High-Tech. High-Touch

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2 High-Touch Talented, experienced healthcare staff 100% unbiased and confidential Responsive, compassionate approach Go above and beyond to engage members High-Tech Team uses the latest technology to close gaps in care Multiple ways to engage with us: phone, , app, mail, text, chat Tailored content delivered according to preferences and special health needs Engagement platform, healthcare on-the-go 2 HealthAdvocate

3 Core Advocacy Program Personal Health Advocate Decision Support provided by RN s supported by Medical Directors and claims and benefits experts Care Locator Nationwide service based on Medis Analytic Engine, network coordination, Primary & Specialty Care, DME, Dental Services Advocates of Excellence 2nd Opinion service, EMO and Centers of Excellence, complex care coordination 3 Health Advocate CareCoach Medical information using the HealthWise database, pricing tools, evidence based care Benefits Advantage Claims, Coverage questions, Referrals, Pre-certification, Appeals, Grievances, help with paperwork Health Advocate CareQuest Additional outside services and resources, Medicare Assistance, Nursing home help

4 Multiple Engagement Points Integrate Across the Model Benefits Gateway and HUB Health Information Dashboards Wellness & Coaching EAP & Work Life Personalized Health Communications 2 nd Opinions & EMO Biometric Screening Remote Device Integration Nurseline & Telemedicine Advocacy & Assistance Mobile Engagement Platform Decision Support Chronic Care Solutions 4 Pricing Transparency Financial Fitness Appeals Admin Medical Bill Saver Data Analytics Predictive Modeling Risk Scoring Outreach Engagement

5 Multiple Engagement Points Integrate Across the Model Benefits Gateway and HUB Health Information Dashboards Wellness & Coaching EAP & Work Life Personalized Health Communications 2 nd Opinions & EMO Remote Device Integration Empowered Health Nurseline & Telemedicine Advocacy & Assistance Mobile Engagement Platform Biometric Screening Decision Support Chronic Care Solutions 5 Pricing Transparency Financial Fitness Appeals Admin Medical Bill Saver Data Analytics Predictive Modeling Risk Scoring Outreach Engagement

6 Data Drives Empowered Health Rx Biometrics Health Information Dashboards Benefits Data Baseline & Annual Medical Claims Analysis Chronic Care Solutions Engagement Platform Data Analytics and Predictive Modeling Pricing Transparency Tools 6

7 Closing Gaps in Care Empowered Health is a holistic approach to individual health and wellbeing, spanning multiple approaches and blending programs together to create a single unified platform for patient engagement, coaching and support Typical Empowered Health utilization across services ranges from 20% to > 90%, driven largely by year-long multi-channel communications and client incentives for participation Using our blended approach, over the course of a year we are able to consistently close approximately 50% of the gaps in care initially identified in the population Members with one or more chronic conditions and those with more than one gap are more successful in closing gaps in care Empowered Health 7

8 Single point of access for easy use The ultimate integration tool Triage / warm transfers to other vendors and programs Low cost and cost-effective Motivates actions at the point of engagement Maximizes the value of all associated programs Integrates with Gaps In Care Spotlights to reduce medical costs and improve clinical outcomes Benefits Gateway 8 Copyright 2014, Health Advocate, Inc.

9 Gaps in Care Outreach Pricing Transparency Wellness EAP + Work/Life Health Advocacy Biometrics Chronic Condition Coaching simplifying and connecting it all together Decision Support Telemedicine Second Opinions Benefits Gateway Financial Wellness 9 HealthAdvocate

10 Member Engagement Portal A People Like Me approach incorporating Machine Learning and Predictive Modeling for targeted personalized messages Interact in real time with all Health Advocate and 3 rd party programs View personalized to-do lists/alerts Upload documents and forms and view the status of a case Compare costs for medical care and prescription drugs Access health and wellness information 24/7 personal support is just a call or click away Choose the method of communication; , text, chat, call Plus, the HR team can create custom alerts to notify employees about important events like health fairs! 10

11 Pricing Transparency Health Cost Estimator+ Available on multiple platforms including smartphone, tablet and PC Employees can call a Personal Health Advocate for added pricing support Quality and cost information Real time out of pocket deductible calculations 11

