1. Washington State of Reform Health Policy Conference Disruptive Investments in Changing Health Care Today January 7, 2016 Jaja Okigwe Premera Blue Cross Senior Vice President, Strategic Development Anisha Sood Cambia Health Solutions Assistant Director, Strategic Investments

2. A Leading Health Plan in Pacific NW  >2 M members  Based in Mountlake Terrace, Washington  Operations in Washington, Oregon and Alaska  AM Best Rating of A- (Excellent)  More than 3,700 employees  $9B Gross Revenue in 2014 Premera was founded in 1945 and has grown to become a national leader in healthcare

3. Premera’s Purpose Premera exists to improve customers’ lives by making healthcare work better Our Customers Will Say You take great care of me and make it simple and easy Identify with the Customer Act with Urgency Be Excellent Challenge Convention Do The Right Thing Work Together Our Values The customer is the center of all we do

4. Membership – Premier Accounts Current as of Dec. 2014.

5. Premera’s Strategy Three areas of focus drive strategy: Customer experience Obsessively focus on the customer to make the healthcare experience simpler, more personalized and seamless Provider collaboration Work with and through providers to make healthcare work better for our members Data and analytics Enhance insights, transparency and predictive ability to drive better decision-making

6. H EALTH I NSURANCE S ERVICES D IRECT H EALTH S OLUTIONS (DHS) ~20 companies and growing Touching 100 million consumers in 50 states THE CAUSE: Serve as a catalyst to TRANSFORM health care, creating a PERSON-FOCUSED and ECONOMICALLY SUSTAINABLE system. Serving ~2 million members throughout OR, UT, WA, and ID EVERY MEMBER OF CAMBIA’S FAMILY OF COMPANIES SHARE A SINGLE DRIVING MOTIVATION…

7. Cambia has built a portfolio of innovative health solutions companies 1993-20102011201220132014 Direct Health Solutions 2015

8. An entrepreneurial space supporting health innovation in the Pacific Northwest Hosted focus groups, workgroups and projects Regular networking events Pilots and proof of concept opportunities for innovative companies Support of the commercialization of new innovations National innovation showcase events held therein Provided conference and office space for named partners and entrepreneurial teams

9. A differentiated approach to investing

10. Discussion Questions 1.What are the issues, challenges and opportunities that are driving disruption in healthcare? 2.Why now? What is different about today that makes disruption more possible? 3.Who are the major disruptors? Why are outsiders getting involved? 4.How are they approaching disruption? 5.How are we working with disruptors and innovators? 6.How can we improve the rate of change of innovation? 7.How does healthcare look different in five years? In 10 years? 8.From a policy perspective, are there things that could be done to improve innovation adoption?