All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents

without the prior written consent of the Company, is prohibited.

2All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents without the prior written consent of the Company, is prohibited.

What RowdMap Does

Risk-Readiness SM and You

BCBS as Best Practice

3All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents without the prior written consent of the Company, is prohibited.

What RowdMap Does

Risk-Readiness SM and You

BCBS as Best Practice

4All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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WHAT WE DOIt’s Time for Risk

CMS: 50% of FFS will be gone by 2018

CMS Means Business!

These are just the first pieces to move and transforming

payment across the system!

Current payment models aren’t changing provider behavior. Providers need help.

Effects of Health Care Payment Models on Physician Practice in the United States, May 2015.

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Featured Nationally US CTO on RowdMap: “Visionary

Genius”

WHO WE AREFounders & Team

6All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Melanie Rosenthal – Chief Executive OfficerCo-Founder & CEO @ Sprigley [acquired by Eliza Corporation, 2008]; VP of Product Ops @ Eliza [Majority Equity Investment Parthenon Capital, 2011]; Health Dialog, Yale, Human Genome Project, Tufte, Solstice Capital

Burak Sezen – Chief Information OfficerCo-Founder & CTO @ Sprigley [acquired by Eliza Corporation, 2008]; Platform Architect @ Eliza [Majority EquityInvestment Parthenon Capital, 2011], Health Dialog, Pricewaterhouse Coopers; Ernst & Young; Standards Committees

Joshua Rosenthal, PhD – Chief Scientific OfficerCo-Founder & CSO @ Sprigley [acquired by Eliza Corporation, 2008]; VP of Product Ops @ Eliza [Majority Equity Investment Parthenon Capital, 2011], Fulbright, Sorbonne (Applied Institute for Advanced Studies),HHS/CMS/ONC/NCHVS Public Adviser (Technology & Innovation, Market & Policy, Data Access) and HCTTFSpeaker/Guest Lecturer/Guest @ Harvard, Johns Hopkins, MIT , SXSW, HDI, RWJ, AF4Q, NPR (with US CTO and HHS CTO)

Henriette Coetzer, MD – Chief Clinical Risk OfficerClinical Transformation, NHS (National Health Service, United Kingdom); Global Medical Director, Towers Watson; Senior MedicalDirector and Clinical Analytics, BUPA and Health Dialog; Product Development, Healthways; Practicing Physician; Patent Holder

Kimberly Spalding, CPA – Chief Financial OfficerCo-Founder Tech Republic [acquired by CNET, 2001]; Co-founder & CFO Narrowcast [acquired by QuinStreet, 2011]; Ernst &Young’s Entrepreneurial Services

Bryant Hutson & Ashley Distler – Senior Client StrategistsCornell, Xavier; Cincinnati Children’s Hospital, Optimity Advisors, Presence Health; Skydiver, Travel Connoisseur

WHO WE AREFounders & Team

Industry Leading Advisory Board

WHO WE AREWhere It’s Worked

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RowdMap Success Stories• Increased a plan’s membership through smart growth by 40,000

in 12 months; and another plan’s by 40% in the same time

• Reduced membership attrition for a SNP plan in a competitive metro by 20%

• Launched high-end concierge plan that broke member price sensitivity and generated significant profit, doubling original membership goal

• Launched a purpose-built plan for a curated provider network

• Increased a plan’s Star scores by a full point through provider-centric growth

• Designed product strategy and corresponding benefits for a major metro areathat lead to plan’s first profitable product portfolio in three years

• Aligned a plan’s sales and network team strategy around providers

• Tripled a plan’s original goal of contracting with targeted providers (and in some cases, out of exclusivity arrangements)

• Shifted a plan’s majority of membership from PPO to HMO, doubling original goal

• Moved a plan’s membership in target providers from 2% to 30% in target providers in 12 months

• Articulated clear data-driven MA strategy for board-level presentations that resulted in additional investments

• Developed comprehensive strategy for government affairs that created an advantageous environment for plan and members

Where we’ve done it…

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What You Get with RowdMapTechnology and Professional Service

EnterprisePlatformLicenseLicense covers entire enterprise across all functional units and all (reasonable) users and usage

