Changing Healthcare Market Moving from Volume to Value

1. Changing Healthcare MarketMoving from Volume to Value Supporting Better Performance Paying for Better Performance Paying for Higher Value Fee for Service Prospective Payment Pay for Reporting Payment for Coordination Pay for Performance Episode-Based Payments Shared Savings with Quality Partial or Full Capitation with Quality Improvement 5Key Provider Responses to Value-Based Care Delivery Scale and Standardization – Growth by acquisition, standardized operating models Continuum Expansion – Extending service breadth and transitions across the continuum Provider & Clinical Integration – Tighter clinical integration and demand management Patient & Family Engagement – Improved connections and navigation services Payer & Provider Collaboration – Improved population health management capabilities Key Questions: • How does this shift fit with your overall strategic agenda? • What is your position on the risk continuum? • What have you learned? • What are the major payer/operating threats moving forward?

2. Requires Enhanced Core Capabilities… Strategy, Leadership, and Governance Supporting Better Performance Paying for Better Performance Paying for Higher Value Care Delivery Optimization Improve patient access to high quality care, reduce health disparities, and improve efficiency and effectiveness of operations Care Coordination & Transitions Improve continuum integration by coordinating care across settings and effectively managing care transitions to reduce readmissions Provider & Clinical Integration Integrate and improve connections with providers across the continuum and align incentives with clinical outcomes Patient & Family Engagement Improve patient, caregiver, and family participation, empowerment, and engagement in their health care plans Population HealthManagement Measure, manage, align incentives, and continuously improve the organization financial outcomes and individual and population health outcomes Connected Health Information Real-time, Electronic Health Information Patient Information in other Organizations Providers Across the Health Continuum Patients, Families, and Caregivers Organization Outcomes and Value Health Analytics Quality Management Care Management Network Management Consumer Engagement Medical Economics

3. Strategy Development includes review of key integrated care delivery processes … Health High Performance Integrated Care Delivery Logical Operating Model Direct, Plan, and Guide the Organization Manage Market &Service Lines Manage Health of Populations Management Capabilities Better Health for Populations Manage Provider Network & Integration Core Functions Better Care for Individuals Manage Multi-Channel Consumer Interactions Manage Access to Care Provide Health Research & Trial Services Deliver Continuum of Care Services Manage & Process Reimbursements Enabling CapabilitiesBetter Performance Provide Access to Information & Insights Support the Organization

4. Thank You Suniti Ponkshe 800 N Glebe RoadArlington, VA 22203 Phone: 703-966-6689 Suniti.ponkshe@accenture.com