Catasys, Inc. Executive Informational Overview Introduction
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Catasys, Inc. offers big data-driven health management services aimed at reducing costs for health insurers while improving the health of high-utilizer members with behavioral health issues. Their proprietary Ontrak™ program has demonstrated over a 50% reduction in total costs for enrolled members, leading to significant savings for health plans. With a focus on substance dependency as a chronic disease, Catasys uses analytics and outreach to enroll and support affected members through effective treatment strategies.
Catasys, Inc. Executive Informational Overview Introduction
- 1. . o Provider of big data–based analytics and predictive modeling– driven health management services for health plans. These services aim to improve member health while simultaneously lowering insurer costs for underserved populations. o Catasys’ analytics identify which individuals on an insurance plan are “high utilizers” with impactable costs due to having a substance dependency or anxiety disorder exacerbating coexisting medical conditions. - proprietary direct outreach capability to enroll target health plan members in the OnTrak™ patient-centric treatment program o OnTrak™ has shown a 50%+ reduction in total costs for health insurers’ enrolled members—stemming from decreases in hospital stays, ambulance usage, and ER visits. Crystal Research Associates Presents: New Independent Equity Research A 56-page Executive Informational Overview® (EIO) by Crystal Research Associates is available on Catasys, Inc. (CATS-OTC) at www.crystalra.com.
- 2. . • Crystal clear, comprehensive report on a company in a manner that is easily understood by the Wall Street financial community • Product/technology/service offerings, market size(s), key intellectual property, leadership, growth strategy, competition, risks, financial statements, key events, and other fundamental information are detailed • Free of investment ratings, target prices, and forward-looking financial models • Complete risks and disclosures • Written exclusively by experienced, award-winning analysts What is an EIO?
- 3. . Overview of Catasys, Inc. (CATS-OTC) • Catasys’ proprietary data analytics enables it to identify high-cost, substance-dependent members within health insurance plans who have the potential to have reduced costs through effective treatment of their behavioral health conditions. The Company reaches out to these specific members and is typically able to persuade an average of 20% of a plan’s eligible substance-dependent individuals to enroll in the OnTrak™ treatment program. • Catasys views substance dependence as a chronic disease, where successful patient outcomes require provider coordination, a whole-person-health treatment philosophy, member skill building, and long-term reinforcement. OnTrak™ uses standardized, evidence-based medical and psychosocial interventions in a 52- week outpatient program that enables consistent quality of care supported by members’ own Care Coaches. • Enrollment in OnTrak™ increased 102% in Q2 2015 versus Q1 2015, and Catasys’ Q2 2015 revenue was up 51% year-over-year. OnTrak™ is currently available through insurance providers in 10 states, including Aetna/Coventry, Humana, Centene, Fallon Health, Health Alliance Medical Plans, and Reliant Medical Group. • Catasys provides health plans with outcomes reporting as it relates to clinical and financial metrics to demonstrate and confirm the value of its program—with data showing an average gross cost reduction of >50% versus the prior 12 months of enrollment. Furthermore, roughly 80% of members who have remained eligible have stayed in the program to date. This data is key to increasing adoption of OnTrak™. • A normal covered life averagely costs a health plan $3,250/year while a high-utilizer, substance-dependent life costs $27,500. If insurers pay Catasys, for example, $8,500 per member who enrolls in OnTrak™, and OnTrak™ generates a 50% cost savings, there is a potential savings to insurers in the first year of ~$5,250 per enrolled member. The savings is expected to continue after the first year.
