Healthx Analytics: Turning Data Into Actionable Insights Presented by: Lawrence Schimmel, MD – QualMetrix Founder and Chief Medical Officer Richard Krol – QualMetrix SVP, Business Development Doug Wilcox – Healthx Director of Marketing

The Need for Actionable Insights Institute for Health Improvement’s Triple Aim

The Need for Actionable Insights Better care Improve the patient experience of care Lower Costs Reduce the costs of per capita healthcare Better Health Improve population health by addressing determinants of care

Healthx Analytics Pre-integrated to Healthx Platform Easy to learn, easy to use tools to identify opportunities for Improved care delivery Efficiencies in resource utilization Cost reduction related to care Driving behavioral changes among members and providers 1.20% $985,082

Healthx Analytics Helps payers and administrators make more informed and strategic decisions Holistic, in-depth reporting and visualizations Cost drivers At-risk patients Populations Providers

Healthx Analytics Analytics and visualizations that guide data driven decisions for clinicians and administrators. Cost & Utilization Population Health Provider Performance Prevention Quality Member Metrics

What the Analytics Provide Features Ability to drill through from high level metrics to actionable lists of providers and members driving performance on key indicators, often on a single screen Explore cost drivers at different levels of granularity across both member and provider characteristics to understand the clinical and network drivers of costs Industry leading, internationally utilized risk adjustment methods to remove variations Dashboards to track all services across the care continuum. Easy visualization of KPIs and cost measures with trending. Identify clinical and physician drivers of cost to formulate strategic decisions around utilization management and population health Cost savings opportunities to focus efforts on maximizing ROI

Improved Health Plan Tools Features Insights into avoidable cost, such as readmissions, ER Super Users, avoidable ER. Gaps in care reports that enable care managers to affect member costs. Reports to highlight high cost care and complications. Member risk/cost analysis with disease burden. Drill into comorbidities, claims detail, pharmacy profiles. Trended medical and pharmacy KPIs. Cost/Utilization by various criteria, e.g. groups, geography, employer group, contract, LOBs. Network leakage reports and views. Provider utilization, cost and quality reporting, with peer comparisons (risk adjusted). More real time, intuitive drill down on data. Influence behaviors of providers and members. Visualize data and choose which data points to drill through on to gain more insight. Drill- down capabilities to quickly find plan level statistics to physician or patient level detail. Need for IT and analytic resources for follow- up queries/reports is minimized. Pre-integrated to Healthx platform. Fast implementation with small impact on internal IT resources. Quickly set-up robust business intelligence solution with a few extracts.

Harnessing the Power of Data Predictive Modeling Gaps in Care Provider Performance Integrated Analytics Solution Data shared with integrated Healthx Analytics Solution Member Portal Healthx Platform Provider Portal Disparate data integrated with Healthx platform Data Claims Prescription Member Provider Payer Analytic Platform Actionable Insights Customer Data