2014 Investor ConferenceServices Learning Sessions

Health Enterprise

Medicaid Management Information System from Xerox

Increasing Access Containing Costs Improving Quality

Healthcare: A Changing Landscape

• 7+ million new consumers

are accessing Medicaid and

Medicaid-like programs since

January 2014

• Insurance exchanges have provided new platforms to

purchase coverage

• Increased funding flowing to community-based clinics and

safety-net providers

• While it moderated in recession, healthcare inflation

is accelerating as access

expands

• Integrated delivery

systems beginning to offer

similar services as health

insurance companies

• Payers are under increased pressure to be

administratively efficient

• Fraud and abuse systems

and services will identify

issues and opportunities

• Electronic Health Records (EHR), connected by Health

Information Exchanges (HIE),

will leverage clinical data to

improve health outcomes

• New sophisticated predictive

analytics will proactively

identify members at risk

• Personalized care programs

will drive increased digitization

of medicine

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The Complexities of Medicaid Management

Constant change

Budgets, changes to regulations and laws, new care delivery models and payment methods, increased enrollment, population health management…

Policy and programs

Crafting, implementing and managing state policies that have a direct impact on citizens; integration of technology and services…

Legislative mandates

Managing health reform as outlined in the ACA is no small task. But we can’t forget requirements from HITECH Act, HIPAA and more…

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The hard-coded, decades old foundation of most Medicaid management systems has not evolved to respond to today’s Medicaid Program needs

Population Health Management for the Future

Health Enterprise is our 4th generation Medicaid Management Information System

Population health management is where Medicaid programs are shifting to from transaction processing

– Improving the patient experience (standard portal & HIE/EHR integration)

– Improving health of the population (Care Management integration)

– Reducing the per capita cost of healthcare (Analytics & CQS support)

Aligns with latest technology and legislative requirements including MITA 3.0, MECT and the Seven Conditions and Standards

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Health Enterprise Differentiators

Replicable Platform

– Streamlines implementation process; consistent starting point, ability to leverage artifacts from previous implementation

– Reduces DDI scope to specific areas of functionality, core code remains the same and is configured to support client needs

– Better value to clients; as the core code base expands, the functionality is shared amongst clients on the product platform

– Best market approach; we own the IP and control the product roadmap

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Leverages the Cloud

Infrastructure as a Service (IaaS)

– Infrastructure present; supported through a series of VMs (active-active to promote reliability)

– Ability to scale on demand– Improves starting position on implementations– Redundancy through DR/BC locations

Software as a Service (SaaS)

– Service capabilities integrated with Health – Expands the MMIS platform (EDMS, letter

generation, learning management, interactive chat, etc)

– Reduces DDI scope; focus on configuration

Optimized for all end user technology Interfaces – desktop, mobile and tablet

Intuitive Portal Interface

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New Hampshire is Reaping the Benefits

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Rapid, real-world changes after go-live

– After go-live, state realized they inadvertently left out certain service authorization requirements for their developmental disabilities program

– Health Enterprise’s configurability allowed state to change parameters directly – no programmers

– Changes were made on a Monday, tested on Monday afternoon and moved to production on Tuesday

Managed Care Roll-Out

– State decided to transition their program to a managed care model after go-live of Health Enterprise

– Implementation of managed cared would not have been possible in their legacy system

– Health Enterprise fully supports the managed care environment

Rapid Expansion

– State decided in early 2014 to expand Medicaid

– System updates to meet the core needs of expansion were made in just 8 weeks

– Same changes would have taken up to 10 months in a legacy system

Next Generation Xerox® Managed Print Services and Workflow Automation Services

Xerox® Digital Alternatives

Client Requirements

Cost Savings

Security Automation

Sustainability Mobility

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Innovation

Next Generation Xerox® Managed Print Services

• Xerox® CompleteView Pro

• Xerox® Production Assessment Services

• Xerox® ConnectKey® Technology

• Xerox® Print Awareness Tool

• Xerox® Secure Print Manager Suite

• Xerox® Print Security Audit Service

• Xerox® Mobile Print Solution

• Xerox® Print Server Management Services

• Xerox® Workflow Automation Services

• Xerox® Document Analytics Service

• Xerox® Content Management Services

• Xerox® Digital Alternatives

• ePublishing Services

Xerox Capabilities

Automate

and

Simplify

Secure

and

Integrate

What We Do Client Value

Assess

and

OptimizeSavings Sustainability

Security Mobility

InsightProductivity

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Strength in Numbers Global Service Delivery

