1. Lowering Employer Healthcare Costs While Increasing Employee Engagement! Presented by: Flip Steinour, Director, Human Resources

2. Decrease Costs of Treatment for Employee/Dependent Reduce/Eliminate High Cost Claims with Early Detection Improved Employee Health Top Notch Primary Care Lower Benefit Costs to IU13 Programs

3. Profit fell in 2013 to just $142.6M from $191.5M from the previous year Profit drops from $432.2M in 2012 to a mere $294.1M in 2013 Where Does the Money Go? Net income rose to $731.8M in the second quarter of 2015 Showed $170.3M in profit in 2014 Soared to $438.6M in 2014

4. IU13 Medical Trends Outpatient – Emergency Room costs $1,000 just to walk in the door Total Health Care Costs increased by 10% per member At IU13, 21 members incurred 25.7% of overall claims during recent period Many staff don’t have a primary care physician

5. Prevention + Employee Engagement = Better Employee Health & Cost Savings!

6. QuadMed Medical & Wellness Center Operations: Management fee paid to QuadMed (Profit) All other expenses paid at 100% of cost – no mark-up Facility costs borne by school, not QuadMed Liability/malpractice covered by QuadMed Hours of operation determined by school and medical professional Shared model – Pay for percentage of utilization by entity

7. Onsite Medical and Wellness Center Program for employee and dependents Voluntary participation Staff can keep their current providers Services: o Primary Care Physician (PCP) o Lab Tests o Prepackaged Medications o Physical Therapy (PT) o Wellness/Health Coaching o TeleHealth (24 hour access)

8. IU already paying for doctor visits Simple Math: 6-10 visits per hour $125 family care - $250 Specialist per visit = $750-2,500 per hour 80+% of billable time utilized MD/DO, Med. Assistant, Nurse = $350 per hour Save on RX, Labs, MRIs, X-Rays, PT, Etc. Employees and dependents are healthier and high cost claims reduced 6-10 visits per hour $125 Family Care - $250 Specialist per visit $750- 2,500 per hour 80+% of billable time utilized MD/DO, Med. Assistant, Nurse = $350 per hour Save on RX, Labs, MRIs, X-Rays, PT, Etc. Employees and dependents are healthier and high cost claims reduced 80+% of billable time utilized MD/DO, Med. Assistant, Nurse = $350 per hour Save on RX, Labs, MRIs, X-Rays, PT, Etc. Employees and dependents are healthier and high cost claims reduced

9. Normative Results Chronic Disease Management Preventive Care Occupational Health Acute Care colds and flu infections sprains lacerations vaccinations flu shots physicals and screenings treatment education and counseling for diabetes, hyperlipidemia, hypertension, asthma drug testing workers’ comp accident triage “fitness for duty” evaluations physicals

10. QuadMed Private Entrance

11. Waiting Room

12. Exam Room

15. Questions?