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Online Mental Health Treatment and

Peer Support Platform

Prevail Health 1105 W Chicago Ave., Suite 203

Chicago, IL 60642 312.441.9137

www.prevailhs.com partner@prevailhs.com

Executive Summary Sample Proposal

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EXECUTIVE SUMMARY

Mental Health and related challenges drive

significant costs in your population, yet you have very

little insight into what is currently going on, what is

soon to happen, and how you can effectively head off

issues before they manifest to increased health

utilization and cost. That is about to change!

Meet Prevail. Our next generation behavioral health platform allows you to identify at risk Users

with MH issues (now or in the near term), tap into those Users in order to build profiles and gain

more insight, and then activate those Users and triage them to the appropriate level of care when

needed. Through this acquire—assess—triage—treat model, Prevail allows you to increase access

to mental healthcare treatment within your population, while at the same time decreasing overall

mental health costs

Prevail’s technology was developed in partnership with the National Science Foundation, and for

the first time allows for a personalized while at the same time scalable online solution that mirrors

the personalized treatment Users traditionally expect only from face-to-face care. Our programs

consist of the following core elements:

Interactive cognitive behavioral therapy lessons that tailored out based on evolving User

profiles, just like one would expect in an in person treatment encounter

Personal coaching from Trained Peer Specialists, through a live and on-demand IM

interface

A network of communities where Users help other Users in a structured way, which is

integrated into the fabric of the platform

Points and incentives, to encourage Users and reward them for all their hard work

Passive and Active assessments; at the core of the model is an individual Users profile,

which Prevail’s ‘decision engine’ uses to tailor each Users unique treatment

regime/program experience, and then analyze and report on individuals’ outcomes.

Fully mobile platform; Prevail’s entire platform was built from the ground up to be used and

enjoyed in the mobile environment. Our platform is fully accessible via all major mobile

devices and platforms, and roughly 1/3 of our existing traffic has been mobile.

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Prevail requires essentially zero upfront integration, which importantly means no upfront cost or

hassle. For populations under 10,000 individuals, Users will be given access to our live program

iPrevail (www.iprevail.com). For populations above 10,000, Prevail will create a separate unique

implementation of our platform customized for your organization. Program implementation is

guaranteed within 30 days of the effective date of signing up for Prevail.

Best of all, Prevail’s pricing is simple and affordable. Users will get unlimited access to our network

of trained peer specialists for unlimited on demand chats for a low price per addressable User in

your population, as follows

Users will have 24/7 on demand access to our network of

Trained Peer Specialists, and can have unlimited

conversations. For any Users who decide to continue on and

enroll in one of our structured programs, you will be charged

a low flat rate of $9.99 per User per month, and you can

cancel at any time.

In this way, you can make the program available to your entire population immediately, yet only pay

for those who use it!

Population Size Monthly Per Addressable User

Price 0-1,000

1,001-5,000

5,001-25,000

25,000-100,000

100,000-500,000

500,000+

$0.050

$0.040

$0.035

$0.030

$0.025

$0.020

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PROPOSAL

Prevail Background

Prevail is a leader in innovative, technology-based behavior

change and behavioral health care for a wide range of

disorders from depression to PTSD to substance abuse to

weight maintenance. Prevail partnered with the National

Science Foundation, leading mental health clinicians, and

researchers to build our next generation technology. The Prevail platform was originally built for

and validated in military and veteran populations who are arguably the most difficult individuals to

get to participate and adhere to mental health treatment programs, and has proven clinically

effective for parameters which are likely to reduce cost. The platform has also:

Demonstrated clinical efficacy equivalent to traditional care in randomized controlled trials

conducted with Rush University Medical Center and funded by the Bristol Myers Squibb

Foundation.

Achieved high levels of engagement during ongoing national delivery to the Veterans Health

Administration with more than 30,000 program Users.

“shown the potential” change to “dramatically reduce” mental health care costs to 1/30th of

traditional care costs based on clinical trial results.

