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OverviewDecember 8, 2020CONFIDENTIAL
IINDUSTRY PROBLEM& OUR SOLUTIONCONFIDENTIAL2
Our BeliefIt’s time to rethink the delivery of care:clinicians are overworked, patients fear cominginto a clinic, danger of infection. There is a direneed to bring care into the home.COVID ischanging thingsdrastically.LabCorp WaitSan Francisco, CAOctober, 2020CONFIDENTIAL3
VisionHealthcare services to the homewith trusted medical personalservicing with the guidance of avirtual doctor.On average, the members in value-basedcare models experienced better healthoutcomes at a lower cost as opposed tomembers in fee-for-service models.Overall, the value-based agreementsresulted in 10.3% fewer emergency roomvisits and 29.2% fewer hospital admissionscompared to original Medicare. 1(1) Source: Humana Reports an Estimated 4 Billion In Savings FromValue-Based Care Models in 2019.Home Healthcare News.CONFIDENTIAL4
Our SolutionDrive patient retention and acquisition, improveoverall quality of care, manage cost of care, andexpand documentation of conditionsDrive significant value forHealth Plans ( 3-7k/patient)Drive NPS andCAHPS ScoresIdentify CriticalSDoH Metrics inthe HomeMedicationReconciliation &AdherenceMaintain CareWithin Patient’sProvider NetworkClose Care GapsReadmissionAvoidanceCONFIDENTIAL5
IIOUR DNACONFIDENTIAL6
We’re passionate about creating genuine access to high quality healthcare for more people,especially populations not well served by the current medical systems, resulting in betteroutcomes and better prevention, greater continuity of care, less waste and lower costs.Improving people's lives by bringingmore humanity to healthcareWe’re adding humanity to an often inhumane system by being there for people in personwhen they’re vulnerable, in pain, or worried, but also in our experience design and in howwe train our partner network of telehealth doctors and EMTs/paramedics.We create access to the highest level medical expertise, amplified by EMTs/paramedicswho act as the doctor’s eyes, ears and hands, delivered as a part of continuity of care.CONFIDENTIAL7
MedArrive can enable our partners toseamlessly enter patients’ homes to closecare gaps, capture essential SDoH dataand fully document patient conditions.CONFIDENTIAL8
We’re backed byWe’re backed byRedesign Health PortfolioRedesign Health is a mission-driven innovationplatform that launches transformativehealthcare companies. We conduct deepfundamental research and leverage an1-year metabolic reset using provenmethods, the latest science,medication, doctor visits, andcoaching for weight loss.Provides premium hearing aids andaudiology support from theconvenience of home for 50% lessthan the national averageModern men’s health company builtwith scientific rigor to deliver aseamless care experience for itsmembers.Founded to demystify cosmeticdermatology and make it moreaccessible.Platform connecting lonely seniorswith those capable of providingcompanionship and other support.extensive network of industry experts,corporate partners, and investors to supportextraordinary entrepreneurs. Our companieswork tirelessly to transform the healthcaresystem — elevating patient experience,A platform enabling cancerpatients and their loved ones tofeel less overwhelmed throughpersonalized planning tools.increasing transparency, and democratizingaccess to high-quality care.We’re redesigning healthcare to empowerpeople to live their healthiest lives.And our newest investors:Building a health ecosystem andnetwork of wellness centers thatrepresent the future of first-mile caredelivery.AI/ML technology company focusedon identifying and preventinghealthcare insurance fraud, waste,and abuse.Tech-enabled interdisciplinary clinicsfor children with developmentaldisabilities and their families.A holistic, customized sleep wellnesssolution for long term sleep health.Technology platform that pairspatient demand with latent EMScapacity and reimbursementsystems.CONFIDENTIAL9
Meet the TeamAdvisors & ConsultantsKaran Aneja, Product & Strategy Founding Team Dan Trigub, CEO & Co-founder10 years of experience in healthcaretechnologyFounder of Portea Medical - SouthEastAsia's largest home health servicescompanyFounder & CEO of Vetted PetCare - Homecare insurance for petsSarah Fenn, Legal & Regulatory Inna Plumb, COO & Co-founder 5 years leading Regulatory Counsel at Uber,including as US Legal Director andRegulatory Head for Uber Health6 years in The White House (Obama), asDeputy Associate White House Counsel andon the Affordable Care Act health reformteamRivka Gross, Providers & Product Bo Cross, Operations Lead Soren Berg, Lead Software Engineer23 years experience in provider-focusedtechnologies and transformationRevenue cycle