What Does the Industry Say? | MedicasONE
The essence of M1 — continuity

What does the industry say?

Independent insurance-sector evidence shows that first clinical contact can fundamentally change what happens next in the healthcare journey.

Hollard / Henner / Teladoc: what the reported data shows

Hollard Health’s published material describes a telehealth model in which members can access qualified doctors remotely, including video consultation, medical advice and prescriptions where local regulation allows. Hollard also reports patient-behaviour data from Henner/Teladoc cases.

Henner cases reported to July 2022
Patient responseWithout virtual doctorAfter consultation
Visit a doctor71%31%
Go to emergency room10%5%
Stay home19%64%
The pattern repeated — Henner cases reported to December 2022
Patient responseWithout virtual doctorAfter consultation
Visit a doctor67%32%
Go to emergency room12%7%
Stay home21%61%
The first clinical contact changed what happened next.

The key point is not simply that patients used telemedicine. Before speaking to a doctor, roughly two thirds believed they needed a physical doctor. After the virtual physician consultation, only about one third actually proceeded to a doctor. At the same time, roughly six in ten were able to stay home. This is powerful independent evidence of the mechanism that matters to an insurer:

Symptoms → Clinical assessment → Changed patient decision → Less unnecessary escalation
Hollard’s reported figures should not be presented as a controlled causal trial or as a direct claims-saving percentage. They compare stated intended behaviour with reported post-consultation behaviour. The direction and size of the shift are nonetheless highly relevant.

What our Swedish experience adds

A 93% digital closure rate.

The Hollard/Henner figures and our 93% closure figure measure different things and must not be compared as if they were the same KPI.

Hollard/Henner measures the change between what patients said they would have done without virtual care and what they did after the virtual consultation. Our Swedish figure measures the proportion of digital cases that were clinically closed without needing further physical escalation.

But both point to the same underlying principle:

A large share of perceived need for physical care can disappear once a clinician becomes the first point of contact.

Why our result can be stronger

The difference is not simply ‘better telemedicine’. It is the design of the clinical journey.

A conventional telemedicine proposition
Patient
Virtual doctor
Consultation ends
The model behind our Swedish experience
Symptoms
Structured clinical intake
Doctor
Assessment
Treatment & closure
Or clinically justified care

The doctor is not merely a digital alternative to a physical consultation. The clinical assessment becomes the decision point for what happens next.

This is where MedicasONE goes further

MedicasONE is designed so that the first clinical contact is only the beginning of a continuous clinical journey.

First contact
Assessment
Resolution where possible
Referral where necessary
Appropriate provider
Follow-up
Continuous medical record

For the insurer, that creates an opportunity to influence the healthcare journey before simply paying for its outcome — not by making medical decisions, but by ensuring that an appropriate clinical decision happens before unnecessary physical care begins.


Continuity

The consultation is not the end of the journey

The published Hollard / Henner / Teladoc material clearly demonstrates the impact of first virtual clinical contact. What it does not establish, from the material we have reviewed, is whether the subsequent care journey is maintained as one continuous longitudinal medical record available for future treatment.

Continuity is built into MedicasONE

Every clinical interaction contributes to the patient’s Electronic Medical Record (EMR). If treated remotely, the encounter becomes part of the continuing history. If referred, the receiving provider already has the relevant clinical information.

The next consultation does not start from zero.
For the patient
Continuity of care, less repetition.
For the clinician
Immediate access to prior clinical context.
For the insurer
Clinical context before, during & after the claim.

Telemedicine provides access to a doctor. MedicasONE provides the clinical infrastructure around what happens before, during and after that consultation — and carries that knowledge forward.

The insurance argument

Without first clinical contact
Symptoms
Patient decides where to go
Physical provider
Treatment
Claim
Insurer pays
With MedicasONE — the journey changes before the claim exists
Symptoms
Clinical assessment
Resolve or direct care
Physical care if needed
Follow-up & continuous EMR
Next episode with history
If first clinical contact can change 71% into 31%, imagine what happens when the entire journey is designed around it.
Source note: Hollard / Henner / Teladoc figures referenced here are drawn from Hollard Health published material reporting Henner case experience up to July 2022 and December 2022. The figures are presented as reported patient behaviour, not as a controlled clinical trial or a direct claims-saving percentage.

Please note this report is from 2022. One can reasonably assume the underlying numbers have improved further since then.

MedicasONE has the pathway.

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