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Wellness Health Solutions
         Market Opportunities
        The State of Healthcare
           Suite of Benefits
   Pricing & Commission Structure
         How We Support You
Wellness Health Solutions
• Built a program to support brokers with a one-
  stop business model
• Offers a suite of benefit plans to help
  employers control healthcare cost
• Brokers are supported 24/7 and compensated
  above industry standards
The Market Opportunity
• Healthcare costs has more than doubled the
  past decade
• Employers are reducing benefits
• Employees are being hit with first dollar
  exposures
• Cost sharing of health premiums increasing
Milliman (MMI) Index
MMI: Cost By Source of Payment
MMI: Components of Spending
Healthcare Reform: What It Means
• Government regulation and mandates
• Commission reduced or eliminated altogether
• Brokers forced to expand their offerings into
  other product lines to protect revenue
• 30+ million more consumers into an already
  overburdened system
Healthcare Reform Issues
•   Shortage of physicians
•   Longer delays
•   Increased absenteeism
•   Decreased productivity
•   Ignored symptoms will result in more
    expensive care which will increase premiums
Employer Problems
• Healthcare out-pacing inflation 2:1
• Premiums increasing without any control
• Claim filings increasing causing higher
  premiums
• Employee benefits being cut
• Healthcare reform limiting benefits
There is a Solution
• We help control costs and premiums by
  focusing on the two key healthcare cost
  drivers:
  – Doctor/Urgent Care/ER visits
  – Prescription drugs
• By utilizing Telemedicine and our Pharmacy
  Savings Card we can help control costs
The Game Changer: Telemedicine
Members have access to a board certified
  U.S. based physician 24/7/365 who can
    diagnose and treat non-emergency,
   routine medical conditions. Physicians
 can prescribe medication and access the
 service via phone, email, or bi-directional
                  video.
The Benefits of Telemedicine
•   Controls claim loss
•   Reduces absenteeism
•   Increases productivity
•   Benefit options to employers
•   More benefits to employees
•   Controls premiums
Telemedicine Facts
•   Experienced in Primary Care, Internal Medicine or Emergency Room Practices
•   Fully Credentialed by the NCQA
•   80% of doctor visits are for non-emergency conditions
•   15% of emergency room visits are for non-emergency conditions

         Common Conditions treated:
             Cold/flu
             Sore Throat
             Sinus and Respiratory
             Fever


       Telemedicine can significantly reduce non-emergency visits
                        resulting in huge savings!
Doctor Visit: Current Situation

Set up appointment
Miss two days of work
Wait at doctor’s office with other sick   Missed multiple days of work
people                                    Spent time in doctor’s office
See doctor for five minutes               Co-pays
Prescribes medication                     Claim against insurance
Pay co-pay (claim against insurance) or
$120 bill if you don’t have insurance
Pick up medication
Miss additional day of work
Return for follow-up visit
Telemedicine: The Alternative

•   Call Consult A Doctor   • Miss one day of work
•   Medication prescribed   • No exposure to sick
•   Pick up medication        people
•   Miss one day of work    • No cost for visit
                            • No insurance claim to
                              file
Consult a Doctor ROI
NUMBER OF EMPLOYEES
       100
                                                              UTILIZATION
                                                     25%          33%        50%       75%
                       REDUCED OFFICE VISITS         118           156       236       354
MONTHLY INVESTMENT     REDUCED ER VISITS              4             5         7         11
      $1,000
                       OFFICE VISIT SAVINGS         $11,789     $15,561     $23,578   $35,366
                       ER VISIT SAVINGS              $3,645      $4,811      $7,290   $10,935
                       PRODUCTIVITY SAVINGS          $5,013      $6,617     $10,026   $15,040

