Approximately a year and a half ago, I almost died because of a misdiagnosis by my internist. As a board certified physician who has been chief of a number of hospitals, I realized I was having a problem, and went to the emergency room. It was there I learned I was in congestive heart failure and was admitted to the hospital.  It took them five days to shed my body of ten pounds of fluid and prepare me for open heart surgery where two valves were replaced. Once I was discharged from the hospital, and subsequently rehab, I decided that because I had come so close to dying that there should be an early warning system available to patients.  I brought my idea to an IT group, and we formed Protect Care of America (Protect Care).  

Protect Care is a revolutionary new system that utilizes patented technology to connect patients vital signs via Bluetooth to the cloud in real time.  The results are then forwarded to the primary physician's electronic medical records.  However (and this is what makes us different), if there is an abnormality in vital signs such as an elevated blood pressure or sugar, this anomaly triggers an alert, and the abnormal vital sign is relayed to Protect Care's own physicians who addresses the abnormality immediately.  One of the main reasons we have Protect Care's physicians responding to these alerts is that the primary care physicians today are so involved in filling out electronic medical records that there is hardly any time for patient contact.

Protect Care provides an 800 number so that patients experiencing physical issues after physicians' offices are closed or on weekends, can call the 800 number and, in real time, speak to a Protect Care physician who will then obtain various vital signs such as an EKG, blood pressure, O2 sat, pulse rate, and a reading as to whether the patient is in afib or not. Most of the time, abnormal vital signs start appearing two to three days in advance of a needed ER visit or hospital admission.  Protect Care can address these problems early and possibly order a change in medication or alter a patient's diet, thereby avoiding a physical calamity.

This program is far superior to telemedicine because our physicians receive real time vital signs, and informed decisions can be made. The results of this patient encounter are then sent to the primary physician's medical records so that a permanent record can be entered into the system. The whole idea is to keep patients out of unnecessary visits to the emergency room and admissions to the hospitals.

Insurance companies are our clients.  Protect Care will charge them a per diem amount per patient per month. It is far more cost effective for the insurance companies to pay Protect Care of America a fixed monthly fee, projected to be less than 5% of the minimum $1100 an ER visit would cost, or nonpayment to a hospital which occurs if the patient is readmitted within the first 30 days of discharge.

The campaign document is divided into two parts.  If you would like further information after reading part one, which is attached, contact us at (T) 561-870-0442 and we will discuss release of part two which goes into more depth about how Protect Care of America operates and the availability for investment.

SAVING LIVES WITH REAL-TIME DATA
ProtectCare: Fast Facts

SAVING LIVES WITH REAL-TIME DATA
Medicaid Expansion and
Protect Care of America

Medicaid is a major government program.  In 2017, it accounted for 20% of the nation's healthcare expenditures – money that comes from taxpayer dollars.  Plus, the 75 million people covered make up almost a quarter of the U.S. population.  And almost two-thirds of people in nursing homes pay for their care using Medicaid.  However, most of the program's participants are noncompliant, which is a major problem.

The government makes hundreds of billions of federal dollars available to states to extend Medicaid coverage.  Medicaid, the half-century-old government health plan for the poor, has recently been mainly turned over to medical insurance HMOs. 

Many in Congress have argued that the Medicaid program, by turning the patients over to HMOs, is ineffective.

Currently the states share the cost of Medicaid with the federal government.  Poor states pay less, and in Mississippi, for instance, the federal government pays about three-fourths of the cost of the program compared to 50% in Massachusetts.  The federal funding is open-ended, but in return, states must cover certain services and people – for instance, children, pregnant women who meet income criteria, and parents with dependent children.  The main problem with Medicaid implementation is that 50% of Medicaid individuals are noncompliant in their healthcare.  By the involvement of Protect Care with the HMOs, those individuals would gain better healthcare.

It should be kept in mind that Medicaid HMOs create a small network of primary care physicians and specialists.  In some states, there are limits on the amount of visits individuals can have to their primary care physician, and if the patient ends up in the hospital or the emergency room, the Medicaid HMOs lose money.

