RHI - Confidential and Proprietary - Do Not Copy Improving Health Care Quality and Cost Effectiveness Dean Souleles Chief Operating Officer November 21, 2008

RHI - Confidential and Proprietary - Do Not Copy 2 Resolution Health Our Vision Create a world where each individual achieves their optimal health through the best, most cost effective health care. Our Beliefs It is possible to create that world. Getting patients, doctors and relevant health information together is at the heart of achieving this vision.

RHI - Confidential and Proprietary - Do Not Copy 3 Resolution Health

RHI - Confidential and Proprietary - Do Not Copy 4 Resolution Health Our Mission We send a smarter patient to the doctor. We provide a more informed doctor for the patient.

RHI - Confidential and Proprietary - Do Not Copy 5 The Smarter Patient

RHI - Confidential and Proprietary - Do Not Copy 6 The More Informed Doctor

RHI - Confidential and Proprietary - Do Not Copy 7 Guiding the Way to Better Health Care One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 8 Guiding the Way to Better Health Care… One Person at a Time ™ Personal Health Picture ™  We assemble and organize personal health data for each health plan member (not just those with “Big 5” chronic diseases) Personal Health Scan ™  We identify specific opportunities for health care quality improvement and cost reduction for the individual Personalized Communications  We provide actionable information to the individual, their physicians and their care managers

RHI - Confidential and Proprietary - Do Not Copy 9 9 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise

RHI - Confidential and Proprietary - Do Not Copy 10 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise Clinical Expertise Personal Health Scan ™ GAP IDENTIFIED !

RHI - Confidential and Proprietary - Do Not Copy 11 Personal Health Care Guidance Our Expertise Personal Health Picture ™ Data Analytics Expertise Clinical Expertise Personalized Communications Expertise Personal Health Scan ™ GAP IDENTIFIED !

RHI - Confidential and Proprietary - Do Not Copy 12 Our Customers Entities at financial risk for health care costs  Health Plans  Self-Insured Employers  Pharmacy Benefits Management Companies  Unions

RHI - Confidential and Proprietary - Do Not Copy 13 Our Customers Entities at financial risk for health care costs  Health Plans  Self-Insured Employers  Pharmacy Benefits Management Companies  Unions Companies that help “at-risk” entities manage their risk  Disease Management Companies  Third Party Administrators  Portal Companies  Benefits Consulting Firms

RHI - Confidential and Proprietary - Do Not Copy 14 Our Customers Entities at financial risk for health care costs  Health Plans  Self-Insured Employers  Pharmacy Benefits Management Companies  Unions Companies that help “at-risk” entities manage their risk  Disease Management Companies  Third Party Administrators  Portal Companies  Benefits Consulting Firms Current Client List  193 Individual Accounts  10 Major Health Plans  2 Major Pharmacy Benefits Management Companies  1 Major Portal Vendor

RHI - Confidential and Proprietary - Do Not Copy 15 What Differentiates Us Our Business Personal Health Picture ™  Sophistication and breadth of our of data analytics  Focus on individuals in entire population, not just “Big 5” diseases  Analysis of Lab Results, HRA -- moving toward real-time analyses

RHI - Confidential and Proprietary - Do Not Copy 16 What Differentiates Us Our Business Personal Health Picture ™  Sophistication and breadth of our of data analytics  Focus on individuals in entire population, not just “Big 5” diseases  Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan ™  Comprehensive, cutting edge rules library  Rules which consider individuals’ plan benefit design details  Glide path predictive modeling  Johns Hopkins University School of Medicine relationship

RHI - Confidential and Proprietary - Do Not Copy 17 What Differentiates Us Our Business Personal Health Picture ™  Sophistication and breadth of our of data analytics  Focus on individuals in entire population, not just “Big 5” diseases  Analysis of Lab Results, HRA -- moving toward real-time analyses Personal Health Scan ™  Comprehensive, cutting edge rules library  Rules which consider individuals’ plan benefit design details  Glide path predictive modeling  Johns Hopkins University School of Medicine relationship Personalized Communications  Focus on engaging and motivating individuals  Consumer communications, behavioral science expertise  Coordination of individual, physician and care manager messaging  Personalized “tailoring” of messages and delivery methods

RHI - Confidential and Proprietary - Do Not Copy 18 What Differentiates Us Our Impact Matched-Control Study  Proved member-targeted messaging increases compliance with evidence-based guidelines and formulary preferences. Randomized Control Test  Proved physician-targeted messaging increases compliance with evidence-based guidelines.

