April 17, 2020

COVID-19 Open-Air-Testing

Our Core Mission

To restore comfort and return control to members by

delivering exceptional, affordable care where and when

they need it, on their terms. 24 x 7 x 365.

To keep as many members as possible out of the hospital

for as long as possible, by safely managing their symptoms at home.

Our COVID-19 Mission

13 days to peak on April 29, 2020Texas Outbreak Projection

The Institute for Health Metrics and Evaluation (IHME), University of Washington

How We’re Delivering Care

+ Patients are screened for Influenza-like Illness (ILI) at booking.

+ Every ILI encounter starts with video.

+ ILI encounters that require testing or in-person care escalate to

Remedy’s drive-through test site or open-air clinic.+ House calls continue to be available in Austin & DFW for non-ILI

encounters who do not represent a high risk of COVID-19 exposure.

+ Focus: Maximize provider and member safety.

At Home Care Guides & Basic Home MonitoringInformation as Medicine

+ At home care guides

+ Observation Status: Daily Monitoring for high acuity patients

+ Next day high-risk follow up appointments

+ Pulse Ox / Thermometer

Testing

Nasopharyngeal Swab TestRT-PCR Diagnostic Testing

+ Nasopharyngeal Swab Sample

+ Detects viral RNA in patients with active infection

+ Best for: Active infection,2-10 days from symptom onset.

+ Established coding / covered by Medicare & all private payers.

Point of Care Nasopharyngeal Swab TestRT-PCR Diagnostic Testing

+ Nasopharyngeal Swab Sample

+ 5-15 Minute Results

+ Detects viral RNA in patients with active infection

+ Best for: Active infection,2-10 days from symptom onset.

+ Pending Availability

Testing Strategy & Availability

+ RT-PCR Test

+ Conventional Lab Partners - Direct bill to insurance or to patient. $70 self pay rate.

+ Increased Availability

+ Point of Care RT-PCR Testing – Abbott ID NOW

+ Cost & reimbursement TBD.

+ Not yet shipping in TX.

Open Air Clinics

Coverage Areas & Open-Air-Clinics (OAC) - Testing

+ Austin

+ DFW

+ Houston

+ San Antonio

Austin OAC (Open for Operation)

+ 3200 Jones Road

Austin, TX 78745

4805 Arborlawn Drive Fort Worth, Texas 76109

Fort Worth OAC (Open for Operation)

+ 4805 Arborlawn Drive

Fort Worth, Texas 76109

4805 Arborlawn Drive Fort Worth, Texas 76109

Houston OAC

+ 240 Northwest Mall Blvd

Houston, TX 77092

+ Infrastructure build target: 4/17-4/19

+ Open target: 4/19-4/20

4805 Arborlawn Drive Fort Worth, Texas 76109

San Antonio OAC

+ 1010 Loop 410 in

San Antonio, Texas 78216

+ Infrastructure build target: 4/19-4/20

+ Open target: 4/20-4/21

4805 Arborlawn Drive Fort Worth, Texas 76109

Return to Work Strategy

+ Clinical evaluation & CDC Guidelines

+ At least 7 days have passed since symptoms first appeared

+ At least 3 days (72 hours) have passed since recovery defined as

resolution of fever without the use of fever-reducing medications

+ Improvement in respiratory symptoms (e.g., cough, shortness of breath)

+ Custom Employer Solutions (Contact John Zamaites)

Thank You for Your Business

Questions: Please Contact John Zamaites