2. [ The Problem ] Rational Consumers in an Irrational System

3. [ Defined Contribution ] Employee receives fixed amount of money to buy health care coverage

4. [ Vivius Value Proposition ] The Right Benefits The Right Providers The Right Price Choice and Control for Each Family Member

5. [ Physician Defines Fees ]

6. [ Vivius Calculates Premium ]

7. [ Six Steps to Enroll ] 1.Pick your copayment levels 2.Pick the family member 3.Select a doctor who will help make the network selections 4.State your preferences 5.Review the panel 6.Make changes to benefits or network

8. [ Consumer and Doctor Define Network ]

9. [ Consumer Defines Payroll Deduction ] = $55/month

10. [ Consumer Changes Doctor ] = $50/month

11. [ Consumer Changes Copayments ] = $45/month Hospital Inpatient Copayment changed from $300 to $500

12. Tier I: Co-Payment Benefits Panel you created Personal Panel Panel Created for You Extended Network Tier II: Deductible and Co-Insurance Benefits Panel you didn’t select Personal providers not selected Out of area panel created for you Out of Area Network

13. [ Spokane Results ]  82% penetration against an HMO, PPO  Only 16 of 500 enrollees needed phone support  Rated 4.6/5.0 for ease of use

14. [ Denver ]  Joint venture with MMA  Self funded, open access product  Wholesale product to insurers  Available for January 1, 2003 business

15. [ The Solution ]  True competition among providers  Incentives for quality  Individual values for selections  Budgets encouraging price to value decisions  Buy coverage not services An open marketplace with rational purchasing

16. [ Vivius Value Proposition ] The Right Benefits The Right Providers The Right Price Choice and Control for Each Family Member

17. Somebody has to do something, it’s amazing it has to be us. Jerry Garcia The Grateful Dead