Big Bang Health Mission Control Employer Overview 12.10.16

Selected by Employee Benefit Adviser as a “Top 10 Benefit Industry

Trendsetter to Watch in 2016”

Copyright Big Bang Health. All rights reserved.2

Problems with Current Health Plans

Ineffective Health Management

Poor Integration, Coordination and Collaboration

Ineffective Cost Management

Limited Flexibility to Tailor Plan Design

Poor Customer Service


The Solution is…

Big Bang Health is a fully‐integrated, national TPA health plan for self‐fundedemployers, ACOs and Taft‐Hartley organizations. We offer a Mission Controldriven total health care population management solution supported by bigdata analytics, coupled with a full benefits administration suite of servicesencompassing claims administration, Stop Loss Insurance, pricingtransparency, Reference Based Pricing and more.



Core Competency / Competitive Advantage

New disruptive/transformational health care benefits solution

Customer‐centric continuous solutions innovation

Anticipatory, proactive, real‐time responsive adaptation for fulfilling changing customer needs

Flexible / adaptable open source health information technology architecture enables individualized mix‐and‐match / plug‐and‐play plan design and features customization

Powerful new brand that is different from standard health plans


HIGH RISK POPULATION COST DRIVERS 5% of the employer insured population generates 50% of health care costs

(while 15% generates 80% of health care costs) due to ineffective, inefficient, uncoordinated care, and lack of care advocacy.

As much as 20% of that cost is associated with diagnosis errors (~$700,000,000,000 annually).

Probability of those employer insured high‐risk populations receiving latest recommended evidence‐based care — and adhering with evidence‐based recommendations — is a coin‐flip 50%.

Those high‐risk employer insured populations, typically with multiple chronic medical conditions — frequently complicated by a behavioral and/or substance use disorder — with limited knowledge of how health care works — are left to fend for themselves in a sea of providers to select between frequently confusing treatment options.

Presence of behavioral and/or substance use disorder increases probability for all cause hospitalization up to 300%.


A Story of Unmet Needs


Major Barriers for Delivering High Value Health Care

ZERO SUM VALUE EQUATION CONUNDRUM

Average 50% coin‐flip probability of patients receiving latest evidence‐based treatment at point of care1.

Average 50 % coin‐flip probability of patients adhering with recommended care2.

Summing probabilities: 50% x 50% = 25% ROI


Current State

A majority of employers and their

employees are dissatisfied with

currently available, empty promise

health insurance options.


Solution: Mission ControlThe Big Bang Health system-level

transformational solution converts that

lose-lose-lose, current state key player

relationship scenario into a win-win-win

value proposition scenario — through a

carefully selected, best-of-breed

comprehensive, integrated suite of

administrative service only health benefit

services — wrapped in a unique, Mission

Control service envelope, unavailable

through any other health insurance

products.


Desired State

That three‐way, continuous communication process removes barriers to care — repairs broken trust — and restores the inherent lost equity in current state dissatisfied / unresponsive / adversarial key player relationships —transforming them into satisfied / cooperative / collaborative relationships to deliver health care value — defined asmeaningful, measurable, sustainable improvement in health status — delivered at lowest possible cost — with optimal consumer experience.


Mission Control Service Package

Continuous right‐time / right‐place health care decision support

Patient health advocacy and care coordination

Enables collaborative communications between members, providers and employers

Guidance for using Big Bang Health suite of support services

Benefit education


Example Comment From Mission Control Customer

“Thank you so much for taking time on a Sunday to listen to my health concerns

and provide some insight. I have been in good health up until these symptoms

appeared in March, so the process of diagnosis has been overwhelming and at

times frustrating. To be given peace of mind that my doctors so far have made

good decisions, as well as learning some other avenues I could pursue in my

care was priceless. I hope to be back in my running shoes soon and on the road to

good health!

It was nice talking to all of you today. Thank you so much for your expertise and

guidance!”

Emily


The Vision for Big Bang Health –One Offering Connecting All Channels

Members connectto their supplemental

benefits at the touch of a finger

Accessing many content streams from a single platform


Market Size 100+ million covered employees / dependents in self-funded plans and growing.

As Figure 1 shows, 80+% of Large Firms and approx. 15-17% of Small Firms are covered partially or completely by self-funded plans.

Figure 1. Percentage of Covered Workers in Partially or Completely Self‐Funded Plans, by Firm Size, 1999‐2014.



Current Infrastructure

Claims Administration, Health Administration, Technology

Platform, Finance & Regulatory in Place

Physician Network: 500,000 (PHCS)

Pharmacy / PBM: 50,000 locations

Referenced Based Pricing (pre‐authorization) in place

Quality/Price Metrics available for all facilities and providers

Quoting business now Copyright Big Bang Health. All rights reserved.

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Business Model

Best of Breed Strategic Partners / Vendors

Benefit Administration on PEPM basis: Mission Control Claims Administration Network Pharmacy Benefit Management Reference Based Pricing

Full Service Reporting (Financial, Claims, Utilization, ACA)

National Stop Loss Insurance Carriers


Management Chris Fey, Chairman & CEO

Paul E. Risner, President & COO

Jed Goldart, M.D., M.P.H., CEO Mission Control

Despina Walsworth, M.D., Chief Medical Officer

Lev Paukman, M.D., Medical Advisor

Tom Lieven, CPA, Chief Financial Officer


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References

1. Mcglynn EA, Asch SM, Adams J, et al. The Quality of Health Care Delivered to Adults in the United States. New England Journal of Medicine. 2003;348(26):2635‐2645. doi:10.1056/nejmsa022615.

2. Why “Gap in Care” is a Wellness Budget Killer. 2016, July 06. Retrieved from https://www.springbuk.com/why‐gap‐in‐care‐is‐a‐wellness‐budget‐killer/

Figure 1. MacIver Institute. (2016). Percentage of Covered Workers in Partially or Completely Self‐Funded Plans, by Firm Size, 1999‐2014 [Graph].

In Benefits Expert: Self‐Funded Insurance Would Save Millions in Obamacare Taxes. Retrieved from http://www.maciverinstituite.com


Documents

Big Bang Health Mission Control Employer Overview 12.10.16