expert, focused on usingautomation to reduce the administrativeburden on patients and providersFormer SVP, Patient Experience at OptumLouis Mendiola, EMS & Operations Erik Lyngved, Sr. Software Engineer12 years of experience in EMS and HealthSystemsLed BD and sustainability for first CMSCenter for Innovation backed CP/MIHprogramDirector of Retail and Telehealth services fora health system in S. Central MontanaBirju Shah, Product & Eng Head of Product, Uber Health. Former Headof Product, AI (Uber)Adjunct Professor, NorthwesternGoogle [x] Life Sciences Founding memberFounder/CEO of MDBug.comPat Songer, EMS & Healths Systems 28 Years in EMS / EMS Chief / ParamedicCOO of Cascade Medical Hospital/FormerAdministrative Director Humboldt GeneralHospitalExec. Dir. of the National EMS Mgmt. Assoc.Bill Sullivan, Board Member 25 years of experience as operator andinvestor in the healthcare services and HCITFounding management team of OxfordHealth Plans (1987 to 2000), his last four asPresidentDr. Megan Thomasch, Clinical Ops Diplomate of the American Board of InternalMedicine19 years in practice as a Primary CarePhysician most recently at NYU LangoneCorporate Medical DirectorDr. Andrey Ostrovsky, Govt. Strategy Former Chief Medical Officer of US MedicaidProgramExpertise includes population health,value-based payment, social determinantsof health, care coordination, and home andcommunity-based services (HCBS)Practicing physicianCONFIDENTIAL10
Company gMedArrive is all aboutcreating caring interactions,but much of medicine can becold and bereft of humanity.We create experiencesbased on how we would liketo be treated, and liberatedoctors and EMTs to notonly bring their expertisebut their humanity to work.MedArrive delivers thehighest standards of care bymarrying the best oftelemedicine with the bestof hands-on-care at home,delivered by highly skilledEMTs. We’ll continue toinnovate to make this newhealth care experience thebest of both worlds.We get to see people in theirhomes, and at their mostvulnerable. We see thingsnormal health care providersdon’t. We’ll never judge ourclients or question theirdecisions, but treat them asfully-rounded humans andsources of inspiration andlearning.We believe that the besthealthcare should be easy toaccess and use by all of us,on our own terms - not theindustry’s. We will breakdown barriers to access andbe supremely simple tointeract with, regardless ofthe channel.CONFIDENTIAL11
IIIHOW IT WORKSCONFIDENTIAL12
The ProblemPATI E NTSHigh cost of care and poorpatient experience.H EALTH PR OVI D E R SAN D PAYO R SMedical professionals are lackingsupply, capacity, and costs are11X from 5 years ago.E M Ts AND P A R A M E D I C SHigh latent capacity withsignificant under utilization,resulting in weak unit economics.CONFIDENTIAL13
How it WorksMedArrive extends provider services into the home, connecting patients tocare providers using our tech platform and locally trusted EMSprofessionals.ServicesAnnual Wellness VisitUrgent CareChronic conditionmanagementReadmissionprevention /Transitional CareSTEP 1STEP 2STEP 3Physician, Hospital,Healthplan can requestserviceEMS Provider booked/scheduledand routed to the patients homeEMR updated & shared withpayor physicianMedArrive triages &schedules visitExam, diagnostics, vaccinations,etc. done under physicianguidance if necessary (viatelehealth)Seamless communication andfollow-up viatext/email/phone.Invoicing/billing handled.Extension ofconcierge & specialtyservicesEMS Partners earn revenue and margin on every visitPatients benefit from increased access to care at reduced costsProviders and payers improve quality of care and reimbursement ratesCONFIDENTIAL14
MedArrive Vaccine Distribution PotentialMedArrive has the capabilities to support the traceability,coverage visibility and uptake of a national COVID vaccinedistributionHighly agilecoverageImmediate distributionTraceability & Second Dose AssuranceVaccination tents anddrive-throughs Timely vaccine administration is essential toensure cold chain integrity MedArrive’s technology can track in real timewho is receiving the vaccineLong term healthcarefacilities vaccination MedArrive’s workforce can be mobilized indays to administer entire ULT shippercontents within the 10 day window in agiven geography Our platform is set up to ensure follow-up forsecond vaccinationIn-home vaccination forvulnerable populationsExtensive coverage in ruralas well as urban areas MedArrive is prepared to leverage ourworkforce to support maintenance of ultracold temperatures within shippingcontainers if needed Our ability to deliver care in patients’ homesgives us a powerful advantage to ensuresecond dose administration We can deliver robust and accurate uptakedata back to our partnersCONFIDENTIAL15
