Intel Confidential — Do Not Forward

Connected Care Overview

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About Intel CorporationThe World’s Largest Semiconductor Manufacturer

107,000 employees worldwide………..300 facilities in 50 countries

$56B in Annual Revenues

6th most powerful brand……..8th most recognized brand

Fortune 100 best company to work for

2014 Total U.S. Healthcare Spend: ~$680M

Enrollment: 48,000 employees, 80,000 dependent

Major US Sites: Arizona, California, New Mexico, Oregon, Texas

This decade we will create and extend computing technology to

connect and enrich the lives of every person on earth

Employer Driven Triple-Aim Approach

Improving patient experience

• Concierge approach to care with dedicated teams with seamless transitions

• Improved access with innovation

• Care delivery model standards with patient-centered approach

• HLFC care delivery integration

Reducing cost/waist

• Pay for performance model

• Narrowed network of Providers

• EHR interoperability between disperse systems

• No referrals or prior authorizations

• Free preventative care

Population heath management

• Healthcare systems accountable to access standards, patient satisfaction, and chronic disease outcomes

VALUE

QUALITY

TRIPLE AIM

EXPERIENCE

Patient Centered Medical Home

Medical

Neighborhood

Patient

Centered

Medical Home

Member

Dedicated

Customer Service

UnitPerformance

Requirements

Copay or HDHP

Plan Offerings

The “Connected Care” Model

Connected Care Plan Design Two plan designs available to employees

• High Deductible Health Plan w/ HSA Incentives

• Primary Care Plus (Copay for Primary Care visits and Prescription drugs /everything else subject to deductible and coinsurance)

• CC plans are lower cost and richer than national plans

• Plans include:

• Preventive Care and Preventive Medication covered at 100%

• In-network covered at low cost share

Appropriate care determined by provider and patient

• No medical care utilization management for in-neighborhood care (i.e. no PA’s or referrals)

• Ux continues to apply to Rx, out of area, and out of network

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5 Requirements Reporting

Cost • PMPM

Evidence Based Medicine (EBM)

• Preventive Screenings

• Chronic Disease Management

Right Time Right Setting (RTRS)

• Access to Care

• Alternative Venues of Care

Member Experience (UX)

• Accessing Care

• Quality of Care

• Likelihood to recommend

[Optimal] Function

• Learning Metrics

• EE productivity

Connected Care Innovation

Dedicated Connected Care teams to manage population

• Case Managers, care coordinators, administration navigators

Alternative appointment types - telehealth

• Electronic visits, phone visits, web & mobile-based video visits

List of estimated costs for a set of common services/procedures (in-network)

• Cost transparency during PCMH visits

• Cost transparency tool available to members via Web & mobile app

Proactive preventative care reminders

HFLC Integration

• EHR to EHR interoperability

• Comprehensive Care Coordination Workflows

The “Connected Care” Model

Medical NeighborhoodSpecialists, Hospitals & Facilities

Patient Centered

Medical Home Clinic

Health for Life Center (RA3 & JF5)Employer On-Site Clinic

Connected Care

Member

eHealth Exchange

Direct PUSH

Connected Care

Concierge

Dedicated

Connected Care

Team

Patient Benefits

Don’t have to remember healthcare information

Less steps to get access to care at right time, right setting

Clinical care is comprehensive and coordinated

Provider Benefits

Patient healthcare information is up-to-date

Clinical decision-making based on accurate history, care gaps, allergies, etc.

More time with patients to focus on care needs

Care Coordination and EHR Integration with Intel’s Onsite Clinics

EHR to EHR Interoperability

• Clinicians have more accurate and timely health information

• Care is more efficient, minimized redundancy, and better managed cost

• 4 EHR technical teams developed innovative interoperability models

• CCDAs are sent through Direct PUSH and PULL/Query methods

Integrated Care Delivery

• Providence and Kaiser partnered with onsite clinics to integrate care

• Improved care coordination across multiple settings

• Dedicated care teams to ensure seamless member experience

• High-touch coordination for high-risk/chronic populations

Leading the Way

• Secure, electronic exchange of health data between unaffiliated providers has been slow to develop in many parts of the country

• This project has received national attention as it promises to make headway

• White Paper was published on the groundbreaking achievements of this model

“Connected Care is advancing care coordination in Oregon, and

demonstrating business impacts for improving the health delivery

systems” - Eric Dishman, Intel Fellow

Electronic Medical Record Interoperability

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Impact to date

The Connected Care Vision is to improve Intel employees and families healthcare experiences, outcomes, and reduce

costs overtime; EMR interoperability plays an important role to help Intel achieve this Vision.

The EMR interoperability model in Oregon is nationally recognized for having an innovative approach to get

healthcare data to communicate between the onsite clinics and the healthcare systems in Connected Care (i.e.

Whitepaper published, federal agencies inquiring, conference requests, Health IT News, Oregon Business Journal,

etc.)

New care coordination workflows are using data exchange with healthcare information coming to them in real

time, resulting in quicker access to care with less work involved for everyone involved

Having the most up-to-date healthcare data means a more efficient model where physicians and patients can

now make the best possible choices about their care plan, leading to lower costs over time

Future Impact – Looking into 2016

Evolution of the EMR interoperability model will lead to more automation and innovation of processes in both

Oregon and Arizona, and will continue to place Intel at the forefront of providing functional data interoperability

and exchange in the US

Adapting the model into California will allow Intel to continue reaching Connected Care’s vision and lead to more

innovations, spurring EMR interoperability between major health systems in both Folsom and Santa Clara markets

Backup

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HFLC Integration ModelMember shows up/or

is scheduled for care at HFLC

Patient Identified as Connect Care Member

CCDA Pulled

Patient Treated and any care gaps

addressed

Has chronic or complex condition,

needs additional testing and/or follow

up care

Patient has DSP PCP?

Patient has DSP PCP?

If needed, HFLC contacts the POC to schedule appt. or follow-up with DSP PCP

HFLC recommends patient establish with a PCP and

offers options

HFLC pushes CCDA and message to POC including indication if pt is in active

case mgmt with HFLC condition RN

If patient’s care needs are in-scope for HFLC and Pt. wants clinician as PCP, HFLC

schedules appropriate follow-upOR

HFLC helps patient establish with a DSP PCP in real time or provides info to pt. on how to

do so.

POC receives, triages, and updates EMR as needed

POC receives, triages, and updates EMR as needed.

Note: If “Very High Need” some level of outreach may occur

HFLC recommends patient establish with a PCP and

offers options

HFLC pushes CCDA and message to POC including

designation of HFLC as ‘PCP’ or that pt. wants to establish

with DSP PCP.

HFLC pushes CCDA and message to POC

POC receives, triages, and updates EMR as needed

HFLC pushes CCDA and message to POC including designation of HFLC as ‘PCP’ or that

pt. wants to establish with DSP PCP. Also include indication is pt. is in active case mgmt

with HFLC condition RN

YES NO

NOYES

YES

NO

Function of HFLC

Function of DSP

eHx “PULL”

Push message. Must be Direct and include text send/receipt function

Intel Connect Care: Delivery Service Provider and Health for Life Center Integration

v3Updated: 3/4/15