Using Data to Help Patients Achieve Better Health

1. Using Data to Help Patients Achieve Better Health Dr. Bryan Loy, Humana April 11, 2014

2. Healthcare is Evolving The healthcare industry is migrating from risk management to individual care delivery tailored to each individual’s needs Time Frame: ’80s ’90s Now 2015 Provider / Network Management Risk Management CareDelivery & Coordination Delivery System Accountability Individual Health Management We help individuals and their families co-create personal pathways We provide an effective provider network and the tools to navigate it We focusdelivery system reimbursement on quality, outcomes, and overall cost We assess and insure health-related financial risk We deliver selected care within co-created pathways and coordinate care to support individuals and their families

3. Humana’s Accountable Care ContinuumFrom Pay for Volume to Pay for Value Clinical + HEDIS-based quality metrics Value-based opportunity to manage cost HEDIS-based quality metrics Certification recognition VOLUME VALUE Value-based Star rewards Medical home Model practice PMPM monthly care coordination opportunity Monthly PMPM global capitation Annual payout percent of claims opportunity Quarterly shared savings opportunity Path to Accountability Full Accountability Quality focused

4. Comprehensive & Coordinated Guidance 2 1 3 Guidance and Support Analysis and Feedback MemberEvaluation Well-being and Lifestyle Acute, Episodic Events Long-term Health • Retrospective • Current • Prospective • PlanCompass integrated reporting • Welcome Calls • Health Risk Assessment • Predictive Modeling • Data Mining • Transition of Care • Humana Active Outlook • HAO Website • HAO Magazine • Health Fairs and Seminars • Local Classes • QuitNet • Health Coaching • Humana Fitness: SilverSneakers® • Utilization Management • Clinical Review: Radiology • Clinical Review: Therapeutic • HumanaFirst®: Urgent Advice • Senior Case Management • Well DineSM • Transplant Management • Bariatric Management • Humana Cares: Humana Chronic Care Program • Disease Management • LifeKeeper: Advanced Illness Planning • NurtureCare: Caregiver Resource Kit Across ALL Levels of Health • MyHumana • Continual Assessments • Predictive Modeling • Member Assistance Program • Humana AchieveSM: Integrated Medical & Behavioral Health • Humana Guidance Centers • HumanaFirst: Health Planning & Support • Availity Care Profile • Gaps in Care • Medical Home • Vitals.com • Pharmacy • Medication Therapy Management • Maximize Your BenefitSM • SmartSummaryRx® • RightSource® : Mail Order • RightSource®: Specialty • Behavioral Pharmacy ManagementRxAssist GH24322_213

5. Health care ecosystem – integrating activities Analytics Dis-integrated. Episodic. Conflicted. Other care and therapies Urgent care Pharmacy/medication management Patient Patient Episodic healthcare system Urgent care Specialist care Caregiving programs Humana Cares® Wellness programs Data Advice PCP Chronic care programs Hospitals Primary care physician (PCP) Hospitals Labs and diagnostics Labs and diagnostics Pharmacy/medication management Wellness programs Specialist care Caregiving Other care/ therapies Support Integrated care delivery Individualized. Proactive. Connected.

6. Humana CareHub®: The infrastructure driving the model Member Communications Provider Alerts Nurse Alerts Customer Service Alerts Clinician Outreach “Atlas” Rules Guidance eXchange (RGX) Business Rules – Prioritize and Route Alerts and Interventions Rules Engine Clinical Rules – Identify and Evaluate Gaps in Care, Drug Safety Data Integration Analytics Engine Predictive Modeling Daily Data Exchange Clinical Profile External Data Sources Medical Claims Data Personal Health Profile Health Assessment Responses Pharma Claims Data Lab & Test Results Benefits Structure Biometrics & Health Fairs GH24322_213