- 4. . Experienced Leadership • Catasys is run by senior management that collectively has over 50 years of substance dependence treatment experience and over 100 years of healthcare experience, having developed an expertise in engaging, treating, and empowering members with coexisting medical and behavioral conditions to modify their behavior. • Terren S. Peizer, director, chairman of the board, and CEO, has personally invested ~$16 million into Catasys—somewhat uncharacteristic for a microcap company. Terren S. Peizer, Chairman, Founder & CEO Background in venture capital, investing, M&A, corporate finance Senior executive positions with Goldman Sachs, First Boston, and Drexel Burnham Lambert Chairman of Crede Capital Group, LLC Richard A. Anderson, President & COO Over 15 years of healthcare experience and background in management, finance, and M&A Previously director and founding member of PriceWaterhouseCoopers’ Los Angeles office transaction support group Susan Etzel, CPA & CFO Over 15 years in both public and private company finance Senior auditor at Arthur Andersen LLP Omar Manejwala, M.D., SVP & CMO Distinguished Fellow of the American Psychiatric Association and Diplomate of the American Board of Addiction Medicine Previous medical director at Hazelden, associate medical director at the Farley Center, and executive chief resident in psychiatry at Duke University Medical Center W. Gregory McLane, SVP, Sales & Marketing Led marketing activities for Magellan Health Services and founded health benefits company, Optimized Benefits, Inc. Led strategy and product development for CIGNA and ran consumer products businesses for Procter & Gamble, Campbell Soup, and Nabisco Barbara “Be” Stark, SVP, New Business Development Over 30 years of healthcare sales experience, including at Coram, Novartis, Alere, Apria Healthcare, and more Previously SVP of sales at Univita Health
- 5. . Seeking to transform the entire health management services system, the OnTrak™ program has shown to improve member health while reducing inpatient stays, emergency room utilization, and insurers’ total healthcare costs for enrolled members by more than 50%. Importantly, Catasys’ system is set up in a novel manner for the behavioral healthcare industry, which has historically struggled with providing adequate care and favorable economics due to a difficulty of identifying and treating patients who have mental, behavioral, and substance use disorders. Healthcare insurers/payers: Cost savings Patients: - Financially: For most members, OnTrak™ treatment is 100% covered under their health plan (unusual for the industry) - Medically: The treatment components of OnTrak™ as well as by encouraging better treatment outcomes since patients do not have to avoid treatment or leave the program early due to cost Catasys: Revenue generated from health plans enrolling members Potentially Transformative Strategies for Behavioral Healthcare
- 6. . Costs of Undiagnosed and Untreated Behavioral Health Issues Healthcare Overall Tobacco $130 billion $295 billion Alcohol $25 billion $224 billion Illicit Drugs $11 billion $193 billion Source: the National Institute on Drug Abuse, January 2015. COSTS OF SUBSTANCE ABUSE OnTrak™ may help fill the gap that exists as underserved populations with behavioral health conditions do not seek treatment. Over the past several decades, there has been a change in how the U.S. views mental health issues. Today, a conversation about a tragic shooting has transitioned from being an “NRA issue” to a “mental health issue,” with these topics being picked up by industry, media, and politicians alike. With near-daily news reports of teenage or young adult suicides, attacks on family, military, schools, movie theaters, and so on by undiagnosed and untreated individuals, and a rise in accidental drug overdoses from both illicit and prescription products, conversations have begun to focus on increasing fairness in health insurance for behavioral and mental health conditions while reducing the stigma, costs, and hopelessness of seeking treatment for those who are suffering from a mental or substance disorder. Substance abuse costs the U.S. over $700 billion annually due to crime, lost work productivity, and healthcare. o As of 2013, approximately 22.7 million U.S. residents needed treatment for a problem related to drugs or alcohol, though only 2.5 million people had received treatment at a specialty facility.
- 7. . Need to Address Comorbidities In any given 30-day period, 10% of the U.S. population is on five or more prescription drugs, many common combinations of which are extremely habit-forming and have a high rate of abuse by patients (Source: CDC). As of 2012: 41,502 drug overdose deaths Nearly80% of which were unintentional Opioid analgesics (prescription painkillers) 72% Benzodiazepines (prescription anti‐anxiety) 30%Other drugs 47% Pharmaceuticals 53% Causes of Fatal Overdose (2012) Causes of Fatal Overdose from Prescription Pharmaceuticals Only (2012)* 259 million: Number of prescriptions for painkillers writtenby healthcare providers in 2012 * Some deaths involved more than one type of drug, as people who died of drug overdoses often had a combination of benzodiazepines and opioid analgesics in their bodies. • There is a need for substance abuse programs to include physicians trained to fully assess not only the substance dependence but also any other comorbid conditions and concerns that may inhibit better health. • Catasys has found that many of the high-utilizer individuals identified by its program tend to have chronic and interrelated, comorbid conditions that also need to be managed.
