Senior Vice President, Chief Strategy and Innovation OfficerBlue Cross Blue Shield of Minnesota

MaryAnn Stump

Online Care: A New Model for Healthcare Delivery

President & Chief Executive OfficerAmerican Well Systems

Roy Schoenberg, MD, MPH

Online Care Overview

Microsoft HealthVault Partnership and Integration

Online Care Rollouts to Date

What is Online Care?

Online Care Anywhere Overview

Worksite “Virtual Employee Clinic” Model

Microsoft HealthVault and Biometric Screening

Online Care Anywhere Rollout

Agenda

Online Care: A New Model for Healthcare Delivery

President & Chief Executive OfficerAmerican Well Systems

Roy Schoenberg, MD, MPH

Back to Basics

“The doctor will see you now”It’s time technology allowed just that.

The Online Care Framework

PEDIATRICIANSPOOL

DISEASE MGT.POOL

BEHAVIORAL HEALTHPOOL

Rule Engine

PROVIDERWEB / PHONE PORTAL

INTERNISTSPOOL

OB/GYNPOOL

BrokerageSystem

CONSUMERWEB / PHONE PORTAL

The Doctor Will See You Now…

Selecting an Available Provider

Informed Encounter

Patient’s Clinical Profile

Patient’s Complaint

Medical Issues to Discuss

Conditions

Allergies*

Immunizations*

Medications

Procedures

Decline Connect

A Live Interaction

Video Conference

Phone

AudioConference

Chat

ClinicalData/Tools

Payment

A New Tier of Care

Why Microsoft HealthVault ?

• Data from multiple sources provides physician with robust patient profile to enhance online visit

• Biometric data through HealthVault- enabled devices enhances remote care

• Privacy and security enhanced

One Year !

• Microsoft HealthVault & American Well partnership announcementJun. 2008

• Online Care goes live in HawaiiJan. 2009

• BCBSMN announcementApr. 2009

• UHG/ OptumHealth announcement Jun. 2009

• TriWest announces rollout for militaryJul. 2009

• Triwest Online behavioral health goes liveSept. 2009

• BCBSMN goes liveDec. 2009

• United/Optum goes liveDec. 2009

• Ascension Health AnnouncementFeb. 2010

BCBSHIHawaii

BCBSMN

Minnesota

UHG/OptumNational

TriWest Military

AscensionHospitals

What the Analysts Say

Slide 14

-“Facilitating real-time communication… through the use of Online Care, will transform the way care is delivered.”

“By 2013, 25% of patient encounters in Europe and North America that could be

conducted virtually, will be.” 

Source: Gartner Predicts 2009: Healthcare IT Moves From Transactional to Transformational

“By 2013, 25% of patient encounters in Europe and North America that could be

conducted virtually, will be.” 

Source: Gartner Predicts 2009: Healthcare IT Moves From Transactional to Transformational

Senior Vice President, Chief Strategy and Innovation OfficerBlue Cross Blue Shield of Minnesota

MaryAnn StumpOnline Care Anywhere In

Action

What we’re doing today isn’t working

Routine unplanned care

Chronic condition management

Wellness

Prevention

Health information access

Continuity of care

COSTAdvice

Employers are worried

Employees poor health habits

67%

41%

24%

Under use of preventive services

Overuse of care through employees seeking inappropriate care

Goal: 24-hour affordable access

$200K

+

Typical Employee

Clinic

Great idea, but…

It’s costly and what if you’re not at work?

Bringing care to people vs. people to care.

Bringing care to people vs. people to care

Online Care Anywhere is more than a typical employee clinic… and you can use it at home

Virtual Employee ClinicVirtual Employee Clinic

On-demand care providers

On-demand care providers

Devices to monitor and manage healthDevices to monitor and manage health

Convenient location

Convenient location

$10K

Reasonably priced

Traditional Employee Clinic Virtual Employee Clinic

$200K

+

More than care… connections

VisitTranscript

VitalStats

Blood PressureHeart RateWeightBMI