1. Colorado’s SIM project: Data Aggregation & Reporting Tracey Campbell VP Strategy & Business Development March 24th, 2015

2. SIM Data Management, Reporting and Technology Track 1: Claims Management, Attribution and Data File Creation (Note: Grant specified) Claims Data Management Data submissions (medical, provider, eligibility, Rx) Data integrity and internal consistency editing Mapping and grouping of claims to IP, OP, Prof., Rx, etc. Building events and episodes of care Risk adjustment (standard) Provider and Patient Attribution Assignment of new (or matching to existing) unique patient IDs Data cleaning and creation of master provider list/index Attribution of patients to provider groups Data File Creation Define Data Requirements (including PHI) File generation to support: - Reporting - Evaluation - CMS requirements (Summary) Payer Monthly Submissions Of Claims Data Delivery to Evaluator, Reporting Entity, CMS

3. Claims-based Report Development Define claims-based reporting requirements Develop code for report generation Review Mock-ups Testing and evaluation Adjust as necessary Quarterly Report Creation Create benchmark reports for initial level setting Create quarterly reports: - For participating practices - To track state-wide progress Develop state-wide utilization and spending scorecard Report Delivery Deliver reports using agreed upon method - Secure email to practices - Post to secure online portal SIM Data Management and Reporting Technology Track 2: Track 1 + SIM Claims Reporting and Delivery (proposed) Track 1: Claims Reporting Stream See Tracks 2B and 2C