12 Health Cost Estimator + Results Procedure Average Savings Pregnancy Care (C-section Delivery) $ 8,180 ACL or PCL Repair, Arthroscopic Approach $ 5,985 Arthroscopic Shoulder Surgery, Rotator Cuff Repair $ 5,846 Surgical Nasal/Sinus Endoscopy $ 4,465 Pregnancy Care (Normal Delivery) $ 4,335 Inguinal Hernia Repair, Open approach (age 5 and older) $ 3,736 Gallbladder Removal, Laparoscopic $ 3,653 Bunion Correction $ 3,270 Meniscal Repair, Arthroscopic Approach $ 2,637 Sleep Study, Attended by Technologist $ 2,303 CT scan, abdomen and pelvis (with contrast) $ 1,441 Colonoscopy with Biopsy $ 1,408 CT chest angiography $ 1,391 Cataract Surgery, simple $ 1,383 Tonsillectomy (age 12 or older) $ 1,382 Bone Marrow Biopsy $ 1,234 Colonoscopy, Diagnostic $ 1,090 CT Scan head/neck angiography (without and with contrast) $ 967 Colonoscopy Preventive Screening (Age 50-75) $ 948 Colonoscopy with Biopsy and Tumor, Polyp or Lesion Removal $ 907 MRI, spine (without and with contrast) $ 880 CT angiography, abdomen (without and with contrast) $ 792 What did you look at? What did you do? What did it cost? What did you save?

13 Physician Search and Care Concierge Intake to assess members needs and preferences Facilitate any necessary referrals or authorizations Follow up Schedule appointments and transfer medical records (if needed) Research and identify leading in-network providers using Medis Analytic Engine Contact members to discuss provider and treatment options Check sanctions or licensing issues; verify board certification Assess experience and contact providers to confirm they perform required care Confirm network status and accepting new patients 13

14 MEDIS Provider Performance Analytic Engine MEDIS = Medical-Insights A proprietary data driven tool that utilizes clinical data (volume of cases, readmission rates and lengths of stay) to rank providers Developed by e2h exclusively for Health Advocate s Provider Locator program Uses national performance information to evaluate physician quality Incorporated into all physician locator and second opinion searches Continuously updated as new data becomes available Includes information on more than 90% of practicing US physicians in adult medicine 14

15 Second Opinions and EMO Intake to assess members needs and preferences Research and identify top experts and Centers of Excellence nationwide Arrange for the transfer of medical records, test and lab results; schedule face-to-face appointments or facilitate chart review Health Advocate assisted with over 59,000 Second Opinions and EMO cases in 2016 Coordinate services with physicians, health plan case managers and medical directors 15

16 Data at the Point of Contact BProBrokerExpo.com 16 #BProBrokerExpo

17 Personalized Member Dashboard Your plan offers members a free home visit to help you avoid slips and falls. Just call us toll-free at (800) xxx-xxxx and we can give you all the details. It s just that easy! BProBrokerExpo.com 17 #BProBrokerExpo

18 18 Client Reporting Dashboard

19 19 Client Gaps In Care Report

20 Client Reporting Dashboard Drill-Downs 20

21 Personalized Member Communications Mail, or text personalized communications encouraging preventive services, tailored to a member s profile Disease-specific communications for members identified with chronic conditions Ongoing reminders reinforce preventive care, attention to chronic needs Communications can be tailored to seniors (e.g., large print, topics) and other groups Available in the Engagement Platform and Member Dashboard 21

22 Wellness Program Member portal and mobile app Available personal coaching Wearable device integration Online workshops Client customizable competitions Incentive tracking Integrated reporting and outcomes 22

23 Online Biometric Scheduling Encourages Participation, Links to Incentives and PHP BProBrokerExpo.com 23 #BProBrokerExpo

24 Risk Assessment and Chronic Care Solutions Intervention Low Risk Dashboards Gaps In Care Chronic Care Solutions Medium Risk Short Term High Risk Chronic Care Coaching ( 5% of overall chronic population) 4 to 6 month intervention 24

25 Risk Stratification Severn Trent: 5% of Members Account for 50% of Total Medical Costs Member Breakdown and Percent Total Cost by Risk Level 100% 5% 90% 80% 70% 15% 50% Mean Prospective Risk Member Engagement Rate % 60% 50% 40% 30% 20% 80% 26% % % High Risk members are 16 times more likely than Low Risk members to have a medical event in the coming year 10% 0% Members 23% Total Costs The prospective risk score is an estimate of future healthcare utilization, including ER visits and average inpatient costs Low Risk Medium Risk High Risk 25

26 Risk Stratification Severn Trent: 10 Members Account for 23% of Total Medical Costs 90 High-Risk Members Top 10 High-Risk Members by Total Expenditures 5% Current Year Total Costs Prospective Risk Score Clinical Classification Members 50% Medical Costs Member A $566, Other Skin Conditions Member B $558, Asthma/COPD Member C $257, Cancer Member D $250, Back Conditions Member E $218, Pregnancy/Newborns Member F $205, Back Conditions Member G $203, Cancer Member H $200, Cancer Member I $179, Hypertension Member J $146, Cancer Total: $2,786,597 (45 % of Total Costs in High-Risk Group) (23 % of Total Medical Costs) 26