Engaged reluctant care seekers with personalized care, peer support, online communities,

and a range of additional resources based on their unique clinical needs and demographics.

Served as an engine for assessing and triaging Users so they could access the required

health resources when they need them.

The key goal of Prevail’s programs is to connect reluctant care-seekers with mental health support

as soon as they begin to experience distress, preventing them from developing more serious

conditions and disorders. The program works as a powerful acquisition tool by engaging Users with

disorders, improving their willingness to seek care, and routing them into formal systems of

treatment when needed.

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Social Media

Digital Marketing

Assessments

Partner Links

Decrease Symptoms of Behavioral Health Issues

Assess Risks and Needs

Create Readiness to Changes

PREVAIL USER EXPERIENCE

Prevail’s Structured Programs are systematic online behavioral health interventions rooted in

Cognitive Behavioral Therapy (CBT) and peer support. The model was developed under a series of

NSF grants, in collaboration with researchers and clinicians at the University of Chicago,

Northwestern University, Rush University Medical Center, and the Beck Academy of Cognitive

Therapy. At the highest level Prevail is about User acquisition, engagement, routing, and retention

to a.

Figure 1: High-level view of Prevail model

The first step to helping Users deal with these issues is engaging them. Most current online

approaches fail to create engagement, at least in part, because they are generic. There is nothing

generic about to today’s users. Although they all share many common bonds they also each have

unique experiences and suffer from specific problems. To combat these unique problems, the

Prevail model serves up content which is customized at the individual level to ensure personal

relevance. In addition the program can be customized to focus on the most widespread problem

areas among Users, and can route into the specific resources that your organization already makes

available.

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Numerous technology-based features allow Prevail to serve not only as a structured online CBT

program, but also as an ecosystem of User and Peers helping other Users. Fully mobile

compatible, hundreds of thousands of Users have availed themselves to this ecosystem to interact

with our online communities to receive support and guidance. For many Users, these initial

community based interactions are an essential first step to get otherwise reluctant care seekers to

interact with mental health support and start down the path to recovery. Key elements that make

the Prevail platform highly unique include:

1. Gaming-based Program Environment: A tightly integrated points and rewards plan

encourages task completion and increases engagement.

Figure 2: Users receive points redeemable for gift cards, which could be branded by your

organization, for each activity they complete

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2. Individualized Interactive Multimedia Lessons That Use Adaptive Learning:

E-learning lessons based on the principles of Cognitive Behavioral Therapy (CBT) are tailored to

individual demographics, and are dynamic based on real-time User responses significantly

increasing health literacy. Through our proprietary content management system every User

receives a custom experience that is highly relevant to their particular situation and issues.

Figure 3: Clinically valid CBT content, customized and tailored to the individual User and created

in a language Users understand

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3. Live Instant Messenger Chats: Support by Trained Peer Specialists. These Peers act as

coaches and guides through the program and help build a personal connection to increase

adherence. The Peer role may also be filled by your organization’s existing personnel if

desired, after minimal training.

Figure 4: Personalized peer-to-peer interactions, both structured into the program and available

on demand, provide an umbrella for Users in need of support

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4. Social Networking Ecosystem: Supportive communities of Users helping other Users,

through a variety of Roles they can take on in Prevail’s ecosystem.

Figure 5: Leveraging social networking and crowdsourcing principles to encourage Users helping

Users

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5. Assessments and Routing: Standardized self-assessments to help flag individuals who

may need formal clinical care, and wizards that could be configured to either use Prevail or

your existing resources.

Figure 6: Synthesizing information from all sources, Users in need of additional support are

intelligently routed to applicable resources a.

