IMF Meeting 1 14 2015 Agenda IMF Final

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IMF Meeting 1. 14. 2015

IMF Meeting 1. 14. 2015

Agenda IMF Final Agenda January 1/14/2015 Topic Action/Outcome Introduction: • Review Agenda [5 min.

Agenda IMF Final Agenda January 1/14/2015 Topic Action/Outcome Introduction: • Review Agenda [5 min. ] • Budget Debrief [15 min. ] Provide overview and updates Program Updates and Metric Status: • Rate Setting Decisions [10 min. ] Owner Liz Rick N. , Brad 2016 Rate Setting update Rick Rush Discussion / Use of Standard Reported DSS Financials for IMF updates Current/Target State, Proposed Solution, Benefits, Investment, Alternatives Approval to move on to Program Office - Capital Appropriations Rick Rush Brief Updates and Discussions: • Tri. Care/VA Opportunity in COS [5 min. ] • Exchange update [10 minutes] • Group Sales & Projections [10 minutes] • City of Aurora On Site Clinic Status UPDATE (Post committee meeting now includes VA option) Update on membership, retention and sales Update on membership and sales (non-exchange) Included in package - (Paper Report update only) Roland/Holly/Marcia Kim Oberg Justin Suddath Liz Wrap-Up: • Issues, Actions [10 min. ] Confirm actions and decisions Liz/Rick R. Decisions: • DSS financials [15 minutes] • Small/Mid Wellness Product [20 minutes] • MTCO [20 minutes] Dave Wilson Roland/Donna/Brent 2 2

IMF Programs: Overview and Metrics Program Metric Status Product Distribution Channels Innovative Products Membership

IMF Programs: Overview and Metrics Program Metric Status Product Distribution Channels Innovative Products Membership and margin by product Alternative Funding Products Alternative funding products membership, revenue, expense Coming Soon Public/Private Exchanges Individual membership by distribution channel Public Metrics available Mt. Co Expansion Membership, revenue, expense, and margin by product Exists Presentation Product Pricing and Margin Denver/Boulder, No. Co, So. Co Membership, revenue, expense, and margin by LOB Financials Commercial, Medicare, and Medicaid Membership, revenue, expense, and margin by geography Financials Broker and Employer Relationships Membership Administration Summit membership growth, Individual market retention Coming Soon Reporting and Renewal Tools Partner. Desk dashboard Coming Soon Claim Systems Claims processing, accuracy, and throughput Exists Contracting Systems Provider implementation speed and accuracy Exists 3

IMF Programs Innovative Products Owner: Holly K. Description: Developing new products that are market

IMF Programs Innovative Products Owner: Holly K. Description: Developing new products that are market specific, offering better member incentives Product Distribution Channels Update: 1/1/1014 Metric Coming Soon Next Steps: Input/Decisions Required Alternative Funding Products Owner: Blair H. Description: Developing strategy on offering self-funded and partially-funded products Update: 1/14/2015 Level set the current state for KP ASO pricing and will now move to review competitor proposals to isolate the gaps Next Steps: Material still being collected & reviewed for competitor proposals. Meeting to decide those steps will be scheduled in Jan-Feb Input/Decisions Required Continue to research and Identify all hurdles and resolution plans for each Metric Coming Soon 4

IMF Programs Product Distribution Channels Public Exchanges Owner: Kim O. Description: Evaluating public exchange