#1MPS market leader according to Gartner, IDC, Forester & Quocirca (2014)

1 million+Devices managed … half of them from competitors

5+ billionPrinted pages managed per month

4,000+Client sites managed

$600 million invested in R&D in 2013

14,000Service delivery professionals serving

180 countries

60+Yearsdelivering document and print-related services

12,100+Active patents and an ongoing commitment to

MPS innovation

11Multilingual, ITIL aligned delivery centers offering 24/7 support

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Gartner Magic Quadrant for Managed Print and Content Services

Source: Gartner, Inc. “Magic Quadrant for Managed Print and Content Services, Worldwide” By Ken Weilerstein, Elizabeth Kim, Sharon McNee, November 6, 2014

Xerox has been positioned the furthest for Completeness of Vision and Ability to Execute within the 2014 Leaders quadrant for Managed Print and Content Services.

The Gartner Magic Quadrant is copyrighted 6 November 2014 by Gartner, Inc., and is reused with permission. This graphic was published by Gartner, Inc. as part of a larger research document and should be evaluated in the context of the entire document. The Gartner document is available upon request from Xerox.

Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner's research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including any warranties of merchantability or fitness for a particular purpose.

The Magic Quadrant graphic was published by Gartner, Inc. as part of a larger research note and should be evaluated in the context of the entire report. The Gartner report is available upon request from Xerox.

Approved for External Use by Xerox Only through November 10, 2015

Partners can access materials via http://www.consulting.xerox.com/gartners-magic-quadrant/enus.html

"The Completeness of Vision axis reflects each MPS and MCS provider's prospects for success by analyzing its view of the market, service operating model, and strategic plans for growth and service improvements.“

"The Ability to Execute axis position for each MPS and MCS provider is based on its success in delivering results today, as well as its preparation to deliver results in the future."

Enabling Digital Workflows

3 trillion pages printed every year

Structured Business Processes Personal Knowledge Processes

Different systems

Difficulty in locating documents

Barriers to going digital

Process of transforming paper to digital

Paper helps unite Structured and Personal Processes

Read, Save, Annotate

People Print For Themselves

Share, Sign, Annotate

People Print For Others

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Xerox® Digital AlternativesIntuitive, Flexible and Powerful

Unifying Key Capabilities in a Single Tool

• Optimized for personal productivity

• Designed for today’s enterprise

• Analytics uncover the flow of documents

• Fully integrated in Xerox®

Managed Print Services

Xerox® Digital

Alternatives

eBookReaders

PDF Annotation

Enterprise File Sync and Share

EnterpriseContent Management

Read Annotate

Share Save

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Designed for Today’s Evolving Enterprise

• Automates and Simplifies paper-intensive processes

• Supports BYOD policies for highly mobile iPad

and PC users

• Provides a consistent user experience across platforms

• Integrates with Microsoft Active Directory and Outlook

• Provides a secure on premise solution for digital

collaboration

• Allows organizations to understand the flow of work

using in-depth analytics

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Supports Business and Personal Workflows

Digital Alternatives

unites personal and

business workflows,

increasing knowledge

worker efficiency, and

structured business

process effectiveness.