- 8. . Market Opportunities Source: Catasys, Inc. HEALTHCARE PLANS FACE FINANCIAL CHALLENGES ACCOMMODATING HIGH‐COST MEMBERS WHO HAVE SUBSTANCE USE DISORDERS $3,250 $27,500 $‐ $5,000 $10,000 $15,000 $20,000 $25,000 $30,000 NOT SUBSTANCE DEPENDENT SUBSTANCE DEPENDENT Annual Claims Costs High-cost, substance-dependent members cost commercial health plans eight times more than other members. Patients enrolled in the OnTrak™ program exhibit a reduction in claims cost of over 50%. Health insurers are under constant pressure to reduce costs and have an incentive to pay Catasys to enroll members in the OnTrak™ program. ~204 million lives covered under managed care in the U.S. o For every 1 million members in a healthcare plan, ~$160 million in claims are incurred by commercial plan members with substance dependence. o = a $2 billion market opportunity according to Catasys Expansion into other high-cost, under-managed behavioral health populations, such as anxiety (recently launched) and depressive disorders could more than quadruple the market opportunity.
- 9. . Catasys’ program is helping make substance dependency treatment the same as any medical, pharmacological, or pharmaceutical treatment, where Catasys IS the treatment.
- 10. . The OnTrak™ Program – Ongoing outreach and engagement – Identifies members where the program can have an impact – Evidence‐based treatment protocols – Engages these members – Integrated medical and psychosocial treatment – Enrolls/refers these members – Development of select provider networks – Has a provider network – Provider training and ongoing evaluations – Provides for outpatient medical treatment – Member electronic health record – Provides for outpatient psychosocial treatment – Care coach support – Provides for care coaching – – Monitors and reports – – High‐intensity, 52‐week program KEY FEATURES OF ONTRAK™ Predictive modeling and analytics (proactive versus reactive identification and engagement) ONTRAK™ APPROACH Has a web‐based clinical information platform called eOnTrak™ • Developed by specialists in addiction • Specially trained network of providers who employ medical/psychosocial treatment modalities, such as the OnTrak™ Relapse Prevention Program, to assist in developing coping skills and a recovery support network • Catasys’ Care Coaches work directly with members by proactively providing support to enhance motivation, minimize lapses, and enable lifestyle modifications. • Managed through eOnTrak™, a web-based clinical information platform that allows each member of the treatment team (providers/Care Coaches/patients) to be better educated regarding treatment
- 11. . Current Clients OnTrak™ is currently available in 10 states, including through the insurance providers shown below. Collectively, this entails approximately 2.3 million Commercially Equivalent Lives (CELs). Catasys’ pipeline includes 10 million additional CELs, with 4 million in advanced discussions. CELs are a metric of growth potential, as increasing CELs may represent increasing future enrollment.
- 12. . Catasys’ Growth Strategies • Demonstrating and validating the potential for better clinical outcomes and lower costs using the Company’s OnTrak™ program with key managed care and other third-party payers • Educating third-party payers about the excessively high costs related to their substance- dependent members • Providing OnTrak™ to third-party payers for reimbursement on a case rate, fee-for-service, or monthly fee basis • Generating outcomes data from OnTrak™ that demonstrates cost reductions and using this data to increase adoption. The Company believes that OnTrak™ could help fill the gap where there is an absence of programs that proactively engage the right individuals in smaller populations with excessively higher costs driven by behavioral health conditions.
- 14. . Crystal Research Associates, LLC (www.crystalra.com) is an independent research firm that has provided institutional-quality research on small- and mid-cap companies for the past decade. We are led by veteran Wall Street sell-side analyst Jeffrey Kraws, who is well known by the international financial media for his years of work on Wall Street and for providing consistent award-winning analyses and developing long-term relationships on both the buy- side and sell-side. He has been consistently ranked among the Top Ten Analysts for pharmaceutical stock performance in the world for almost two decades as well as ranked as the Number One Stock Picker in the world for pharmaceuticals by Starmine and for estimates from Zacks. Additionally, Mr. Kraws has been 5-Star ranked for top biotechnology stock performance by Starmine. About Us Corporate Headquarters: 880 Third Avenue, 6th Floor New York, NY 10022 Office: (212) 851-6685 Fax: (609) 395-9339Jeffrey J. Kraws, Chief Executive Officer Karen B. Goldfarb President & COO
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