All Medicaid HMOs have physicians sign risk contracts. The explanation is that the doctor is to be very selective in ordering multiple tests.  For example, a patient can come into the office for a headache that has been in existence for two months and getting progressively worse.  The doctor now has multiple choices.  He can order a skull X-ray, CAT scan, or a neurological consult.  On the other hand, he could diagnose this as simply stress and prescribe something for anxiety and wait another month to see if this has corrected the problem.  The less expensive tests that the doctor orders, the more money he and the HMO make.

SAVING LIVES WITH REAL-TIME DATA
Limited Medical Apps/
Unnecessary Lives Lost

This gives very little time for a hands-on physical examination of the patient and even less time to get an accurate history.  With these doctors being so overwhelmed filling out the electronic medical records, none of them have the time to address abnormal vital signs from patients not presently in the office.  Other apps that are currently being used notify the patients and sometimes their doctors of vital signs.  We are the only company that has developed an alert system that, once activated, will then lead to corrective action being taken.

SAVING LIVES WITH REAL-TIME DATA
Lifesaving
Daily Monitoring

The abnormal results can be examined to provide a complete medical picture so that Protect Care physicians can make an accurate diagnosis and corrective treatment can be instituted.  Sending normal and abnormal results to a practicing physician with no time to analyze the data is of little value to anyone. 

Our platform will also save money for Medicare, Medicaid and other insurance companies in taking care of the patient population and providing early detection of problems.  Daily telephonic test results will reduce catastrophic events and readmissions to approximately 20% of the Medicare insured and 40% of the non-compliant Medicaid population.

SAVING LIVES WITH REAL-TIME DATA
Calling the 800 Number

Emergency room visits mainly occur due to cardiac or pulmonary problems.  A patient can contact Protect Care via the 800 number, and the company can provide health care advice, therefore possibly avoiding emergency room visits in the busy morning, late afternoons, or after the doctor's offices are closed and/or on weekends.

We have added an 800 number to our website so that if people are feeling ill, they can directly communicate with one of our physicians.  1-888-614-4201 is available to patients who have certain devices provided them which augments the ability to keep them out of the emergency room or unnecessary admissions to the hospital.

For example, if a patient feels a few extra heartbeats and it occurs quite often, the patient could be concerned enough to go to the emergency room for evaluation, especially if this occurs after 5:00 p.m. when the doctor's office is closed or on a weekend.  To begin with, patients will be warned on the incoming message that if their symptoms are serious enough to be seen immediately by a doctor, they should call 911.  Otherwise, the individual would be instructed to call Protect Care's 800 number.  Unlike telemedicine, which has its severe limitations, if patients call with palpitations and shortness of breath but no chest pain, one of our physicians can instruct them to use their inflatable blood pressure cuff; in addition, they can use a second device provided them which will detect atrial fibrillation and create an EKG.  Or, a Protect Care physician could order patients to use their O2 saturation device which gives a measure of O2 percentage and pulse rate.  Or, they could be instructed to use their provided scale to see if there is any sudden increase in weight, which could be a sign of congestive heart failure.  If they are diabetic, they could be asked to use their glucometer to obtain an immediate blood sugar reading.

By ProtectCare's physicians being able to talk to their patients and at the same time see actual vital signs in real time using Bluetooth technology, diagnoses can be made and decisions can be made whether to send the patients to an emergency room or to an Urgent Care, or medications could be added or reduced, and the patients could be advised that their condition is not that serious and they can wait to see their physician. 

