Presentation Transcript

1. Infina Connect Healthcare Systems

   Business Overview May 15, 2014
2. Business and Platform Model Cloud based healthcare application platform SaaS sale Guiding high value Specialist utilization Guiding high cost Drug utilization Platform licensed to partner for patient engagement
3. Healthcare Transformation Healthcare cost reduction in large populations Bending the cost curve
4. Changing How US Providers Get Paid Change is coming! Payers and employers shifting risk to providers and patients Life Expectancy at Birth (Years) Total Expenditure on Health per Capita in USD
5. Shared Financial Incentives inValue Based Reimbursement Higher payment to physicians when total medical cost for patient population is lowered Savings based on savings targets
6. Value Based Healthcare Acceleration Healthcare Analyst Firm Chilmark: Accelerating move to VBR:…roughly 50% of reimbursements in 2017 will be VBR-based. Millions of Patients Zero to 7% in past 4 years (18M lives) 7% to 50% in next 3 years!
7. Solving a New and Critical Problem Primary care physician groups are taking overall responsibility for health and cost for large groups of patients and need help! Infina ICC replaces chaotic fax/phone referrals with closed loop electronic referrals, directed to high value providers We introduce market competition (price and quality) into physician services!
8. Same MR Image in Same City, Priced Differently – Real Data 40 Radiologist Practice 30 Radiologist Practice $1,900 $1,100
9. Same MR Image in Same City, Priced Differently – Real Data 40 Radiologist Practice 30 Radiologist Practice $1,900 $1,100
10. Referral Steerage for Commercial ACO’s Payer/ACO identifies high quality, low cost specialists Payer Intelligent Coordinator Specialist Specialist * Patent Pending Specialist Specialist Specialist
11. Referral Steerage for Commercial ACO’s Referral Coordinators Intelligent Coordinator * Patent Pending Specialist Specialist
12. Same MR Image Cost Differently Within the Same City 40 Radiologist Practice 30 Radiologist Practice $1,900 $1,100
13. ICC Impact on 1st Commercial ACO 83% rate of in-network referrals (peers <40%) 6% total medical cost advantage Primary Care Intelligent Other Providers Specialists Coordinator
14. Community Based Referral Coordination ACO ACO ACO Intelligent Coordinator Cigna United MCO Medicare BCBS
15. Intelligent Care Coordinator™ (ICC) First in the nation: A single referral and care coordination system adopted by a majorityof providers (>1600) across a metropolitan area(Raleigh) All three local hospitals, Duke, Rex, Wake-Med To Rex “From Days to Hours for patient scheduling “
16. Partners Licensing Our Platform Drug Registry and Automated Prior Authorization Partnered with Access Care to provide NC Medicaid solution platform and support for managing 450 drugs Pocket HealthNet app to link patients and physician office Partnered with SmartLink to provide technology and development
17. Antipsychotics are a National Problem Denver Post highlights abuse in foster children Wall Street Journalhighlights antipsychotics abuse JAMA Psychiatry reported 3 to 5 times greater risk of Type 2 Diabetes Mellitus in children on antipsychotics Infina’s Drug Registry solves this problem U.S. Probes Use of Antipsychotic Drugs on Children … Medicaid spending on antipsychotics for children now $3.6B vs. $1.65B in 1999 … Disproportionate impact on poorest children and children in foster care
18. Creating Value in $14B MarketSecure, Reliable, Scalable >3500 providers, >1100 locations Improved health of kids Saved over $10M in 1st year Now managing 450 drugs Reduced antipsychotic prescriptions in children by 20% for NC Medicaid
19. Infina Leadership Team Mark Hefner Segment VP, Allscripts HSG Hill-Rom IT GE Healthcare MBA Siu Tong Start Uphistory 12 years at GE Ph.D– Engr + management, MIT Alex Tse, MD Pediatrician Allergy Specialist Clinics owner Medicaid board Greg Moyer Sr. VP of Allscripts ED business unit VP, A4 Health Sys MS Operations Research Eric Teague, CPA, MBA CEO/CFO, Wavelength Private equity CFO, partner PWC, TxSvcs CFO CEO VP Product TBD CMO VP Sales, Mktg Founder/Chair
20. Experienced CEO Joins Infina Previously Segment VP in charge of $140M business in Allscripts (public healthcare IT company) Health System Group Care Management, Referral Management, Homecare, Hospice, Emergency Department, and Patient Flow Led healthcare IT for GE Healthcare and Hill-Rom IT Solutions. BS Engineering and MBA, Georgia Tech Started September, 2013
21. Founder Remains as Chairman – BD/Tech Serial Entrepreneur 2013 Wall Street Journal “Startup of the Year” 1998 Ernest & Young “Entrepreneur of the Year” 1998 National HOT 100 company by Dun & Bradstreet/Entrepreneur Magazine 2000 Deloitte & Touche Technology Fast 500 award, ranged 178th GE Global Research Center Ph.D MIT
22. Infina Connect Milestones 5,000 physicians in 1,500 locations NC Medicaid, 4 ACO’s, 12 hospitals 6% total cost reduction for first managed population 20% antipsychotic drug reduction ($10M a year savings) Pipelines are building up Negotiating OEM deal with a national footprint partner Top 10 Wall Street Journal “Startup of the Year”
23. Analogy Castlight brings transparency to consumer; sells to employers 2013: $13M revenue, $60M losses $1B - $4B market cap Infina brings transparency to providers and sells to payers and providers Physicians control ~2/3 of medical spending Roughly $2M revenue Total Market potential $14B
24. Next Steps Raise Visibility Raise Investment Capital Accelerate Commercialization Zero to 7% in past 4 years 50% projected by 2017 Millions of Patients

25. Thank You!

    Mark Hefner, CEO mhefner@infinaconnect.com Siu Tong, Founder and Chairman tong@infinaconnect.com