1. PREVENTION PLUS Brought to you by:

2. As of January 1, 2015, CMS has started paying MONTHLY reimbursement for care coordination services to eligible Medicare beneficiaries with 2 or more chronic conditions. This is approximately 68% of all Medicare patients. Research consistently shows that effective chronic care management reduces the cost of care for chronic disease patients while improving their overall health. Until now, providers have not been reimbursed for non-face-to-face chronic care management services. Chronic Care Management

3. Chronic disease patients are often left to manage between-visit care for themselves. This creates a break in communication, resulting in medication noncompliance, increased healthcare expenses and an increase in the likelihood of poor health outcomes. While it is possible to tackle CCM alone, why would you? We ensure that you benefit from this profit generating opportunity WITHOUT adding to your expenses, increasing providers workload or making any changes to your current workflow. Chronic Care Management

4. * Why Chronic Care Management? 85% of Healthcare spending goes to Chronic Care patients. A Carnegie Mellon study in 2007 concluded that disease management resulted in: Hospital admissions reduced 38%, Hospital stays reduced by 36%, 30% reduction emergency room visits and overall cost reductions by 26%. In 2010, 7 of 10 top causes of death were chronic illnesses with heart disease and cancer accounting for 45% of all deaths. The World Health Organization has identified non-adherence as a major health problem. An estimated 50% of those for whom medicines are prescribed do not take them as advised.

5. * CCM Scope of Services and Billing Requirements From CMS Document: ICN909188 May 2015  Establish comprehensive chronic illness baseline evaluation from which all future treatment and care management will evolve.  Develop, deliver and regularly update comprehensive plan of care based on a physical, mental cognitive, functional and psychosocial assessment.  Provide a minimum of 20 minutes per month of non-face to face care with each patient.  The provider must also offer cell/smart phone /texting and email communications options in addition to regular phone contact in order to bill for these services.  Provide medication adherence, monitoring and reconciliation. From CMS document: icn909188 may 2015  24/7/365 patient care plan with access available to a fully integrated team.  Management of care transitions to and from hospitals, snf’s.  Documented interaction with home and community based providers to support patient’s psychosocial needs and functional deficits.

6.  SPAC was a key participant in the Medicare CCM pilot program where they managed over 80,000 CCM Oncology patients.  SPAC provides the Chronic Care Management HIPAA software cloud to its members (Physicians, Patients and Pharmacies)  Certified and Approved by: CMS/National Health Information Exchange and the FDA to provide Chronic Care Management.  SPAC is the conduit that connects patients, physicians, insurance companies, co pay programs, authorization programs and other services  SPAC does all the reminders to the patient via a personal contact or mobile applications like Apple or Android.

7. * Partnership with Patients  Minimizing the barriers that prevent patients from quickly accessing their treatments.  Utilizing all possible means including mHealth to communicate with patients and their caregivers or family members in the way that works best for them. Text messages, phone follow-up and email messages regarding treatment compliance.  Care teams comprising of certified health professionals to assist the patients 24/7 with their treatment needs.

8. SPAC Services are at $19.00 per patient per month Services include:  Software, and mHealth applications and live support 24/7.  Documentation for 20 minutes of service via the monthly reports.  Documentation for the beneficiary consent  Medication monitoring in real time.  mHealth applications have FDA discretion in place.  Portals are 2014 ONC HIT Certified for Stage 1 & 2 MU.