RowdMap UOnline Learning CenterOne of a kind web-based resource with tips, tricks, tutorials and functionally-oriented resources to help users understand, and interpret the information

BenchmarksDrill Downs and ProfilesPayer Profiles, Provider Profiles, Market and Geographic Profiles Including Social Determinants and Health Behaviors

On-site Analytic WorkshopsRowdMap prepares an analysis across functional areas and presents data, interpretation and recommendations

Auto-Generated ReportingSelf-serve dashboards and reporting with tagging and sharing that export as PDF or PPT

EnrichmentClient DataRowdMap accepts and integrates your data and incorporates it within the RowdMap platform

Risk Readiness Your Provider Profiles,Available Risk Arrangements,Risk Arrangement Matching,Payer/Provider Risk Profiles

Year in the Life Custom Analyses & SupportProvider Performance Profiles and Risk-Readiness AnalysisNew Payment Model Opportunity AnalysisReimbursement Opportunity and Payer Profile AnalysisPolicy and Regulatory Analysis

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What RowdMap Does

Risk-Readiness SM and You

BCBS as Best Practice

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Risk-Readiness℠ looks at a different category of spending

30 Cents of Every Dollar You SpendGoes to No-Value Care

Clinically Appropriate, but Unnecessary Care

(30% of spend)

Claims Spend for a Health Plan / Government Program

Necessary Utilization(70%)

“Bigger than higher prices, administrative expenses, and fraud, however, was the amount spent on unnecessary health-care services. Now a far more detailed study confirmed that such waste was pervasive.”

In just a single year, up to 42% of patients receive “No Value” Care.

Dr. Atul Gawande, Professor, Department of Health Policy and Management at the Harvard School of Public Health & the Department of Surgery at Harvard Medical School.

“It’s generally agreed that About 30 percent of what we spend on

health care is unnecessary.

If we eliminate the unneeded care, there are more than enough resources in

our system to cover everybody.”

-Dr. Elliott Fisher,Dartmouth Institute for Health Policy

11All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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At the core of Risk-Readiness SM is

Unwarranted Variation: Every provider has a unique practice pattern that informs Risk-Readiness SM

Low and Now Value Care Defined by Decades of Publicly Available Research

Apply the Dartmouth Atlas for Unwarranted Variation methodologies to the newly released CMS data. This research has been repeatedly validated over the last 30 years and we now have a national data set to apply the methodologies at a large scale.

Grey area outside of obvious fraud but based on choice of two options for care that yield same outcomes, but one at marked

higher costs. Definitions across PCP care, specialties.

Provider with High Intensity Practice Pattern

Maximizing Fee for Service

Provider with Low IntensityPractice Pattern Maximizing Pay for Value

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Medicare DocGraph Referral file (Patient flows between PCPS, specialists, hospitals and post acute centers)

Dartmouth Atlas of Health Care & Choosing Wisely(Decades of research and data on unwarranted variation by condition and geography to keep things apples-to-apples for comparisons)

CMS FFS Data Sets, CDC Data Sets (MEDPAR, Part B, Part D, BRFSS)(Individual providers, groups, hospitals and post acute centers)

Provider Pattern Intensity Profiles and Risk Readiness for every provider, hospital, post acute center in the US. All preloaded with no IT.

New Government Benchmark DataParticularly powerful when pulled together

Affordable Care Act data to determine Risk-Readiness SM of Providers / Networks

CMS Historic Releases of Largest Provider Data;Virtually Every Provider, Group, Hospital, Etc.

Here’s why these benchmarks are so powerful

13All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Government benchmark data serves as the common languagenecessary to build relationships with providers to improve the member experience and profitability

The benchmarks are available today with no IT involvement

The data already have a level of analysis on top, so you can see if a provider is over/under benchmarks

It’s from CMS; it’s a standard; it’s already used to day to drive reimbursement

CMS Benchmarks Work across all Geographies, Populations, P&Ls (Care, Caid, Commercial, etc.)

14All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Where are populations, and how healthy are they? Who are Risk-Ready SM providers?

How do we match the right providers to the right risk arrangements and manage variation to contain costs?

How do we design products, clinical programs, and networks around risk?

WHAT WE DORisk-Readiness SM in Four Questions

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UNDERSTAND POPULATIONSWhat type of populations?