A doctor writes a discharge form for a patientpost-examination specifying the need for a follow-upappointment, which is given to the relevant case manager.The discharge form contains information about the visit, thepatient, and post-discharge needs.CONFIDENTIAL16
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Our Care ModelMedical triage with support staffPre visit call verificationTriage &Visit PrepNotifications to patient includingETA and background of providerInput billing codes and handlereimbursementCommunication& BillingPre & Post visit medical data collectionScheduling& RoutingPatient booking via phone or onlineEMS field providers put availability inplatformMedArrive schedules most efficientroute and utilizationTrack providersSchedule follow-up visit(s)Tele-ConsultationFull assessment & medical examProtocols to guide in-home providerEMREfficiently surface medical recordsUpload pictures, record vitals and historyInput tests/labworks/medication neededCONFIDENTIAL18
Our National Footprint MedArrive has a national network ofEMTs and Paramedics. 22,000 EMS personnel across thecountry. An average response time of 45minutes nationwide. Our EMS partners aremedically-licensed, certified at alllevels, to meet the needs and demandsof your patients.CONFIDENTIAL19
Types of ServicesProvidedTYPE OF SERVICEEND MARKETReadmissionPrevention /Transitional CareHospitalPrimary CareMA / MCOAnnual WellnessVisitHospitalPrimary CareMAUrgent Care &VaccinationsHospitalPrimary CareMCOChronic ConditionManagementHospitalPrimary CareMCO / ACO Reduce length of stay for patients needing minimal monitoring/care IV antibiotics, wound/infection (cellulitis), collect sputum, urine, & blood cultures Expand capacity to reach all patients and ensure highest value physician-patienttime is maximized over telemed & EMS provider administers onsite services Vitals, history, medication accounting, home assessment, immunizations, BMI Reduce ER utilization and deliver care to patients avoiding clinical settings UTis, pharyngitis, wound care, gastrointestinal, bronchitis, asthma, palpitations COPD: PFTs, sputum culture, ECG, nebulizer administration Cardiology: CHF, Hypertension, Atrial Fibrillation, CAD Diabetes: Hgb A1C (blood draw), urine microalbumin, foot examCONFIDENTIAL20
IVBUSINESS MODELCONFIDENTIAL21
Optimize Revenue andTotal Cost of CareOur solution offers immediate, convenientaccess to care in the patient’s home, drivesbetter outcomes, captures essential SDoHdata and prevents costly events. 14,4003Typical CostMedArriveSavings41 2,03212XER Avoidance(1)(2)(3)(4) 16,000232XChronic Condition ERCrash AvoidanceSource: 18 Million Avoidable Hospital Emergency Department Visits Add 32 Billion in Costs to the Health Care System Each Year United Health.Source: Economic burden of hospitalizations of Medicare beneficiaries with heart failure Meredith Kilgore et al.Source: The High Cost of Hospital Readmissions Vie HealthcareBased on annual cost of providing Urgent Care, Chronic Condition Management and Readmission Prevention with MedArrive, respectively52XReadmissionPreventionCONFIDENTIAL22
Revenue ModelsAccess to patient’s home can haveimmense impact on clinical outcomes,CAHPS scores, and care connectivity backto our partnersFFSPer Visit with Payors &Value-based ProvidersShared Savings with Payors &Value-based ProvidersWe can bill for a variety of CPT codes underOur near term aim is to arrange customOur most exciting opportunity is to partnereither direct or indirect physicianreimbursement from either payors orwith Value-Based providers, Managedsupervision.value-based providers, who benefit as a resultMedicaid and Managed Medicare providers toof more efficient care delivery.participate in the margin we would generateOnsite we can bill for auxiliary services suchthrough pathways including:as vaccinations, point of care testing andAlternative models can be partnerships with Improved Star metricsphlebotomy.non traditional partners, such as concierge Accurate RAF scoresmedicine providers and life insurance Increase in retentioncompanies Reduction in care costsCustomer/User can be any physicianlooking to expand care outside their clinicalwalls.CONFIDENTIAL23
Q & ACONFIDENTIAL24
Thank you!Dan Trigub, CEO & Co-founderdan@medarrive.comm: 415-216-9292Inna Plumb, COO & Co-founderinna@medarrive.comm: 215-485-3238CONFIDENTIAL25
Dr. Megan Thomasch, Clinical Ops Diplomate of the American Board of Internal Medicine 19 years in practice as a Primary Care Physician most recently at NYU Langone Corporate Medical Director Bill Sullivan, Board Member 25 years of experience as operator and investor in the healthcare services and HCIT Founding management team of Oxford Health Plans (1987 to 2000), his last four as President .
