2. EngageCARE Team
Evin Ollinger – CEO. Fourth startup, two successful exits (DistribuPro,
Chronos Software). 30 years in high-tech and online services in B2B
and B2C markets. Led marketing at ATT Language Line ($68M $146M rev growth, $720M spinout) serving 84% of US Hospitals,
8 of top 10 Insurance Companies and US Government CMS, HHS
and CDC.
Brent Daugherty – Dir Dev. M.S. CS, EE, UNC. Lead Mobile Web
Application Developer at Eveo, #1 Digital Healthcare agency. Clients
include Johnson & Johnson, Merck, Pfizer, Bristol-Myers Squibb,
Novartis and Roche. Expertise in front-end, UI and transactional
platforms. Previous, Wells Fargo and Lending Tree web and mobile
apps. Second startup
Mary Stanton – VP Care, MSW, LCSW, Smith College, BA Nonprofit
Management, Amherst. Medical Case Manager at VNA for in-home
chronic and senior care clients. Previous, Senior Web Architect at
startup HealthCommunities.com, grew to 28 websites, 3,000 doctors.
Note: All co-founding team members are committed to working full-time out of Rock
Health’s office in Mission Bay.
3. EngageCARE – Overview
EngageCARE has a revenue generating LOI with Blue
Cross Blue Shield (Wellmark) to develop an app for postdischarge and chronic care Members.
• These Members comprise 11% of BCBS’s population,
but account for 81% of the spend.
• Post-discharge, at home and often alone, these Members
are at high risk for hospital readmissions, low medication
adherence and cascading health problems.
• To date, BCBS and other Payers have provided little support
and lots of complex claims forms and service disputes.
• EngageCARE provides BCBS with its HOME suite of apps
for connecting Members with caregivers (F&F and formal),
an integrated chronic CarePlan for medication adherence
and behavioral support, and with a BCBS Case Manager all
on a mobile/web platform.
4. Targeting the Payer’s Market Problem
Payers provide health insurance for 195M Americans and their
business model is at risk.
The ACA has changed the health
insurance marketplace.
Introduced major risk factors for Payers:
1. Population Risk – aging, more
chronic care, can’t exclude.
2. Cost Risk – 11% of population
accounts for 81% of spend.
3. Competitive Risk – customers can
now compare and choose plans.
4. Value Risk – Payers are seen as
“claims processors” who don’t care
about their customers.
5. EngageCARE – Solutions for Payers
Connecting Payers with their Members for population management,
cost reduction and a “caring brand” value engagement.
Post discharge support
EngageCARE
HOME
Chronic care support
Medication adherence
Social F&F care support
Payer Case Manager
integration
Outcomes dashboard
back to Payer
6. EngageCARE – Solutions for Members
Connecting Members with F&F caregivers, chronic care planning
tools and online Payer services.
CareCircle – connecting F&F
caregivers in a social care
network
CarePlan - hronic care support
Medication adherence
Social F&F care support
Payer Case Manager
integration
EngageCARE
HOME
7. Government Resources
Diseases
My Dashboard for Mom
SeniorServe HOME
Pay for Help
Assessments
Find help for Mom
Create Task
Find Caregiver
Appointment
Reminder
Status Update
2 hours ago
Handyman Task Completed
Your mom enjoyed looking through the boxes. She found some pictures
from your childhood.
Weight: 110lbs Picture: View Picture
Payment: $60 Time: 3 hours and 22 minutes
Mom’s Care Plan
Approve
Dispute
Review
Doctor’s
Medication
My Caregivers
Care Circle
Care Charts
Caregiver Accepted
Tuesday at 10am
Elizabeth T. has accepted your request.
Task for Handyman
Completed
Your task has been created and has received a response.
Care Notes
Hi honey, I need the gutters cleaned for winter, some boxes moved from
the basement and some light bulbs changed.