Diabetes Prevalence PCP Density

Income

Obesity

Depression

Demand vs. Supply

Sick and underserved

Westchester, NY

Allocate providers and care management resources around condition-specific population needs by zip. Focus contracting on PCPs

and/or locate retail clinics, RVs and health fairs based on chronic needs.

16All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents without the prior written consent of the Company, is prohibited.

UNDERSTAND GEOGRAPHY What’s Going on in Your Market?

Largest Counties in CA

Regional Benchmarks

Risk Scores

Total Cost

PMPM

Reimbursement

Overall Star

Chronic Star

Health Rank

Network Opportunity

Profit Opportunity

MA

Profit Opportunity

Exchange

MedicareEligibles /

MA Enrolled

ExchangeSubsidy Eligibles /Exchange Enrolled

MedicaidBeneficiary Eligibles /

Beneficiaries

What drives profitability in your geography? Consider:

CMS reimbursement and risk models, population cost share thresholds, clinical performance outcomes, population health behaviors,

network performance, product eligibles & penetration.

17All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Risk-Readiness SM Practice Profiles

Orange County, CA

Regional Benchmarks

Identify highly efficient, Risk-Ready practices to profitably grow into. Improve profitability of lower performing practices with

large panel sizes through modified arrangements or performance improvement plans.

18All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Risk-Readiness SM Physician Profiles

PCPs

Identify low cost, highly efficient physicians and make them your stars. Grow into them. Make them the featured doctor in

marketing collateral.

Regional Benchmarks

Louisville, KY

19All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Risk-Readiness SM Hospital Profiles

California

Regional Benchmarks

Use benefit designs and network designs to send members to the highest performing hospitals within your geography.

EOL Hosp Days: Which hospitals have fewer end-of-life days than their peers? Chronic Admits: Which hospitals see their most chronic population repeatedly/ with the most frequency? Cardiac Imaging: Which hospitals are more likely to over-utilize cardiac imaging compared to their peers?

20All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents without the prior written consent of the Company, is prohibited.

Decreased Cost

Average

Increased Cost

Less

Eff

icie

nt

1

2

3

4

5

Mo

re E

ffic

ien

t

Miami Dade, Florida

Risk-Readiness SM

Benchmark

Impact on Spend

MANAGE VARIATIONQuantify No Value Spending by Provider

$ PMPY per Specialty & Efficiency Score

Networks can be optimized by excluding specific doctors or shifting members/patients within a network.

Tactic 1: 'Manage' the red dot doctors

Tactic 2: Create curated networks with varsity providers.

21All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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MANAGE VARIATIONProvider Value Chains

Primary Care Docs

SpecialistPost Acute

Facility

Thickness of lines indicates the number of referrals. Note: Some markets are

oversupplied. This market is controlled by one provider.

Less efficient

More efficient

Identify PCPs that refer to higher intensity specialists. Consider new contracting arrangements and provider education to

improve overall care efficiency.

22All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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MANAGE ACROSS FUNCTIONSProduct, Growth & Clinical

After developing an overall Risk-Readiness SM Strategy, plans use RowdMap to…

Manage product portfolios and design benefits

Identify areas for growth and expansion

Design and manage clinical programs

23All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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CMS: 50% of FFS will be gone by 2018

What if you knew which providers would

drive your success?

What if you knew which providers would sink you? WHAT WOULD YOU DO IF YOU KNEW

who will win and who will lose in value based arrangements

24All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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What RowdMap Does

Risk-Readiness SM and You

BCBS as Best Practice

David GoodsonVice President, Enterprise Medicareat Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

25All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.

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Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & TexasBest Practice at Risk-Readiness SM

Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

Using data to answer all four major questions including:

1 - Where are the populations and how healthy are they?

2 - Who are Risk-Ready Providers?

3 - How do we match the right providers to the right arrangements and manage variation to contain costs?

4 - How do we design products, clinical programs and growth strategies around risk?

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Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & TexasBest Practice at Risk-Readiness SM

Questions for David Goodson, Vice President Enterprise Medicare,

at Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas

1 – What have you done to achieve this Risk-Readiness SM ?

2 – What does this data allow you to do and what are your plans?