Vivity A Case Study on Next Generation Payment

Vivity: A Case Study on Next Generation Payment Models in the Commercial Market Rick Jacobs Chief Strategy Officer Cedars-Sinai Health System HOW TO CHANGE THE IMAGE ON COVER Select an image that relates to the presentation subject and aligns to the Vivity imagery guidelines. Do not use more than one image. Beth Ginzinger CHANGING A PHOTO IN THE IMAGE AREA In your menu bar select “View” > “Master” > “Slide Master” Go to the Title Slide Image Master you wish to change Select the white area of page and go to menu bar and select “Arrange” > “Send to back” Select the image and delete Insert new image/photo on page Once the new image placement is finalized, select “Arrange” > “Send to back” VP Provider Joint Ventures Anthem 1 DELETE THESE INSTRUCTIONS BEFORE FINAL USE.

Cedars-Sinai Largest independent academic medical center west of the Mississippi and known for: LA’s Most Preferred Hospital: 20+ years Major Training Center: 500+ residents in 80 specialties and subspecialties Translational Research leader: 1, 180+ active sponsored research projects and 1, 900 research papers Commitment to Community: Numerous programs Integrated Care: ranked one of California’s top performing physician organizations 2

Cedars-Sinai Employer 32 -year partnership with Anthem Blue Cross (since 1984) $130 million annual spend on medical benefits 24, 000 covered lives Plan offerings: • PPO • HMO • Vivity HMO Hold providers and vendors accountable for healthy and cost efficient outcomes Focus on health improvement and appropriate use of services Share costs appropriately; Reinforce employees’ ability to make informed decisions with appropriate support 3

Employee geographic spread 4

Creating a better offering 1 2 Quality: Committed to ensuring quality of care and optimizing efficiency, while delivering great outcomes = VALUE Collaboration: Work with partners (payer and provider) with similar philosophies 3 Consumerism: Make accessing care easier for our patients, engage them in their care, and work to improve their overall experience 5

The Southern CA Market Observed Trend Increased Consumerism Description/Implications • Shift toward consumer purchase of health coverage drives increased volatility and demand for flexibility • Younger, multicultural consumers + high tech influences = demand for accessible information, top quality service and convenience HMOs Evolution of Innovative Partnerships Kaiser is a major force Rise of ACOs setting expectations for integration of care MSSP Capitation has been in the market for years Increased demand for transparency ACOs Vivity Partnership with Anthem and 7 health systems Health plan specific Pressure from consultants, employers and regulators for greater transparency of quality and affordability information 6

Introducing Vivity Redefining the relationship between member, hospital, doctor & health plan Collaboration Quality Consumerism 7

Shared risk. Shared rewards. Under Vivity’s unique structure, partners are accountable to one another and share in upside and downside risk. This motivates everyone to: - Provide the best, most efficient care - Share best practices “We only do well if we all do well. ” - Vivity hospital executive

Vivity Committees Work to Deliver on the Value Proposition Referrals and Care Coordination Comprehensive Cross System Clinical Management Clinical and Financial Reporting Quality tracking, improvement and accountability Customer Engagement Solutions Advisory Group Finance and Strategic Growth 9

Vivity Partner Clinical Integration • A digital infrastructure will be built to serve as the foundation for integration • HIE will: • enable population management • streamline referrals • enhance care coordination • reduce redundancy • Enable shared care protocols and best practices. • Ultimately, Vivity network providers will have virtually integrated workflows with full view of each member’s experience across episodes of care. 10

Enhanced Vivity Customer Experience K C OME BA C L E W AL & RENEW • Physician finder tool • Welcome experience N AGEM G ENG r mpowe y e & e g Enga health y a t s o t ers Memb I ONGO N OPE ENT LLM NRO ent m l l o nr ion ity e select v i V CP in Aid s and P es proc G ts ARDIN O B itmen its N m O m o f c ivity use bene V e c to or Reinf members ge a e l & eng Enab ENT • • • Concierge-like service Wellness programs Mobile Health Consumer Live Health Online 24/7 Access to care E PRE SALE Generate awareness & explain benefits of Vivity information Working to provide an optimal experience throughout the member journey with the provider and payer side by side 11 COMPANY CONFIDENTIAL | FOR INTERNAL USE ONLY | DO NOT COPY