Technology & Healthcare in the Middle East 8/7/2018 Start with a quick introduction of QuintilesIMS. Stress on QuintilesIMS local presence in the region, including the office in Lebanon. Move on to sharing a high level context on healthcare in the region given economic realities. The levant region is highlighted in Pink to add more relevance to the audience. Close this slide by stressing that given large healthcare opportunities in our region based on these numbers, technology is perceived as a major driver in the transformation of healthcare. The Middle East in Numbers Globally The largest health information company in the world, with extensive local, regional, and global presence High Population Growth (2015, %) Promising GDP Growth Forecast (2020, %) High Inflation Rate (Avg. Annual %) Healthcare Spending as % of GDP (2015)

Regional healthcare themes are focused on Economy, Efficiency & Experience $ Reduce Operational Cost Enhance Effective Communication Improve Revenue Cycle Management Reduce Errors, Fraud, Waste and Abuse Increase Efficiency Connectivity & Integration Revenue Cycle Management Communicate Effectively Explore Options Based on Quality Ratings Improve Healthy Lifestyle (Mobility Enabled) Increase Patient Satisfaction Enhance Patient Experience Enhance Patient Safety Improve Medical Practice Enable Advanced Health Research Empower Disease Management Improve Clinical Outcomes Patient Level Costing Quality Metrics & Indicators Monitor & Engage Effectively Improve Health Sector Competitiveness Enhance Medical Tourism Improve Healthcare Services to the Population Grow the Health Sector

Connectivity and Integration platforms need to provide choices to Providers $ Unified Healthcare Language 01 Connectivity & Integration Revenue Cycle Management 02 Standardized Communication Structures 03 Strong Integration Capabilities Patient Level Costing Quality Metrics & Indicators 04 Centralized cloud-based platform

Revenue Cycle Management has lead to more efficient usage of infrastructure and Return on capital $ Strong Patient Billing Capabilities 01 Connectivity & Integration Revenue Cycle Management 02 Real-time Validation Capabilities 03 Strong Integration Capabilities Patient Level Costing Quality Metrics & Indicators 04 Promote Private-Private and Public- Private Partnerships

Patient level costing is helping Providers understand their profitability and implementation of clinical pathways $ Enables Proper Pricing of Services 01 Connectivity & Integration Revenue Cycle Management 02 Connects data of hospital financial and clinical systems 03 Strong Integration Capabilities Patient Level Costing Quality Metrics & Indicators 04 Powerful reporting for appropriate decision making

Patient reported experience and clinical quality metrics such as HEDIS/NCQA measures are driving better clinical outcomes $ Standardized market-wide quality ratings 01 Connectivity & Integration Revenue Cycle Management 02 Transparent sharing of information to public 03 Helps in designing interventions to improve quality Patient Level Costing Quality Metrics & Indicators 04 Opportunity for quality and/or performance-based reimbursement

Examples from our region – Implementation across the patient journey 8/7/2018 Start with a quick introduction of QuintilesIMS. Stress on QuintilesIMS local presence in the region, including the office in Lebanon. Move on to sharing a high level context on healthcare in the region given economic realities. The levant region is highlighted in Pink to add more relevance to the audience. Close this slide by stressing that given large healthcare opportunities in our region based on these numbers, technology is perceived as a major driver in the transformation of healthcare. 17 Technology Capabilities Connecting entire payer and provider community on a single platform 01 The Dubai Health Authority’s Claims & Connectivity Program Enabler & Driver Of higher participation of private players in the healthcare market 02 Efficiency & Effectiveness Realization through intervention and rating measures based on real-time data 03

The Dubai Health Authority’s Claims & Connectivity Program Examples from our region – Reduction in fraud/abuse; New measures aimed at controlling waste and improving quality of care 8/7/2018 Started Small In 2012, only 1 payer and 1 large provider group piloted the system In 2016, managed 01 4+ million Insured patients The Dubai Health Authority’s Claims & Connectivity Program Transformed Market More than 17,000 healthcare professionals trained on technology and medical coding 2,500+ Healthcare provider facilities 02 67+ Insurance companies/TPAs Its only the beginning DHA sees a bigger opportunity ahead in using technology for new initiatives 03 200+ Request managed per second

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8/7/2018