83% 29% employees. 90% US businesses offer HDHP $6, M. 110M pay out of pocket 25% HEALTHCARE CONSUMERISM LANDSCAPE.

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2 HEALTHCARE CONSUMERISM LANDSCAPE High deductible health plans (HDHP) will grow at double digit year-over-year rates for the foreseeable future. 29% employees are on HDHP 17.4M Americans on HDHP 90% US businesses offer HDHP $6,000 per family avg annual deductible 110M pay out of pocket 25% ONLY offer HDHP 83% won t reach deductible threshold

3 MEET THE PATIENT CONSUMER 56% 47% 80% 60% would prefer a single, bundled price for medical care are confused by their medical bills actively look for prices before scheduling care Price Waterhouse Cooper say out-of-pocket cost is #1 factor in choosing a doctor Becker s

4 THE TOP 20 HEALTH CARE COSTS PEOPLE ARE LOOKING FOR IN THE U.S. 1. Labor & Delivery 2. Imaging and Radiology 3. Diagnostic/Labs 4. Colon Health 5. Office Visits 6. Breast Health 7. Weight Loss Surgery 8. Skin Conditions 9. Knee Conditions 10. Other Reproductive Health 11. Birth Control Surgeries 12. Hysterectomy or Hysteroscopy 13. Behavioral & Mental Health 14. Back and Neck Conditions 15. Allergies 16. Immunizations 17. Obstetric Care 18. Chiropractic Care 19. Physical Therapy 20. Heart Disease & Circulation Conditions

5 AS YOU CAN SEE, PEOPLE ARE SEARCHING FOR EXPENSIVE PROCEDURES... Cost/Shopping Category Example of Procedure National Average Heart Disease & Circulation Conditions Coronary Bypass Surgery $86,236 Back & Neck Conditions Lumbar Fusion $71,591 Back & Neck Conditions Cervical Fusion $57,107 Heart Disease & Circulation Conditions Coronary Angioplasty with Stent $44,301 Knee Conditions Total Knee Replacement $41,627

6 WHERE IS SHE GETTING INFORMATION? from 24% 54% of patients call the hospital of patients call their doctor or insurer PROVIDERS How frequently do patients request pricing information, in advance, for the full cost of a procedure? Frequently Occasionally 52% 48% shoppingtrends2015.healthsparq.com

7 WHERE IS SHE GETTING INFORMATION? from Pricing on so-called transparency sites is often inaccurate or misleading, increasing consumer frustration. TRANSPARENCY SITES Out-of-date claim data Not inclusive of all services Based on Chargemaster Inconsistent with self-pay rates

8 WHERE IS SHE GETTING INFORMATION? from ONLINE REVIEWS Many consumer sites focus on hospital rankings, such as Yelp. The rankings are typically user/patient reviews & many of the comments focus on level of care & cost. 85 million users 12 hospital scores HCAHPS Scores Cost of Hospital Visit Amenities Scheduling Staff Compassion ER Wait Time Physician Communication Noisiness of Rooms

9 HOW DO HOSPITALS COMMUNICATE WITH HER TODAY Heavily reliant on 1 form of communication: usually phone, leading to disconnects/transfers and poor customer satisfaction. Largely phone driven with some sort of automation like online scheduling. Process of building multi-channel communication. Generally department driven still leading to a fragmented consumer experience. Seamless consumer experience. Offer a broad and connected platform that offers consumer flexibility and staff empowerment. Offers staff ability to analyze patient needs and requests and respond appropriately.

10 THE BAD NEWS Consumers will switch providers if the information they are seeking is unavailable or incorrect. The increase in health care shopping has significant consequences for hospital revenue. Advisory Board research found that a four-hospital system can see swings in revenue of $16 million to $40 million due to its price transparency strategy or lack thereof.

11 WHAT IS THE IMPACT? 67% of Patients who gave a hospital a negative net promoter score never paid their bill.** 95% of patients satisfied with the billing process will return to that hospital for care.** Self-Pay Patients do not pay out of pocket costs.* 74% of Patients who gave a positive NPS paid their bill in full.** 10% Choose Long Term Payment Option 30% Pay Most of the Bill 60% Pay Nothing * Price Waterhouse Cooper ** Connance Annual Consumer Impact Study

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13 WHAT IS MDSAVE? A healthcare bundling technology platform that enables an open health care marketplace targeting patients with out-of-pocket costs Offers fully bundled discounted healthcare services in exchange for upfront payments A suite of software products for employers, PPOs, and providers Over 7,000 consumer healthcare bundles deployed in the marketplace Operates in 26 states and over 167 hospitals Compare Local Prices Buy Your Procedure Visit the Doctor

14 BUNDLED PAYMENT CREATION & PROCESSING CPT DRG HCPCS APC MDsave s platform enables providers, payers and employers to provide a comprehensive, single price for an episode of care before, at or after the point of care, that the consumer can understand. Patented system for bundling procedures & distributing payment across multiple providers. Supported on-site by specially trained staff and a customer support center. Scalable. Over 3,000 bundles sold per month. Customizable. Bundles can be built across all specialties. $ $ $ $ Enables value-based care. Center of excellence concept in any geography with current fee schedules.

15 BUNDLED PAYMENT CREATION & PROCESSING BUNDLES DEFINED 2 Pre-build comprehensive, multi-provider care bundles to comply with CMS. Pre-load existing payer fee schedule into our patented bundling platform. Un-bundle payments and remit. Resolve a multi-party episode of care with a single payment. Removes largest obstacle to broad implementation of bundled payments.

16 THE MDSAVE PROVIDER Patient-focused care made easy. Attract new patients by offering bundled care packages online. Attract New Patients Connect with patients through our marketplace. Reach a local network of employees with MDsave Plus. Accelerate Your Payments Receive payment within 7 days of completing a service. Bundled Care Solutions Enable transparency and bundled care. Easily build new procedure bundles with our Custom Bundle Tool. Simplify Payments Simplify payment to bundled care participants through our payment platform. Set your rate and we ll handle the rest. Customer Service Concierge Our specialists are here to answer questions and guide you through our process. The MDsave Promise Patients are covered by our customer satisfaction guarantee. We work directly with patients to resolve an incorrect purchase.

17 SEAMLESS COMMUNICATION Patient Buys Hospital e-notified Service Provided / All Parties Paid Voucher for Scheduling Voucher Redeemed within 4 Business Days

18 MDSAVE DIRECT Automatically create a shopping cart by pasting from the EMR. Dashboard for business performance and insights.

19 EMPLOYER / MCO HEALTHCARE MARKETPLACE PRIVATE HEALTHCARE MARKETPLACE Exclusive services and pricing for MDsave PLUS member companies. Integrate with current employee benefits to help decrease out-of-pocket costs. Makes pricing transparent and actionable. Easily see HSA fund balance and apply to payment.

20 CREATING VALUE ENGAGE ALL STAKEHOLDERS ENGAGE PAYERS / EMPLOYERS Diagnostics Outpatient Inpatient Wellness Surgery Surgery

21 Chris Larsen EVP, MDsave