The Results are in:
webVisit a Win for Doctors, Patient and Payors
Eric Zimmerman, MPH, MBA
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.
Overview
Introduction
The RelayHealth webVisitSM Study
• Key Questions
• Study Overview
• Results
Summary
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Introduction:
Doctors & Patients
Online
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Doctors and Patients Online
Physicians
Patients
90% use the Internet
66% use the Internet (U.S.
Adults)
MDs online spend and
average of 3 hours/week on
medical activities
76% seek health information
online; 39% do so monthly
Approx. 19% have used
email with patients; 39% say
they will within 18 months
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
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.
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e-Mail vs. RelayHealth
eMail
• Not HIPAA compliant
HIPAA ready
Secure servers, 2 firewalls,
128-bit, SSL encryption
Full audit trail
– Not secure
– Limited audit trail
• Free-form
Clinically structured
• Non-chargeable
Reimbursable
• One-to-one exchange
without workflow support
Advanced workflow support
• Limited feature set
Message routing by type
Distinct roles/proxy rights
Comprehensive feature set
e-Prescribing, e-Referrals
Clinical content and forms
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Reimbursement Matters
Physicians
Patients
73% of physicians rate
37% of online consumers
reimbursement as
would be willing to pay
critical to adopting on-
out-of-pocket to
line consults
communicate online with
their own doctor (~ $5-7)
Will Payors Bridge the Gap?
Sources: McKinsey & Co., 2000; Harris Interactive, April 2002, Jupiter Research, May 2002; Forrester Research, October 2002
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The RelayHealth
webVisit Study
SM
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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?
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How do webVisits Work?
Patients select from 140+ Common Symptoms or Chronic Conditions
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How do webVisits Work?
Patient Completes an MD-Authored Interactive Online Interview
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How do webVisits Work?
Physician Receives Concise, Structured Message with Summary Health Record
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How do webVisits Work?
Physician Replies using Customizable Templates and Time-saving Attachments
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Study Background
Participating 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
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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)
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Selected Study Participants
Employers
Health Plans
ASO Carriers
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Medical Groups
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
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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
†p
< .01
< .05
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Results: Patient Satisfaction
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Results: Physician Satisfaction
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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
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510.428.7821
For more information contact:
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