IMF Programs Product Distribution Channels Public Exchanges Owner: Kim O. Description: Evaluating public exchange strategies opportunities for growth and efficiencies within Colorado Update: 1/14/15 As of Dec 2014 we have 42 MACC Issues (enrollment & billing) impacting KPCO. Next Steps: Currently, attempting to identify non-responder disposition (those that did not renew for 2015 and for which we have not received a termination. Making good progress on APTC recon to be in a good place relative to the 1095 s being sent from C 4 HCO to customers who received 2014 subsidies Input/Decisions Required None needed at this time Private Exchanges Owner: Kim O. /Jeff H. Description: Continuing to evaluate public exchange strategies opportunities for growth and efficiencies within Colorado and multi-state geographies Update: 12/10/14 HUB International exchange is fully implemented, Gallagher Benefit Services PEX is next, and IMA slated for early 2015 implementation Next Steps: IMA for 1 st Qtr. 2015 implementation Input/Decisions Required Continue on Gallagher and IMA path. YTD through 12/31/14 Private Exchange Membership Small Group PAYLESS SHOESOURCE INC 4 NATIONAL MENTOR 25 AXA EQUITABLE FINANCIAL. . . 123 VALITAS HEALTH SERVICES. INC 128 TOWERS WATSON DELAWARE 421 THE PEP BOYS-MANNY MOE &. . . 435 SAVASENIORCARE. . . 728 UNTIED STATIONERS INC 802 CONVERGYS 1, 236 ARAMARK CORPORATION (FFS) 1, 966 XEROX BUSINESS SERVICES LLC 2, 181 WEST CORPORATION/WEST. . . 2, 386 KNOWLEDGE UNIVERSE. . . 2, 873 SAVASENIORCARE. . . 7, 940 WALGREENS 10, 296 0 2, 000 4, 000 6, 000 8, 00010, 00012, 000 5

IMF Programs Product Distribution Channels Mt. Co Expansion P&L Summary Owner: Brent B. /Bernadette

IMF Programs Product Distribution Channels Mt. Co Expansion P&L Summary Owner: Brent B. /Bernadette O. Description: The Mountain Colorado market expansion is to provide alternative affordable health care options to the mountain communities. The entrance approach is to start in Summit and Eagle counties in 2016 and proceed in westward fashion to Glenwood Springs by 2018. The mountain expansion builds on the long term regional strategy for statewide coverage Update: 12/10/14 1) Held program Kick-off meeting to engage the other critical support areas expansion 2) Reviewed real estate properties and refined options to a short list 3) Presented the capital business case to RFSC and will refine the financial model 4) submitting the CAR late December/early January for a February CAC approval. Next Steps: 1) 2) 3) 4) Input/Decisions Required Held the Ethnography final share and will be engaging the community for the implementation activities. Secured Track Leads for six tracks Sales and Operational Readiness track pending with expected dedicated resources 2015 and will engage directly with the Functional Area Leadership in the interim. The business case pro forma is currently not financially viable; however, additional review and analysis is being conducted Metric Coming 2015 Escalating risk to the Mt. CO Steering Committee at the 12/17 sponsor meeting to drive towards a go/no go decision regarding the market entry date of January 2016 6

IMF Programs Product Pricing and Margin Dnvr/Bldr, No. Co, and So. Co P&L Summary

IMF Programs Product Pricing and Margin Dnvr/Bldr, No. Co, and So. Co P&L Summary Owner: TBD, Jason T. , Holly K. Description: Review Colorado market financials for favorable/unfavorable trends relative to budget and PY Update: 12/10/14 No new financials as of 12/5 Next Steps: Denver/Boulder P&L is materially on budget. No. Co membership is up though revenue and margin are materially down over 20 percentage points. Similar outcome w/ So. Co Next round of financials are not available Input/Decisions Required Denver/Boulder Actual Oct YTD Budget Oct YTD Variance Membership 536, 929 493, 445 43, 484 OP Revenue $470. 57 $486. 81 -3. 3% Total Op Expenses $457. 53 $476. 99 -4. 1% Op Income $13. 04 $9. 82 32. 8% OP Margin 2. 8% 2. 0% OP income Southern Colorado $68, 465, 581 $ 48, 251, 036 Actual Oct YTD Budget Oct YTD Variance Membership 61, 449 56, 960 4, 489 OP Revenue $479. 53 $483. 15 0. 7% Total Op Expenses $483. 94 $485. 99 -0. 4% Op Income ($4. 41) ($2. 84) -55. 1% OP Margin -0. 9% OP income Nothern Colorado -0. 6% ($2, 659, 876) $ (1, 602, 734) Actual Oct YTD Budget Oct YTD Variance Membership 27, 109 21, 152 212 OP Revenue $411. 96 $423. 13 -2. 6% Total Op Expenses $387. 96 $411. 33 -5. 7% Op Income $24. 00 $11. 80 103. 4% OP Margin 5. 8% 2. 8% OP income $5, 693, 148 $ 2, 278, 993 7

IMF Programs Product Pricing and Margin Medicare, and MCP P&L Summary Owner: John W.

