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Advancing Healthcare Through Technology & Big Data

Advancing Healthcare Through Technology & Big Data. David Notari-CEO Innovation Health. Meet Innovation Health. Health plan administration expertise: Aetna’s national provider network Plan sponsor reporting Actuarial and underwriting Sales and marketing

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Advancing Healthcare Through Technology & Big Data

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  1. Advancing Healthcare Through Technology & Big Data David Notari-CEO Innovation Health

  2. Meet Innovation Health • Health plan administration expertise: • Aetna’s national provider network • Plan sponsor reporting • Actuarial and underwriting • Sales and marketing • Employer, member and provider services • Claims and medical management • Regulatory and compliance services • Pharmacy services • Billing and collections • Clinically integrated health delivery system: • Inova’s nationally recognized centers of excellence, care delivery programs, and wellness programs • INOVA-developed provider network to drive improvements for efficiency, quality and patient satisfaction • Premium/costs below market resulting from significant unit cost reductions; additional value to be generated from network efficiencies over time • Health Information Technology and Health Information Exchange services to play a key role in enabling clinical integration to measure and improve performance through shared electronic health records, data analytic systems and evidenced-based guidelines 50 / 50 Ownership- A New Insurance Company

  3. Over 600+ customers have chosen Innovation Health Leading innovationsPioneering networks and plan design Transparency tools Meaningful member engagement Serving the all segments Individual Exchange Small Group-2-100 Middle Market- 101-3000 National Accounts -3000+ Public Sector • 203% Membership growth since December 2013

  4. Health Costs for Family of four hits $22,030 in 2013 Health Costs for Family of Four Hit $22,030 in 2013 Source: 2013 Milliman Medical Index, May 2013

  5. Consumers’ Desired Role in Medical Decisions Trend Toward Being “In Charge” 92% want role in medical decisions Source: Altarum Institute Surveys of Consumer Health Care Opinions, Fall 2012, January 2013. January 2014

  6. The power of health in members’ hands Convenient access to empowering tools Member Payment Estimator iTriage® Mobile | Web Personal Health Record Innovation Health Navigator® 24 MindbloomTM Life Game CarePass® 7 Get ActiveSM Member Cost and quality Ask Ann SmartSourceSM Wellness Integrated HealthInformation iTriage

  7. Price Matter! Shopping for the best price • Actual cost data from Northern Virginia • Outpatient MRI, knee 513% difference Actual Contracted Price Facility $1,257 Facility # 1 $844 Facility # 2 $1,748 Facility # 3 $341 Facility # 4

  8. Innovation – iTriage iTriage- Making a difference • Comprehensive healthcare info in one application • Facilitates actionable decisions • Helps answers these common consumer questions: • “What could be wrong?” • “Where should I go for treatment?” • Symptom-to-Provider™ Pathway: • Search symptoms and find possible causes • Research diseases, procedures, tests, medications • Decision support to better self directed care • Comprehensive provider information • Connectivity leads to action Innovation Health Plan, Inc.

  9. Innovation Health Marketplace: Our private exchange solution Welcome. It’s time to shop for your benefits! Shop, Buy and Enroll • Single carrierintegration • Robust portfolio of benefits including Health, Dental and Life • Consistent experience for the population of choice • Defined contribution approach • Predictability to health insurance budgets 9

  10. Thank You!

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