1. HealthCare Partners: Multi-State Expansion using FRM Centricity™ LIVE: May 1, 2015 Orlando, FL

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4. HCP: A History of Growth Los Angeles Expansion Founded in 1992 through the merger of several medical groups in the Los Angeles Metro area Acquisitions through 1990’s and early 2000’s concentrated on groups and IPAs in LA County Expansion into Orange County, CA, brought first major acquisition with competitive EHR

5. HCP: From Hillside to Seaside…

6. HCP: To National Presence

7. HCP: National Acquisitions - NV Financial Risk Manager Structure IPA and MSO Operations Security, operational and reporting separation Enrollment structure reflects regional needs Reg 3Reg 1-2Reg 4-7Reg 3 IPA All other IPA NV

8. HCP: National Acquisitions - AZ Financial Risk Manager Structure Focus on IPA Operations Decision to build structure single HMO structure for Southwest

9. HCP: National Acquisitions - FL Financial Risk Manager Structure Focus on Enrollment only Challenge in health plan formats and information

10. HCP: CA Product Variations NV, FL, AZ

11. HCP: National Acquisitions NV, FL, AZ New Product Variations NV acting as TPA instead of delegated entity Varied risk arrangements Distinction between plans for enrollment only vs. claims delegation and adjudication

12. Leveraging Centricity™ Financial Risk Manager (FRM) Platform Track Attributed and Enrolled Patients ACO Attribution Enrollment Processing Enrollment structure: Capturing PCP, Medical Practice/IPA, Site and Location

13. Leveraging FRM Platform Building IPA Network Structures Region VI Location HCP IPA - Talbert HCP IPA - AMA Entity HCP IPA – ARTA Western MG IPAs TMG IPA AMA TMG IPA - HCS2000 TMG – IPA Anaheim PCP TMG – IPA Downey TMG – IPA Long Bch TMG – IPA Orange TMG – IPA Tustin TMG – IPA Westmstr PCP HCP IPA - ARTA HCP IPA – ARTA Health Network

14. Leveraging FRM Platform Referral and Claims Management Finalized Authorizations tracked for adjudication, bed days accruals Robust claims engine adjudicates against benefit and contract terms

15. What’s Next? Preparing for more growth Optum Communications Manager Optimization Project Percent of Premium Capitation Bundled Payment Arrangements