Feedback Drives Design

2. Feedback Drives Design 250+ Interviews Conducted Prior to MissionPoint Launch • Network Physicians • Significant behavior change will only occur with “payer” control of 30 – 50% of a physician’s patient panel • Models that require physicians to “do more” are at significant risk • Primary Care Physicians favor capitation, as it evens out cash flow and allows them to meet productivity and financial goals without over scheduling • Members • Non-clinical indicators are strongly predictive of cost • Low percentage of patients account for high percentage of cost. Significant impact can be achieved by correctly identifying and working with these individuals • Improvements in most clinical outcomes do not correlate to short-term cost savings • Employers • Regional or National networks are required to cover 70% of employees that live outside a single market • Willing to pay for access, but quality should be expected • TPAs provide a variable amount of analytics to employers depending on size; however, data is not actionable and employers lack resources for effective interventions

3. Engaging Patients Across All National Markets Market Segmentation Requires Unique Management Strategies Total Market: $1.5 Trillion • Medicare: • http://kff.org/medicare/fact-sheet/medicare-spending-and-financing-fact-sheet/ • http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/FFS-Data.html FFS Datat, 2008-2011 • Medicare Advantage: • http://kff.org/medicare/fact-sheet/medicare-spending-and-financing-fact-sheet/ • http://kff.org/medicare/fact-sheet/medicare-advantage-fact-sheet/ • Medicaid: • http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MedicareProgramRatesStats/Downloads/MedicareMedicaidSummaries2012.pdf PG 29 • Self-Insured: • http://www.healthcostinstitute.org/files/HCCI_HCCUR2011.pdf • http://www.ebri.org/pdf/publications/facts/fastfacts/fastfact05282008.pdf • Fully –Insured: • estimate based on premium level • ^estimate based on US Population

4. Managing HealthCare Cost Growth Progressive Employers Looking for Provider Partners Comparative Annual Health Cost Growth Employers Surveyed Study In Brief 10.3% 18th Annual Towers Watson/National Business Group on Health Employer Survey 5.9% 2.2% Low Performers Median Best Performers Best at Holding Cost Growth More Likely to Focus on Provider Strategies 16% Adopt new accountablepayment models Best Performers 2% 13% Contract directly with hospitals, physicians, ACOs Low Performers 7% 16% Offer incentives for care coordination 4% 22% Offer performance-based payments 5%

5. Products and Services Diversified Product Offerings Designed to Meet Employer’s Unique Needs Engage Survey Support Health Risk Assessment OnSite Clinics Healthy Eating Smoking Cessation Population 360 Bio Metric Screenings PCP Connect Stress Management Environmental Design Complex Case Management Virtual Care Network Primary Care Membership Readmission Program Clinically Integrated Network Clinical Management These products are focused on helping clients gain intelligence about the risks and opportunities in their population. We use a combination of clinical, claims, and non-clinical data to define each opportunity. This set of products is presented based on the risk and opportunity profile of each employer. Each product has a flexible pricing model based on geographic, risk, and cost profile of the defined population. These are the products we’re best known for. These products are often a blend of shared savings and PMPM pricing plus implementation fee – with full at-risk models available for certain clients in 2015.

6. Custom Network Design Additional Physician Incentives Extended Weekend Hours Open Saturdays Open Sundays Email with Patients Comprehensive Medication Review Per Member Per Month Payment Shared Savings Pool Medical HomeInternal Med and Family Practice Specialists Outpatient Facilities Inpatient Facilities MissionPoint Provider Network Population Identification and Stratification Care at a Distance MissionPoint Member Personal Care Team Wellness Partners and Services MissionPoint Health Partners

7. Provider Flexibility Contracts Standard Yet Flexible • Meets Clinical Integration Safe Harbor: • Committee Participation • Shared Quality Information • Care Collaboration Physician Master Agreement Medicare Shared Savings Addendum Fully-Insured Addendum Additional Addenda Self-Insured Addendum • Addenda Provide Freedom and Flexibility: • Physician can decide what populations to participate in • Each Addendum contains different rates, shared savings amounts and quality metrics • Addenda can have different terms and “opt-out” provisions

8. Hospital Discharge • Long-term Care • Skilled Care • Home Visits Health Partner Solutions Diverse Focus Areas Addressed on Three Health Partner Teams Patient Connects to Health Partner: Physician Referral Self Referral Hospital Discharge ED Visit Transitional Ambulatory Integrated Care • ED • Disease Management • Wellness • Psychosocial Needs • “Life” Resources • “Family” Resources

9. Creating Value for the Ecosystem Pays Claims and Network Service Fee Self-Insured Employer Payer TPA Provides Shared Savings Option Primary Care Physician Virtual “Medical Home” Employee Specialty Care Employee Selects Medical Home Employee/Member MissionPoint Health Partner Alliance Network

10. MPHP Strategic Approach Targeted, Fact-Based Solutions to Manage Populations • Getting to know you: • Personal Health Reports • Clinical Population Analysis • Demographic Review • Personalized Plans • Type of Engagement • Frequency • Intensity • Duration • Right Time, Right Place • Quarterly Monitoring • Strategy Adjustments • Quality Reviews Identify Segment Prescribe Engage Sustain • Analytics and Aspirations • Utilization Costs • Location Costs • Avoidable Events • Behavior Modification • Care Experience • Find the Right Strategy: • Health Assessments • On-Site Clinics • Health Partners • Telehealth • Narrow Networks

11. Managing Patient Risk Patient Data Maximized to Guide Effective Interactions Prioritize Highest Risk Members: Immediately deploy Health Partners to patients during “trigger events” Benefit Design Steers Members Towards Optimal Use of MissionPoint Network Target Members Showing Warning Signs: Track future risk scores and population trends for pro-active Health Partner engagement Create Opportunities Across Members: Leverage highly effective, low cost screenings and preventative care for optimal health outcomes across members

12. Tracking Progress Continuous Improvement in Self-Insured Population Medical Per Member Per Month Cost Trend Quality Metrics by Year Chronic Disease Spend Above Benchmark % Avoidable Admissions ED Visits per 1,000 2011 2012 2013 % Generic Utilization