1. Employer Incentivized Doctor/Patient Evidence-Based- Medicine Protocol Adherence Program HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO Human Resources Mining & Distribution Co Locating, Validating and Accelerating HR Innovation Office: 219-662-0201 Cell: 630-240-2583 Fax: 219-661-0236 e-mail: tference@hrmdco.comtference@hrmdco.com Website: www.hrmdco.comwww.hrmdco.com

2. Employer Incentivized Doctor/Patient Evidence- Based-Medicine Protocol Adherence Program Payers have developed tactics to make employees accountable (e.g. Value-Based Design, Wellness) and providers accountable (e.g. Episode of Care Payments, Pay-for-Performance) to the benefit plan but not the employee/patient and the doctor mutually accountable to one another Example: Doctors spend 49 seconds during visit telling the patient what they need to know about taking a new medication Up to 50% of patients leave their doctor’s office not understanding what they are told to do This 10+ years-in-the-making, SaaS-based patented system manages incentives and processes for both the physician and the patient to be guided by evidence-based-medicine protocols

3. Employer Incentivized Doctor/Patient Evidence- Based-Medicine Protocol Adherence Program Works where patients receive an “Information therapy (Ix)” and are compensated from the benefit plan for both demonstrating medical literacy and declaring to their doctor compliance with the health recommendations made by their doctor Also, d octors are equally compensated from the benefit plan for declaring adherence to the evidence based guideline and treating the patient’s medical illiteracy by prescribing “Information (Ix)” The system manages 117 guidelines that cover between 50% and 55% of the total employer spend 100% of office visits/diagnoses are covered by Ix, whether the doctor participates or not Average patient participation rate of 65% Creates win-win-win for employer-patient-physician ROI = Range of 3:1 to 17:1 in independent studies

4. Employers/Insurers Physicians Current Status of Cost Containment & Accountability Solutions Have Not Produced Consistent, Measurable ROI Consumers/ Patients Yes No

5. Completion of the Accountability Cycle All 3 Stakeholders Aligned PatientPhysician Employer/ Insurer Patient Accountability with Employer/Insurer Wellness and prevention High-deductible consumer- driven health care Disease/care management NEW Assured adherence to EBM guidelines Provider Accountability With Employer/Insurer Capitated HMO P4P Accountable Care Org. Episodic care payments Medical home NEW Assured adherence to EBM guidelines (or reason for variance) NEW Patient Accountability with Physician Information Ix Mutual declaration of adherence to EBM guidelines Patient & physician dollar incentives paid from benefit plan for adherence Vendor measured ROI EBM = Evidenced Based Medicine

6. Six Year Savings vs. Projection $2,073,905 Total Investment $333.367 Six Year Results: Rewarding Better Care, Patient Education and Compliance Lowers Cost Six year program investment vs. “all-in” claims cost = 6.2:1

7. Next Steps This product/service is contained in the HR Specialty Products & Services Catalogue™ Operational level details about this particular service provider can be obtained in conference with the vendor The HR Mining &Distribution Co. is an independent and contracted representative of the vendor Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo Tom Ference 219-662-0201 (Chicagoland area) or tference@hrmdco.com Thank you for your potential interest in this fresh thinking