LUMI Technology Question Slides The Pathway Conundrum: How Many Do We Need and How Restrictive Ira Klein MD Thursday, 4/23 2:30-3:30 PM Correct answers in green

Slide #3: How much more money does the U.S. spend per person on health care versus France? 1)We spend 25% more per person 2)We spend 50% more per person 3)We spend 75% more per person 4)We spend 100% more per person 5)We spend 125% more per person 2

Slide #11: On a self-reported basis (survey study), what % of oncologists follow pathways? 1)< 25% 2)Between 25-50% 3)Between 50-75% 4)> 75% 3

Slide #17: What do you think the increase in adherence to NCCN guidelines might be when oncologists are given CDS tools (pre-post study design, no economic incentives)? 1)Adherence increases < 5% 2)Adherence increases 5-10% 3)Adherence increases 11-15% 4)Adherence increases 16-20% 5)Adherence increases 21-25% 4

Slide #26: In your practice, the number of pathways or pathway equivalents mandated by various insurers for your patients is: 1)None 2)1-2 3)3-4 4)4-6 5)> 6 *No correct answer, survey only 5

Slide #35: Is your practice contemplating participation in the CMMI OCM? 1)Yes 2)No 3)Not sure *No correct answer, survey only 6

Slide #36: If your practice were assured that two major payers in your market were participating in the CMMI OCM, would that influence your practice decision? 1)Yes, we would be more likely to participate 2)No, it would not change our practice decision *No correct answer, survey only 7

Slide #41: What amount of practice redesign would your practice be willing to do in order to become part of a preferred network? 1)I would be willing to share clinical information on patient performance, and also view payer utilization data. 2)I would be willing to take part in an upside shared savings arrangement only, and also share clinical information, but no additional financial terms. 3)I would be willing to engage in more upside risk-sharing, with some degree of downside risk-sharing, depending on the terms. 4)I’m OK just being in-network as is, because just getting up in the morning and going to work is a risk. *No correct answer, survey only 8