Thanks to the unique combination of these highly engaging elements Prevail can:

Convince reluctant care seekers to interact within an online program environment, on their

own terms and at their own level of comfort

Remove the barriers to good health care decision-making

Provide a timely flow of customized referrals to ensure smarter engagement within the full

range of existing organization resources

Provide near real-time clinical and engagement data on behavioral health

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SCIENTIFIC RATIONALE BEHIND PREVAIL MODEL

The Prevail model unites cutting edge technology with clinically valid behavioral science. In the

Institute of Medicine framework, Prevail is an indicated prevention program for pre-clinical PTSD

and depression symptoms, a vehicle for case identification and initiating the treatment process, and

a means of redressing stigma for those Users who may need subsequent specialty care.

The programs clinical efficacy has been validated in an Institutional Review Board-approved clinical

trial conducted by a physician at the University of Chicago; results were published in the VA Journal

of Rehabilitation Research and Development. The trial validated both benefits of the model: direct

reduction in symptoms of behavioral health issues and improved attitudes toward health care

options (see Figure 7 and Figure 8). Results from a Phase II clinical trial, conducted at Rush, were

published in the Journal of Consulting and Clinical Psychology. The trial validated that Prevails CBT

treatment model decreases the symptoms of depression and PTSD with the same effectiveness as

face-to-face CBT treatment but for 1% of the cost.

Figure 7: Trial showed significant reduction in symptoms comparable to therapist assisted

interventions

Figure 8: Trial showed improvements in attitudes toward care better than any published study of

an online program

1 http://www.rehab.research.va.gov/jrrd/index.html 2 http://www.ncbi.nlm.nih.gov/pubmed/26322788

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PROGRAM DELIVERY

Specifics of the Program Implementation

There are two separate landing pages that Users can start their Prevail journey from to the

Program Landing Page and the IM Peer Chat Landing Page.

Program Landing

Studies show that many Users in your population suffer from

MH conditions and related issues, yet are reluctant to seek

care under traditional care regimes. Prevail is an alternative

option for them.

Users would enter Prevail, either from Prevail’s proprietary

User acquisition methods or from a unique button on your

existing organization’s User facing website. The first step in the User flow for this model would be

to engage with Prevail’s virtual assistant to take an initial need assessment. This assessment

would ask a series of questions related to demographics and issues, and would include one or more

clinical assessments based dynamically on a User’s answers.

Once the assessment is complete the User would be offered program variants based on their

specific profile and needs. Additionally, Users could be directed to specific resources based on this

initial assessment through a custom task called Guided Resources, or the User could be connected

with a peer coach to chat about the assessment immediately. Please see Appendix A for a depiction

of the User flow from this entry point.

IM Peer Chat Landing Page

Our experiences with tens of thousands of Users have shown

that many Users want immediate engagement with Prevail’s

Trained Peer Specialists. One point of entry into Prevail

programs will be a click to chat approach, whereby pressing a

single button, e.g., on your current organization website homepage, links Users to Prevail’s Trained

Peer Specialists. This Peer Chat front end serves as the entry point to Prevail’s comprehensive

programs for some portion of Users that utilize it.

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User acquisition would be accomplished through an Instant Message based peer chat facing front

end. Users would be directed (via a link on your existing organization’s User facing website and/or

Prevail’s proprietary User acquisition methods) to a specific chat landing page. In two simple clicks

Users could connect immediately and anonymously with a peer to discuss any issues they may

have.

This model has several key benefits:

The value is clear to the User

It is malleable. Peers could act as triage counselors in addition to their support role

Text-based open chats allow for tremendous real time data acquisition, which could be used

to both identify Users with potential emergent issues as well as better match Users with

specific programs and indicate outcomes

After the initial chat, Prevail’s algorithms would identify Users who might potentially benefit from

Prevail, and route those Users accordingly. Users who choose to take this referral and continue

into Prevail’s enrollment User flow would begin at the first step of the Program Landing Page flow

above. Please see Appendix A for a depiction of the User flow for this starting point.

Integration & Customization

For User populations in excess of 25,000, Prevail will create a co-

labeled version of the platform that would serve as a web asset

that could be accessed via a link on existing company web assets,

or serve as a stand-alone virtual storefront.

