INTEGRATEDLIFECYCLEMANAGEMENTPLATFORM

Preven'veIPPE/AWV/ACP

ChronicCCM/TCM/CPC+

IntegratedLifeCycleManagement

MEDSOURCE,CARESUITE,ANDYOURPRACTICE

MedSource brings the power ofCareSuitetoyourprac'ce.Onceyourprac'cehascommiGedtoexcellencewith the CareSuite plaIorm, wecon'nuethe journeywithyou,everystep of the way. Ques'ons,consul'ng, troubleshoo'ng. Webring a new level of technologymarke'ng before the sale andpersonal concierge service with ournewpartnership. We look forwardtobeinganextensionofyourprac'ceandyourprac'cebeinganextensionofourMedSourcefamily.

STOP RV PSS

STAR

PQRS

ESS TeH

IPPE

AWV

ACP

CCM

TCM

ACM

DS

PT

NT

AT

ADHD

TC

AC

DSTM

IBT-O

O S AS C R E E N I N G

R E M OT EC A R E R E S Y S T E M

PAT I E N TS AT I S FACT I O N

C E S S AT I O N& C O U N S E LI N G

P S YC HT E S T I N G

C A R EM A N AG E M E N T

P R E V E N T I V ES E R V I C E S

INTEGRATEDLIFECYCLEMANAGEMENTPLATFORM

PREVENTIVESERVICES

PREVENTIVEVISITS–PERSPECTIVES/CONFUSION

Pa'entPerspec've•  Lowpar'cipa'on•  Limitedknowledge•  Thinksit’saphysical

ProviderPerspec've•  Educatepa'ents•  Integrateintoworkflow•  Compliance•  CombinePVwithregular

officevisit

PREVENTIVEVISITS–FACTS

Facts:•  Only14.5%ofMedicarepa'entshavehad

anAWV/WTMPVdone(CMS:January2016)

•  EveryMedicarepa'entiscoveredforayearlywellnessvisitfreeofcharge–onceevery12months(nodeduc'ble/nocoinsurance/nocopay)

•  Notmeanttoreplaceapa'ents’“physicalexam”(Preven'vevisitsarenot“physicals”).

PREVENTIVEVISITS–FACTS

0

20

40

60

80

NATIONALAVERAGE(14%)

TYPICALCARESUITEPRACTICE(70%)

AWVUTILIZATIONPERCENTAGE

CARESUITEAWV/IPPE/ACPSOLUTION

“Cloud-based”system(patentpending)forconduc'ngPreven'veMedicareExamsthatismobile,easy,

efficient,effec've,andisHIPAAcompliant.

STEP1:CREATEPATIENTRECORD

1 2 3 4

STEP2:PATIENTANSWERSHEALTHASSESSMENT

1 2 3 4

STEP3:CMA/SUPPORTSTAFFCOMPLETEEXAM

1 2 3 4

STEP4:PHYSICIANREVIEWSREPORTWITHPATIENT

1 2 3 4

BENEFITSTOPRACTICE–AWV/IPPE/ACP

OVERVIEW:•  Preven'veeffortsforhealthofpa'ent;Followupvisitsforprac'ce

•  Noorminimalworkflowandworkdayinterrup'ons

•  WTME/AWV/ACP&otherPreven'veservicescanbedoneatsame'measregularofficevisit

•  Wehaveyouup&runninginhours

•  Provider'me5-10minutesvs.30-40minuteswithEMR/papersolu'on

•  WefollowALLguidelinesissuedbyCMS(noguessworkforproviders)

•  Providesa5-10yearscreeningschedule/preven'onplantopa'ent

BENEFITSTOPRACTICE–AWV/IPPE/ACP

OVERVIEW:

•  UseHIPAA/HITECHcompliantsystemimmediatelywithnoITconfigura'onorupkeep

•  Scalablesolu'on–addtabletsany'me,NOlongterm

contracts•  Easyintegra'onofWTME/AWV/ACPreports(PDFformat)inyourEMR.Bilateral

interfacecanbeestablishedincoopera'onwithEMRvendor.(CCDformatcomingsoon)

•  AvailableinSpanishwithEnglish/Spanishreports

•  Comprehensivemarke'ng&educa'vematerialsforyourpa'entpopula'on

PREVENTIVEVISITS&ACO

OVERVIEW:Wellnessprograms(e.g.CoreCare)canhelpreachACOgoalsofop'mizinghealthcarecost.

BENEFITS:•  AWVproduceslistofriskfactorsforproviders->takeproac'vecarefor

preven'onofchronicillness,LTC,injury,etc.