If patients suddenly become short of breath or have a cough that has gotten worse, they could go to the emergency room, or they could call our 800 number. The 'caution' message will be heard again.  One of Protect Care's doctors, upon receiving the call, has the ability to ask patients a number of questions and in addition have them use a number of devices.  For example, they can use the O2 saturation device to see if the saturation is above 90%.  They could have them use the blood pressure cuff and also use the device that detects arrhythmia.  A doctor could order them to step on the scale to see if there has been a sudden and rapid weight gain pointing toward possible congestive heart failure.  And they can use the digital thermometer to see if they have a temperature.  Again, diagnoses can be made and the patient can be instructed to go the ER or to a drugstore walk-in clinic.  The physician could prescribe a new medication or increase or decrease their own medication.  A mutual decision between the patients and the doctor can then be reached on how soon they should see their primary care physician.

Protect Care has now added an additional feature that allows the patient to have more interaction in medical decision-making and course of treatment.  They will be able to make decisions based on vital signs, physician advice, and also possibly monetary reasons (there is no charge to the patient or the insurance company for using the 800 number service).  In the end, it increases patient involvement in medical decisions.

SAVING LIVES WITH REAL-TIME DATA
Real-Time Monitoring.
Real Solutions.

The Protect Care platform gives way to a more complex understanding of patients’ health and habits to accelerate strategic healthcare. From patient engagement to care coordination and wellness programs, the platform connects healthcare providers and patients to improve health, mitigate risks, streamline costs and manage health better. 

So, how does it work?

We begin with providing eight devices to a patient: a scale, a blood pressure cuff, an O2 saturation monitor, a glucometer, a wearable watch, a small heart monitor that can detect atrial fibrillation, a forehead thermometer, and a Bluetooth linked tablet that is paired with each of the devices. By being proactive, we offer patients the opportunity to participate in their care.

The vital signs are then relayed to a dashboard on the cloud which then transmits them to the physician's medical records.  In addition, if there are abnormalities for example, a blood sugar above 200, or an irregular pulse or systolic blood pressure systolic above 180, then the (Patent Pending) Alert System is triggered and these abnormal vital signs are transmitted to ProtectCare’s physicians.

Protect Care’s Physicians then will initiate corrective care.  By being HIPPA compliant, the patient will be contacted, sometimes using telemedicine, and the results of the encounter will be forwarded by e-mail to the Primary Care Physician.

SAVING LIVES WITH REAL-TIME DATA
ProtectCare Traction

We’re already making great progress in launching our products so we can begin saving lives and money for everyone involved:

We will mainly generate income through our contracts with Medicaid, Medicare and other health insurance companies.  We have suggested a fee of $40 per patient per month, resulting in $480 annually per patient, which is far less than one visit to an emergency room, which would cost at the low end $900.

SAVING LIVES WITH REAL-TIME DATA
Meet The ProtectCare Team

Neal Krouse, D.O. | Managing Member | Dr. Krouse retired from being a practicing physician four years ago, having practiced in Philadelphia, PA and Boca Raton, FL. He has been chairman of the Department of Family Practice and has also owned medical companies headquartered in Boca Raton. One such company was Travel Care, providing physician house calls for hotel patients in Palm Beach County. Also, Dr. Krouse was one of the founders of Quick Care which provided walk-in medical clinics in Walmarts across the U.S. 

David Hartmann | Director of IT | CSM, Co-Founder & CEO of The SilverLogic (tsl.io), architects platforms and innovative technology solutions for startups and enterprises in a variety of industries combining APIs and cutting-edge technologies, such as AR and IoT. His mission is to streamline the process of bringing innovative ideas to life in order to enable more people to build amazing user experiences. Before becoming CEO of TSL, he worked as a senior developer on a variety of projects granting him a deep technical background and understanding. At TSL, he has built multiple scrum development teams exploring and building technology. In the last year, he has led the team to three separate hackathon wins, the Bitcoin Miami, eMerge Americas, and money20/20 hackathon.

