welcome to abd academy: emerging trends: employers ... · abd insurance & financial services...

18
Introduction Andrea Trudeau EVP, Founding Principal ABD Insurance & Financial Services Moderator Amber Dickensheets Assurant Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April 21, 2015 One Medical Speakers Paul Jorgensen VP of Enterprise Division Steve Simpson Regional Vice President ABD Academy Webinar Recording

Upload: others

Post on 21-Mar-2020

6 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

IntroductionAndrea TrudeauEVP, Founding PrincipalABD Insurance & Financial Services

ModeratorAmber DickensheetsAssurant

Welcome to ABD Academy: Emerging Trends: Employers Contracting with ProvidersApril 21, 2015

One Medical SpeakersPaul JorgensenVP of Enterprise Division

Steve SimpsonRegional Vice President

ABD Academy Webinar

Recording

Page 2: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Emerging Trends:Employers Contracting with Providers

Page 3: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Agenda

Key market dynamics and drivers

Rationale for Primary Care investment

One Medical’s approach

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 4: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Employers Contracting with Providers

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

0.00%

5.00%

10.00%

15.00%

20.00%

25.00%

30.00%

2000 2013 next 2-3 years

% of Employers Contracting with a Provider Organization

Page 5: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

The Motivation is Very Simple

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 6: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

The Motivation is Very Simple

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 7: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED. Source: www.medscape.com

government mandatesconcierge conversions

HIP

AA

ICD-10

decreasingreimbursement

hospital system acquisitions by

Challenges Facing Primary Care Physicians

Page 8: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Primary Care Supply Crisis

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

~67,000 PCPs (estimated by 2025)

“The growing discontent has serious

consequences for patients. One is a

looming shortage of doctors, especially

in primary care”

Page 9: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Nationwide Physician Access Problems

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

“Try getting an appointment with

your family doctor; in some parts

of the country, it is next to

impossible.’

SAN FRANCISCO

PCP = 26

Page 10: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Why Are Employers Focused on Primary Care?

45%

55%

Primary Care

Non-Primary Care

How is your team getting care today? Implications: Increasing healthcare costs

High utilization of ER, Urgent Care, & Specialists

Reduced productivity

Disconnected care

How SHOULD your team be getting care?

81%

19%Primary Care

Non-Primary Care

Opportunity: Reduced healthcare costs

Increased productivity

Enhanced continuity of care

Page 11: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Virtual Care

• 24/7 access to clinical team

• Book appointments & refill Rx via

phone, app, or online

• Email your provider directly

• Treatment of common medical

issues through video visits and

mobile app

On-Site

Clinics/Services

• Fully-staffed office open during

working hours

• Flu vaccine clinic

• Biometric screening

• Wellness seminars

Near-Site Offices

• Nationwide access to all offices

• Same/next-day appointments

• Longer appointments that start

on time

• Lab Services

Integrated Care Access Solutions with One Medical

Page 13: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Greater Engagement, Unparalleled Experience

Average Yelp Score: 4.75

Top 5% among doctor’s offices

0

10

20

30

40

50

60

70

80

OneMedical

Apple Amazon Southwest Kaiser Humana

Net Promoter Score

"How likely is it that you would recommend our company to friends or colleagues?"

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 14: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Comprehensive Primary Care Advantages

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Increased access to high-quality care

Reduced overall healthcare costs

Improved employee health and productivity

Enhanced continuity of care

Optimized healthcare insurance spend

Increased in-network specialty utilization

Consolidated health and wellness investment

Page 15: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Return on Enterprise Investment

ONE MEDICAL’S RESULTS – OVERALL 8% COST REDUCTION

FEWER ER

VISITS

10%19% 10% 26%32% 9%

STUDY CONDUCTED AND VALIDATED BY MILLIMAN

FEWER

SPECIALTY

CARE VISITS

SAVINGS ON

OUTPATIENT

SURGICAL

LESS

GENERAL

RADIOLOGY

LESS

CT/MRI/PET

HIGHER

GENERIC

DISPENSING

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 16: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Experience One Medical for Yourself

Complimentary 1 year One Medical membership

Available to the first 10 participants

Simply email “Sign me up for better Primary Care”

to [email protected] now

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

webinaracademy

Page 17: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

Our Contact Details

Thank you very much for your time. Should you have any further questions, please do not hesitate to contact us.

www.onemedical.com

www.facebook.com/onemedical

@onemedical

WEBSITE:

Steve SimpsonRegional Vice [email protected]

Paul JorgensenVice President, Enterprise [email protected]

CONTACT:

CONFIDENTIAL & PROPRIETARY. COPYRIGHT © 2015 1LIFE HEALTHCARE, INC. ALL RIGHTS RESERVED.

Page 18: Welcome to ABD Academy: Emerging Trends: Employers ... · ABD Insurance & Financial Services ... Welcome to ABD Academy: Emerging Trends: Employers Contracting with Providers April

ABD Academy Webinar

Andrea TrudeauEVP, Founding PrincipalEmployee Benefits ABD Insurance & Financial [email protected]

For further information contact:

Questions?

Attendees will receive an email with Presentation Slides and Audio. Both can also be found at: http://www.theabdteam.com/abd-insights/presentations