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Our strategy is to innovate and improve our value to the population our customers serve and continue to drive down total cost of ownership through the VoCare solution. We make integration, deployment and maintenance something our customers do not have to worry about.

Our customers are remote patient monitoring (RPM) companies and Telehealth (Tele) companies. RPM companies have two very different approaches to remote patient monitoring. One strategy seeks to manage the health of populations to drive down the total cost of care and benefit from the savings. The other strategy is to generate earnings from the fees Medicare pays for remote patient monitoring and chronic care management. These strategies are not mutually exclusive but most companies in the RPM/Tele space tend to focus more on one than the other.

VoCare is a tool supplier for organizations committed to managing the health of populations. Our products are not the lowest priced, but they are the highest value and have the lowest total cost of ownership. The VoCare approach serves the needs of RPM/Tele companies whether they seek to drive down total cost of care or generate Medicare fees from RPM/Tele. There are some special factors that only apply to organizations seeking to reduce total cost of care, but VoCare’s focus on these organizations benefits RPM/Tele companies with either strategy.

By providing a turnkey device solution we make it easy for telehealth companies to offer RPM services and for existing companies in the RPM/Tele space to streamline their processes and improve their efficiency. When a company is able to provide RPM more efficiently they are able to monitor a larger pool of patients, digging deeper into the risk pool as you will see.

RPM/Tele companies must make decisions about what patients they will monitor. To make this simple we will only look at potentially avoidable hospitalizations. The return on preventing a hospitalization is large, measureable and immediate.

Organizations deploying RPM/Tele are essentially placing a bet that for a given population of patients the savings in reduced cost will exceed the cost of RPM. In order to make this bet these organizations must know four things. One, what is the likelihood of the patient suffering a preventable hospitalization. Two, what is the effectiveness of measures to prevent this hospitalization. Three, what is the cost of the intervention. Four what is the cost of detecting a preventable hospitalization.

Most patients in the population will not suffer a hospitalization with or without monitoring. To detect those at risk for hospitalization you must monitor the portion of the population where RPM will produce a return on the RPM investment.

The less the total cost of RPM the larger the portion of the population you can monitor as you seek to reduce costs. At some point the cost of monitoring will exceed the savings. There are many ways to select a subset of the population for monitoring. Some produce a return while others do not.

The top 10% of most expensive patients spend more than half of the total dollars. Many organizations have tried focusing on these top spenders, but have been disappointed by the results. The reason is that this subset of the population changes. Only one quarter (2.5%) remain in the most expensive category. The other three quarters change from year to year. The one quarter that remains has conditions that cannot be improved and will continue to be expensive. This is a poor strategy.

There are better alternative ways to select a population to monitor. These involve identifying subsets of the population that are likely to become high cost. As an example let’s look at the following graph showing potentially preventable hospitalization per 1,000 patients by setting of care. Monitoring the patients in home health would be a good strategy.