Human Performance = Well-being + Health Renee Petrie, VP Healthcare Strategy June 5, 2018

U.S. Healthcare is broken $3.3 trillion Health Outcomes: U.S. is DEAD last compared to top 10 wealthy nations HEALTHCARE COSTS 18% 1:2 American adults have a chronic condition and 1:4 have two or more. $14k OF U.S. GDP PER INDIVIDUAL 2X other wealthy nations 200% increase in employee contribution

Key determinant of health individual behavior 40% Social & Economic 30% Individual Behavior 20% Clinical Care So do their choices when it comes to lifestyle behaviors – nutrition, physical activity, emotional health, and sleep. This is our work on ADURO care paths come into play, continuing this integrated experience between their well-being and clinical experience and extending into the places where they work, live, eat and play. 10% Environment IT’S BIGGER THAN THE CLINICAL ENCOUNTER CONFIDENTIAL. Do not distribute.

Inspire your total population to be great at anything 85% OF 44K ADURO USERS SAMPLED Report that their motivation to act on their personal vision was strong or very strong. CONFIDENTIAL. Do not distribute.

Inspire your total population to be great at anything 3% 28% 52% OF 44K ADURO USERS SAMPLED 21% said the area of well-being they preferred to work on the most was something other than health and fitness. Health & Fitness Growth & Development Money & Prosperity Contribution & Sustainability 48% CONFIDENTIAL. Do not distribute.

The importance of a holistic approach 3% 21% This underscores the importance of ADURO’s holistic approach to wellness, broadening beyond medical concerns to focus on an employee’s entire self and well-being. 28% Health & Fitness Growth & Development Money & Prosperity Contribution & Sustainability 48% CONFIDENTIAL. Do not distribute.

Meet people where they are 51% of health risk falls In these other areas Without a holistic approach to wellness, medical concerns are also missed.

Human Performance Lifestyle Condition

HIGHLY INDIVIDUALIZED APPROACH TO POPULATION HEALTH MANAGEMENT Clinical Care + ADURO Care Paths Behavioral Interventions Be Great at Anything™ HEALTHY PRE-CHRONIC CHRONIC / ACUTE CONFIDENTIAL. Do not distribute.

aDURO Care Paths: CONDITION MANAGEMENT INDIVIDUAL CHOICE: Establishing care Adherence – medication and care plans Intrinsic motivation and limiting beliefs Activation and shared decisions Lifestyle behaviors – nutrition, sleep, physical activity, emotional health

Bridging the gap from well-being to care TREATMENT & CARE CLINICAL CARE Labs Medications Case Management Visits Preventive Care Pharmacy DIGITAL HEALTH Your Journey Healthy Habits Care Plan Daily Care Monitoring BG Habits for Life AMP Centered – Digital companion LIFESTYLE & HEALTH-RELATED BEHAVIORS Mission Nutrition Intro to Mindfulness Reduce HUMAN PERFORMANCE Get Moving Resiliency Sleep Mode CONFIDENTIAL. Do not distribute.

Unified Experience + Lifestyle Behaviors Collaboration as innovation A Human-centered approach to well-being EMPLOYER PROVIDERS Evidence Based Care Culture of Health Employer (culture of health) Provider (best in class care) ADURO (unified experience + care) ADURO Unified Experience + Lifestyle Behaviors CONFIDENTIAL. Do not distribute.

Be WEll WithIN Innovations Nicole Martel, Systems Director, Health and Well-being

Achieving the Triple Aim Improved the Experience of Care Improved Health of Population Reduce Cost of Care

Journey to Health & Well-being Be Well Within Care Coordination I am 44 I have 14 years of service I am over 6 inches in waistline I do not exercise I am on 3 Rx’s My biggest stresses are my job, my teens and aging parents I’m on my way to be well… Culture of Well-being Mercy Plus Plan / Domestic Utilization: High-Quality Care Provider Network Financial Incentives for Healthy Behavior Enroll Online with Our PCP Reduce Cost Share for Chronic Conditions

What is Be Well Within? BIOMETRIC SCREENING SOCIAL CHALLENGES MOBILE APPS & DEVICES WELL-BEING ASSESSMENT OUTCOMES REPORTING RISK / COST REDUCTION MMO CARE MANAGEMENT MINDFUL EATING PROGRAM MERCY HEALTH SELECT CARE CONTINUUM REGIONAL HEALTH MANAGEMENT PROGRAMS INCENTIVE MANAGEMENT HUMAN PERFORMANCE PROGRAMS

Awareness: Biometric Testing Integration Enhanced Clinical Experience EMR Outcomes Data Feed Doctor Alerted (Glucose Levels) 7 Labs Data Feed WellMetrics Screening Human Performance: Group & 1:1 Coaching Concierge Experience

Be Well Within & CarePATH Integration with Care Path (EMR) Bidirectional screening data Health Trends Well-being Assessment Information Referral Path

Be Well Within & CarePATH Integration with Care Path (EMR) Referral to Be Well Within Health Management Programs now available All programs available for referral satisfy the health management requirement Programs include: Naturally Slim- mindful eating program to reverse MetS risk Breathe Easy- tobacco cessation My Health Matters- weight management program Diabetes Management program

Custom DMP Path Example Easy, accessible, convenient. Deliver the right care path, easy sign-up. View care plan and education content. Track habits and dive deeper into Human Performance. Ongoing tracking and insights.

Total Integrated Experience Practice Mindfulness Stress App Reminder EMR Improved Sleep Increased Productivity

Challenges & Resources Care Management Model SOLUTIONS Super Sick’ Complex Case Rising Risk Low Risk Little to no risk 1 Patient Care Management 750 patients 3,900 patients Lifestyle Management 1,900 patients 16,000 patients ǂ Challenges & Resources

HR-Benefits is advocating for the Triple Aim among our 47,000+ employees and family members Four examples: Creating appropriate linkages in care management between internal ACO and external TPA’s Care Management We Increased Mercy Plus Plan enrollment which will drive domestic utilization growth in 2017 1 2 4 HR partners with clinical leadership to create more awareness (and accountability) in improving clinical and cost outcomes Aggressive Pharmacy design and network strategies are increasing domestic utilization and bringing down pharmacy trend 3

Design Thinking Exercise Kevin Ruth, R&D Product Manager & Facilitator June 5, 2018