This would start with a unique customized version of our various landing pages, including a chat

landing page, which would serve as the first step in the Prevail platform. The goal would be to

adjust the look, feel, and messaging of these pages to give the User a seamless transition from your

existing web assets. Thereafter all platform pages would share the same overall look/feel and

messaging, so that Users are exposed to a consistent experience in line with your branding and

standards. There are several options available to identify Users for reporting and tracking

purposes, and Prevail would work with you to establish the simplest acceptable first step.

At your option, Prevail could also be tasked with acquiring Users on its own, utilizing social media

strategies honed over years of veteran acquisition and engagement. This is a unique capability and

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it represents a true differentiator in the behavioral health marketplace. Prevail could be further

integrated into your other mental health or broader health services. Prevail's flexible platform also

offers the option for further customization and integration into additional services, e.g., tele-

psychiatry, customized clinical and non-clinical assessments, and tailored language and visuals to

name a few.

Data Reporting

Prevail’s programs capture large amounts of detailed clinical and

engagement data that allows us to report effectively in real-time on

Users symptoms and clinical progress. Each point of User engagement

coaching sessions, assessments, interactive lessons, community, etc.

generates data and insights into the Users state of mind, symptoms, and emerging clinical needs.

The resulting data profile is what allows the platform to tailor each Users experience and to triage

Users to the best available resources.

Prevail will use this data to report key insights to you on a quarterly basis. We will report on User

engagement and key metrics, per the terms of Prevail’s standard Service Level Agreement (SLA).

In general, our standard reports focus on the following areas:

Detection Metrics:

Prevail will use existing proprietary analytics to attempt to flag Users with emergent issues

and then route those Users to our program, and we will report on the implementation and

success of these efforts.

Prevail Usage:

Number of User candidates detected

Number of User candidates who are activated and triaged

Number of Users that register and assess

Detailed metrics on the results of those assessments

Number of Users that start the structured program

Number of Users that pass some threshold of engagement

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Number of Users that finish the program

Number of Users that receive and complete special task

Outcomes:

Change in clinical assessments from baseline at follow up intervals, assessments to be

tailored based on your specific requirements

Change in attitude towards care

Patient experience

Additional custom reporting

Prevail works with all customers to create custom reports to validate

your services as well as the Prevail program where applicable, and

reinforce the value statement of existing partner offerings.

At the beginning of any new implementation we would work with you to determine exactly which

metrics to report on, as well as agree on clinical assessments to be used per population and

establish procedures to assign these assessments.

For populations in excess of 500,000, we offer the option to link Prevail’s User data with your patient

and claims data, as well as your existing analytic capabilities, to document quantitatively the

improved clinical and economic outcomes delivered by Prevail’s programs.

It is important to reiterate that Prevail represents a new real-time data reporting and analytics

capability for your organization that could improve accessibility to care, triaging Users to the best

available resources at the right time and ultimately creating substantial clinical and economic

benefits for all parties.

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BENEFITS FOR YOUR ORGANIZATION

Prevail represents a game change in dealing with Behavioral Health Issues in

your population. Key benefits of a partnership with Prevail include:

Prevail Usage:

The Prevail platform represents a cost effective generational step forward in disease

monitoring/management. These programs have traditionally been very costly; currently you

spend a lot to find the patients who need Intensive disease monitoring and designing the

right program and delivering it to them. Prevail could serve as a digital scout and improve

that process by 1) better identifying and acquiring patients into disease management, 2)

providing better data and tools for delivering disease management programs, and 3)

reporting on progress and outcomes

Prevail complements or augments your existing Behavioral Health services. We are not

competitive, but rather synergistic, as our platform could:

Acquire Users and triage them into other existing BH services and programs

Provide data that allows you to better target and monitor your patients/Users

Prevail is very cost effective treatment option for many patients in your population.

