1 price transparency at the time of decision in-office app for mds, nurses, etc shows options and...
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1 Price Transparencyat the time of decisionIn-office
app for MDs,
Nurses, etc
Shows options and
out-of-pocket costs
Makes cost effective decisions
easy
2
$315 Billion Wasted annually because of inflated prices and unnecessary services
Problem: Without price transparency, patients drastically overspend
$4500
$550$0
$2500
$5000
In-network colonoscopy
Low cost provider
High cost provider
http://www.benefitsbabble.com/discounts-medical-bills/
http://resources.iom.edu/widgets/vsrt/healthcare-waste.html
Problem / Solution / Market / Execution
3
2004 2008 2012 2018Series1
0%
5%
10%
15%
20%
25%
30%
35%
40%
45% In 2013, patients paid
a quarter of all medical expenses
Patients Finally Have Skin in the Game
Patients w/ High-Deductible Health Plans http://www.allenlawrence.com/insuranceNews/GroupBenefitsNewsletter/GroupBenefitsNewsletter_Vol54No7.html
http://www.ama-assn.org/ama/pub/news/news/2013/2013-06-17-national-health-insurer-report-card.page
Problem / Solution / Market / Execution
4Self-service patient tools fail to engage
98%Payers
Have a Cost Calculator
Tool
2%Patients
Actually Use Them
http://www.finance.senate.gov/imo/media/doc/S%20Delbanco%20Testimony%20and%20Appendix.pdf
Problem / Solution / Market / Execution
5
95% of physicians believe they have responsibility for reducing cost of care
Lower Cost Options Exist: Transparency & Shared Decision Making Are Key To Helping Patients Access Them
Today:
80% of patients want more involvement in their care decisions
No tool currently available to surface this information and facilitate these conversations
Problem / Solution / Market / Execution
http://www.pifonline.org.uk/patients-want-more-engagement-and-involvement-on-care-decisions/
http://www.ncbi.nlm.nih.gov/pubmed/23917288
6
HIPAA-secure, scalable cloud architecture
Solution: Transparency at the time of decision
In-office app for MDs,
Nurses, etc
Shows options and
out-of-pocket costs
Makes cost effective decisions
easySupports multiple devices
Problem / Solution / Market / Execution
7
$600Potential Savings
$400 Potential Savings
Out-of-Network MRI (avg. cost)
In-Network MRI (avg.
cost)
1st Quartile In-Network MRI
$1200
$600
$200$0
$600
$1500
MRI Example: $1000 can easily be saved every time a patient makes a better radiology choice
Savings Breakdown
$250 = patient$750 = payer
$1000 = total
Stroll Health propietary data
Problem / Solution / Market / Execution
8Annual potential cost savings2 million member plan
MRI CT Scan
X-Ray PET$0
$20,000,000
$40,000,000
$60,000,000
$80,000,000
$100,000,000
$120,000,000
$140,000,000
$160,000,000
Seeking Lower Cost In Network
Moving In Network
Total:$329 M
Stroll Health proprietary data
Problem / Solution / Market / Execution
9
Cash and Neg.Prices byProvider
Procedure Prices
Provider and Procedure
Map
Patient’sCurrentBenefits
Selected Procedure for
Patient
Synthesized by Stroll
Procedure Input by Staff per Diagnosis
Patient’s Exact Out-of-Pocket Cost
We bring provider-payer claims processing technology to a doctor’s fingertips
NPI registry(NPPES)
Neg. Rate Data Feeds
Real-time Electronic Insurance Eligibility
PayerDirectories
CMS
Datasets
Member #Entered by
Staff
GatheredManually by
Stroll
Direct from Payers and
Systems
Problem / Solution / Market / Execution
ANSI X12- 271 Feed from health data
Clearinghouses
10Competitors exist, but only offer self-service transparency tools to patient or transaction processing to MDs
Problem / Solution / Market / Execution
5. Back office tools:Revenue CycleManagement
4. Front deskoffice tools
(real-time eligibilitycheck)
2. Consumer tools:Direct-to-consumer
3. Consumer tools:Insurance Portals
1. Consumer tools:Employer Portals
11A unique combination of health IT & software, clinical expertise, and user experience design
Jordan Epstein
Chief Executive OfficerClients: Kaiser, United Healthcare
Robert GuoEngineering
FacebookExpedia
Matt Maurer
Chief Operating Officer
Nathan Handley, MD
Medical AdvisorInternal Medicine Physician, UCSF
Drew MoxonDesign, ProductMicrosoftRiot Games
Alex Iancalescu, MD, PhDMedical AdvisorGoogle XMedical Research, UCSF
Wellmark
Problem / Solution / Market / Execution
12 5 Year Annual Revenue Projections
1 2 3 4 50
20
40
60
80
100
120
140Annual RevenueNumber of Deals with Payers
Year
Revenue (
millions
)
$13
0
Millio
n
$36
.4
millio
n
$6.7
m
illion
$90
0,0
00
$90
,000
25 Deals
10 Deals
3 Deals5 Deals
6 Deals
Problem / Solution / Market / Execution
13 Year 5 Breakdown by Procedure
Radiology23%
Blood Test (of
any kind)45%
Urinal-ysis14%
Pap Test4%
EKG3%
STD Test-ing3%
Colonoscopy3%
Other5%
Problem / Solution / Market / Execution
14 Regional Expansion
Key
Year 1 & 2 Year 3 Year 4 Year 5
Why these States?• Many have a
single payer that controls a majority of the state’s patients• Most also have larger populations, allowing Stroll to reach out to more people.
CA CAAL
CAALIAMIND
CA
MIAL
MSIA
MDMI
LAND
IL
Problem / Solution / Market / Execution
15
Customer discovery,
product iteration, build
data relationships,
integrate
20 PCP office test, measure cost savings,
referral patterns
Expand footprint,
leverage results to work with payers, other
points of primary care
Be the backend technology
solution for call centers,
providers, and apps that
recommend care
Development &Data Acquisition
Implementation& Pilot
Scale &Payer Revenue
1 2 3 4Long term:
Exit
Rollout Plandata partnerships, infrastructure, users current focus
Problem / Solution / Market / Execution
16
San Francisco, CA
650-380-8449
facebook.com/strollhealth
@strollhealth
Contact
Questions?
www.strollhealth.com [email protected]