IMF Programs Product Pricing and Margin Medicare, and MCP P&L Summary Owner: John W. , Annie L. Description: Review Medicare/MCP Market financials for favorable/unfavorable trends relative to budget and PY Update: 01/14/15 No new financials Next Steps: Medicare P&L is materially on budget. MCP membership is up though revenue is down and expenses are materially off budget No further financial updates Input/Decisions Required Medicare Membership OP Revenue Total Op Expenses Op Income OP Margin OP income (w/o DCBI/Unusual) Medicaid / CHP Membership OP Revenue Total Op Expenses Op Income OP Margin OP income Actual Oct YTD Budget Oct YTD Variance 92, 612 $972. 12 $959. 78 $12. 33 91, 399 $970. 65 $932. 78 $37. 87 2. 4% $21, 001, 997 $33, 912, 529 Actual Oct YTD Budget Oct YTD 55, 020 35, 907 $98. 90 $93. 51 ($209. 01) ($213. 70) ($110. 10) -111. 3% ($51, 866, 600) 1, 213 0. 2% Variance 19, 113 2. 9% ($120. 19) -128. 5% -$41, 267, 633 Commercial (Group and Indiv. ) P&L Summary Owner: TBD Description: Review Commercial Market financials for favorable/unfavorable trends relative to budget and PY Update: 12/10/14 No new financials Next Steps: Group P&L is materially on budget. Individual membership and revenue are materially off budget at 7% or greater No further Financial updates Input/Decisions Required 8

IMF Programs Broker and Employer Relationships Membership Administration Owner: Linda S. (Barbara James) Description:

IMF Programs Broker and Employer Relationships Membership Administration Owner: Linda S. (Barbara James) Description: Improving group member onboarding and renewal experience (get ID card, linking to PCP, etc. ). Update: 12/10/14 Exchange Group Auto-Loader (Ex. Gal) in production for 10 months for Small Group on exchange members Next Steps: Looking at additional requirements for Small and Large Group off-exchange applications Input/Decisions Required Progress enhancement requirements and business case for Phase 2 Small Group Claim Payment Accuracy 100. 00% 95. 00% 90. 00% 85. 00% 80. 00% 75. 00% Jan Feb Mar Financial Accuracy Apr May Jun Jul Aug Sep Linear(Financial Accuracy) Additional Metrics Coming Soon 9

IMF Programs Broker and Employer Relationships Claims Systems Owner: PJ Scott Description: Meet and

IMF Programs Broker and Employer Relationships Claims Systems Owner: PJ Scott Description: Meet and improve claims processing turnaround time, and drive auto-adjudication away from manual claims pend processing Update: 12/10/14 E 2 E Financial Accuracy for October was 98. 4% vs. YTD average of 98. 3% Next Steps: Create Claims pre-FLR quality forum Hire additional claims quality auditors Input/Decisions Required Metrics on adjudicator accountability continue to be tracked and addressed in monthly 1 on 1’s. Weekly error reviews with associates (assoc. , mgr, quality, and Dir. ) Financial Accuracy 100. 0% 99. 0% 98. 0% 97. 0% 96. 0% 95. 0% Jan Feb Mar Apr May Jun Financial Accuracy Jul Aug Sept Oct Linear(Financial Accuracy) Contracting Systems Owner: Craig Lucero Description: Meet onboarding SLAs (30/45 days) and improve quality of business configuration to assure claims processing accuracy Update: 12/10/14 Overall incidence decreased from 48 to 40 from September to October (95. 5% End to End Payment Incidence). Payment incidence accuracy decreased from 96. 5% to 95. 5% from September to October Next steps: Input/Decision s Required Identify program(s) in place to improve metric 10

IMF Programs Small Group Non-ACA Renewals – Keep Your Plan Owner: Jean Brodie Description:

IMF Programs Small Group Non-ACA Renewals – Keep Your Plan Owner: Jean Brodie Description: The purpose of this project is to comply with the DOI’s decision to allow small groups to have the option to keep their existing non-ACA compliant plan through 2015. This is a contingency plan to the RPT/DST (aka Q 2 C) to produce the 2015 packets and enable the broker/employer groups to renew online. Update: 1/14/15 Next Steps: Input/Decisions Required • • • Project was completed on schedule Renewals are being submitted online 12/31/14 is the last day for KYP renewal submissions This project has been closed. No project work will continue unless changes in legislation occur. N/A 11

