The trusted source for accurate, complete and accessible healthcare provider data.

1. The problem defined
“We
know
that
when
people
are
faced
with
the
choice
of
three
or
five
different
health
plans,
one
of
the
things
that’s
most
important
to
them
is
to
know
which
health
plans
have
the
doctors
and
hospitals,
but
par<cularly
the
doctors
that
they
care
about,
in
their
networks.
In
the
status
quo,
it’s
really
hard
to
answer
that
ques<on.”
Richard
Kronick
Provider
Network
Challenge
Webinar
Nov.
19,
2014
Vericred’s
Problem
Defini2on:
Lack
of
a
central
provider
data
source,
inaccurate
data
and
an
industry
plagued
by
poor
UI/UX

2. We start by acquiring the data ...
• Today
we
are
aggregaLng
and
normalizing
data
from
hundreds
of
sites
• Receive
network
from
carriers
• Extract
from
publicly
available
sources
• Match
and
normalize
(NPI
as
primary
key)
through
proprietary
algorithms
• TransiLoning
from
batch
process
to
a
conLnuous
process
• Our
data
footprint
roadmap
• Today:
Individual
and
group
provider
network
data
for
12
states
represenLng
over
40%
of
U.S.
populaLon.
• 2015
Open
Enrollment:
Individual
data
in
all
50
states
• Spring
2016:
All
individual,
group
and
Medicare
data

3. Then we make it right ...
• By
verifying
certain
informaLon
• Demographic
informaLon
• Plan
(network)
parLcipaLon
• AccepLng
new
paLents
• How?
Through
various
means
including
• A
proprietary
quorum
algorithm
• Look
for
consensus
from
mulLple
data
sources
• Sources
weighted
by
accuracy
(self
adjusLng)
• WeighLng
of
a
parLcular
element
decays
over
Lme
• Outbound
calls
to
providers
• What’s
next?
• Engage
providers
• The
ecosystem
we
are
building
is
intended
to
drive
disproporLonate
value
back
to
the
provider
in
exchange
for
their
engagement
• Incorporate
subtleLes
• Care
sebngs
to
account
for
employed
providers
• Tiered
networks

4. And then accessible
Provider
network
data
is
available
(and
mone2zed)
through
Vericred’s
API
• Target
customers
• Public
and
private
exchanges
• Web
based
enLLes
(WBEs)
• PEOs
• Physician
referral
placorms
• Small
group
and
individual
quoLng
systems
• Regulators
and
planners
• Per
call
pricing
and
bulk
licensing

5. Our apps ... PlanCompass
• Find
a
health
plan,
keep
your
doctors.
For
individuals
and
families.
• Shows
“who’s
in
and
who’s
out”
network
informaLon
side-­‐by-­‐side
with
plan
costs
and
benefits
• Complete
and
independent:
includes
all
available
plans
–
on
and
off
marketplace
• Turns
search
process
upside
down
by
starLng
with
the
healthcare
providers
people
know,
trust,
and
want
to
keep
• Free
and
anonymous
• DistribuLon:
• Direct
at
PlanCompass.com
at
no
cost
• We
are
passionate
that
provider-­‐centric
search
should
be
available
to
all.
As
such,
we
are
willing
to
provide
a
private
label
version
of
PlanCompass
at
no
cost
to
a
not-­‐
for-­‐profit
industry
partner
with
a
broad
and
relevant
audience.

6. PlanCompass for business
• Helping
businesses
evaluate
provider
network
fit
in
addiLon
to
plan
costs
and
benefits
• Privately
surveys
employees
for
the
doctors
they
want
to
keep
• Calculates
provider
network
fit
for
enLre
organizaLon
• Shows
%
of
doctors
in
every
plan’s
network
• Show
%
of
employees
with
all
doctors
in
a
plan’s
network
• Full
quoLng
capability
• Roadmap
• Small
group
(<100)
through
early
2016
• Full
US
footprint
by
12/31
• Large
group
disrupLon
analysis
in
2016
• DistribuLon:
• SaaS
product
direct
to
businesses
(PlanCompass.biz)
at
$1.99
per
employee
(one
Lme
fee)

7. Cross Carrier Provider Directory
• Have
a
health
plan,
find
a
doctor.
• One
directory
for
all
carriers
and
plans
• Single
line
search
• Minimal
steps
to
acLonable
informaLon
• IntuiLve
UI
and
fast
results
• Incorporates
crowdsourced
reviews
(Yelp)
• Incorporates
plain
language
specialty
search
• I.e.
“skin”
for
dermatology
• Machine
readable
• DistribuLon:
• Available
to
public
and
private
exchanges,
PEOs,
self
insured
and
others
seeking
a
cross-­‐carrier
soluLon
for
a
monthly
hosLng
fee.

8. Marketing strategy
• PlanCompass
demand
creaLon
• Public
relaLons
• Paid
search
• Ads
target
those
looking
for
a
health
plan
in
which
they
can
keep
their
doctor
• Organic
search
• Referring
sites
• Social
(Facebook,
LinkedIn,
Twimer)
• PlanCompass
Pro
(broker
version
of
apps)
demand
creaLon
• Engaging
a
Field
MarkeLng
OrganizaLon
(FMO).
Efforts
to
include:
• Sales
calls
to
over
15,000
brokers/agents
• E-­‐mails
to
every
licensed
agent
and
broker
• E-­‐mails
to
all
FFM
cerLfied
agents
• Provider
Directory
• Direct
sales

9. Actionable insights
The
use
of
PlanCompass
generates
incremental
data
that
can
be
used
by:
• Regulators
to
measure
and
manage
the
impact
of
increasingly
narrow
networks
• The
PlanCompass
Index
measures
the
probability
of
consumers
finding
a
health
plan
in
which
their
trusted
doctors
parLcipate
• Carriers
to
design
and
opLmize
their
networks
• Aggregated
network
match
and
mis-­‐match
data
can
be
used
to
curate
exisLng
networks
and
to
design
new
networks
• Individuals
for
powerful
provider
search
• Captured
provider
adjacencies
can
power
collaboraLve
search
• “People
in
your
area
who
trust
the
same
doctors
you
do,
trust
these
(fill
in
the
type
of
doctor),
that
are
in
your
plan’s
network.”

10. Roadmap & Vision
• Expand
the
PlanCompass
dataset
to
include
all
health
plan
networks
(Medicare,
group,
self
insured,
etc.)
resulLng
in
the
first
centralized
provider
network
data
source
• Incorporate
Lered
networks
and
care
sebngs
to
deepen
the
granularity
of
the
network
data
• Build
a
provider
centric
ecosystem
to
engage
providers
in
the
verificaLon
of
their
own
data
• Expand
PlanCompass
to
Medicare
Advantage
market
Make
provider-­‐centric
search
ubiquitous