THE PROBLEM: HEALTHCARE Most offices open < 40 hours/week, ~ 24%

CLOSED over 75% of the time (168 hours/week)

Avg. time to make an appointment, 3 weeks Avg. time spent in waiting room, 23 minutes Top 3 reasons for ER visits are sinus, ear and upper

respiratory infections EASILY diagnosed and treated via phone

75 - 90% of visits originate from stress issues

THE AFFORDABLE CARE ACT (ACT) Healthcare now a right for all by 2014

~ 20% of Americans currently uninsured

Likely to increase strain on already-strained system Estimated 100,000 doctor shortfall by 2025

NYTimes Article: Doctor Shortage Likely to Worsen With Health Law

Anticipated 1/3 of hospitals close by 2020 David Houle and Jonathan Fleece

THE SOLUTION: TELEMEDICINE 4 of 5 office visits better handled via phone

Per American Medical Association

Avg. time to talk to our doctors, 90 seconds 90%+ who call, don’t need a follow-up 100% availability in all 50 states (24/7/365) 89% of healthcare execs believe telemedicine will

(and must) revolutionize healthcare

THE BENEFITS: CUSTOMERS Convenient - 24/7, from phone or computer Simple - EHR, Prescriptions, Labs Speed to Recovery - instant access to help Proven - over 200,000 consultations to date Effective - 90%+ are ‘very satisfied’ Fast - connect in less than 2 minutes

THE BENEFITS: EMPLOYERS Lower Annual Healthcare Costs (ROI) Greatly Improved Care Access Reduce Absenteeism / Presenteeism Improve Productivity An Alternative for Nurse Help Line Increase Healthcare Self Management Substantial, Highly Convenient Benefit

Revolutionizing Healthcare Access & Delivery

Cloud Based Telemedicine Solutions

Consult A Doctor 24/7CADR provides a technology and service platform which allows patients & members to consult with physicians via

Telephone, Mobile APP, Video, On-line, Email & Text, on an immediate basis, 24 / 7 / 365

MULTIPLE WAYS TO CONSULT

Avoided a doctor office visit, Urgent Care or ER visit90%90%

Reported being very satisfied with their consult92%92%

QA follow up with patient, within 72 hours of consult100%100%

Average physician response time22minmin

Average consultation duration1414minmin

MOBILE APPS - MY HEALTH CENTER First Aid Medications Medical Tests / Labs Wellness Chronic Condition Management Gaming Challenges Rewards Support Groups

My Consult CenterSchedule appointments, e-mail a doctor, store and forward your medical history to your primary care physician and more.

My Health CenterSymptom Checker, Health Library, Interactive Health Tools

My Message CenterSend and receive secure emails to a licensed physician for confidential and convenient information. Receive lab requisitions and results.

My Symptom Checker

Evaluate symptoms and recommend treatment options.

USE CONSULT A DOCTOR WHEN YOU: Need care after hours or on weekends Need medical care access from remote locations Need Rx prescription/refills* for common conditions Can’t meet face-to-face with physician / specialist Can’t get a timely appointment Can’t get to a doctor due to disability Don’t want to go to ER/UC Can’t afford to take off work Are traveling and need advice

- Cold/Flu - Sinus infections - Upper Respiratory Infections - Allergies - Headaches - Urinary Tract Infections - Bronchitis - Stomach Ache/Diarrhea - Eye infections - Ear Infections - Rash/Skin Irritation - Yeast Infection - Other GYN complaints

- Zithromax Z-Pak - Amoxicillin - Albuterol - Augmentin - Tessalon - Azithromycin - Keflex - Bactrim - Cipro - Lisinopril - Tamiflu - Prednisone

Common Medications PrescribedCommon Medications PrescribedCommon ConditionsCommon Conditions

- Metformin - Flonase - Diflucan - HCTZ - Levaquin - Macrobid - Pyridium - Biaxin - Allegra - Bactrim - Ibuprofen 800 - Nasonex - Lipitor

Select wellness panel

Complete order online

Approval in as little as 30 minutes

Order Test Go to Lab

Receive notification of lab requisition

Print online lab order

Visit local lab

Get tested

Receive notification

View results online

Consult with a doctor immediately about results

Send results to your Doctor

Get Results

SAVE TIME REPLACE UP TO 2 DOCTOR VISITS PER TESTSAVE MONEY

DIAGNOSTIC & WELLNESS TESTING IN 3 STEPS:

50 STATE PHYSICIAN NETWORK 50-state network of licensed primary care physicians and

specialists US Board certified, state licensed Specialists, including:

Pediatrics, Cardiology, OB / GYN Mental Health , Endocrinology

NCQA Credential review process Annual re-credentialing

170 Languages Supported Detailed and Stringent Quality Protocols Chief Medical Officer: Dr. Douglas Smith, Co-Founder:

MinuteClinic

CREDENTIALING CRITERIAEach applicant goes through a 7 stage evaluation process prior to acceptance into our network of physicians

Requirements:1. Active and current license2. Board certification (if more than 20 years experience, may be exempted)3. Education/training – at a U.S. based medical school, residency or specialty program4. Minimum of 3 years experience in clinic or office setting (average is 10 years)

Stage 1 – Physical ApplicationStage 2 – Personal Interview - Physicians OperationsStage 3 – Initial CredentialingStage 4 – Personal Interview with the Medical DirectorStage 5 – 3rd Party Credentialing- NCQAStage 6 – Acceptance/ContractingStage 7 ‐ Monitoring Physicians Ongoing

