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Health Care Transformation! Jeff Lamb www.linkedin.com/in/jeffreyalamb

For internal use only by Jeff Lamb

+Contents

n  Executive Summary – 5 Slides n  The Big Picture: How Transformation Takes Shape n  Population Health: Amped UP! Unleashing Value n  Market Leadership: Disruptors = Opportunities n  Enabling Wellness Action: Faster DataèActionèOutcomes n  Next Steps

n  Expanded Discussion: n  The Big Picture: How Transformation Takes Shape n  Population Health: Amped UP! Unleashing Value

n  Goal: Position wellness services for growth n  Enabling Wellness Action: Faster DataèActionèOutcomes

n  Goal: Automate the wellness data analytics and business intelligence processes to convert information to actions much faster than today

For internal use only by Jeff Lamb

+Executive Summary (1 of 4)!The Big Picture: How Transformation Takes Shape "Premise: Health Care providers face significant change as the industry and regulatory environment shifts to a value-based delivery and payment model. The new business model, enabled by a new way of thinking and delivering services along with breakthroughs in technology represent an opportunity to continue to grow market leadership.

Define the Strategic Objective • Articulate a compelling ‘Why’ – Engage Our Stakeholders • Make sure the objective ties to the enterprise strategy

Put the Customer in the driver’s seat • Identify the customer(s) or customer groups • Create a Customer Journey Map

Score our Gap to get from here to there • Assess Capability Performance • Perform SWOT Analysis

Prioritize investment for greatest impact and opportunity

Rapidly and iteratively deploy people and capabilities to achieve the vision

Measure and make adjustments along the journey

For internal use only by Jeff Lamb

• Cost Control • Profitability

• ….

• Increase Value • Promote Well-being • ….

• Promote Healthy Choices • Increase Productivity • Reduce Cost • ….

• Happiness and Well-Being

• Smart Shoppers • ....

Members Employers

Payers Care Providers

+Executive Summary (2 of 4)!Population Health: Amped Up! Unleashing Value

For internal use only by Jeff Lamb

Behavior Education Access Nudge Manage

Rapidly Transforming Data Into Knowledge-Based Action

Technology | Back Office Administration | Digital Experience Data Privacy | Risk Management | Security | Compliance

•  Measure •  Monitor •  Administer •  Care

Continuum

•  Prescribe •  Incentivize

•  Nutrition •  Alternative

Treatments •  Clinical Care

•  Treatment Options and Outcomes

•  Informed Consumer

•  Coaching •  Guidance •  Mindfulness

+Executive Summary (3 of 4)!Market Leadership: Disruptors = Opportunities

For internal use only by Jeff Lamb

Wellness Coaching & Mindfulness

Virtual Care– Tele-health, Omni-Channel

Nudge: Prescribed lifestyle change

Patient Advocacy and Wellness Promotion

Uber model for health services, virtual partnerships

Homeopathic and alternative treatment

Artificial Intelligence, Genomics

+ Executive Summary (4 of 4)!Enabling Wellness Action: Faster DataèActionèOutcomes "

For internal use only by Jeff Lamb

Project Goals and Business Value

•  Enable business speed and agility to convert population data to intelligence

•  Fully automated system without manual intervention

•  Highly scalable and efficient system to overcome data integrity & organizational issues

•  Achieving in-depth operational reporting

•  Ensure data privacy, HIPPA Compliance

High level business requirements 1  Trigger extract, transformation and loading

of data without human intervention 2  Automate edits to cleanse data to reduce

lead time for reporting 3  Automate the answers to relevant

business questions (population wellness drivers)

4  Convert information to wellness action (campaigns)

5  Accessible by business users 6  Secure data, data privacy

Gather data

Generate Metrics

Apply Decision Algorithm

Generate Actions

Campaign Population Segment

Coach and Monitor

• Cost Control • Profitability

• Fact based pricing and underwriting

• Faster, more targeted services and solutions • Opportunity for greater leverage with Payers

• Better informed to manage costs

• Connect behavior to increased Productivity

• Reduce Cost • EE Happiness

• Proactive recommendations

• Tailored plan for health and wellness

• Confidence • Empowerment

Members Employers

Payers Care Providers

+Next Steps

Step Outcome

Review & Prioritize

Align with vision and goals, set priorities and approach

Stakeholder Communi-cation

Identify other stakeholders; engage and socialize the business value; validate priorities; sync with other enterprise efforts

Formalize Recommend-ation

Based on stakeholder feedback, formalize a recommended approach to achieve the business priorities

Finalize Proposal

Based on recommendation and stakeholder feedback; objectives, phases, actors, time and cost

For internal use only by Jeff Lamb

Track 1: Strategic Track 2: BI Automation

Step Comments

Review & Prioritize

Align with vision and goals, set priorities and approach

Perform Assessment

Perform an assessment of the current state processes and technologies; create the project backlog (gather requirements)

IT Govern-ance

Understand how the approach will fit with IT enterprise architecture and governance requirements

Design & Proposal

Design the high level blueprint for future state fast data analytics and business intelligence; provide an iterative phased plan with objectives, phases, actors, time and cost