1. Innovators Panel Designing solutions to support decision making across the spectrum of health Randall S. Moore, MD, MBA, CEO

2. Matching Expertise To Need… …Timing Can Be Everything

3. Hospitalization for exacerbation of chronic disease should be considered a system failure until proven otherwise! Timing Matters for these People 1% of people use 25%+ health care $$ Complex Chronic Disease –70%+ of total costs are Institutional $$ –Hospitals: optimized for expert, physician-led, interdisciplinary team, acute reactive care Majority of admissions related to chronic disease The impact of just in time team care – reversing illness Person vs. provider centric care Transformation begins with the 1%

5. Connects Expert Care Where and When Needed

6. Primary Care Provider Proactive planning Depth of patient information Home based biometric data Lifestyle information Patient time productive Able to see improved results Collaborative care coordination What changes? Patient Early proactive intervention Activation Education Daily feedback More time with provider Shared goal setting with small, achievable targets Work on one problem at a time

7. Innovation Critical for Change Transformation must replace “incrementalism” Clinical and financial incentives - tied to outcomes Focus on process will stifle innovation Person centric must replace provider centric Disruptive technology is a necessary, but not sufficient, transformational catalyst Innovative employers are empowered, and necessary, to drive change required to deliver value Improved Outcomes with Lower Costs!