evolvemedicalclinics

1. www.evolvemedicalclinics.com Proprietary and Confidential

2. HOW IT WORKS • $35 monthly membership fee plus $25 in person or virtual visits • Membership vs FFS: Providers focus on value • Labs, Radiology, Cardiac testing all heavily discounted (50-85%) • Medication prices dramatically lowered through Rx advocacy • Published procedure price list substantially below Blue Book • Multi-portal, near instant access: Text, email, phone, virtual, in-person, walk-in or scheduled Proprietary and Confidential

3. Evolve & Health Insurance • Vertical integration with current health plan • Improves rating methodology • Medical carrier file • Evolve can provide hypothetical savings based on industry standards • Evolve will provide actual savings based on previous year as benchmark • Reporting will be provided quarterly • Cancel membership at anytime Proprietary and Confidential

4. Direct Primary Care: Utilization Proprietary and Confidential

5. Direct Primary Care: Savings Proprietary and Confidential

6. Comparable Business Models • One Medical Group (onemedical.com) • Primary care service • Founded 2007 • $199 annual membership fee plus fee for service. • Bill insurance carriers • Traditional pricing and no published price list • Physician centric • Raised $117M. Current valuation estimated at $400M • Largest investor Google Ventures • Qliance Medical Management (qliance.com) • Primary care provider, unrestricted preventive care for a fixed monthly fee • Founded 2006 • $99 registration fee • Monthly fees $59-$99 • Physician centric • Do not bill insurance carriers • Raised $20M • Investors include Jeff Bezos, Michael Dell and Second Ave. Proprietary and Confidential

7. Comparable Business Models • IoraHealth(iorahealth.com) • Primary care • First clinic 2013 • $50-60/mo • Insurance-independent • Each clinic sponsored by 1 employer • 2MDs and 8 health coaches per clinic • Raised $42M. • Largest investors Foundation Medical Partners, GE Ventures, ZapposCEO Tony Hsieh • MedLion(Medlion.com) • Primary care • Founded 2009 • $59/mo + $10/visit • Rollup/franchise model in 22 states • Monthly fees (not published) • MDs only • No outside Investors Proprietary and Confidential

8. Potential Savings Mechanisms: Premiums • Higher deductibles (up to $12,000) permitted by ACA • Higher deductible without excessive out-of-pocket cost • Decreased through-insurance spend reduces future premium (Rating methodology improved dramatically) • Allows for increase of co-pay to ER, Urgent, etc • Facilitates movement toward self-insured • Insurance industry bureaucracy accounts for 40% of premium Proprietary and Confidential

9. 5 smart ways small firms can slash health-care costs Jan 8, 2015 #5 "Direct primary care, coupled with a high-deductible health insurance plan, can oftentimes be an outstanding and relatively affordable solution…When direct primary care is combined with a high-deductible plan, it can often save 12 percent to 15 percent over what a firm would spend for traditional health insurance.* *http://www.cnbc.com/id/102306190 Proprietary and Confidential

10. Heritage Foundation Study on DPC DPC fixes problems with third-party payment, paperwork, and government bureaucracy. Data shows excellent outcomes, reduced costs. Policymakers should create less restrictive regulations for DPC: … Reform the tax code to allow DPC payments through HSAs DPC encourages innovation and competition unlike the dysfunctional status quo Growing Model: Roughly 4,400 DPC physicians in 2012 up from 756 in 2010 and a mere 146 in 2005

11. Self-Insured EmployersMedicare AdvantageMedicaid MCOs

12. MANAGEMENT • Founder Board Certified Internist; 17+ yrs practice • Experience in developing and managing large multi-specialty clinics • Comprehensive management experience in high volume primary and urgent care settings • Experience in developing early stage businesses • Extensive executive committee background at AAMC Proprietary and Confidential

13. Capacity: Staffing & Facility • 1 MD and 3 Nurse Practitioners • Each provider manages 1,000-1,500 lives (50% industry standard) • Team-based approach • 30 minute visits • Facility • Large, spacious reception • 7 Exam rooms • 3 Virtual stations • Virtual drive-thru Proprietary and Confidential

14. Summary • Increased access: 85% of employee needs (primary & urgent care) • Employees view as a substantial perk (retention/recruitment tool) • Extended hours and weekends • Virtual or in-person; text/email/call • Lower premiums • Raise deductible as high as $12k • Free membership for children of employees ages 6-25 • Free annual well exams Proprietary and Confidential

15. www.evolvemedicalclinics.com Proprietary and Confidential