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Imagine e poibili of what we can do together. a groundbreaking approach to health benefits

Imagine e po ibil i - Mission Employer Solutions

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Page 1: Imagine e po ibil i - Mission Employer Solutions

Imagine the possibilities of what we can do together.

a groundbreaking approach to health benefits

Page 2: Imagine e po ibil i - Mission Employer Solutions

with a bigger purpose in mind.health benefits

Page 3: Imagine e po ibil i - Mission Employer Solutions

ABOUT US

Dear Employer,

You may be used to thinking about health benefits as a way to protect employees should they become ill. We have a different approach – we want to keep them well. We offer the tools, resources and experience to do so with our award-winning wellness and health management programs, health plans that deliver extra value and an acclaimed clinically integrated provider network that places people at the center of care. By putting the wellbeing of people first, we achieve high quality care at the lowest cost.

We’ve designed a better approach to healthcare Health is unique to every individual. Our approach meets each person where they are and supports them in reaching their own unique health potential. We transform people from passive users of healthcare services to engaged, educated and empowered healthcare consumers. We want each person to enjoy the meaningful moments in his or her life and open the door to the possibilities that good health brings.

With Healthy State you experience:

• Lower Cost: A health plan that improves your bottom line

• Better Care: We’re in the business of providing superior quality care

• Bigger Vision: An approach that lowers costs, enhances lives and creates healthier communities

Combining health benefits with healthcare: A better solution An individual’s health becomes the priority when you combine health benefits with healthcare. It reduces and controls expenses by keeping people healthy and providing optimal resources if they become sick. It’s a solution that’s better for everyone and awakens all of us to the idea that healthcare can do more for individuals, employers and communities. We’re leading the way for the transformation that occurs when everyone comes together to design healthcare to do more good. Are you ready to imagine the possibilities of what we can do together?

In good health,

Marc Malloy President, Healthy State

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A BETTER APPROACH TO HEALTH BENEFITS

When healthcare & health benefits connect, everything changes for good.

Why we’re better Healthy State has a bigger vision – to improve the health of individuals and our community. Our health plans deliver results that traditional health plans do not. Incentives encourage individuals to become more engaged and take an active role in their health and healthcare decisions. Your company enjoys higher productivity and employee satisfaction, and you champion change in your corner of the world. As health improves, money is saved by everybody. Healthy State paves the path for a better approach to healthcare.

What we do We are a health benefits company fully integrated with a healthcare delivery system, partnered with the same hospitals, clinics and physicians that have served our community for years. You get everything you’d expect from a broker, carrier and provider – from one locally based source. We design, implement and administer high-performing health benefits programs for western North Carolina employers, as well as provide other essential benefits like dental, vision, life, and disability. We also coordinate COBRA, HSA, HRA and Flexible Spending accounts. We make your job easier by handling administration, compliance and enrollment. Simple. Easy. Better.

Why we’re different Our clinically integrated network, Mission Health Partners®, is nationally acclaimed for providing high quality services and empowering people to become involved in their own healthcare. It combines all the elements needed to ensure your employees have a great experience with the right doctors, hospitals and clinicians, plus the right programs. Nationally recognized. Positive experience. Streamlined communication. Excellent care.

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As health improves, money is saved by everybody and reinvested in the community.

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OUR PILLARS

We put the health of people

at the heart of our approach.

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We are local. We live here. We care here. We trust our own health and family’s care to Healthy State. We reinvest money in the community and support the local economy.

We help people thrive through partnerships. With the people we treat. With caregivers. With employers, healthcare facilities and community organizations. We’re better together.

Better health is what we do well. We put the wellbeing of people first. Then we engage, educate and empower them to attain their healthiest desired state.

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Healthy State has all the elements in place to achieve the outcomes everybody wants from the healthcare system: improved health, a better patient experience and reduced costs.

We deliver more value because we design and administer the health plan, offer the provider network and focus on programs that improve health in proven ways.

When it comes to health, we mean business.

Page 9: Imagine e po ibil i - Mission Employer Solutions

Curtis was overweight and flirting with high blood pressure. “I was always tired and didn’t have much energy,” he recalls. “I had stopped doing some of the things I enjoyed.”

Determined to avoid taking medication, he committed to changing his life by enrolling in a Healthy Weight program with his wife. “I liked the fact that the class was led by dietitians and wasn’t promoting diets, medications or surgeries.” Keeping a food journal and learning about calories “opened my eyes to how much extra I was eating.”

The couple also hit the road, walking six miles nightly and hitting trails on weekends, culminating with a recent 17-mile hike. His blood pressure is now normal, and he’s lost 30 pounds.

“The first triumphant moment was when I weighed in under 200 pounds for the first time since the early ‘90s.” The second occurred when he had to go clothes shopping because nothing fit. “It’s always fun,” he says, “to see the faces of friends and family who haven’t seen me in more than six months.”

