1. © 2016 MPIRICA Health Inc. All rights reserved. “FICO scores for surgery” Shakil Haroon Founder & CEO January, 2016

2. © 2016 MPIRICA Health Inc. All rights reserved. Lack of surgery quality adds billions in extra costs of treating complications * Based on the MPIRICA Quality Score, a risk adjusted, weighted outcome calculation using 3 years of performance data Hip replacement surgery quality levels

3. © 2016 MPIRICA Health Inc. All rights reserved. Employers are exposed to major costs due to poor quality Source: Annals of Surgery. “The Impact of Complications on Costs of Major Surgical Procedures, a Cost Analysis of 1200 patients.” 2011 No complications Grade I (deviation from standard post-op course) Grade II (pharmacological intervention) Grade IIIa (surgical intervention w/o anesthesia) Grade IIIb (surgical intervention with anesthesia) Grade IV (life threatening complications) A procedure with severe complications costs almost 6x more than the same procedure with no complications Multiple Procedures Studied

4. © 2016 MPIRICA Health Inc. All rights reserved. 112,745 outcomes-based surgeon and hospital quality scores across dozens of procedures The MPIRICA Quality Score Simple Trustworthy Actionable Rigorous methodology based exclusively on outcomes Continually peer-reviewed Developed by clinicians with decades of medical quality data analytics experience

5. © 2016 MPIRICA Health Inc. All rights reserved. The MPIRICA Quality Score, plus cost reveals value (or lack thereof) Employers can identify the best value providers in any area

6. © 2016 MPIRICA Health Inc. All rights reserved. MPIRICA promotes smart healthcare choices Our incentives engine allows employers to reward quality and value choices

7. © 2015 MPIRICA Health Inc. All rights reserved. MPIRICA Quality Scores also offers provider benchmarking P R O C E D U R E

8. © 2016 MPIRICA Health Inc. All rights reserved. Get Access to MPIRICA Quality Scores Simply email bob@mpirica.com FREE for Employers