IMF Programs Small Group ACA Renewals– PARQ Owner: Jeanne Brodie Description: The purpose of

IMF Programs Small Group ACA Renewals– PARQ Owner: Jeanne Brodie Description: The purpose of this project is to produce the 2015 ACA compliant renewal packets for small groups and provide the brokers/employer groups the ability to renew online. This application was developed as a contingency plan to the RPT/DST (aka: Q 2 C) application Update: 1/14/15 • • • Next Steps: The original scope approved has been completed and is in production Jan and Feb 2015 renewals have been mailed A list of enhancements (new functionality and changes) is being compiled In the 11 business days the renewal website has been live, 23 Jan 2015 renewals have been submitted online. The project team will only work on production defects until an executive decision is made on 12/18 regarding the future development path Further enhancements are on hold until Executive Sponsor Meeting on 12/18 Draft requirements documents for: 1. Mid-Year Change Renewal Quotes 2. Sales Tasks Automation Draft high-level project plan for supplemental benefits Input/Decisions Required N/A 12

IMF Programs Employer Reporting - My. KPGroup. Monitor Owner: Jeanne Brodie Description: Develop the

IMF Programs Employer Reporting - My. KPGroup. Monitor Owner: Jeanne Brodie Description: Develop the process and infrastructure to provide employer groups and brokers timely self-service reporting that is user friendly yet robust in capabilities. Support standard and customizable reporting functionalities and meet the needs of the employer groups’ and brokers’ requirements for informative and actionable health data Develop the infrastructure to support internal analytic capabilities Update: 1/14/15 Overall status of the project is green. Launched the My. KPGroup. Monitor application with select Summit Club brokers on the week of 9/22 as scheduled. Brokers are actively using the tool which has led to meaningful engagement and discussions. My. KPGroup. Monitor has also enhanced internal analytic capabilities and productivity. Next Steps: Finalizing enhancements and operationalizing monthly data load. Phase III – scope definition Site Branding – landing page Input/Decisions Required N/A 13

 DECISION 14

DECISION 14

IMF Programs Integrated Wellness Incentive Programs Owner: Blair Hives Melissa Dodd Presenter: Dave Wilson

IMF Programs Integrated Wellness Incentive Programs Owner: Blair Hives Melissa Dodd Presenter: Dave Wilson Description: Continue to advance in the small/mid size group market with product designs that integrate wellness components (e. g. completion of a health assessment and screenings) and incentives. Competitors are aggressively targeting small and mid-market employers with these products. Update: 1/14/15 Approval for development of a product that adds value and attracts specified persons in this market size Next Steps: Finalize proposal and gain approval to move forward with product development Input/Decisions Required Support for development process Time Q 1 2015 Q 2 2015 Q 4 2015 Q 3 2016 2017/18 Timeline/Metrics Development Phase IMF Business Case Regulatory Filings Branding/Product Offering Differentiated Offered Go to market Update 15

IMF Programs Product Distribution Channels Mt. Co Expansion P&L Summary Owner: Brent B. /Bernadette

IMF Programs Product Distribution Channels Mt. Co Expansion P&L Summary Owner: Brent B. /Bernadette O. Description: The Mountain Colorado market expansion is to provide alternative affordable health care options to the mountain communities. The entrance approach is to start in Summit and Eagle counties in 2016 and proceed in westward fashion to Glenwood Springs by 2018. The mountain expansion builds on the long term regional strategy for statewide coverage Update: 1/14/15 1. Expand from a Front Range (I-25 Corridor) regional health plan to one with a statewide presence. 2. Drive growth through expansion and in Large Group accounts through expanding KPCO’s geographic footprint and capabilities. 3. Address the affordability gap in these communities, where the cost of care is the highest in the nation. 4. Support KP’s broader interests in developing models and means of serving lower population density markets. Next Steps: Approval Input/Decisions Required Review the Mt. CO MOB business cases, seeking approval for two MOBs, 1 in Eagle County and 1 in Summit County. Anticipated capital costs will be $3. 64 million per market, plus $1. 15 million in ten years lease expense for the Eagle County MOB and $1. 41 million for Summit County. Membership Forecast by Line of Business, and Market Penetration Mt. CO Combined Markets, PMPM Revenue, Operating Expenses, and Operating Income Breakeven 16