ANNUAL INVESTMENT      TOTAL SAVINGS                $20,447     $26,990     $40,894   $61,341

      $12,000          TOTAL RETURN ON INVESTMENT   $8,447      $14,990     $28,894   $49,341
Consult a Doctor ROI
Pharmacy Facts
• In the U.S. in 2008 spending for prescription drugs was more that doubled
  what was spent in 1999
• Over the last decade the percentage of Americans who took at least one
  prescription drug in the past month increased by 10%
• The use of multiple prescription drugs increase by 20% and the use of five
  or more drugs increased by 70%
• One out of every five children used at least one or more prescription drugs
  compared with nine of every 10 adults aged 60 and over.
• More than 30 million individuals in the US do not have access to PBM
  wholesale pricing
• The trend in the healthcare industry shows fewer drugs being covered by
  insurance and more individuals required to pay a high deductibles
dataRx: Our Pharmacy Partner
•   Founded in 1998
•   Owned by independent pharmacists
•   Processes more than three million prescriptions a month
•   Available for use in all 50 states, Guam, and Puerto Rico
•   More than 25 million pharmacy savings cards in
    circulation




                                       The Pharmacy Savings Card is not Insurance.
Comparison of Rx Cards




               The Pharmacy Savings Card is not Insurance.
Our Pharmacy Card
• Covers all prescriptions except controlled substances
• Offers an interactive Price Look-up Tool
• No claims to file
• Only card that pass on the rebates to the consumer
• Save 11-75% on prescription drug purchases, with an
  average saving of 53%
• More than 33,000 prescriptions under $7
• Accepted at more than 65,000 pharmacies

                                  The Pharmacy Savings Card is not Insurance.
Participating Pharmacies




                The Pharmacy Savings Card is not Insurance.
Price Look-up Tool
Price Control is Our Bottom-line
• Promoting consumerism by adding look-up
  tools to lower prescription cost
• Covering all prescriptions
• No claims to file against insurance which helps
  control premiums
• Direct rebates to consumer
Controlling Utilization
• Implementing a program to control usage of
  benefits Call First Policy™
• Interactive return-on-investment (ROI)
  calculators for employers
• Year-end reports showing annual savings
Call First Policy™
• Call First Copy.
Health Savings Promotion
Other Healthcare Benefits
•   Dental
•   Vision
•   Hearing
•   Lab and X-ray
•   Galaxy Network
•   Medical Health Advisor
•   EAP
These benefits are built into our Benefits Packages to help control preventive care cost.
These benefits use best in class networks and promote consumerism. We have included
 a Provider Look-up Tool on our Website for members to easily locate a doctor in the
                                        network.
Commission Structure
One Stop Business Solution
•   Sales Center
•   Call center with LiveChat
•   Live training Webinars
•   On-demand sales collateral printing
•   Mailing and fulfillment
•   Website and email marketing support
•   Back office/workflow integration
Wellness Sales Center
New Broker's Sales Presentation
New Broker's Sales Presentation

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New Broker's Sales Presentation

