Global Medical Direct

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Global Medical Direct

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Quarterly reminder calls so patients do not run out of supplies ... QMB- discount program not ins *Texan plus. Viva Health *Texas Star. Valley Baptist. Bravo ... – PowerPoint PPT presentation

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Title: Global Medical Direct


1
Global Medical Direct
  • Company Overview

2
Global Medical Direct Mission
  • Committed to
  • Providing patients with valuable diabetes
    self-management tools to improve their quality of
    life.
  • Providing Health Plans with diabetes products and
    services that help improve claims experience and
    reduce diabetes related complications.
  • Providing a work environment where employees
    thrive on providing patients with high level of
    service to gain and maintain clients.

3
Diabetes Market
24.6 Million Diabetics 2008
  • 20.8 million people have diabetes.
  • 14.6 million people diagnosed.
  • 54 million people have pre-diabetes.
  • 5th leading cause of death in the U.S.
  • Leading cause of coronary artery disease.
  • Leading cause of amputations.
  • Leading cause of end stage renal disease.

20.8 Million Diabetics 2006
18.8 M Diabetics 2000
4
Diabetes Financial Impact
  • gt 92 billion in direct health costs associated
    with diabetes.
  • 16.9 billion hospital days annually.
  • 62.6 billion out patient visits.
  • 40.3 billion spent on hospital stays.
  • gt 40 billion in indirect employer costs.
  • Sick days 88 million days lost.
  • Disability 7.5 billion in permanent
    disability.
  • Premature mortality.

CDC- National Diabetes Fact Sheet
5
Global Medical Direct
  • Making an Impact

6
Global Medical Direct
  • Full Product Line
  • Offering a full product line of blood glucose
    meters, strips, lancets, syringes and accessories
  • Lifescan
  • Roche
  • Bayer
  • Abbott
  • GMD will not swap out meters to generic or off
    brands without approval from the patients
    provider

7
Experts in DiabetesCaring ? Service ? Support
  • Caring Care Coordinators are highly trained in
    diabetes, demonstrating empathy to patients
    illness.
  • Service Care Coordinators understand insurance
    benefits, diabetes products and they advise
    patients on the most suitable products that are
    financially beneficial to the patient.
  • Support On staff educators and dieticians are
    available to consult with patients.

8
Global Medical Direct Convenience ? Compliance ?
Savings
  • Convenience Products are conveniently delivered
    directly to the consumer employing state of the
    art bar code tracking. Compliance GMD calls
    patients every 60 days to review their next order
    and assess the level of prescription compliance.
  • Savings No upfront co-payments or coinsurance.
    Patients are billed after all insurance has been
    paid.

9
Diabetes Care Plan
  • Diabetes Care Plan is a program dedicated to
    helping patients manage their diabetes through
    diabetes testing supplies, care support and
    educational materials.
  • This program is offered to GMD members are no
    additional cost to them or their health plan

10
Diabetes Care Plan
  • 90 Day supply of testing supplies
  • Quarterly Diabetes Education
  • Free Meter Upgrades
  • Home Delivery at no charge
  • Quarterly reminder calls so patients do not run
    out of supplies
  • No forms to complete or prescriptions to get
  • All paperwork is filed with their health plan

11
Diabetes Care Plan Benefits
  • Member Benefits
  • Agent Benefits
  • Medicare Advantage cover Diabetes supplies at
    100 (In most cases)
  • Convenience
  • Compliance leading to better Quality of Life
  • Additional Income 1 time 30.00 fee for each
    referral that results in a shipment
  • Added value programs setting self apart from
    competition
  • Can offer program even if patient declines policy
    making the visit worth while

12
Diabetes Care Plan Carriers
  • Care Improvement Plus- All Plans
  • Coventry- Avantra
  • Evercare- All Plans
  • Humana- All Plans
  • Secure Horizons- PPO/PFFS
  • Sterling- All Plans
  • Pyramid- All Plans
  • Wellcare All Plans
  • BCBS- PPO, PFFS- beware of high deductibles
  • Medicare Part A B
  • Medicare Part A, B and Sup
  • Medicare plus Medicaid
  • HMO Plans may be challenging

13
Out of Network
14
Diabetes Care Plan Process
  • Agent sells DCP when selling Policy
  • Patient signs the DCP enrollment
  • Agent can sell DCP even if beneficiary doesnt
    purchase policy
  • Agent e-mails or faxes the enrollment form to
    GMD and sends copy to The Brokerage office.
  • GMD Care Coordinator calls participant
  • Explains benefits
  • Enrolls participant
  • Ships order

15
Marketing Fees
  • Marketing Fees are paid by The Brokerage the
    month after the first shipment is sent.

16
DCP Enrollment Form
  • Top Portion
  • Top half explains the benefits of DCP.
  • Patient must sign and date form.
  • All data is entered by GMD, Insurance verified,
    Prescription obtained.
  • Care Coordinator will call patient to review the
    program benefits and schedule shipment.

17
DCP Enrollment Form
  • Complete Lower Section
  • Insert brokerage name, agent, Agent , phone.
  • Complete all demographic info for beneficiary,
    Dr, and insurance.
  • Medicare number is critical.
  • Current meter, frequency, days on hand and
    insulin injecting is essential.
  • Complete information will enable us to process
    and send order within 5 business days.

18
DCP Brochure
  • Great piece to leave with beneficiary to send in
    later
  • Patient needs more time to decide.
  • Reminder piece for when GMD calls.
  • Highlights the benefits for future use.
  • Expectations are clear.
  • Include Agent Name on the BRC for credit when
    shipped.

19
GMD Agent Support
  • Brokerage Name The Brokerage
  • Agent Number 00TB
  • Dedicated customer service representatives
  • 800-505-1625
  • fax number - 866-922-8325
  • e-mail DCPenrollment_at_globalmeddirect.com
  • Marketing Slicks Enrollment Forms

20
Global Medical Direct
  • Leading provider of mail order diabetes supplies.
  • Improving patients quality of life.
  • One stop resource for people with diabetes.
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