1. Diane Burfeindt VP Population Health and Affordable Housing

2. Overview of Services 11 Type B CCRCs, 1 Type A  30-280 entrance fee residents per campus  All SNFs are on a CCRC campus and are open to public  Typical SNF size 60-130 beds 18 affordable and market rate housing sites  Free-standing, co-located or on CCRC campus

3. PSL Communities

5. Major trends Narrowed networks – insurers, ACOs, hospitals Focus on quality metrics Evolving understanding of post-acute care Silo approach to PAC Expectation of reduced LOS Higher number of admissions/discharges

6. 2015-2016 Trends

7. Primary Initiatives 2013-2014  Evaluation of BPCI  Development of care re-design protocols  Outreach to health systems “finding the right people”  Leverage existing experience in population health with ACOs and managed care  Development of Strategic Alignment Initiative

8. Strategic Alignment Team Operations Health Center Sales Care Re- Design Financial Health Information Systems Managed Care Contracting Partnership Development

9. Primary initiatives 2015  Proactive participant in hospital-sponsored models  Proactive convener and leader of reform initiatives “Just do something”  Connect electronically wherever possible  Seek out at-risk contracts  Marketing network of services to MLTSS payers  Start managing our data – dashboard, trends

12. Primary initiatives 2016  Development of home health relationships to span a longer episode, expand referral base and enhance population health on campuses  Evolution of dashboard to include managed care and additional outcomes  Develop population health platforms – housing and healthcare, CCRC expertise in managing transitions  Evaluation of niche services

13. “Proceed until apprehended”