27 Empowered Health Outcomes Severn Trent Preventive Care Screening - Overall: 2/15/2016-2/14/2017 Colorectal Cancer Screening 36% 51% Cervical Cancer Screening 57% 66% Breast Cancer Screening Cholesterol Screening 68% 62% 66% 85% Blood Glucose Screening 96% 92% Bone Density Screening 16% 27% 0% 20% 40% 60% 80% 100% 27 Severn Trent Services e2h BOB*

28 Empowered Health Outcomes Severn Trent Preventive Care Screening Engaged Group vs. Letter Only Group: 2/15/2016-2/14/2017 Colorectal Cancer Screening 30% 38% 70% Cholesterol Level Screening 48% 75% 95% Cervical Cancer Screening 45% 50% 87% Breast Cancer Screening 52% 57% 82% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Letter Only Engaged Group Benchmark 28

29 Empowered Health Outcomes Severn Trent: Medication Adherence 100% 90% 80% 70% 60% 50% 93% 82% 79% 77% 76% 65% 87% 87% 82% 58% 77% 73% 81% 66% 64% 83% 84% 85% 85% 81% 82% 83% 80% 82% 40% 30% 20% 10% 0% Baseline Year Prior Year Current Year Medication Adherence increased for 7 of the 8 conditions when comparing the Baseline Year and Current Year. 29

30 Empowered Health Outcomes Severn Trent: Brand to Generic Switches 100% 80% 60% 40% 12% 12% 12% 7% 5% 3% 81% 83% 85% LEGEND Brand Prescriptions without Generic Equivalents Brand Prescriptions with Generic Equivalents Generic Prescriptions 20% 0% Baseline Year Prior Year Current Year 30

31 Empowered Health Outcomes Severn Trent Hypertension Care: 2/15/2016-2/14/2017 Compliance with Recommended Care 100% 80% 60% 82% 75% 75% 91% 95% 97% 40% 20% 0% Antihypertensives Cholesterol Level Screening Blood Glucose Screening Letter Only Engaged Group Inpatient Stays per 1,000 Members ER Average Cost 2,000 1,600 1, ,778 Letter Only 1,571 Engaged Group $3,600 $3,200 $2,800 $2,400 $2,000 $1,600 $1,200 $800 $400 $0 $3,075 Letter Only $1,868 Engaged Group 31

32 Total Medical Cost (PEPY) Empowered Health Outcomes Severn Trent Cost and Utilization: Engaged Group vs. Letter Only Group 2/15/2016 2/14/2017 $20 K $18 K $16 K $14 K $12 K $10 K $8 K $6 K $4 K $2 K $ K $18,948 Letter Only $9,512 Engaged 40% 20% 27% 26% 17% 32% 21% 23% 27% 27% 0% Hospital Outpatient Rx Physician/Professional Letter Only Engaged 32

33 Empowered Health Outcomes Health Advocate has consistently demonstrated that our Empowered Health approach can Bend the Medical Cost Curve and return a positive ROI While it is common to see costs increase in the first year of the program as individuals are more motivated to seek care for their respective condition, costs typically are lower in the second year as a result of that care. The Year-Over-Year medical cost trend (PEPY) for members who had a gap in care, got a reminder about the gap in care and interacted with Health Advocate (the Engaged Group) flattened dramatically from the Prior Year to the Current Year (from 33% to 18%). This 18 point difference saved Severn Trent approximately $708,000 $11,000 $10,000 $9,000 $8,000 $7,000 $6,000 $5, ,716 $9,512 $8,027 $6,040 Baseline Year Prior Year Current Year Engaged Group Trend 18 Point Lower Medical Cost Trend for members who had a gap in care, got a reminder and engaged with Health Advocate = $1,204 PEPY =$1,204 x 588 ees = $707,952 Savings 33

34 Empowered Health Outcomes Savings Summary Health Advocate has consistently demonstrated that our Empowered Health approach can Bend the Medical Cost Curve and return a positive ROI Severn Trent's February 2017 census showed 1,455 employees eligible for Health Advocate s Empowered Health program Severn Trent pays Health Advocate approximately $204,000 per year for the Empowered Health, Biometric Screenings and flu shots The reduction in medical cost trend from 33% to 18% for people who had a gap in care, got a reminder and engaged with Health Advocate represents a savings of $708,000 to Severn Trent Compared to the cost of Health Advocate s programs, Severn Trent s ROI is 3.47 to 1. That is, the Return On Investment (ROI) was nearly 3½ times the cost of the Health Advocate Empowered Health program. 34

35 Abbie Leibowitz, M.D., F.A.A.P. Chief Medical Officer, President Emeritus and Co-founder 35