1. Cheryl Ann Mattia Deputy HR Manager

3. Where we were as a city 2011 - $10.6 million 2012 - $11.0 million Fear of not maintaining adequate reserves required by the state Experiencing large claims Employees not managing healthcare cost to the level we needed Wellness had a poor participation rate

5. A CCESS TO CARE ! Our broker suggested we open a on-site clinic TPA had been using on-site health & wellness clinics for 6 years We looked at 3 models and then decided to go with the cost- basis model with an administrative fee for management services. All direct costs of operating the clinic are passed through to the city on a direct basis. Initial set-up cost vary depending on construction of the clinic. Some client use existing space with modifications; others have created or renovated a new space. The mi-Care clinic requires space for 2 exam rooms, a small lab, bathroom, doctors office and a reception area.

7. Welcome to miCare Quality medical care provided to employees and their family--- at no charge ! Office Visits -Sick Care -Wellness/Annual Exams -Chronic Illness -Health Education -Dermatology -Sports Physicals -Preventative Screening -Annual Health Risk Assessments Labs -CLEA Waived -Blood Draws -Able to Provide Labs for Outside Medical Providers Prescriptions -Approximately 100 Generic Medications Available Onsite -Rx for Acute Care, Chronic Diseases, & Prevention -Mail Order Service through miRx (Be sure to complete enrollment form) Changing the way healthcare is delivered! Changing the way you access care! Current utilization is at 84.8%

8. Welcome to miCare Quality medical care provided to employees & their family-- at no charge ! The miCare Medical Staff: -Robert Krauth, MD -Mark Joy, MD -Nurse Practitioner-TBD -Cyndee Surginer, MA Open House -Tuesday February19 th from 3 pm to 7 pm -Meet the providers and tour the clinic. miCare Hours -Mondays12 pm to 5 pm -Tuesdays7 am to 1 pm -Wednesdays3 pm to 8 pm -Thursday7 am to 12 pm -Fridays12 pm to 5 pm miCare Opens Wednesday February 20 th ! Changing the way healthcare is delivered! Changing the way you access care!

9. Making an Appointment Two Easy Ways to Make an Appointment: 1.) Online 24 hours a day 2.) By calling 1-866-888-8035

10. To make an appointment online: 4.) Click the appointments icon 5.) Select a date and choose from the appointment openings Making an Appointment

11. To make an appointment online: 6.) Indicate your symptoms or what you are being seen for and click confirm Making an Appointment

12. To Access Your Lab Results: -Click the Reports icon within the appointment scheduler Lab Results Available Online

13. Do I have to go to miCare or can I stay with my regular doctor? - Its up to you to choose. The miCare clinic can provide nearly all the services you would need. The services are free of charge and convenient. Also, there is the added benefit to obtain the majority of your common generic medications through miCare. FAQs

14. Is my medical information confidential? - YES, only the staff in the clinic, your wellness provider, and case management have the access to your information upon your consent – your employer does not have access to your medical information What if I wake up and I am sick? Can I get in the same day? - Often you can; first look for an appointment on-line. If there isnt one available, call the clinic to see if there is a walk-in appointment available. FAQs

15. miRx supports the miCare model by providing prescriptions through a mail order service -Prescriptions are conveniently mailed to your homes! -Generic Maintenance Medications are provided at no charge! -Diabetic Medications, Supplies, and Insulin are provided at no charge! -Name Brand Medications are also available

17. T HANK YOU ! A PPRECIATE YOUR TIME C HERYL A NN