Chronic Care Management

2

Practice Profile

• Practice has 5+ Providers- In order to meet enrollment targets of 50+ patients/week at least 2,500 Medicare FFS lives are needed. Even if an office has 2,500+ lives, but fewer than 5 providers, they do not see enough patients to meet the enrollment target.

• Practice has a Leading EHR- Allscripts Athena Cerner eClinical Works

e-MDs Epic GE Centricity Greenway

McKesson NextGen Practice Fusion

• Practice is located in a major U.S. city within an hour drive from an airport served by a major carrier

3

Company Evolution

MD Revolution is a transformational digital health company focused on converging technology and the latest medical science for chronic disease care and prevention

4

RevUp Overview

RevUp is a digital health services platform for population health management

Care Team Model

Technology platform that scales human

interaction

Engagement

Motivates individuals to undertake sustained

behavior change

Chronic Care & Prevention

Outcomes-focused disease management

5

Paving the Way for Value-Based Healthcare

6

Clinical Algorithms Segment the Population Enabling Personalized Care at Scale

Message Repository  

Large patient population 450+ chronic diseases and comorbidities

Algorithms sort the population by: •  Provider care plan •  Patient goals •  Clinical data •  Lifestyle and habits

Personalized coaching is provided by care teams using secure rule-based messaging

7

REVERSAL OF DISEASES AFTER 90 DAYS OF RevUp

1.4% BODY FAT LOST Better metric than weight loss3

1.6% WEIGHT REDUCTION

4% VISCERAL FAT LOST Reduces blood pressure, cholesterol and improves insulin sensitivity1

10% VO2 IMPROVEMENT VO2 = cardiorespiratory fitness2

CLINICAL OUTCOMES & IMPROVEMENT

*2 or more chronic conditions including morbidly obese, diabetic, hypertensive 1. “Abdominal fat and what to do about it’, Harvard Medical School Family Health Guide; February 2007. 2. “Long-Term Effects of Changes in Cardiovascular Fitness and Body Mass Index on All-Cause and Cardiovascular

Disease in Men”; Circulation, 124:2483-2490, 2011. 3. Science Magazine, The Health Risk of Obesity – Better Metrics Imperative, 2013.

After three months, 125 high risk* users with 2+ chronic conditions

REDUCTION OF EMPLOYEES WITH HYPERTENSIVE BLOOD PRESSURE

REDUCTION OF EMPLOYEES WITH UNCONTROLLED DIABETES

30%

20%

CONTINUOUS USER ENGAGEMENT

71% OF PARTICIPANTS REMAINED ACTIVE ON THE PLATFORM SIX MONTHS AFTER PROGRAM HAD BEEN COMPLETED

RevUp Drives Results: Case Study

8

Personal Dashboard — RevUp Nurse

9

Two-way Messaging

10

Non-Internet Option Still Fulfills 20min. Requirement

•  Personalized educational packets •  Conference calls and webinars •  Interactions digitized upon receipt

11

MDR’s Proven End-to-End CCM Solution 

Key Differentiators •  Digital platform that scales human interactions and care team

•  Real time analytics on growing database supports personalized engagement

•  Lowest cost platform for broad chronic care management enables CCM business for physicians

Pa#ent  Enrollment  

Care  Plan  Crea#on  

Billing  Automa#on  

Mul#ple  Modali#es  

Clinically  Relevant  Messaging  

Full  service,  end-­‐to-­‐end  solu#on  minimizes  fixed  costs  and  disrup#on  to  the  provider  and  office’s  workflow  

12

CCM Potential Competitors

SaaS Competitors •  Largely care coordination

•  Machine learning capabilities to personalize messaging is lacking

•  Analog delivery, high cost model

•  Extremely difficult to scale

Technology-only Model •  Physician “do-it-yourself” model

•  Does not provide the necessary monthly requirement of 20 min. of non face-to-face messaging

•  Low physician adoption given existing lack of adequate staffing

•  Does not scale CCM for the practice

Examples include

CareCliques, Citra, CircleLink Health, EQ Health Solutions, CareSync

Examples include

SmartLink, TAVHealth, HealthFusion, Phytel, Kryptiq, Wellcentive, Conversa Health, QualcommLife