  • 1. Wellness Health Solutions Market Opportunities The State of Healthcare Suite of Benefits Pricing & Commission Structure How We Support You
  • 2. Wellness Health Solutions • Built a program to support brokers with a one- stop business model • Offers a suite of benefit plans to help employers control healthcare cost • Brokers are supported 24/7 and compensated above industry standards
  • 3. The Market Opportunity • Healthcare costs has more than doubled the past decade • Employers are reducing benefits • Employees are being hit with first dollar exposures • Cost sharing of health premiums increasing
  • 5. MMI: Cost By Source of Payment
  • 7. Healthcare Reform: What It Means • Government regulation and mandates • Commission reduced or eliminated altogether • Brokers forced to expand their offerings into other product lines to protect revenue • 30+ million more consumers into an already overburdened system
  • 8. Healthcare Reform Issues • Shortage of physicians • Longer delays • Increased absenteeism • Decreased productivity • Ignored symptoms will result in more expensive care which will increase premiums
  • 9. Employer Problems • Healthcare out-pacing inflation 2:1 • Premiums increasing without any control • Claim filings increasing causing higher premiums • Employee benefits being cut • Healthcare reform limiting benefits
  • 10. There is a Solution • We help control costs and premiums by focusing on the two key healthcare cost drivers: – Doctor/Urgent Care/ER visits – Prescription drugs • By utilizing Telemedicine and our Pharmacy Savings Card we can help control costs
  • 11. The Game Changer: Telemedicine Members have access to a board certified U.S. based physician 24/7/365 who can diagnose and treat non-emergency, routine medical conditions. Physicians can prescribe medication and access the service via phone, email, or bi-directional video.
  • 12. The Benefits of Telemedicine • Controls claim loss • Reduces absenteeism • Increases productivity • Benefit options to employers • More benefits to employees • Controls premiums
  • 13. Telemedicine Facts • Experienced in Primary Care, Internal Medicine or Emergency Room Practices • Fully Credentialed by the NCQA • 80% of doctor visits are for non-emergency conditions • 15% of emergency room visits are for non-emergency conditions Common Conditions treated:  Cold/flu  Sore Throat  Sinus and Respiratory  Fever Telemedicine can significantly reduce non-emergency visits resulting in huge savings!
  • 14. Doctor Visit: Current Situation Set up appointment Miss two days of work Wait at doctor’s office with other sick Missed multiple days of work people Spent time in doctor’s office See doctor for five minutes Co-pays Prescribes medication Claim against insurance Pay co-pay (claim against insurance) or $120 bill if you don’t have insurance Pick up medication Miss additional day of work Return for follow-up visit
  • 15. Telemedicine: The Alternative • Call Consult A Doctor • Miss one day of work • Medication prescribed • No exposure to sick • Pick up medication people • Miss one day of work • No cost for visit • No insurance claim to file
  • 16. Consult a Doctor ROI NUMBER OF EMPLOYEES 100 UTILIZATION 25% 33% 50% 75% REDUCED OFFICE VISITS 118 156 236 354 MONTHLY INVESTMENT REDUCED ER VISITS 4 5 7 11 $1,000 OFFICE VISIT SAVINGS $11,789 $15,561 $23,578 $35,366 ER VISIT SAVINGS $3,645 $4,811 $7,290 $10,935 PRODUCTIVITY SAVINGS $5,013 $6,617 $10,026 $15,040 ANNUAL INVESTMENT TOTAL SAVINGS $20,447 $26,990 $40,894 $61,341 $12,000 TOTAL RETURN ON INVESTMENT $8,447 $14,990 $28,894 $49,341
  • 18. Pharmacy Facts • In the U.S. in 2008 spending for prescription drugs was more that doubled what was spent in 1999 • Over the last decade the percentage of Americans who took at least one prescription drug in the past month increased by 10% • The use of multiple prescription drugs increase by 20% and the use of five or more drugs increased by 70% • One out of every five children used at least one or more prescription drugs compared with nine of every 10 adults aged 60 and over. • More than 30 million individuals in the US do not have access to PBM wholesale pricing • The trend in the healthcare industry shows fewer drugs being covered by insurance and more individuals required to pay a high deductibles
  • 19. dataRx: Our Pharmacy Partner • Founded in 1998 • Owned by independent pharmacists • Processes more than three million prescriptions a month • Available for use in all 50 states, Guam, and Puerto Rico • More than 25 million pharmacy savings cards in circulation The Pharmacy Savings Card is not Insurance.
  • 20. Comparison of Rx Cards The Pharmacy Savings Card is not Insurance.
  • 21. Our Pharmacy Card • Covers all prescriptions except controlled substances • Offers an interactive Price Look-up Tool • No claims to file • Only card that pass on the rebates to the consumer • Save 11-75% on prescription drug purchases, with an average saving of 53% • More than 33,000 prescriptions under $7 • Accepted at more than 65,000 pharmacies The Pharmacy Savings Card is not Insurance.
  • 22. Participating Pharmacies The Pharmacy Savings Card is not Insurance.
  • 24. Price Control is Our Bottom-line • Promoting consumerism by adding look-up tools to lower prescription cost • Covering all prescriptions • No claims to file against insurance which helps control premiums • Direct rebates to consumer
  • 25. Controlling Utilization • Implementing a program to control usage of benefits Call First Policy™ • Interactive return-on-investment (ROI) calculators for employers • Year-end reports showing annual savings
  • 26. Call First Policy™ • Call First Copy.
  • 28. Other Healthcare Benefits • Dental • Vision • Hearing • Lab and X-ray • Galaxy Network • Medical Health Advisor • EAP These benefits are built into our Benefits Packages to help control preventive care cost. These benefits use best in class networks and promote consumerism. We have included a Provider Look-up Tool on our Website for members to easily locate a doctor in the network.
  • 29.
  • 31. One Stop Business Solution • Sales Center • Call center with LiveChat • Live training Webinars • On-demand sales collateral printing • Mailing and fulfillment • Website and email marketing support • Back office/workflow integration