Business WorkflowsBusiness WorkflowsBusiness WorkflowsBusiness Workflows

Drive overall business-wide productivity, reducing cost and increasing transparency

Personal WorkflowsPersonal WorkflowsPersonal WorkflowsPersonal Workflows

Drive personal productivity around discrete documents and ad-hoc relationships

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Xerox Transportation Urban Mobility StrategyReinventing Transportation in a Connected World

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Xerox Transportation Overview

21

Government

Citizens

� Electronic Toll Collection� HOT/HOV Lanes

� Weigh-in-Motion� Pre-Clearance

� On-Street Parking� Off-Street Parking

� Speed Enforcement� Red Light Enforcement� School Bus Enforcement� Insurance Enforcement

Xerox sells into Government Entities

Back-office Integration

Payments Violations Call Centers

DataAnalytics

Transactionmanagement

CustomerCare

• 35 Countries host our transportation solutions worldwide• $5 billion in electronic toll payments annually• 37 billion public transit transactions managed annually• $16 million parking violations processed annually• $1 million to support the University of Michigan (UMTRI)

Transformation Center in Connected Vehicles

� Bus & Rail� Fare Collection� Fleet Management

Public TransitCommercial Trucking

xxxx xxxx xxxx

ParkingElectronic Tolling

TOLL

Photo Enforcement

Collections

Xerox sells into Commercial Trucking

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Xerox Global Growth Strategy for Urban Mobility:A series of interrelated transportation solutions (built on existing planning activities) designed to satisfy mobility needs of mega cities, businesses and their citizens today and in the future. Global Transportation Mega Trends: Urbanization, changing demographics, connected vehicles, new business models and innovating to zero.

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Parking

Merge® A smart grid for parking:• Revenue management• Parking guidance• Enforcement reporting• Demand-based pricing• Managing with data and

analytics

Electronic Tolling

Xerox Vehicle Passenger Detection System™:• Better than 95 percent accuracy

at speeds ranging from stop-and-go to 100mph

• Improves safety through use of high quality images and the generation of an evidence package

Public Transit

Shop & Ride ™:• Transit offer Management

System• Utilize data generated by

Xerox transportation to better target customers for vehicle offers from local merchants

• Localized and customizable offerings with perceived higher relevance

Xerox is evolving our offerings and innovation efforts to address the anticipated changes in the market. Recent examples include:

TOLL

Xerox Vehicle Passenger Detection System

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Government Client Needs:

Xerox Vehicle Passenger Detection System™:• Transportation agencies seek to improve throughput

on Congested roadways by creating:– High Occupancy Vehicle (HOV) Lanes – High Occupancy Toll (HOT) Lanes

Government Client Challenges:

• Officers can typically identify and enforce less than 10% of violators on HOV and HOT Lanes

• Violation rates can also exceed over 60% when there is no visible mechanism for enforcement

Solution Goals:

• Improve on violation identification and enforcement rate

• Use COTS cameras and software• Automate the process and improve counting efficiency

Xerox Vehicle Passenger Detection System

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Results:

Xerox conducted a trial with over 100,000 vehicles on live roadway under a variety of weather conditions, lighting, speed and traffic volumes:

98.9% Accuracy

When declaring “no occupant” in Rear Seat:

96.2% Accuracy

Conclusion:

Xerox Vehicle Passenger Detection System™ is:• Reliable and automated enforcement tool for HOV

and HOT Lanes• Provides high accuracy on passenger vehicle counts• Offers opportunities for improving safety• Protects passenger privacy

RightOpt®

A Private Insurance Exchange Healthy people drive healthy business.

What are exchanges?

PublicTarget market: consumers

Created as part of the ACA, states are required to offer a Marketplace on which individuals and small groups can buy health insurance. We anticipate enrollment to grow:• Insurers can’t deny coverage based on

health status• Individuals are required to buy health

insurance or incur penalties, i.e., the "individual mandate”

• Tax credits and subsidies are available for individuals who qualify based upon income

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PrivateTarget market: employers

Individual product model:

• Individual insured plans typically replacing the group plan

• Employer may provide a subsidy• Predominately for retirees,

COBRA, and PT employees

Group product model:

• Employer-sponsored group plans

• “Play” under ACA

• Predominately for benefit-eligible actives

Private Exchange Addressable Market

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…and penetration is ~1% of the private exchange employer market today…and penetration is ~1% of the private exchange employer market today

Current private exchange market penetration

The addressable market within private exchanges is ~175 to 200 million lives…The addressable market within private exchanges is ~175 to 200 million lives…

