AAHCM Annual Meeting 2014 May 2014 ©AAHCM Visiting Physicians Association offers a forward thinking Home Delivery Medical Model designed to reduce costs and exceed performance standards on quality of care.

©AAHCM Practice Overview Serving Over 50,000 Seniors and Homebound Patients in 11 States Expansive Service Offering Physicians and VPA Location Growth (1993 – 2013) 39 Visiting Physician Locations In-Home Podiatry Services HHA / Hospice Relationships Over 200 Full-Time Clinicians −MD, NP & PA −Physician Driven (85%) Patient Care Coordinators NP Case Managers Patient Outreach Coordinators Hospice / Home Health Educators 24x7 Patient Care Center −Physician Triage −Home Service Coordination −Call Center # of Physicians # of Locations Southfield, Michigan Depth of Experience Service Area Overview Other VPA States IAH Sites IAH States MI - Ann Arbor, Flint, Grand Rapids, Kalamazoo, Lansing, Marysville, Muskegon, Saginaw, Southfield, Troy OH - Akron, East Cincinnati, West Cincinnati, East Cleveland, West Cleveland, Columbus, Dayton, Toledo, Youngstown TX - Austin, Corpus Christi, Dallas, Fort Worth, San Antonio, Houston VA - Norfolk, Richmond, Williamsburg WI - Madison, Milwaukee CO - Longmont, Loveland KY - Florence MO - St. Louis, Kansas City IN - South Bend, Indianapolis FL - Jacksonville KS - Overland Park

©AAHCM Physician Led Approach to Care Management and Identification of IADLs / Disease Progression High Risk Member Identification Patient Care Teams Case Management / Coordinating Resources Communication Linkages Identifying Risk Factors Patient / Caregiver Education Transitional Care Cost Effective Care Prevent Hospitalization Patient Satisfaction ADL Interventions “80/20 Rule” Population Predictive Analytics “Quality” Reporting Counts $

Accountable Care Organizations  Bring your own population  Service to other “4 walled” PCP’s in Network  Post Acute Care Interventions  Understand your value proposition  Negotiate a PMPM to help pay for admin/other ©AAHCM Commercial Plans  Fee For Service with Performance Incentives Fee For Service Medicare Will Decline Fee For Service Medicare Will Decline

Medicare Advantage  Manage High Risk Populations  Health Risk Appraisals/Annual Wellness Visits  Manage and improve star quality rating performance  Credentialing Guidelines generally follow NCQA Guidelines  Negotiate a PMPM to help pay for admin/other Medicaid Managed Care  Dual Eligible Populations  Medicaid Population (Disabled<65)  Improve HEDIS Scores  States have own Managed Care Participation Guidelines ©AAHCM