“I have more energy, and, generally, I’m feeling better all around.” – Curtis

Plan Design Whether you offer a PPO plan or Consumer Driven Health Plan (CDHP), your plan design should align with your company’s healthcare strategy. We design Value-Based Health Plans that create incentives for employees to make personal health care choices, use high performance providers and engage in healthier lifestyles. This progressive approach is more consumer-friendly, putting people first and treating them as an active partner in their care. In addition, your company and your employees may experience tax advantages.

Plan Administration One of the reasons employers love working with us is our partnership with MedCost, a third-party administrator (TPA) based in North Carolina. This established company is known for its excellent customer service. They process claims, issue ID cards and handle your employees’ questions, attending to the details of administration so you can focus on your business.

Self-funded plans are an essential component of our approach. Because you eliminate the third-party carrier, you keep savings generated when costs are lowered. This offers an opportunity to reduce your expenditures over time, while providing a tremendous incentive to keep your people healthy. Most businesses can expect to save 8% to 12% annually compared to the cost of traditional insurance, and you control risk through stop-loss insurance. Furthermore, you’ll change the dynamic with your employees; you are now positioned to support them in their journey to wellness.

Provider Network In healthcare, quality matters. With a Healthy State plan, employees can choose between two outstanding network options: Mission Health Partners® (MHP) or MHP plus MedCost. MHP is Healthy State’s signature network and includes nearly 1,100 physicians, ten hospitals and thousands of other healthcare practitioners currently serving nearly 90,000 individuals. This critically acclaimed clinically integrated network has the professionals, infrastructure and programs in place to ensure coordinated care, seamless communication and an optimal customer experience by placing people’s needs first. Employees also can choose the MedCost network with a broader geographical reach and access to national networks.

HOW IT WORKS

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Seven words from MHP’s wellness nutritionist changed Deb’s life: “If you do this, you won’t fail.”

Those words inspired Deb to begin a healthcare journey that evening. She hasn’t had a sugary soft drink or candy bar in 16 months. Unable to walk short distances initially, she now walks up to five miles daily.

Deb has lost 110 pounds, dropped seven clothing sizes and her blood sugar is now at a healthy level. She has become a role model for co-workers and church members who approach her about how they can get healthy too. “This wellness program got me to where I am today. It’s been fabulous. Fabulous! I am going to keep going. It’s just well worth it to me.”

“This wellness program got me to where I am today.” – Deb

Population Health: The Approach that Empowers Employees.Our approach to healthcare encourages each member to reach their own unique potential through engagement, education and empowerment. We address behavior and social factors that contribute – or create barriers – to an individual’s ability to achieve healthy outcomes. We meet people wherever they are on the health spectrum and help them achieve their healthiest desired state. They have access to exceptional programs, resources and professional care teams who support them, and there are no extra costs for most of these services. In addition, we supply you with monthly reports and dashboards to help you support your employees.

Primary Prevention: We work with employees and your company to help position your employees for success with a wellness account manager, a worksite assessment, an online portal for employee health and our award-winning wellness programming.

Early Intervention: We address issues early on the curve before disease and acute conditions develop.

Chronic Condition Management Program: We provide support and care for individuals diagnosed with chronic conditions, including diabetes, depression, high blood pressure, high cholesterol, COPD and asthma.

Post-Acute Care Management: After a health event like a stroke, heart attack or surgery occurs, we provide a smooth transition to the care and services people need to return to optimal health.

OUR PILLARS

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SERVICE & DELIVERY MODEL

AT A GLANCE

ClinicallyIntegrated Network

CustomBenefitSolutions

Health PlanAdministration &

Management

HealthcareManagement &

WellnessPrograms

HealthAssessments

BiometricScreenings

ActuarialUnderwriting &

ReportingServices

EmployeeCommunications/

MemberNavigation and

Advocacy Services

Dental, Vision,Life, Disability,COBRA, FSA,

HRA, HSA Administration

Legal & Compliance

Support

EnrollmentSolutions

Primary Care& SpecialistProviders

AncillaryProviders

Care Coordination

and CommunityCaraMedics

ChronicCondition

Management& YMCA

Partnership

Post Acute Facilities

Hospitals

Healthy State Service and Delivery ModelIntegration of healthcare finance and delivery

into a single source benefits solutionIntegration of healthcare finance and delivery into a single source benefits solutionHealthy State Service and Delivery Model

1,100 4:190,000+10Nearly ROI ofServing

is tied to reduced medication costs, reduced ED visits and

reduced hospitalizationphysicians individualshospitals

Thousands of other healthcare practitioners

© 2017 Healthy State, Inc. This document is for general information purposes only. It should not be construed as legal, tax or accounting advice. Any discussion of U.S. federal tax issues contained in this communication is not intended, and cannot be used, for the purpose of (i) avoiding penalties under the Internal Revenue Code or (ii) promoting any transaction or matter to another party. The names of healthcare providers and other business entities referenced in this document are registered trademarks of their respective owners.

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We invite you to join us.Imagine the possibilities of what we can do together.

1940 Hendersonville Road, Asheville, NC 28803 | 1.888.823.1315 | [email protected] | healthystate.us

a groundbreaking approach to health benefits