UPDATES 17

UPDATES 17

ROLAND LYON TRICARE / VA DISCUSSION 18

ROLAND LYON TRICARE / VA DISCUSSION 18

RICK RUSH P&L STATEMENTS CO-OP UPDATE MEMBERSHIP 19

RICK RUSH P&L STATEMENTS CO-OP UPDATE MEMBERSHIP 19

Colorado Health. OP 9/30/2014 Orange Blank 6/30/2014 results • Quarter end membership: 13, 466

Colorado Health. OP 9/30/2014 Orange Blank 6/30/2014 results • Quarter end membership: 13, 466 • Total Revenues: $16, 946, 253 • Total Medical Expenses (after reinsurance): $22, 524, 335 • Other Expenses/(Income): $9, 188, 718 • Net Income (loss): ($14, 766, 800) = -87% margin on total revenues 9/30/2014 results • Quarter end membership: 12, 714 • Total Revenues: $38, 064, 308 (includes accrued retrospective premium for Risk Corridor of $9, 462, 000) • Total Medical Expenses (after reinsurance): $37, 006, 534 • Other Expenses/(Income): $15, 673, 626 • Net Income (loss): ($14, 615, 852) = -38% margin on total revenues • Net Income (loss) had Risk Corridor NOT been booked = ($24, 077, 852) = -84% margin on adjusted total revenues • • KFHP will likely NOT book Risk Adjustments and Risk Corridors in consultation with professional Auditing firms. There is a possibility that Colorado Health. OP may reverse, or significantly modify, their 3 R accruals in the 4 th Quarter. • Risk Corridor is designed to protect carriers (especially new entrants) from significant losses stemming from setting initial premiums too low. Colorado Health. OP’s Risk Corridor entry suggests that 2014 premiums were set 40% too low. Nothing was been booked for Risk Adjustment. • Colorado Health. OP lowered 2015 premiums by 15%-20% in KPCO service areas. • Access to $70 M in CMS loans -- $40 M already received 30

IMF Metrics 2 of the metrics to gauge performance for IMF are membership and

IMF Metrics 2 of the metrics to gauge performance for IMF are membership and margin • By Line of Business • By Market/Network • KPCO trends • Comparison to budget • Comparison to other KP regions • Comparison to KPCO competitors • Internal tracking is performed monthly by Decision Support Services • Comparison to other KP regions is available quarterly from Program Office, approximately 75 days after the close of a quarter • Comparison to KPCO competitors o Via DOI reporting quarterly for domestic companies (includes Colorado Health. OP, Rocky Mountain, Anthem, United Medicare Advantage, United HMO, Cigna HMO); generally consolidated with no LOB detail o Via CMS reporting annually for all state competitors by Commercial Line of Business – stemming for ACA rebate calculations with a Medical Loss Ratio formula adjusted from standard DISCUSSION q For IMF dashboard metric, what standard, “high-level” metric is preferred (i. e. , monthly KPCO LOB results with comparison to budget, other)? q What other metrics should be considered? 31

Wrap Up

Wrap Up

Appendix 34

Appendix 34

Stoplight Status Definition Project is progressing on track with nominal to no variation (less

Stoplight Status Definition Project is progressing on track with nominal to no variation (less than 5%) in budget, resources, scope, or schedule. No issues at this time Project is progressing, but with material variation (greater than 5%) in budget, resources, scope and/or schedule from issues that have identified mitigation plans in place to address them. No escalations required at this time. Project is progressing, but with material variation (greater than 5%) in budget, resources, scope and/or schedule from issues that do not have identified mitigation plans in place to address them. Escalation is required. Project is complete or inactive 24 35

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin Broker and employer relationships Programs Innovative products (e. g. , KP Select) Dnvr/Bldr / So. CO / No. CO Membership administration Alternative funding products Medicare Reporting & renewal tools Public & private exchanges Medicaid Claims systems Mt. CO Expansion Commercial Contracting systems 25 36