•  AWVgeneratesqualitydata->abilitytoreporton(someof)theCMSqualitymeasures(ortheACOqualitymeasures)

•  AWVgeneratespersonalpreven'onplan->pa'entstake“interac'vepart”intheirhealth

PREVENTIVEVISITS&ACO

METRICS:CMSwillmeasurequalityofcareusing33na'onallyrecognizedmeasuresin4keydomains:•  Pa'ent/caregiverexperience(7measures)•  Carecoordina'on/pa'entsafety(6measures)•  Preven'vehealth(8measures)•  At-riskpopula'on:

–  Diabetes(6measures)–  Hypertension(1measure)–  IschemicVascularDisease(2measures)–  HeartFailure(1measure)–  CoronaryArteryDisease(2measures)

PREVENTIVECODESANDRATES

2016–Preven'veFeeReimbursement

•  G0438reimbursement(RestofGeorgia)is$163.96RVU:2.43•  G0439reimbursement(RestofGeorgia)is$110.70RVU:1.50•  G0402reimbursement(RestofGeorgia)is$159.45RVU:2.43•  G0444reimbursement(RestofGeorgia)is$17.07RVU:0.18•  G0439/G0444reimbursement(RestofGeorgia)is$127.77•  99497reimbursement(RestofGeorgia)is$82.69Note:TheG0444(Medicaredepressionscreen)maybebilledincombina'onwiththeG0439duringsubsequentyearlyAWV’s.

PREVENTIVEFINANCIALIMPACT-2016

RevenueProjec'onsforGeorgia(G0438&99497only)Assump'on: 4pa'entsperday

80pa'entspermonth(20days)Grossrevenue: $19,680(80pa'entsx$246)[$163.39+$82.69]Fees: $4,000(80x$50)Netrevenue: $15,680monthly|$188,160annually

(Prac'ceretains≈80.0%)G0438reimbursement(RestofGeorgia)is$163.96G0439reimbursement(RestofGeorgia)is$110.70G0402reimbursement(RestofGeorgia)is$159.45G0444reimbursement(RestofGeorgia)is$17.07G0439/G0444reimbursement(RestofGeorgia)is$127.77

GETTINGSTARTEDWITHCARESUITEPREVENTIVECARE

ATWILLAGREEMENTS–NOLONGTERMCONTRACTS•  UsetheCareSuitePreven'veCareSystemriskfree

•  Ifyoudon’tlikeitforanyreason,we’llcomeandpickitup,noques'onsasked

•  NOupfrontfees

•  NOcapitalinvestment

•  90%+reten'onrates

CARESUITEWELLNESSTESTIMONIALS

“Anobrainer–weneededtodoAWV’sforourMedicarepa8ents&theCareSuitesystemishelpingusdothemefficientlywithoutdisrup8ngourworkflow–andwiththesystem,wearedoing4to6aday

easily–andweranNOrisktotryit.”(ConradHarper,MD)

“IhadbeenbreakingmybrainonhowIwasgoingtohandletheAWV’sinmyprac8ce,couldn’tfindaneffec8vewaytodealwiththem,theytaketoomuch8meofme&mystaff.TheCareSuitesystemis

helpingusouttremendously.”(DarrellCollins,MD)

WetriedformonthstofacilitatetheMedicareAnnualWellnessVisitsthroughourEHRplaSorm.Wewereabletoconducttheprogramwith100%compliancewithCMS,however,wesimplycouldnot

captureabove25%ofourpa8entsbecauseofthe8meandpayrollhours.WiththeCareSuiteSolu8on,westay100%compliantwiththeCMSguidelines,andareabletocapture70%ofourMedicareeligible

pa8ents.CareSuiteistheeasiestandmosteffec8vemethodwithoutcausingdisrup8onindailyworkflow.CareSuitehasbeenextraordinarilyvaluabletoourprac8ceandIwouldrecommendtheir

serviceswithouthesita8on.”(JoshBraun,PracOceAdministrator)

CHRONICCAREMANAGEMENT

THEMANYBENEFITSOFCHRONICCAREMANAGEMENT

OnJanuary1,2015CMSbeganreimbursingProvidersanaverageof$500peryearperMedicarepa'entforprovidingnonface-to-facecare•  Substan'alNewRevenueSourceforProvidersandPrac'ces

•  ImprovedPa'entCare

•  IncreasedPa'entEngagementandCareLifecycleManagement

•  AvoidanceofAcutePa'entScenariosbyProac'vePa'entMonitoring

•  ImprovedPa'entSa'sfac'onandOrganiza'onalReputa'on

•  LeakagePreven'onforMul'-SpecialtyPhysicianGroups

•  AndtheListGoesOnandOn…

TYPICALCCMPITFALLSPrac'cesandCCMVendorsalikearefiguringoutthatitisNOTaseasyaseveryonewashoping.Justacoupleofthe49BillingRequirementsare:•  Dedicated24/7nursingstaffavailableforphonecare

•  Buildtechnologytohandleshareddynamiccare-planaccessplusmessagingfortheen'recareteam

•  Wouldneedabillingsystemthatprovides'metrackingfornonface-tofacecaredelivery

•  Wouldneedtodedicatestafftoeducateandenrollpa'entsinachroniccaremanagementprogram

•  Pa'enteligibilitystra'fica'onandacopiousamountofdocumenta'on

•  Pluskeepinmindthat1,000pa'entsrequire20,000minutesofjustphone'me

WHYCARESUITEISTHEPREMIERECCMSOLUTION

CareSuiteisaninnova'venewdigitalremotecaredelivery

plaIormthatempowerspa'entstobeGermanagetheirhealthsotheyalwaysreceivetherightcare,intherightplace,atthe

right'me.