RHI - Confidential and Proprietary - Do Not Copy The Personal Health Picture ™

RHI - Confidential and Proprietary - Do Not Copy 20 Personal Health Picture Creating the Personal Health Picture ™

RHI - Confidential and Proprietary - Do Not Copy 21 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married

RHI - Confidential and Proprietary - Do Not Copy 22 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr )

RHI - Confidential and Proprietary - Do Not Copy 23 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan )

RHI - Confidential and Proprietary - Do Not Copy 24 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb )

RHI - Confidential and Proprietary - Do Not Copy 25 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb ) Lab Test Results  Total Cholesterol 214 (May )  LDL Cholesterol 109 (May )  HDL Cholesterol 85 (May )  Triglycerides 100 (May )  Fasting Blood Sugar 123 (Mar )

RHI - Confidential and Proprietary - Do Not Copy 26 Personal Health Picture Creating the Personal Health Picture ™ Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb ) Lab Test Results  Total Cholesterol 214 (May )  LDL Cholesterol 109 (May )  HDL Cholesterol 85 (May )  Triglycerides 100 (May )  Fasting Blood Sugar 123 (Mar ) Biometrics  Height 6’ 2” (May )  Weight 215 (May )  BMI 27.6 (May )  Abdominal Girth 39in (May )  Blood Pressure 145 / 90 (May )

RHI - Confidential and Proprietary - Do Not Copy 27 Creating the Personal Health Picture ™ Personal Health Picture Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb ) Lab Test Results  Total Cholesterol 214 (May )  LDL Cholesterol 109 (May )  HDL Cholesterol 85 (May )  Triglycerides 100 (May )  Fasting Blood Sugar 123 (Mar ) Biometrics  Height 6’ 2” (May )  Weight 215 (May )  BMI 27.6 (May )  Abdominal Girth 39in (May )  Blood Pressure 145 / 90 (May ) Health Participation  Disease Mgt Program – Enrolled (Mar )  Wellness Program - Targeted  Wt Loss – Targeted  Smoker – Targeted

RHI - Confidential and Proprietary - Do Not Copy 28 Creating the Personal Health Picture ™ Personal Health Picture Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb ) Lab Test Results  Total Cholesterol 214 (May )  LDL Cholesterol 109 (May )  HDL Cholesterol 85 (May )  Triglycerides 100 (May )  Fasting Blood Sugar 123 (Mar ) Biometrics  Height 6’ 2” (May )  Weight 215 (May )  BMI 27.6 (May )  Abdominal Girth 39in (May )  Blood Pressure 145 / 90 (May ) Health Participation  Disease Mgt Program – Enrolled (Mar )  Wellness Program - Targeted  Wt Loss – Targeted  Smoker – Targeted Lifestyle  Exercise – 3X per week (Feb )  Smoker (Feb )

RHI - Confidential and Proprietary - Do Not Copy 29 Creating the Personal Health Picture ™ Personal Health Picture Demographic  Age 62  Male  Married Medical History  Atrial Fibrillation (Jul )  Diabetes (Mar )  Office Visit Dr. Lynn (May )  Office Visit Dr. Wilson (May )  Office Visit Dr. Jones (Apr ) Prescriptions  Metformin 500mg (May )  Metformin (Dec )  Lipitor 20 mg (Feb )  Lipitor 20 mg (Jan )  Accupril 20 mg (Mar )  Accupril 20 mg (Feb )  Accupril 20 mg (Jan )  Nexium 20 mg (Feb )  Nexium 20 mg (Jan ) Lab Tests  Cholesterol Panel (May )  Metabolic Panel (Mar )  CT X-Ray Sinuses (Feb ) Lab Test Results  Total Cholesterol 214 (May )  LDL Cholesterol 109 (May )  HDL Cholesterol 85 (May )  Triglycerides 100 (May )  Fasting Blood Sugar 123 (Mar ) Biometrics  Height 6’ 2” (May )  Weight 215 (May )  BMI 27.6 (May )  Abdominal Girth 39in (May )  Blood Pressure 145 / 90 (May ) Health Participation  Disease Mgt Program – Enrolled (Mar )  Wellness Program - Targeted  Wt Loss – Targeted  Smoker – Targeted Lifestyle  Exercise – 3X per week (Feb )  Smoker (Feb ) COMPLETE

RHI - Confidential and Proprietary - Do Not Copy The Personal Health Scan ™

RHI - Confidential and Proprietary - Do Not Copy 31 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition

RHI - Confidential and Proprietary - Do Not Copy 32 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition

RHI - Confidential and Proprietary - Do Not Copy 33 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan  Has Condition Needs Drug  Has Condition Needs Test  Need Test Event Follow-up  Need Preventive Test-Age  Need Doctor Visit Follow-up ER  Need Preventive Info Condition  Need Info Warning Signs  Need Info Lab Result Ranges Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition

RHI - Confidential and Proprietary - Do Not Copy 34 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan  Has Condition Needs Drug  Has Condition Needs Test  Need Test Event Follow-up  Need Preventive Test-Age  Need Doctor Visit Follow-up ER  Need Preventive Info Condition  Need Info Warning Signs  Need Info Lab Result Ranges Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition

RHI - Confidential and Proprietary - Do Not Copy 35 Guiding the Way to Better Health Care… One Person at a Time ™ PERSONAL HEALTH SCAN Evidence-Based Care Scan  Has Condition Needs Drug  Has Condition Needs Test  Need Test Event Follow-up  Need Preventive Test-Age  Need Doctor Visit Follow-up ER  Need Preventive Info Condition  Need Info Warning Signs  Need Info Lab Result Ranges Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition Rx Cost Savings Scan  Brand Switch to Generic  Brand Switch to Formulary Preferred  Formulary-Preferred to Generic  Pharmacy Purchase to Mail Order  Test Result Indicates Doctor Follow-up

RHI - Confidential and Proprietary - Do Not Copy 36 Guiding the Way to Better Health Care… One Person at a Time ™ Evidence-Based Care Scan  Has Condition Needs Drug  Has Condition Needs Test  Need Test Event Follow-up  Need Preventive Test-Age  Need Doctor Visit Follow-up ER  Need Preventive Info Condition  Need Info Warning Signs  Need Info Lab Result Ranges Rx Safety Scan  Drug-Drug Interaction  Drug-Condition Interaction  Drug-Age Interaction  Drug-Lifestyle Interaction  Drug FDA Recall/BlackBox  Has Condition Needs Drug  Need Test to Optimize Drug Dose  Need Test to Assess Drug Side Effect  Test Result Indicates Dose Adjust  Non-Compliance Drug Regimen  Over-use of Drug  Need Doctor Visit to Follow Start New Med  Need Drug to Prevent Condition Rx Cost Savings Scan  Brand Switch to Generic  Brand Switch to Formulary Preferred  Formulary-Preferred to Generic  Pharmacy Purchase to Mail Order  Test Result Indicates Doctor Follow-up PERSONAL HEALTH SCAN

RHI - Confidential and Proprietary - Do Not Copy 37 Guiding the Way to Better Health Care… One Person at a Time ™ Adam is at risk for stroke.

RHI - Confidential and Proprietary - Do Not Copy Personalized Communications

RHI - Confidential and Proprietary - Do Not Copy 39 Guiding the Way to Better Health Care… One Person at a Time ™ Adam is at risk for stroke.

RHI - Confidential and Proprietary - Do Not Copy 40 Guiding the Way to Better Health Care… One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 41 Guiding the Way to Better Health Care… One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 42 Guiding the Way to Better Health Care… One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 43 Guiding the Way to Better Health Care… One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 44 Guiding the Way to Better Health Care… One Person at a Time ™

RHI - Confidential and Proprietary - Do Not Copy 45 Making a Difference AdamAchieves “optimal health” Risk of stroke reduced Avoids Emergency Room visit Avoids hospital stay Avoids compromised lifestyle Adam’s EmployerAdam remains at work A productive employee Avoids finding, training new employee Adam’s Health PlanAvoids medical claim Avoids short / long term disability claim Avoids post-stroke medical costs

RHI - Confidential and Proprietary - Do Not Copy 46 Resolution Health Message Types Health Alerts Urgent information about your health Health Tips Ways to help improve your health Money Savings Ways to save money on prescription drugs and other health care services

RHI - Confidential and Proprietary - Do Not Copy 47 Reaching The Individual

RHI - Confidential and Proprietary - Do Not Copy 48 Coordinated Communications To Patient and Physician

RHI - Confidential and Proprietary - Do Not Copy 49 Patient / Physician Communications Strong Results and Reaction “It’s wonderful that my health plan does such a thing. These communications make me proud to be a health plan member.” – Personal Care Note Recipient “Compiling the patient's information in this easy-to-read format makes communication between the physician and the patient more interactive…a better feeling.” – Family Practice Physician Success / Compliance Rate 44% On Clinical Issues

RHI - Confidential and Proprietary - Do Not Copy 50 Resolution Health Questions?

RHI - Confidential and Proprietary - Do Not Copy 51 Resolution Health Thank You

RHI - Confidential and Proprietary - Do Not Copy Improving Health Care Quality and Cost Effectiveness Dean Souleles Chief Operating Officer November 21, 2008