1. Introduction to Beacon Health Strategies Western Region RBHO County Director’s Meeting November 21, 2011

2. November 2011 | 2 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com Beacon serves 6 million lives in 13 states on behalf of over 50 health pans and State Partners MEDICAIDMEDICARE MULTI-SECTOR

3. November 2011 | 3 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com Working in the Hudson Valley since 1997 7 Health Plan Partners 7,000 Contracted Providers in New York State 2009 Case Management and Quality Improvement partnership with NYCCP/ CCSI and 7 County systems: Chautauqua, Erie, Genesee, Monroe, Onondaga, Westchester, and Wyoming >30 New York Clinicians Based Locally in NY: UR, CM and Physician Advisors Beacon is NY’s largest public population MBHO BEACON’S NEW YORK FOOTPRINTKEY NEW YORK BUSINESS HIGHLIGHTS SMI/Duals Medicaid Medicare SNP 642K

4. August 2011 | 4 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com Quality Matters Beacon Consistently Outperforms the State HEDIS/QARR Scores 30 DAY FOLLOW-UP RATE AFTER IP ADMISSION7 DAY FOLLOW-UP RATE AFTER IP ADMISSION SOURCE: NY DOH

5. November 2011 | 5 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com 59% decrease in ER utilization 62% decrease in IPMH ALOS 34% decrease in self harm incidents 32% decrease in physical harm to others 50% decrease in suicide attempts 44% increase in gainful employment Engaging community service providers improves care and social well-being % OF HIGHEST COST SPMI MEMBERS RECEIVING COUNTY SERVICES SPMI CARE MANAGEMENT PROGRAM Enrollees 654 704

6. August 2011 | 6 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com COMMUNITY-BASED ORGANIZATIONS NETWORK: >29 organizations signed confidentiality agreements and provide referrals OUTREACH PERSONNEL: outreach to club houses, shelters, churches, libraries, parks, etc. CLINICIAN: actively engage clients with initial intake, weekly telephonic coaching, quarterly face to face appointments, re-assessment every 6 months. MEMBER: High risk, multiple chronic diseases, 39% homeless, FFS SOCIAL SUPPORTS HOUSING MEDICAL APPOINTMENTS PEER NAVIGATOR: makes connection to social and medical services, adds credibility, serves as a role model of recovery Beacon engages high risk members using a team-based approach OVERVIEW OF THE WESTCHESTER CARES ACTION PROJECT (CIDP)

7. August 2011 | 7 BEACON HEALTH STRATEGIES | 200 State Street Suite 302, Boston, MA 02109 | t. 617.747.1230 | beaconhealthstrategies.com RBHO Partnership with CCSI and County Systems will inform Participation in Phase II of the NY’s Medicaid Redesign Beacon brings managed care preparedness, IT infrastructure and clinical and analytic leadership to its RBHO work Health Home review and consideration underway Expanding staff in the Western Region to support provider, County, peer and health plan engagement Fully operational Jan 1, 2012 Contact Information: Jim Spink, Chief Client Officer, BHSjim.spink@beaconhs.comjim.spink@beaconhs.com Mark Deasy, Dir. Account Ops. BHSmark.deasy@beaconhs.com Chris Mangione, Clinical Mgr, BHSchristine.mangione@beaconhs.com Adele Gorges, Ex Director, NYCCP agorges@ccsi.org