8. EngageCARE – Market Opportunity
Connecting Payers with their Members – partnering with Payers to
target the 11% of Members accounting for 81% of Payer’s cost.
Target
Population
Discharged
Patients
Chronic
Care
Patients
Supporting
Friends &
Family
Payer
Growth
Population Factor
8M
1.7x
14M
Average
Spend
2x
36 Average CareCircle and ConcernCircle
F&F engaged to care for 1 Member
9. EngageCARE – Revenue Model
Connecting Payers with their Members for population management,
cost reduction and brand value engagement.
Front End w/Payers
Back End w/patients and F&F
EngageCARE
HOME
10. EngageCARE – Traction & Progress
Front End w/Payers
Back End w/patients and F&F
EngageCARE
HOME
11. SeniorServe Revenue Model - Building into an $80B Market
Revenue Categories:
Pricing Model
Transaction Platform: (Initial & Primary Revenue Source)
12% - 33% of task/shift
Service Fees
$20/month fee
CarePlanner & Assessment (online)
CarePlanner & Assessment (in-person) $100/month fee
User Base / Revenue Projection
100,000
1M
10,000
10M
$450,000
$4,250,000
$40,000,000
$375,000,000
$48,000
$480,000
$4,800,000
$48,000,000
$120,000
$1,200,000
$12,000,000
$120,000,000
$618,000
$5,930,000
$56,800,000
$543,000,000
$0
$0
$212,500
$0
$4,000,000
$500,000
$56,250,000
$5,000,000
$22,500
$300,000
$212,500
$3,000,000
$4,000,000
$30,000,000
$56,250,000
$300,000,000
$0
$0
$322,500
$0
$0
$3,425,000
$2,000,000
$0
$40,500,000
$37,500,000
$2,000,000
$457,000,000
$0
$300,000
$3,000,000
$30,000,000
$0
$60,000
$600,000
$6,000,000
$0
$10,000
$50,000
$1,000,000
$0
$0
$50,000
$1,000,000
$0
$0
$0
$0
Industry Eco-System Partners: (National Scale Accelerators)
Discharge Partners (Hospitals & Rehab Centers):
Increased Service Usage
Medicare Penalty Reduction Bonus
0% to 15% over time
Annual rebate from Partner
Senior Care Partners (Assisted Living & Senior Living Homes):
Increased Service Usage - Leads In
Referral Commissions - Closed Leads
0% to 15% over time
1/2 - 1st mo. rent $2k - $10k
Long-Term Care Insurance Partners (In-Home Care Provider):
Increased Service Usage
Cost Reduction Bonus
0% to 10% over time
Annual contract rebate
Senior Channel: (National Scale Accelerators)
Install & Monthly Fees
Home Safety & Alert Products
Install & Monthly Fees
Remote Medical Monitoring Devices
Discount Coupons (Groupon for Seniors) % of Sales
Referral Promotions/Ads
National Brand Partners
Unknown
Big Data on Seniors
$0
Totals
$370,000
$3,700,000
$38,000,000
$940,500
$9,725,000
$101,000,000
$1,038,000,000
12. Current Status & 12 Month Focus
Today: Team in place, Closed Alpha, 30,000 Home Helpers
onboarded, 100 Seniors field survey & case management
Next 12 months:
Angel Funding (Q3 closed)
Release Beta MVP (early Q4, 2013)
Lean MVP buildout to full platform release (Q1, 2014, ongoing)
Demand Connection:
- Test & Launch: Landing Pages, Online SEO, FB/Google
adwords, Blog (Q3, ongoing)
- PR, PR, PR campaign (start Q4, ongoing)
- Pilot program with senior living home for prospect management
and referrals (Q4 kick-off)
- Caregiver client referral program (Q3 w/onboarding caregivers)
100 Seniors field study (ongoing)
13. Members interviewed view BCBS as
providing less than 4% of their support
versus F&F at 76%, whilst Payers cover
76% of the cost of care.
targets Payers to connect them with their
Members.