6. Discussion and possible action regarding the following opportunities for Plan Year 2017 beginning July 1, 2016 (For Possible Action): 6.1.

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1 6. 6. Discussion and possible action regarding the following opportunities for Plan Year 2017 beginning July 1, 2016 (For Possible Action): 6.1. New reduced cost CDHP national network access for members living outside of Nevada; 6.2. Utilizing existing Third Party Administrator (HealthSCOPE Benefits), contract with a telemedicine vendor for virtual visits. (Mary Catherine Person, HSB)

2 Cost Containment Strategies 1

3 NATIONAL PROVIDER NETWORK For Members Outside Nevada 2

4 DISRUPTION ANALYSIS/SAVINGS Outside Nevada NETWORK DISRUPTION Eligible Charges Analyzed ** $12,129,737 Incumbent * Aetna Cigna PPO Total Charges In-Network: $10,982,659 $11,402,230 $11,803,184 Facility Charges In-Network: $7,563,206 $7,532,841 $7,897,755 Physician Charges In-Network: $3,419,454 $3,869,389 $3,905,428 % of Charges In-Network: 90.5% 94.0% 97.3% *Incumbent Network ** Charges sampled represent 100% of facility & physician charges for ee s outside NV from January December 2015 Additional Utilization Review and Case Management fees may apply. Please consult your account manager. 3

5 DISRUPTION ANALYSIS/SAVINGS Outside Nevada DISCOUNTS & SAVINGS Savings are calculated by applying facility & physician discounts to the respective in-network dollars. Incumbent * Aetna Cigna PPO Facility Charges In-Network: $7,563,206 $7,532,841 $7,897,755 Facility Discount: 23.8% 43.4% 43.5% Facility Savings: $1,798,404 $3,270,613 $3,439,317 Physician Charges In-Network: $3,419,454 $3,869,389 $3,905,428 Physician Discount: 38.6% 49.5% 44.9% Physician Savings: $1,319,056 $1,916,089 $1,755,220 Facility & Physician Charges In-Network: $10,982,659 $11,402,230 $11,803,184 Facility & Physician Discount: 28.4% 45.5% 44.0% Facility & Physician Savings: $3,117,459 $5,186,703 $5,194,537 *Incumbent Network 4

6 DISRUPTION ANALYSIS/SAVINGS Outside Nevada ACCESS FEES & OVERALL SAVINGS Employee Count 810 Months in Period (claims timeframe) 12 Incumbent * Aetna Cigna PPO Fee PEPM $5.50 $12.50 $10.00 Fee Per Period $53, $121, $97, TOTAL OVERALL SAVINGS: $3,063,999 $5,065,203 $5,097,337 *Incumbent Network 5

7 TELEMEDICINE 6

8 EMERGENCY ROOM / URGENT CARE SUMMARY 46.9% of Overall ER/UC Spending is considered Non-Emergent per HSB Emergency Room PEBP Ugent Care Total Number of Visits 4,556 7,412 11,968 Number of Admits Emergency Room HSB Index Ugent Care Visits Per Member* Visits/1000 Members* Average Paid Per Visit $1,897 $46 $751 $1,684 $74 $749 % of Visits w/ HSB ER Dx 51.5% 29.8% 38.1% Total Paid $8,642,901 $342,993 $8,985,894 Total % of ER/UC Paid % of ER/UC Visits 46.1% 68.4% 46.9% 48.5% 70.2% 61.9% 53.9% 31.6% 53.1% 51.5% 29.8% 38.1% ER UC Total ER UC Total HSB Emergency Dx Non-Emergent Dx HSB Emergency Dx Non-Emergent Dx 7

9 EMERGENCY VS NON -EMERGENCY VISIT BREAKDOWN # Visits Total Paid Paid per Visit Emergency Room by Day of Week PY15 3Q PY16 PY15 3Q PY16 PY15 3Q PY Emergent Visits Emergency Room 2,189 2,346 $4,695,174 $4,660,963 $2,145 $1, Urgent Care 1,829 2,212 $68,262 $108,224 $37 $49 Overall 4,018 4,558 $4,763,436 $4,769,187 $1,186 $1,046 Non-Emergent Visits Emergency Room 2,528 2,210 $4,315,199 $3,981,939 $1,707 $1,802 Urgent Care 5,756 5,200 $198,099 $234,769 $34 $45 Overall 8,284 7,410 $4,513,298 $4,216,708 $545 $569 Sunday Monday Tuesday Wednesday Thursday Friday Saturday ER Non-Er Urgent Care by Day of Week Sunday Monday Tuesday Wednesday Thursday Friday Saturday Top 10 Non-Emergent Diagnoses Diagnosis Description Total Paid HEADACHE $203,631 UNSPECIFIED ABDOMINAL PAIN $112,402 ABDOMINAL PAIN, OTHER SPECIFIED SITE $79,672 SUICIDAL IDEATIONS $71,217 ABSCESS OF LUNG $65,271 FEVER, UNSPECIFIED $62,576 MAJOR DEPRESSIVE DISORDER, SINGLE EPISODE, UNSPECIFIED $57,374 POSTPARTUM COAG DEFECTS, POSTPARTUM COND OR COMPLICATION $54,892 ALTERED MENTAL STATUS $53,817 RIGHT LOWER QUADRANT PAIN $51,822 ER Non-Er 8

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11 Doctor On Demand is Telemedicine That Works Top-Rated Patient Experience 3x more 5-start reviews than competitors combined Highest Clinical Standards Board certified doctors 100% dedicated to DOD NCQA, HITRUST and ATA Accredited Comprehensive Support Custom implementation and engagement marketing HealthSCOPE Benefits has existing contracts with Doctor on Demand to eliminate unnecessary administrative burden Real-time eligibility checks and claims filing Employer-Friendly Business Model No start-up costs and No PEPM fees 10

12 HIGHEST STANDARDS FOR QUALITY AND DATA SECURITY Doctor On Demand has received multiple accreditations for rigorous credentialing, quality care, and industry-leading data security 11

13 #1 IN PATIENT SATISFACTION 87% Recommended Doctor On Demand to a friend or colleague 1 Average Rating 4.8 2,416 Ratings Average Rating 4.6 8,267 Ratings 3X More 5-star reviews than all other telemedicine companies combined 2,3 1. Doctor On Demand quantitative research (N=2400) 2. Updated 2/16/16 3. American Well, MDLIVE, and Teladoc. 12

14 ENGAGING YOUR TELEMEDICINE SUCCESS Straightforward Implementation Understand your needs and goals for telemedicine Detailed project management to ensure seamless integration with any health plan Real-time eligibility checks and claim filing Best-in-Class Engagement Customized engagement plans for each HR customer to achieve awareness, registration, and utilization goals Detailed employee utilization reports 87% of our patients have referred friends and colleagues Intelligent Marketing Based on quantitative research about who is most likely to use Doctor On Demand and why Leverages behavioral economics-based playbook to incentivize use Continuous monitoring and refinement of all marketing programs and tactics 13

15 TOTAL COST SAVINGS Total Cost Savings National Medical Network Change - $2 Million Addition of Telemedicine Approximately $500,000 Total = Estimated Savings of $2.5 Million 14