitals and other providers are increasingly gaining market
share and are better able to demand higher prices.
7
We have supply and demand problems, and legal issues that
complicate efforts to slow spending.
Source: What is driving U.S. Health care Spending?, Bipartisan Policy Center, September 2012.
6
A Solution
Meet George Jetson…
7
From
To
8
Meet George Jetson
It’s all about interactivity and mobility
Because
it’s often
better and
smarter.
Generation Y wants it;
Generation Z will expect it:
Hunter and Ashley (Generation Y)
changed the rules.
Prepare for Skylar and Madison
(Generation Click) who couldn’t
imagine having it any other way.
Yesterday’s future is here today
Things are moving crazy fast. This isn’t a fad. How we select
benefits, submit a claim, check a balance, change coverage and
interact with benefits service is becoming increasingly devicecentric.
9
What is telemedicine?
Leveraging a
variety of
technologies
to deliver
healthcare
10
What services can be delivered?
Can be the solution 70% of the time…
Informational
 My back is sore. Should I apply heat?
 Which over-the-counter medication is
best for a sore throat?
Common Conditions

Allergies
 Asthma
 Bronchitis
Cold & Flu
Diagnostic
 Diabetes
 I have recurring acid indigestion. Is
this something to worry about?
 Ear infections
 My child is awake with a fever. Should
I go to the emergency room?
 Headache
 I need to refill my regular medication.
 Gout
Nausea
 Sinus conditions
 Etc.
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What are some of the benefits?
Bringing back the house call…
Productivity
Less sick days to just visit
the doctors office
Convenience
No more weekend trips to
urgent care or the ER
because your doctors
office is closed
Reduce healthcare
costs, out-ofpocket expenses,
travel & time
wasted waiting for
appointments and
sitting in germ
filled waiting rooms
12
How does it typically work?
1
Log into a web account, app., or call a toll free number
2
Triage (history and assessment) by registered nurses
3
Identify and follow appropriate pediatric or adult protocol based on
symptoms, history and assessment
4
If applicable, provide recommendation (disposition) to caller and
ensure understanding of recommendation OR
5
Escalate if necessary to a Board Certified Physician
6
Physician determines if prescription is required
7
We have supply and demand problems, and legal issues that
complicate efforts to slow spending.
13
Near future trends?
Improved Chronic Disease
Management & Evidence
Based Medicine Leading to
Closures of Care Gaps
14
Questions
15
Thank you for your time and
attention.
Telemedicine: Meet George Jetson…
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