EmpoweredHealth Streamlining Administration • Driving Engagement • Increasing Member Satisfaction

About the Client Challenges Background: National Provider of Health Services About the Client Number of employees: 50,000+ One of the largest providers of specialized healthcare services with 450+ locations across the U.S. Challenges Rapid growth through acquisition led to many challenges for the benefits department: Diverse population made up of union, non-union and managed employees struggled with complex benefit offerings, multiple plan variations and different carriers A fragmented health and wellness offering left employees confused and frustrated trying to navigate their benefits Managing multiple carriers and program vendors was administratively expensive to support and offered no way to get a view across their population’s health status

National Provider of Health Services The Solution Health Advocate implemented a single, comprehensive, integrated Health and Wellness solution Streamlined the employee experience and increased engagement, taking both union and non-union benefits into account Driven by advanced healthcare data analytics and supported on a single technology platform Improved Member Experience Instead of calling different numbers to reach different benefits, employees call one phone number to access all health-related benefits and services, including those not offered by Health Advocate. Educated in the client’s benefit offerings, Personal Health Advocates work as an integrated team of inter-disciplinary experts to resolve issues, answer questions and help employees improve their health and well-being.

National Provider of Health Services Results: Simplified Administration (eliminated 5+ vendors) Significant Increase in Engagement Improved Employee Satisfaction, Health & Productivity By the Numbers: 85% Member Engagement 85,000+ Advocacy Cases Handled 247,000 Interactions Significant Increase in Wellness Engagement: 35% of All Cases Related to Wellness & Chronic Care 85,000+ Interactions Over 90% of Total Clinical Utilization Health & Productivity Savings: $8.7 million

Bending the Curve: Engagement Analysis

National Provider of Health Services Engagement Analysis Purpose To compare the difference in healthcare costs and outcomes for employees who engaged in the Health and Wellness program with those who did not participate. Other Impacts The study also examined the impact of the program’s components (Wellness, Advocacy, Personalized Health Communications, Chronic Care Support, Biometric Screenings) on key health measures: Compliance with preventive care and screenings Recommended care for chronic conditions Medication adherence Impact on medical costs and other outcomes

Engagement Analysis Parameters The analysis tracked health outcomes over a full year using a baseline of the year before the Health Advocate program began. It compared the following timeframes: Baseline Year: 01/26/15 to 01/25/16 Current Year: 01/26/16 to 01/25/17 Data included all employees and family members who had a claim and were continuously covered for health benefits throughout the measurement period. Comparison Groups Letters Only: Members who received outreach letters for a gap in care but had no other contact with Health Advocate Engaged Group: Members who received a letter but also interacted with an advocate, coach or health educator at a biometric screening Control Group: Members who did not have a gap in care and had no engagement with Health Advocate

Key Findings Members in the “Engaged” Group: Interacting with the Health and Wellness program at any level improved compliance and reduced costs Although they were older and more ill, members who “Engaged” with an advocate had significant improvements in multiple clinical parameters compared to those in the “Letters Only” group Members in the “Engaged” Group: Increased compliance with preventive care screenings Increased compliance with recommended care for chronic illnesses Experienced fewer inpatient stays and ER visits Improved medication adherence for drugs related to chronic conditions

Overall Medical Cost Savings The group’s total medical costs (PEPY) for members who had a gap in care and did not engage with Health Advocate increased 25% from the baseline year Total medical costs for members who had any contact with Health Advocate increased at a much lower rate of 8%, despite the fact that they were more ill and at higher risk than those who did not have a gap in care or any contact with Health Advocate This 17 point difference in PEPY medical cost trend saved the client $9,888,031 Return On Investment Client Fees for EmpoweredHealth: $2.8M Medical Cost Savings: $9.88 million or 3.5 times the cost of Health Advocate’s services (ROI = 3.5:1) Additional Productivity Savings: $8,770,237

One Partner One 800# One Dedicated Team One Reporting Package One Communication Program One Contract One Legal Review One Security Review One Integrated Benefit Solution