Jason Brown | CPA and MBA | With more than 20 years of prestigious national and regional firm experience, Mr. Brown has combined his exceptional financial skills and his passion to serve and collaborate with entrepreneurs and emerging businesses. Mr. Brown’s professional experience includes: Federal, multi-state and international taxation, mergers and acquisitions and exits strategy planning, CFO and investment strategy services and Financial statement preparation.
Mr. Brown’s industry expertise includes:

• Technology, life science and high growth companies
• Entrepreneurs and small business owners
• Venture and angel capital, private equity and family offices
• Manufacturing and distribution

Mr. Brown is highly engaged in the South Florida entrepreneurial ecosystem. He has served on the Executive Board of the Gold Coast Venture Capital Association and is past Chairman of The Angel Forum of Florida. He currently serves as a mentor for the FAU Tech Runway. He has published many articles, given presentations and sat on expert business panels.

SAVING LIVES WITH REAL-TIME DATA
Meet The ProtectCare Management

Elida Jacobsen Justo | COO | An accomplished award-winning marketing and sales executive, Elida brings 30+ years of success in marketing, advertising, sales promotion and project management to the Protect Care of America management team.

Prior to joining PCA, she represented major luxury residential, hospitality and mixed-use developments in New York, working in all aspects of development from concept to completion.

She is the proud recipient of the Cine Golden Eagle Award for best marketing film worldwide and prides herself as having overseen numerous marketing campaigns delivered on time and under budget.

Elida holds a Bachelor of Science degree from Baruch College ( CUNY).

She enjoys her new home in Palm Beach County, Florida where she and her husband enjoy the sunshine and donating their free time to local charitable organizations.

SAVING LIVES WITH REAL-TIME DATA
Meet The ProtectCare Board

Thomas Ross | Thomas is the Founder and President of Biomune, Inc. Working with James Lipton, MD PhD, a mathematics and bioscience prodigy, they developed the Macrimmune innate immunotherapy with several plant based products designed for a variety of cancers and immune deficiency diseases.

As President of Florida BioSciences, LLC, he supports South Florida as a center for international finance and bioscience.

Thomas Ross is a graduate of Purdue University in Aeronautical Engineering with a MSc in Industrial Management (MBA equivalent).

Hugh M. Gibbons | Hugh was Director of the Legal Department of Blue Cross and Blue Shield of Maryland for 25 years. He administered the health care cost containment programs which resulted in recoveries of more than $245 million. He wrote and published 28 papers and books on health care cost containment for hospitals, doctors and other “Blue” plans. He co-authored the “Medicare Secondary Payer Program” for the U.S. Health Care Financing Administration and co-authored the Medicaid recovery program for the U.S. HEW. After leaving Blue Cross and Blue Shield, he founded the nation’s first real-time health care auditing firm and performed 100% claims and pharmacy audits for most of the nation’s airlines, Class-1 freight railroads, the Department of Defense and many other national groups.  

Michael Karsch |  Michael Karsch has been a practicing business attorney since 1985 and is currently a partner at Rice Pugatch Robinson Storfer & Cohen, PLLC. He has participated in hundreds of financing transactions and acquisitions in his career, from multi-billion to start-up. His clients have ranged from some of America’s leading companies to local entrepreneurs in a broad range of businesses including, technology, internet-based products, software, consulting services, financial services, healthcare, manufacturing, pharmaceuticals, and consumer products. Mr. Karsch also provides general corporate counseling on a broad range of issues, including formation and governance matters. He has become more involved in transactional commercial real estate for the last few years after spending most of his career in corporate finance and mergers and acquisitions. Mr. Karsch also has represented many clients in the negotiation, structuring and documenting of real estate asset transactions, primarily, in connection with shopping centers and office buildings.   Mr. Karsch has worked at Skadden, Arps, Slate Meagher & Flom in New York and Vinson & Elkins in Houston, Texas, two of the country’s leading law firms.  He graduated from the University of Pennsylvania Law School in 1985 and The Wharton School of the University of Pennsylvania in 1982 and is admitted to the Florida and New York bars.

SAVING LIVES WITH REAL-TIME DATA
ProtectCare

1825 NW Corporate Blvd. #110
Boca Raton, FL 33431

Phone: 561-870-0442
Fax: 561-870-0446
drnealkrouse@protectcare.io

https://www.protectcare.io