All  informa+on  derived  from  company’s  website  

13

CCM Competitive Landscape

So8ware  as  a  Service  

Care  Coordina+on  

Clinically  Relevant  Messaging    &  Care  Coordina+on  

So8ware  

Pa#ent  Engagement  

Sta#c  Informa#on  

CONVERSA  HEALTH  

CRIMSON  CARE  MGMT  

PHYTEL   KRYPTIQ  

MYCARECOACH  

CARESYNC  

QUALCOMMLIFE  

CARADIGM  

CARECLIQUES  

EQ  HEALTH  

CIRCLELINK  

SMARTLINK  

THOUGHTSWIFT  

CITRA  

WELLCENTIVE  

TAVHEALTH  

HEALTHFUSION  

All  informa+on  derived  from  company’s  website  

14

Competitive Landscape

CCM  So8ware  

CCM  Services    

Scalable  Service  

Pa+ent  Enrollment  Assistance    

Care  Plan  Crea+on  

Clinically  Relevant  Messaging  

Mul+ple  Delivery  Modali+es    

Evidence  of    Care  

Billing  Automa+on  

MD  Revolu#on   X   X   X   X   X   X   X   X   X  

Care  Cliques   X   O   X   X   O   X   X  

Care  Sync   X   X   X   X   X  

CircleLink  Health   X   X   X  

Citra   X   X   X  

EQHealth   X   O   X   O    O   X  

TAVHealth  

Kryp+q   X   S   S   S   S  

HealthFusion   X   S   S   S  

S*  -­‐  So8ware  Solu+on(client  must  provider  resource  to  deliver  services)                O*  -­‐  Op+onal  Services              A*  -­‐  Automated  Service    

15

Practice Within a Practice

Dedicated Enrollement Specialist (ES) drives patient enrollment so the practice can focus on what they do best

Train staff Enroll patients Develop care plan MDR liaison

Enrollment Specialist (ES)

Practice Staff Enrollment Specialist for CCM

16

Implementation Schedule

Sales Handoff Plan & Design Integrate IT & Train Ongoing

Support

Client Details Form •  Sales Rep completes CDF

and collects required items regarding: •  Provider Details

•  Patient List(s)

•  Software / IT Details

•  Marketing &

Communication

Client Project Scoped •  Implementation Manager (IM) and

RevUp IT team draft Work Plan.

Kickoff Call •  IM reviews Scoping Plan and next

steps with Client.

IT Call •  Determine secure connectivity

options, integration approach and roles.

•  Gain appropriate access to EHR.

Enrollment Specialist (ES) •  Begin sourcing onsite resource for

enrolling CCM eligible patients.

Marketing Collateral •  Promotional, educational, and

program enrollment materials provided to Client.

CCD Exchange & EHR Integration •  RevUp and EHR integration build.

ES Orientation •  RES trained to act as onsite practice

champion for CCM service.

Practice Training •  Office manager and staff trained on

CCM workflows and service.

Enrollment Start •  Begin educating

patients and enrolling them in CCM program.

Patient Engagement & Management •  Begin delivering care.

Reporting & Billing Documentation •  Clinical data updates. •  Evidence of care

provided for billing at end of each month.

Appendix

18

CCM Economic Model Variables

MDR (PROACTIVE)

Number of Patients 1,000

CCM Revenue ($42.00 patient mo.) $504,000

Practice Clinical Team (Service + Documentation) $0

Technology/CCM Module Cost ($4 patient mo.) $0

Practice & Management Overhead - 25% $0

MD Revolution Engagement ($19.00 patient mo.) $228,000

Total Cost $228,000

Net Income $276,000  

19

MDR (PROACTIVE)

Number of Patients 1,000

CCM Revenue ($42 patient mo.) $504,000

Practice Clinical Team (Service + Documentation) $0

Technology/CCM Module Cost ($4 patient mo.) $0

Practice & Management Overhead - 25% $0

MD Revolution Engagement ($19 patient mo.) $228,000

Total Cost $228,000

Net Income

CCM Economic Model Variables

DO IT YOURSELF DO IT YOURSELF (REACTIVE) (PROACTIVE)

200

$100,800

$50,000

$9,600

$14,900

$0

$74,500

$276,000   $26,300  

20

MDR (PROACTIVE)

Number of Patients 1,000

CCM Revenue ($42 patient mo.) $504,000

Practice Clinical Team (Service + Documentation) $0

Technology/CCM Module Cost ($4 patient mo.) $0

Practice & Management Overhead - 25% $0

MD Revolution Engagement ($19 patient mo.) $228,000

Total Cost $228,000

Net Income

CCM Economic Model Variables

DO IT YOURSELF DO IT YOURSELF (REACTIVE) (PROACTIVE)

200 1,000

$100,800 $504,000

$50,000 $250,000

$9,600 $48,000

$14,900 $74,500

$0 $0

$74,500 $372,500

$276,000   $26,300   $131,500  

21

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22

Partner with Confidence

“Based  on  a  reasonable  reading  of  the  CCM  documents  and  CMS  commentary  and  rules…MD  Revolu#on’s  CCM  services,  including  its  RevUp  online  plaDorm,  as  set  forth  in  the  CCM  document,  comply  with  the  billing  requirements  for  the  

CCM  Code.”                        Opinion  conclusion  -­‐  12/11/14  

•  Clinically  validated  and  implemented    

•  Follows  recommended  approaches  from  American  College  of  

Physicians  (ACP) •  Endorsed  by  Strategic  Healthcare,  D.C.-­‐based  consul+ng  prac+ce  

on  healthcare  policy  and  government  regula+ons  

•  Legal  opinion  from  Tier  1,  interna+onally  recognized  law  firm,  

Jones  Day    

•  PC  magazine  (Feb.  11,  2015)  named  RevUp  1  of  the  10  apps  

changing  healthcare  

23

Integration Summary

Interface Bill