Our unique strategy Seamless integration = Total health engagement Health Advocacy is a key part of Chronic Care Solutions Fully integrated with other Health Advocate solutions Strong synergy with Wellness Coaching and Biometric Screening services Health Advocacy Personal Health Dashboards Data Analytics Gaps in care coaching Personalized Health Messaging Wellness Program 1

How we improve upon traditional disease management 2

Our clients

We deliver Identification and risk stratification Evidence-based self-management coaching Personalized support from a Nurse Coach Skills for long-term management of condition(s) Coaching “partnership” for overall health Ongoing engagement and improved outcomes 4

Our goals Improve the health outcomes of members Reduce utilization and costs associated with avoidable complications Empower members to partner with their doctor to better manage their long-term health 5

Which chronic conditions… and why? Diabetes Asthma Hypertension Coronary Artery Disease COPD Depression CHF Metabolic Syndrome 6

Identification and Stratification

Data-driven Identification & Stratification process Our data analytics use predictive modeling to identify members with one or more chronic medical conditions The model considers the member’s condition status and co-morbidities to assign a predictive risk classification Predictive model is refreshed monthly when new claims data is provided 8

Member Interventions

Empowering members Condition-specific interventions Evidence-based self-management techniques Ensure provider engagement Build knowledge about condition Adherence to treatment plan Medication management Condition monitoring Identify lifestyle/behavioral risks Coaching on collaborating with providers 10

Case Studies

Problem: Health risks due to COPD, pre-diabetes and asthma Shannon had increased stress levels due to family issues and shift work. She also smoked 30 cigarettes per day, had unhealthy eating habits and knee problems from her job. Shannon responded to a Health Advocate communication and decided to call us for help. Solution: Shannon joined the Chronic Care Solutions & Wellness Coaching Programs Since joining , Shannon has: Connected with a PCP for a full evaluation and help to identify triggers to better manage her conditions Received help with healthy meal planning Learned to better understand and adhere to her medication routine, including the proper use of her inhaler Reduced her weight by 50 pounds and has been smoke-free for 8 months

Problem: Better management and adherence Dave was diagnosed with diabetes, metabolic syndrome and hypertension. He called Health Advocate for help finding specialists and discuss his benefits. Solution: Dave joined the Chronic Care and Wellness Programs Since joining the programs, Dave has: Seen specialists to better manage his care and risk of complications Started an exercise routine and made healthier food choices Monitored his glucose levels and food portions with a diabetic tracker Lost weight, lowered his blood pressure as well as his HbA1 levels

Engagement and Communications

Gaps in care communications Reaches members that are overdue for recommended preventive and chronic condition care. Directs employees to their personal physician and Health Advocate Drives utilization of chronic condition management programs Encourages completion of important tests Provides guidance to evidence-based care Promotes wellness/lifestyle changes and medication compliance 16

Management Reporting

Activity reporting Provided monthly, quarterly or bi-annually: Program-level metrics Breakdown of disease prevalence and risk within the population Unique members by disease state Members by multiple conditions Condition-specific metrics Member engagement Gaps in care mailings Provider access support Coached on care gap spotlights Coaching enrollment by risk level

Outcome reporting Provided annually, demonstrating the impact on adherence to recommended treatment, prospective risks and treatment costs: PMPY costs to treat each managed condition, and biometric levels Prospective risks within each condition, and utilization of ER visits/ in-patient services Medical service utilization differential between members engaging with Health Advocate 19

Thank you First Name Last Name, Title 000.000.0000 xxxxxx@HealthAdvocate.com