1. HOW TO CHANGE THE IMAGE ON COVER Select an image that relates to the presentation subject and aligns to the Vivity imagery guidelines. Do not use more than one image. CHANGING A PHOTO IN THE IMAGE AREA In your menu bar select “View” > “Master” > “Slide Master” Go to the Title Slide Image Master you wish to change Select the white area of page and go to menu bar and select “Arrange” > “Send to back” Select the image and delete Insert new image/photo on page Once the new image placement is finalized, select “Arrange” > “Send to back” DELETE THESE INSTRUCTIONS BEFORE FINAL USE. 1 Vivity: A Case Study on Next Generation Payment Models in the Commercial Market Rick Jacobs Chief Strategy Officer Cedars-Sinai Health System Beth Ginzinger VP Provider Joint Ventures Anthem

2. 2 Cedars-Sinai Largest independent academic medical center west of the Mississippi and known for: LA’s Most Preferred Hospital: 20+ years Major Training Center: 500+ residents in 80 specialties and subspecialties Translational Research leader: 1,180+ active sponsored research projects and 1,900 research papers Commitment to Community: Numerous programs Integrated Care: ranked one of California’s top performing physician organizations

3. 3 Cedars-Sinai Employer 32-year partnership with Anthem Blue Cross (since 1984) $130 million annual spend on medical benefits 24,000 covered lives Plan offerings: PPO HMO Vivity HMO Hold providers and vendors accountable for healthy and cost efficient outcomes Focus on health improvement and appropriate use of services Share costs appropriately; Reinforce employees’ ability to make informed decisions with appropriate support

4. 4 Employee geographic spread

5. 5 Creating a better offering

6. 6 The Southern CA Market Kaiser is a major force setting expectations for integration of care Capitation has been in the market for years Rise of ACOs MSSP Health plan specific Partnership with Anthem and 7 health systems Observed TrendDescription/Implications Increased Consumerism Evolution of Innovative Partnerships Increased demand for transparency Shift toward consumer purchase of health coverage drives increased volatility and demand for flexibility Younger, multicultural consumers + high tech influences = demand for accessible information, top quality service and convenience Pressure from consultants, employers and regulators for greater transparency of quality and affordability information HMOs ACOsVivity

7. 7 Introducing Vivity Redefining the relationship between member, hospital, doctor & health plan Collaboration Quality Consumerism

8. “We only do well if we all do well.” - Vivity hospital executive Under Vivity’s unique structure, partners are accountable to one another and share in upside and downside risk. This motivates everyone to: -Provide the best, most efficient care -Share best practices Shared risk. Shared rewards.

9. 9 Vivity Committees Work to Deliver on the Value Proposition

10. 10 A digital infrastructure will be built to serve as the foundation for integration HIE will: enable population management streamline referrals enhance care coordination reduce redundancy Enable shared care protocols and best practices. Ultimately, Vivity network providers will have virtually integrated workflows with full view of each member’s experience across episodes of care. Vivity Partner Clinical Integration

11. 11 Enhanced Vivity Customer Experience ONGOING ENGAGEMENT COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY Working to provide an optimal experience throughout the member journey with the provider and payer side by side PRE SALE Generate awareness & explain benefits of Vivity OPEN ENROLLMENT Aid in Vivity enrollment process and PCP selection ONBOARDING Reinforce Vivity commitments Enable members to use benefits & engage Engage& empower Members to stay healthy RENEWAL & WELCOME BACK Vivity information