Surgery Optimization Service that Guides Plan Members to

Surgery Optimization Service that Guides Plan Members to both High Quality Surgeons and Ambulatory Facilities Resulting in Lower All-in Surgery Costs HR Specialty Products & Services Catalogue Executive Summary A No Frills Distillation of Vendor’s Marketing Collateral Thomas A Ference President & CEO Human Resources Mining & Distribution Co Locating, Validating and Accelerating HR Innovation Office: 219 -662 -0201 Cell: 630 -240 -2583 Fax: 219 -661 -0236 e-mail: tference@hrmdco. com Website: www. hrmdco. com

Surgery Optimization Service • PPO plans limit physician and facility access and deliver multiple, poorly-linked provider bills. • These bills arrive months later which can mask the cost of the total surgery itself, post-op infections and subsequent readmissions. • This vendor instead, screens surgeons and Ambulatory Surgery Centers (ASC’s) via a proprietary vetting processes. • It then concierge’s plan members to providers in their local area. • Because of their patient -first design and rigorous patient care processes, ASC’s and attendant physicians conduct surgeries more efficiently and with less post-op infections

Surgery Optimization Service • CDC reports that 4% of patients contract a “Hospital Associated Infection” whereas they are less than 1% in this ASC network. • Such HAI’s / infections have no PPO schedule and plan sponsors never receive reports itemizing infection costs. • Service also includes bundling of all provider bills into a single bill and EOB to allow for the tracking of both all-in surgery costs and patient outcomes. • Concierge explains doctors orders to insure they are understood and followed, and continue to work with the patient through the entire episode of care (90 days). • Costs are on average 50% less than hospitals and employer cost reductions have been $1. 5 million per 1000 employees.

High Hospital Infection Rates • Bloodstream Infections - $30, 919 - $65, 245 • Ventilator – Associated Pneumonia - $36, 286 $44, 220 • Surgical Site Infection - $18, 902 - $22, 667 • Clostridium Difficile Infection - $9, 118 - $13, 574 • Catheter Associated Infections - $603 - $1, 189 • Total cost of these top 5 infections is estimated to be between $8. 3 - $11. 5 Billion per year.

Ambulatory Surgery Centers • More Efficient – All surgeries are planned, no emergency care, and streamlined clinical workflow • More Affordable – Focus on a few specialties coupled with lower facility and operating costs means they can controls cost more efficiently than Hospitals • ASCs were built with a patient first culture in mind and give personal care to every patient • More time one-on-one time with the physician and a higher RN to patient ratio, means a better outcome and a more informed patient • Wait times at ASCs are lower vs. Hospitals and surgeon availability is higher as physicians focus on fewer patients and fewer procedures

150+ Specific Surgeries Included In Categories Below Diagnosis Code General Classification A Infectious and Parasitic Diseases C Neoplasms G Nervous System C Eye and Adnexa, Ear and Mastoid Process I Circulatory System J Respiratory System K Digestive System L Skin and Subcutaneous Tissue M Musculoskeletal and Connective Tissue N Genitourinary System S&T Injury, Poisoning, Certain Other Consequences of External Causes V External Causes of Morbidity

Next Steps • This product/service is contained in the HR Specialty Products & Services Catalogue™ • Operational level details about this particular service provider can be obtained in conference with the vendor • The HR Mining &Distribution Co. is an independent and contracted representative of the vendor • Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo • Tom Ference 219 -662 -0201 (Chicagoland area) or tference@hrmdco. com • Thank you for your potential interest in this fresh thinking