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin Broker and employer relationships Programs Innovative Products • • Developing new products—such as KP-Select—that are market specific, offering better member incentives, e. g. on prescriptions and copays for KPCO MD vs. network MD Reviewing implementation of choice products Alternative Funding Products • Developing strategy on offering self-funded and partially-funded products • Evaluating private/public exchange opportunities for new member growth and efficiencies within Colorado and multi-state geographies Reviewing implementation of private/public exchange strategies Public/Private Exchanges • Mt. Co Expansion • Expanding healthcare provider overage with CPMG and network doctors along the I-70 corridor, planning to initiate service in 1/1/2016 26 37

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin Broker and employer relationships Programs Dnvr-Bldr/No. Co/So. Co, Medicare, Medicaid, Commercial • Reviewing financial performance trends of each LOB and geography through KPIs and drill-downs of financial, operational, and market analytics 27 38

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin

IMF Strategic Priorities and Programs Strategic Priorities Product distribution channels Product pricing and margin Broker and employer relationships Programs Membership Administration • Improving member onboarding and renewal experience (e. g. receiving ID cards, linking to PCP, etc. ) • Developing new tools to track, gauge, and notify brokers and employer groups with key performance indicators about healthcare utilization • Improving claims processing accuracy, and throughput • Optimizing the implementation of providers for minimal effort on both sides and to enable error-free claims submissions and payments Reporting and Renewal Tools Claims Systems Contracting Systems 28 39

IMF Program: Metrics Product distribution channels Innovative Products • • Membership by product Margin

IMF Program: Metrics Product distribution channels Innovative Products • • Membership by product Margin % by product • Alternative Funding Products • Annually review plan for KPCO alternative funding products • Product pricing and margin Broker and employer relationships Dnvr-Bldr/No. Co/So. Co, Medicare, Medicaid, Commercial Broker & Employer Relationships Pricing and margin by LOB Pricing and margin by geography • • Summit Club membership Yo. Y Partner desk dashboard, and retention/tenure rates by LOB Claims processing accuracy, throughput rates Provider implementation speed and accuracy Public/Private Exchanges • Individual membership by distribution channel Mt. Co Expansion • Revenue, membership, and margin growth by product 29

IMF Programs: Overview Product pricing and margin Product distribution channels Innovative Products • •

IMF Programs: Overview Product pricing and margin Product distribution channels Innovative Products • • Developing new products—such as KP-Select—that are market specific, offering better member incentives, e. g. on prescriptions and copays for KPCO MD vs. network MD Reviewing implementation of innovative products Dnvr-Bldr/No. Co/So. Co, Medicare, Medicaid, Commercial • Broker and employer relationships Membership Administration • Improving member onboarding and renewal experience (e. g. receiving ID cards, linking to PCP, etc. ) • Developing new tools to track, gauge, and notify brokers and employer groups with key performance indicators about healthcare utilization • Improving claims processing accuracy, and throughput Excellys claim system • Optimizing the implementation of providers for minimal effort on both sides and to enable error-free claims submissions and payments Reviewing financial performance trends of each LOB and geography through KPIs and drill-downs of financial, operational, and market analytics Reporting and Renewal Tools Alternative Funding Products • Developing strategy on offering self-funded and partially-funded products Claims Systems Public/Private Exchanges • • Evaluating private/public exchange opportunities for new member growth and efficiencies within Colorado and multi-state geographies Reviewing implementation of private/public exchange strategies Contracting Systems Mt. Co Expansion • Expanding healthcare provider overage with CPMG and network doctors along the I-70 corridor, planning to initiate service in 1/1/2016 30

ESET Collaboration IMF CPEG Channel Development [plan access and HC delivery] Product Differentiation Member

ESET Collaboration IMF CPEG Channel Development [plan access and HC delivery] Product Differentiation Member Retention [via engagement and satisfaction] r] Ma rg in o pr ns Op tim Back-Office Optimization er/ um e vid iza o t [c en tio n m ge ga En Effective healthcare delivery and access Virtual visits Cost Containment [via back-office and delivery] Facilities Optimization HAT Efficiencies through Collaboration ACE 31