Although an online treatment option is certainly not appropriate for all of your population, it

is for some, and Prevail will allow you to increase access to these individuals

Prevail offers real-time (short time frame) data as opposed to the historical data that you

likely currently use to predict patient behavior and design interventions. Real-time data

removes the noise and is more accurate at predicting

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Specific

Your organization will see many specific and tangible benefits

from a partnership with Prevail, with immediate, near-term, and

long-term results

Immediate: Immediate benefits could come in two areas:

Veterans: Vets Prevail was custom designed for US Veterans, and is truly a unique offering

in this market. Veterans in your population will be identified and routed to this niche

program, and will be seen as marquee product offering.

Civilian: Immediate wins in the civilian market could be in the form of positive PR. Mental

health is an area that has not seen innovation in decades, and the Prevail programs and

story are exciting and new.

Near-term: We believe that most of the tangible benefit will come once the program has been

integrated into your population, and will come from the following:

Collecting data on Users that is not already gathered, in order to detect events defined by

patterns in the data sets that merit intervention, and head off potential costs in future

Building resilience in Users post-traditional treatment with Prevail as an augment to care in

order to augment that treatment and decrease relapse/readmission

Marketing & Business Development: The Prevail platform would differentiate you from

others by providing a cutting edge behavioral health technology that aligns with your brand

Identifying activated Users who are prime candidates for your services, enabled by the

platform providing a best in class product, and offered to Users within your existing

populations

Providing on-demand services that Users would immediately value, namely peer-to-peer

and community aspects of the programs

Providing an augment or alternative to traditional treatment, which could be done remotely

and anonymously, and has been validated in clinical trials

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Long-term:

The importance of the long term benefit of an investment in Prevail cannot be underestimated. The

landscape is changing quickly, and you need to invest now to get ahead of the curve and deal with

costs that will otherwise overwhelm you in a short matter of time. Prevail’s platform, fully

integrated into your offerings and socialized among your population, would become a cost effective

augment (even an alternative in some cases and for some users) to treatment, which reach patients

who otherwise would not receive any care and significantly affect your bottom line.

PREVAIL PRICING

Following the effective date of execution of Prevail’s standard Service Level Agreement, we will

begin service delivery within 30 days. Prevail’s pricing structure is highly competitive, and would

include the following fee components:

Per month fee for any Users who begin the structured program enrollment process: $9.99

per month

$0 initial program set up fee

A PMPM fee for each individual User in the population which is to have access to the chat

feature

That’s it! Prevail’s model is extremely low cost, and because you cancel at any time and the

majority of the cost is based on usage, Prevail really is risk free to try!

Population Size Monthly Per Addressable User

Price

0-1,000

1,001-5,000

5,001-25,000

25,000-100,000

100,000-500,000

500,000+

$0.050

$0.040

$0.035

$0.030

$0.025

$0.020

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CONCLUSION

Prevail is extremely excited for the opportunity to help you get a better handle on the Mental Health

challenges in your population. Prevail represents a truly next generation solution to an area that

drives significant cost and has not seen substantial innovation in decades. Let’s change that

together!

We appreciate your time and consideration of Prevail. We welcome any feedback and comments you

have, and we look forward to working with your organization.

Sincerely,

The Prevail Team

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APPENDIX A

The following are the enrollment User flows for the IM Peer Chat and Program Landing paths for

iPrevail Users.

IM Peer Chat Landing

A. User enters a nickname and selects chat.

B. User selects from a list of available peers.

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C. User is connected to a chat.

Program Landing:

Users would enter the Standard Program Delivery Model from three possible sources:

They complete a peer chat, shown in model c above, and select to continue on to a

structured program by selecting next.

They click on a link on your web asset (click here to take an assessment, etc.).

They are acquired via Prevail’s digital media marketing strategies.

A. User is introduced to Virtual Assistant and asked to take an assessment.

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B. User takes initial assessment.

C. Optional registration information could be entered.

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D. User is shown results of assessments.

E. User is offered personalized programs relevant to their profile and needs.

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F. User begins first structured program.