E-PRESCRIBEYour Logo

Features / BenefitsElectronic prescribing

Less errors Surescripts RX history Med2Med

interaction Decision support Evidence based

Pharmacy of choice By home, work,

hotel Less wait Formularies Insurance

Documented in EMRReported to PCP/Plan

FOLLOW UP / REFERRALYour Logo

Post Consult Benefits Follow up care

instructions Telemedicine

consultations In-person referrals Patient education Scheduled

messages/reminders Diagnostic labs Health tracking tools Health risk assessments Coding

CPT ICD-9

REPORTING & DATA MINING Through the use of next-stage technology

CAD partners with Payers to enhance and support their care management and cost containment approach

Data integration between CADR and Payer provides health related information to providers and patients at the point of care to improve clinical outcomes

CADR’s data warehouse serves as the central repository of data derived from numerous sources

Raw data becomes critical information readily available to effectively manage care

Data SourcesPaid Claims DataLaboratory ResultsPrescriptionsHealth Risk AssessmentsEvidence – Based Clinical GuidelinesMember & Provider Communications

IN GOOD COMPANY

WHY WE’RE BETTER Multiple Access Points (6): On-Line, Email, Telephone,

Mobile APP, Video, Text Unlimited, 24/7 access in all 50 states Mobile APP, providing Physician access, Personal Health

Manager and Wellness from your iPhone Over 200,000 Consultations Provided To-date Access to Physicians by Telephone in 2 minutes or less No Web Access Required to Consult w/ Physician All Video and Phone Consultations Recorded and Attached

to Health Record

ResourcesFor

Living

OBJECTIVES Why it matters in the first place! What is Aetna Resources for Living? What can we do for you? How does it work?

WHY IT MATTERS: THE STRESS EFFECTIf you feel stressed at times… you’re not alone.

Over 1/2 of Americans self-report that they are “struggling” with life today and 1/3 state their average stress level as “extreme”.

Source: Gallup-Healthways Well-being Index 2010

75 – 90% of doctor visit are considered to be stress-related ailments.

Stress is linked to all of the leading causes of death including heart disease, cancer, accidents and suicide. Source: EASNA Institute

The World Health Organization estimates that the equivalent of 7.1 productive days are lost per employee each year due to stress-related factors.

WHAT IS AETNA RESOURCES FOR LIVING? A no cost, confidential telephone counseling and referral service

for employees and their household members. 24/7 online access to targeted resources A starting place to address personal problems before they can

affect other areas of your life. A proactive partner to work with you to facilitate a solution.

THE GOAL: RESILIENCYWe can’t promise you a stress-free life. But we can provide you with tools and support to awaken your own resiliency.

resilience: the ability to spring back into shape after bending, stretching, or being compressed; the opportunity to recover  readily from illness or adversity.

TELEPHONIC COUNSELING Unlimited access Available 24/7 Live Answer Confidential Service Multi-lingual Crisis Support

WORKLIFE RESOURCESThere are times in everyday life when you may need a little guidance:

Child care Parenting Emergency care Summer care New baby care Adoption

Colleges and universities Elder resources Disaster relief Pet care Primary/secondary education Patient Advocacy

EVERYDAY HELP FOR EVERYDAY STUFFSomeone to talk to… on your schedule.

Telephone counseling

Legal services

Financial consultation

Tax preparation discounts

Identity theft

Patient advocacy

SELF-CARE AND WELL-BEINGCould you use a partner to help you achieve positive, long-term improvement in health and wellness?

Fitness

Smoking cessation

Weight management

Stress management

Discount Center

Targeted webinars

PATIENT ADVOCACY PROGRAM Having a health issue which requires medical care is one thing. Having exhausted all benefits and still owe medical bills is another. This program provides a personal negotiator who acts on the patient’s behalf,

mediating solutions for remaining bills with medical facilities. Who is eligible?

Active member of a benefit plan which includes Patient Advocacy Received care for a single related medical event at a hospital, emergency

clinic or surgical center Have a minimum of $2,500 balance after discounts and medical benefits

were applied. Solutions could include:

Applying for financial assistance Negotiating a settlement Arranging a payment plan

ONLINE DISCOUNT CENTERWe can also help you save money by providing access to great prices for over 3.5 million products and services.

Let the savings begin We help you find the deals you’re looking for with easy search tools and discount codes. We also feature zones that highlight hot offers, limited time bargains and regional deals.

The online discount service features savings on brand-name products and services like:

Computers and electronics Travel, car rentals and hotels Gifts and retail shopping Movie tickets & video rentals

Theme parks Fitness centers Shoes and clothes Restaurants… and more!

HOW IT WORKS: GIVE IT A TRY!

Phone Number: 1-877-856-1788

Website: www.mylifevalues.com Login: CADRPdemo Password: demo

THE DIFFERENCE: CADRPLUS Unlimited access for one low monthly price

As low as $10 PMPM

For the body AND the mind Best in class partners Flexible, simple plan options

Whole Group, Voluntary Group & Individuals

CADR VS. TELADOC Over 200K consultations to date (since 2007)

Teladoc has half that in twice as many years (2002)

6 ways to consult a physician (phone, email, chat,

video, phone app, “click to call”) Teladoc only has phone and video

No per use charges Teladoc charges for each consult, even informational About $38 per consult

Access a physician in 90 seconds Teladoc can only call-back, usually in 30 minutes

CADR VS. TELADOC All interactions are recorded and attached to EMR

Teladoc does not record consultations

Connect using ‘click to call’ from website in 90 sec. Teladoc does not have this option