Private exchange addressable market

<1% penetration in the active associate market

<10% penetration in the retiree market

Source: U.S. Small Business Administration, U.S. Census Bureau, William Blair & Company, consensus estimates, company reports, EY analysis

Estimated number of lives1 (millions), 2013

Note: (1) Active associate-to-lives multiplier is 1.65x

Actives156.8 M

89%

Early Retirees6.0 M3.4%

Medicare Retirees12.0 M6.9%

KFF noted 2.5M lives covered through private exchange in 2014:1.7M actives, 800k retirees

Market Opportunity

• RightOpt presents a significant opportunity in a growing market and is delivered with well-established organizational and IT capabilities

• The RightOpt product structure is resonating in the market; RightOpt is known as one of the “big 4” exchange players

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Percentage of large employers considering a private exchange by population.

*Source: NBGH Large Employers’ 2014 Health Plan Design Survey, August 2013; Percentage considering private exchanges in 2015 or after.

30%

15%20%

41%

26%

40%

0%

10%

20%

30%

40%

50%

Full Time Actives Spouses Part Time Actives COBRA Pre-65 Retirees Medicare Retirees

• Surveys of employers conducted by exchange providers, consultancies, and 3rd party cooperatives find that 20-33% of employers will adopt a private exchange approach over the next three to five years

RightOpt Goal: Improve People’s Lives

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Optimize spend for both the workforce and the employer, without depending upon cost-shifting

Empower members through an engagingand easy experience year-round

Offer meaningful choices through best-in-class partners to meet the varying needs of a workforce

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2

3

The RightOpt Difference

Supply Chain: Focus on Gross Cost

A focus on delivery model transformation through unique contracting arrangements to yield immediate and long-term savings.

Since 70% of health care costs are due to lifestyle conditions, the demand side of health care must be addressed.

Demand for Services: Choose Use Improve®

Expanding beyond the annual enrollment shopping experience to engage members 24/7/365 in their health and utilization of services.

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Our Active Exchange Results

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Online engagementDuring OE: • 100% at 4.1 return visitsPost OE through Q214:• 84% at 6.5Post OE through Q314:• 100% at 9.4

2016 pipeline activity• Over 200 prospects in

the pipeline for the 1/1/16 effective date

• Average employer size approx. 50k employees

• Represents 13 different industry groups

FinancialAverage year-over-year paid claims decreased 3.74% on a

per employee basis

Member satisfaction

Provider accessNetwork provider gain is typically more than 3 times higher than network provider loss

“This is amazing! It’s the first time

since I was hired that I easily

navigated the site and found what

I was looking for. LOVE IT!”

Case Study: Church & Dwight

Situation:• Rising health care costs led CHD to implement RightOpt to

continue to offer comprehensive, cost- effective careSolution:• Expanded plan choice from a full replacement CDHP plan• Simultaneously implemented new enrollment system

and employee call center through Xerox• Launched communication effort with fun and impactful

video and “Change is Coming” home mailer• Introduced wellness programs for the first time• Conducted in-person “train-the-trainer” session to

educate and equip HRResults:• Award-winning video went viral creating a high level of

awareness about the change• 82% completed HRA/biometric screenings• 11% lower claims costs through 3Q14• An average of 7.1 visits to the portal with top sites hit:

– My Action List– Know My Numbers– Spending Account

“We mentioned the potential for reduced (2015) contributions to the Plant HR Managers and there was stunned silence. One of them volunteered that he had never heard that in his 20 years of HR.”

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Managing Demand More than just a shopping experience

RightOpt’s demand management strategy is founded on five core principles of engagement:

1. Make it personal and relevant

2. Drive actions and outcomes

3. Make it accessible and convenient

4. Use social influence

5. Apply behavioral science

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©2014 Xerox Corporation and Buck Consultants, LLC. All rights reserved. Xerox® and Xerox and Design® are registered trademarks of Xerox Corporation in the United States and/or other countries. Buck Consultants® and RightOpt® are registered trademarks of Buck Consultants, LLC in the United States and/or other countries.

Buck Consultants, LLC is the broker of record regarding insurance placed through RightOpt