Ourproprietarytechnologyconnectsallstakeholders–par'cularlypa'ent,caregiver,andprovider-withrelevant,'mely,andac'onablecare-alertstodrivebeGerhealthcare

outcomesandenhanceorganiza'onalreputa'on.

THECARESUITECHRONICCAREMANAGEMENTSOLUTION

Oursolu'oncanbeimplementedinyourorganiza'onintwoweeks.Noupfrontcostsorchangestoyourprac'ceworkflowneeded.•  Turn-keychroniccaremanagementprogram

•  Provideuswithalistofpa'entsthroughyourEMRsolu'on,we’lliden'fyeligiblepa'ents

•  Wecallthepa'entstoenrollthemintheprogram

•  Weprovide20+min.ofnonface-to-facecallswithourtrainedmedicalassistants

•  Our24/7callcenter,basedinCambridge,Mass.,isstaffedbytrainedmedicalassistants(abillingrequirement)

•  Youreceiveweeklyoversightreportsandhavefullaccesstoourpa'entInterac'ons

•  WehelpyoubillMedicareforCPT99490,withmonthlyautomatedreports

•  WeusespecificHEDIS,QARRandCAHPSmeasurestoevaluatetheeffec'venessofthecare

THEKEYSTOASUCCESSFULCCMPROGRAM

Atthebareminimum,aCCMsolu'onneedstomeetthe49basicCCMbillingrequirements.Beyondthathowdoyouevaluateasolu'on?•  Whenevalua'ngaCCMSolu'on,rememberthefollowing:

–  ACCMProgramisonlyasgoodasyourenrollmentrate

–  Yourenrollmentrateisonlyasgoodasyourongoingengagementrate

–  YouwillonlykeepengagementrateshighwhenyoufocusondeliveringvaluetothePa'ent

•  ThisiswhereCareSuitetrulyexcels!

THECARESUITECCMDIFFERENCE

NotonlydoesOculusHealthhaveunrivaledpa'entenrollmentandongoingpa'entengagementrates,hereisasampleofaddi'onalvalueweofferpa'ents:•  Patentedexperien'alpa'entrewardsprogram

•  1:1Pa'entandmedicalstaffrela'onshipwithconciergelevelservice

•  Directaccesstothepa'ent’sspecificmedicalstaffmember

•  Personalizedcareplanoversightapproachforhigh-tech,low-tech,andno-techpa'ents

•  OculusplaIormintegrateswith300+wearables,appsandmedicaldevices

•  Thesearejustsomeofthecontribu'ngfactorstoour99%+engagementrate

CARESUITECCMRESULTSTODATE

•  Reduc'oninA1Clevels

•  Membersa'sfac'onupby4Xcomparedtopa'entsoutsideofCCM

•  Maintain<.001%ofunplannedadmissions

•  Timelinessofcaretransi'onno'fica'onofthereceivingcarese~ngfromthesendingse~ng

•  96%ofMedica'onadherence

•  Improvedac'vity,nutri'on,andlifestyleimprovements

THECARESUITEDIFFERENCEFORPRACTICES

Higherenrollmentandengagementratesyieldsuperiorpa'entcare.Oculuspridesitselfonhavingaconstantpulseonthefollowing:

•  Answertheques'on,“Howismypa'entrightnow?”atanypointin'me

•  Ge~ngpa'entsac'velyinvolvedinmanagingtheirownhealth

•  Iden'fyingpoten'alhealthissuesbeforetheybecomeproblema'c

•  Extendingthereachofprovidersbeyondthefourwallsoftheclinic

•  GuaranteedtosuccessfullypassaCMSaudit

CARESUITECCMINTERFACEANDDEMO

TheCareSuiteCCMPlaIormdrivespa'entengagement.Trust,connec'on,andcon'nuityarethecornerstonesofaposi'vepa'entexperience.

CCMFINANCIALIMPACT-2016

RevenueProjec'onsforGeorgia(99490only)Assump'on: 1,000CCMEnrolledPa'entsGrossrevenue: $39,000(1,000pa'entsx$39)Fees: $24,000(1000x$24)Netrevenue: $15,000monthly|$180,000annually99490reimbursement(RestofGeorgia)is$38.91perbillablemonth

GETTINGSTARTEDWITHCARESUITECCM

NOlongtermcontracts•  UsetheCareSuiteChronicCareManagementSystemriskfree

•  Ifyoudon’tlikeitforanyreason,30daycancella'onwithoutanyfurtherobliga'on

•  NOupfrontfees

•  NOcapitalinvestment

•  90%+reten'onrates

CHANGETHEWAYPATIENTSSEEYOURPRACTICE

478-227-6360

MitchHambrick478-997-0794

mitch.hambrick@medsourcega.com

ToddA.Barker478-396-9343

todd.barker@medsourcega.com