Based on more than 10 years’ experience providing population health management services for Essence Healthcare, a 5-Star (2016 plan year)* MA plan with over 50,000 members, Lumeris understands that it takes more than technology to manage accountable care and achieve remarkably improved outcomes. At Lumeris, we help clients work collaboratively with providers in value-based arrangements, and we have identified 22 core competencies in four main areas of concentration: Consumer & Provider Engagement; Enhanced Care Delivery; Operational Excellence; and Business Model Alignment. Mastering these four areas is critical to building and operating what we call Population Health Services Organizations (PHSOs).

Lumeris’ model focuses on the wellness of patients and fosters stewardship of healthcare resources in pursuit of the Triple Aim Plus One: better health outcomes, lower costs and improved patient experience plus physician satisfaction.

• Health Systems: We help health systems create PHSOs and define populations for risk. We help them build the foundation to become their own payer, establish risk-bearing arrangements, and share in the value created by these contracts. • Provider Groups: We empower providers and their Accountable Care Teams (ACTs) with process improvement strategies, technology and clinical workflows so they can achieve better contract performance, share in maximum incentives and deliver high-quality care. • Payers: We work collaboratively with payers to ensure the right contracts, measures and incentives are in place to influence physician behavior and drive quality, cost and utilization performance.

Lumeris engages and trains providers in appropriate strategies and tactics for delivering better care, improving the health of populations

We enable PHSOs by helping clients adapt their business and care delivery models to improve financial and clinical outcomes:

Value-based Expertise •Overadecadeofexperiencesuccessfullymanaging populationhealthandvalue-basedcontractsfor healthcare organizations; •Results-drivenasevidencedbyachieving5Stars forthe2016planyear(and4.5Starsthepreviousfour years)forourclient,EssenceHealthcare;and •Solutionsarepayeragnosticandpayerneutral.

Proven Methodology • Identified22corecompetenciesneededtomanage high-performingPHSOs; •Prescriptiveapproachtodeveloping/cultivating physician and Accountable Care Team behaviors and workflows to manage risk-based contracts; and •Local,in-marketsupporttodriveadoptionand value-basedperformance.

Flexible Business Model •Customizedsolutionsandpricingthatalignwith our clients’ goals and outcomes; and •Multi-payer,multi-populationsolutionplatform.

Enabling Technology •Cloud-basedtechnologypurpose-builttomanage population health; • Integratesclinicalandfinancialdatafrom disparate systems; and •Providescompletevisibilitytopatientcareand actionableinsightstomanageperformance.

What Makes Lumeris Different

and reducing per-capita costs. To do this, we have created our own proprietary model, based on Essence Healthcare’s success, that helps providers understand their risk and behaviors that should be adopted for healthcare to move from a volume- to value-based model. This model also incorporates a consumer-centric solution that engages patients so they can become more active participants in their own care; make better, more informed decisions; interact innovatively with their ACT; improve care-plan compliance; and close gaps in care.

To provide a 360-degree view of patients at the point of care, the Lumeris Accountable Delivery System Platform (ADSP)® was purpose-built for population health management. The cloud based system allows providers, payers and executives to provide actionable intelligence on clinical and financial data to enable timely, value-based healthcare decisions. Some features of the ADSP are: • Aggregatesandanalyzesdatafromacrossthecontinuumofcare(EMRencounterdata,claims,pharmacy,labandotherdata) • Rationalizesdatatoestablishaunified,accurateviewofpatientcareandpopulationhealth • Minesdataforclinicalandfinancialimprovementopportunities • Sendsactionableclinicalandfinancialintelligence.

1.888.586.3747 • LuMERiS.coM ©2016 Lumeris Confidential and Proprietary

*Plan performance Star ratings are assessed each year and may change from one year to the next.

To learn more, call 1.888.586.3747 or visit Lumeris.com

Lumeris’ Board of Directors •MikeLong,chairmanandchiefExecutiveofficer,EssenceGroupHoldingscorporationandLumeriscorporation •JohnBurbank,ManagingMemberandchiefinvestmentofficer,Passportcapital •DenisA.cortese,MD,PresidentandchiefExecutiveofficerEmeritus,MayoclinicDirector,HealthcareDelivery and Policy Program, Arizona State University •L.JohnDoerr,Partner,KleinerPerkinscaufield&Byers •MattDowns,ManagingDirector,Sandboxindustries •christopherW.Kersey,MD,MBA,ManagingMember,camdenPartners •JohnH.Rice,MD,ExecutiveVicePresidentandchiefMedicalofficer,EsseHealth

Value-Based Populations

Medicare Advantage•Roughly200,000lives under mgmt.

Commercial•Roughly500,000lives under mgmt.

Self-Insured Employee•Roughly55,000lives under mgmt.

MSSP ACO•TwosuccessfulMSSP applications•Roughly20klives

Health Systems

Built a PHSO for a $500M community health system managing full risk and SS contracts

Designed and deployed Care Management and technology for $800M health system to support P4Q and SS contracts

Clinically integrating a seven hospital, 200 site, 2,100 physician health system to perform on value-based contracts

Provider Alliances

Built a PHSO for an alliance with 3 health systems and over 200 independent physicians

Delivered PHSO services for largeregionaliPAtoimproveperformance on value-based contracts

Built a PHSO for 300+ independent PCPs managing full-risk Medicare Advantage contracts

Payers

Delivering PHSO services for multiple health plans starting Medicare Advantage offerings

Providing technology and services to support a large regional payer’s accountable provider strategy

Providing EMR integration and Risk Adjustment services for large regional payer

Current Client Engagements

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Proven OutcomesAs a result of our outstanding solutions, we have been able to achieve: •5Starsforthe2016planyear,and4.5Starsthepreviousfouryears; •Nearly70percentMcRbeforesurplusdistributionofphysicianquality-basedcompensation; •30percentreductionincostsand18percentreductioninreadmissionratecomparedtoFFSMedicare; •Largest,in-regionmarketshareforfouryears;and •over80percentofprovidersconsistentlyratethattheyaresatisfiedwiththeircollaborativepayerpartner.