RHP 12 Regional Update Jeff Dane Executive Vice President & Chief Financial Officer

1. RHP 12 Regional Update Jeff Dane Executive Vice President & Chief Financial Officer

2. Region 12 Region 12 Anchor: UMC 47 Counties • 38 Participating Providers: • 4 Community Mental Health Centers • 1 Local Health Department • 2 Physician Practices (HSC) • 1 Physician Practice (Non HSC) • 1 Psychiatric Hospital • 22 Rural Hospitals • 6 Urban Hospitals 99 CAT 1 & 2 Projects 151 CAT 3 Outcomes

3. What has happened since our last Learning Collaborative? • DY4 & DY5 Reporting • Multiple Regional Events • Compliance Monitoring • CAT 1 & 2 Validation Audits • CAT 3 Baseline Audits • Last but not Least – CMS Approval

4. DY 4 Reporting • Reported achievement on 468 metrics (Cat 1&2), Milestones (Cat 3), and Reporting domains (Cat 4) with an acceptance rate of 99.15%. • Total DY3 Carry Forward and DY 4 funds received by RHP 12 in January:

5. DY 4 Reporting CAT 1 & 2 Metrics • DY 3 Carry Forward 45 metrics approved out of 48 reported achieved • DY4  171 metrics approved out of 171 reported achieved CAT 3 Milestones • DY 3 Carry Forward 14 milestones approved out of 15reported achieved • DY4  178 milestones approved out of 178 reported achieved CAT 4 Reporting Domains • DY4  56 reporting domains approved out of 56 reported achieved

6. DY5 Reporting Timeline • May 4th – April Reporting Due • May 5th – HHSC begins Review • May 12th – HHSC will post estimated IGT due for April Reporting • May 27th – IGT changes due • June 8th – HHSC will complete the initial reporting review & distribute results • July 1st – IGT settlement date for April DSRIP payments • July 6th – NMI requests due • July 15th- July 29th – October DY4 CF & April DY5 approved metric payments processed • August 5th – HHSC will complete NMI review

7. Regional Events • DSRIP in Action • February 2016 – Department of Public Health in Amarillo • ARAD project • Amarillo Mobile Health Clinic Project • 18 attendees • March 2016 – West Texas Centers in Big Spring • Behavioral Health and Primary Care Integration • Tele-Medicine • 16 attendees • Reporting Workshops • April 11 & 12, 2016 - Amarillo – TTUHSC (Amarillo) • 19 Attendees • April 15, 2016 - Lubbock – TTUHSC (Lubbock) • 10 Attendees

8. Compliance MonitoringCategory 3-Baseline Audits RHP 12 Specifics • Round 1 • 20 outcomes from 14 providers • 17 completed • 3 still under review • Round 2 • 3 outcomes from 3 providers • All 3 completed • Round 3 • 9 outcomes from 9 providers • All nine are still under review

9. Compliance MonitoringCAT 1 & 2-Validation Audits RHP 12 Specifics • Round 1 • 18 projects from 11 providers • All projects are still under review • 16 projects have submitted validation information to Meyers & Stauffer • More validation audits are forthcoming and will start after April Reporting.

10. CMS Approval • CMS has granted our request for a 15-month temporary extension • October 1, 2016-December 31, 2017 • $6.2 billion (all funds) for DY6 and a prorated amount for Oct 2017-Dec 2017 • UC = 3.1 billion for DY 6 • DSRIP = 3.1 billion for DY6 • CMS is confident that we will reach an agreement on UC & DSRIP for the additional extension years.

11. Today’s Agenda • Peer to Peer Discussions • Networking Lunch • Guest Speaker- Amanda Broden-HHSC • Provider Presentations • Focused Cohort Kick-Offs

12. Comments/Questions?