1. © 2010 The Advisory Board Company – 21291 1 Assessing the Value of Care Management Services Wanting their Money’s Worth Jupiter Corporation Manufacturer headquartered in New England 5,000 employees globally 5,500 covered lives in the U.S. Paying PEPY fee to access disease management services through TPA Goal—Evaluate Quality of Care Management Step 1—Understanding the Current Offering Identification Are we targeting the right individuals? Outreach Are we effectively encouraging enrollment? Outcomes Are we tracking the impact of our efforts? Dedicated Advisor interviewed TPA on protocols for identifying and enrolling members in care management Dedicated Advisor reviewed TPA’s standard quarterly reporting of outcomes Meeting #1Meeting #2 Step 2—Pinpointing its Shortcomings Gap Analysis for Jupiter Setting program goals Identifying population Conducting outreach Program strengths Program gaps Recommendations

2. © 2010 The Advisory Board Company – 21291 2 TPA Fails to Find Those Who Need Help We’re Paying for This? Steps Taken to Improve Enrollment Dedicated Advisor sending TPA a list of recommended enrollees on a monthly basis TPA will conduct outreach to candidates identified by the Dedicated Advisor, customizing materials for Jupiter Dedicated Advisor will audit enrollment levels going forward to assess effectiveness of outreach Dedicated Advisor will work with Jupiter to evaluate implementation of enrollment incentives Case Management Candidates Disease Management Candidates

3. © 2010 The Advisory Board Company – 21291 3 Casting a Brighter Light on Performance Ensuring Returns Improving Outcomes Measurement Holding the TPA Accountable Current TPA report of outcomes deemed unacceptable Dedicated Advisor reviewed and offered comments on proposed alternative report from TPA Emphasis on measures that reflect improved compliance and clinical status, rather than administrative achievements Dedicated Advisor and Jupiter Corp. currently negotiating with TPA to include performance guarantees for care management services Failure to meet guarantees will result in lower payments from Jupiter to TPA