Landmark NYS Association of Resident service coordinators

1. & Landmark NYS Association of Resident service coordinators June 7, 2018 Proprietary and Confidential 2017

2. About 4 million patients need home-based medical care because they are frail, functionally limited, and home bound. Simply put, they are not healthy enough to step out of their houses for medical attention.  Landmark Overview: care model, teams and differentiators Patients: eligibility criteria and services Working Together: collaboration and next steps Appendix: reference content - documentation and results Today’s Agenda Proprietary and Confidential

3. Who We Are Landmark is one of the nation’s leading risk bearing medical groups focused exclusively on caring for the most complex and chronically ill populations. Our fully employed providers deliver care to patients wherever they reside. Landmark patients can reach a provider 24/7, 365 days a year. Proprietary and Confidential 3

4. Landmark partners across the healthcare delivery system and extends care into the home: Advantages of home-based care: • Fall risk assessment and prevention • Assessment of psycho-social factors (hoarding, hygiene etc.) • True medication reconciliation • Diet and nutritional assessment (kitchen survey) • Enhanced patient and caregiver education opportunities • Care conferences and end-of-life discussions in comfort of patients home Landmark partners closely with home health and hospice providers for provision of services as clinically appropriate. Proprietary and Confidential

5. ComplexivistTM: Specialize in taking care of complex patients in the home. Multidisciplinary clinical teams Complexivist teams built out at the local level and led by medical and behavioral doctors, nurse practitioners, and physician assistants Specially trained on palliative and end-of-life care Complements and augments—does not replace—the existing primary care network; designed to integrate with existing physician risk-sharing arrangements UrgentivistsTM: 15-20% of visits each month are urgent visits, completed day or night

6. Whole patient approach Member eligibility for the Landmark program based on health characteristics, specifically number of chronic conditions Urgent Care–Urgent diagnosis and treatment in the home; Helps members avoid long waits and expensive visits to the ER Post-discharge Care–Assisting members coming home from the hospital or care facility to understand new medications and regimens, helping avoid readmissions Care Coordination–Ensuring the member’s PCP, specialists and caregivers have the full picture of health Routine Visits–Proactively helping members manage their complex health needs before issues arise Highly engaged patient base; exceeds 50% at maturity

7. Clinical Partnerships Landmark’s medical approach

8. Clinical Partnerships Landmark’s medical approach

9. Landmark Patients Eligibility | Services | Satisfaction

10. Dementia Depression Coronary heart disease Diabetes Chronic kidney disease Heart failure Patient eligibility (6 or more chronic conditions) Cerebral vascular disease Hypertension Cancer with poor prognosis Peripheral vascular disease Cancer Pulmonary disease Atrial fibrillation Severe chronic liver disease Proprietary and Confidential

11. Delivering full-service medical care in the comfort of members’ homes • Conditions treated in home: • Heart failure • High blood pressure • COPD and Asthma • Urinary tract infections (UTIs) • Fever, colds, pneumonia, upper respiratory infections • Cuts, wounds and rashes • Cellulitis and abscesses • Nausea, vomiting, and gastrointestinal issues • Services performed in home: • Fall risks and safety assessments • Administration of IV fluids • In-home lab, X-rays, and ultrasounds • IV and injectable medications, including • Antibiotics for serious infections • Prescriptions and medication review • Catheter insertion and removal • In-home behavioral health specialist, pharmacist, social worker, dietitian • Referrals for home health services, home oxygen and DME • Care conferences around advanced care planning and end-of-life wishes

12. 97% Landmark patients are engaged and very satisfied 97% of our patients responded that “Landmark has helped me stay out of the hospital or ER.” “A ‘house call.’ I thought those words were out of the dictionary. I’m thrilled that I am lucky enough to be one of your patients. You truly care.” “Landmark is a blessing for us. We’re very grateful for them.” “If I call at two in the morning, I know that Landmark is there for me. It’s very reassuring.” Landmark has achieved a Net Promoter Score of 91*, with our patient panel, among the highest of any healthcare company in the nation. Poor Patient Satisfaction Survey Results(year-end results, n = 2,733) 50% response rate Neutral Excellent / Good

13. Working Together Partnership | Communication Proprietary and Confidential

14. Collaboration within Community Landmark providers and care teams work: To facilitate a safe discharge and reduce readmissions: Post-discharge visits within 24-72 hours Full medication reconciliation completed Ensuring PCP and specialist visits are completed Confirming discharge care plan is in place On reciprocal communication, including information on home dynamics, baseline status and updated clinical information. On full access to the Landmark team, including behavioral health specialist and social worker support in your facility and the patient’s home. To encourage home-to-SNF admissions, when needed (ER diversion). To advocate for patients and facilitate coordination with community resources post-discharge. Proprietary and Confidential

15. Landmark’s Community Health Advocate Helps to enroll patients that have not yet consented to the Landmark program. Ensures a smooth transition to home by scheduling post-rehab visits and communicating pertinent information to Landmark provider. Communicates patient’s baseline with therapists and social workers, and relays any social dynamics that may help or hinder the discharge process.

16. Landmark works in collaboration with Home Health Agencies and Primary Care Physicians to ensure all patients’ needs are met Landmark Services Proprietary and Confidential

17. Appendix

18. Albany, NYLaunched 1/15 Buffalo, NYLaunched 10/14 Seattle, WALaunched 11/15 Spokane, WA Launched 1/17 MALaunched 4/17 Landmark’s footprint Central PALaunched 4/17 New York, NYLaunched 7/16 Portland, ORLaunched 5/15 KA, MO, OH, KY, LA, MS Launching Q2 ‘18 San Mateo, CALaunched 11/16 Sacramento, CASan Francisco, CALos Angeles, CASan Diego, CALaunching Q1 ‘18 Winston-Salem, NC Raleigh-Durham, NCCharlotte, NCFayetteville, NC Launching Q2 ‘18 Inland Empire, CALaunched 2/16 12 partners across 21 markets with approximately 77,000 patients in Medicare Advantage, Medicaid, Duals, and Commercial/Exchange populations

19. Material improvement in quality across the board Goals are set 5% above current plan performance. Landmark commonly achieves 4- and 5-star performance on Medicare STARS clinical quality of care, while caring for the most complex patients.

20. Connecting with the Landmark team Landmark Health - Albany 1205 Troy-Schenectady Rd #101 Latham, NY 12110 (518) 348-3176 Fax (844) 574-2616 www.landmarkhealth.org Proprietary and Confidential