2019 - A Telemedicine Primer

 SmartExam Clinical Notes
Using artificial intelligence, SmartExam generates detailed physician/clinical notes including diagnosis, treatment, information about the diagnosis and additional notes. These clinical notes are generally far more detailed than typical family physician notes. As well, these clinical notes include a review of the interactive clinical interview.
 SmartExam User After Visit Summary
The SmartExam AVS for the user explains in detail the diagnosis and some of the associated signs and symptoms, the prescribed medication, what to watch for (red flags), other available treatments, prevention and useful tips.

All Together Program Overview

Merging 21st century societal trends are heavily impacting the workplace by increasing corporate costs & risk related to plan member health issues. Our impact in the workplace is real. Our Medical Director service, along with our Care Management team and national resource network accelerates medical problem resolution and return to health & work which translates into time and money savings.

Examples MedExtra Solution Real-time implementation Cost Savings
Cessation LTD benefits Benefits 8 weeks $1,500 $3,000 / month restored
Office meltdown – Opaque claim Cannabis “Addiction” 4 weeks $950 $11,000
Workplace conflict – Union grievance Diagnosis early dementia 6 weeks $1,800 $15,000
Repeated opaque absenteeism EE dismissed 2 weeks $0* $8,000
Unfit to work – Consult 6 months Diagnosis – Fit to work 3 weeks $0* $6,500
Possible MS – Consult 5 months MS ruled out 3 weeks $0* $6,500
Possible MS – Consult 4 months MS ruled out 2 weeks $0* $8,400
Painful rash – Consult 4 months Diagnosis & treatment 2 weeks $375 & OHIP $8,400
Chronic pain – No diagnosis Diagnosis & treatment 2 weeks $600 LTD mediation
Diabetes – Unfit to work Endocrinology consult 3 weeks $475 $6,500

*All-inclusive capitated plan.

  1. Workforce Demographics – Millenials replacing baby boomers.
  2. Healthcare – Overwhelmed physicians, wait lists & care delays.
  3. Disability – Mental health is #1 cause of disability (>30% of claims)
  4. Disability Management – This worked for cancer, heart disease, trauma.
  5. The Legal Environment – Claim adjudication decisions are increasingly being grieved or litigated.