www.emc4me.com

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DPC: HOW IT WORKS

$35 monthly membership fee plus $25 in person or virtual visits

Membership vs FFS: Providers focus on value Labs, Radiology, Cardiac testing all heavily discounted

(50-85%) Medication prices dramatically lowered through Rx

advocacy Published procedure price list substantially below Blue

Book Multi-portal, near instant access: Text, email, phone,

virtual, in-person, walk-in or scheduled

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How We Save Employers

Providers aligned with employers/brokers and patients to keep expenses minimized

Providers help patients find least expensive medications

Providers help avoid unnecessary procedures and referrals

Increased Primary Care access dramatically lowers healthcare expense

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Savings through Reduced Waste

IOM 2012 report estimated 30% of health spending was unnecessary ($750B)

Categories of Waste DPC Addresses Failures of care delivery Failures of care coordination Overtreatment Administrative Complexity

""Health Policy Brief: Reducing Waste in Health Care," Health Affairs, December 13, 2012.http://www.healthaffairs.org/healthpolicybriefs/

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Evolve & Health Insurance

Vertical integration with current health plan Improves rating methodology Medical carrier file

Evolve can provide hypothetical savings based on industry standards

Evolve will provide actual savings based on previous year as benchmark Reporting will be provided quarterly (Hint.com) Cancel membership at anytime

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Direct Primary Care: Utilization

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Direct Primary Care: Savings

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Potential Savings Mechanisms: Premiums

Higher deductibles (up to $12,000) permitted by ACA Higher deductible without excessive out-of-pocket

cost Decreased through-insurance spend reduces future

premium (Rating methodology improved dramatically)

Allows for increase of co-pay to ER, Urgent, etc Facilitates corporate self-insurance Insurance industry accounts for 40% of premium

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5 smart ways small firms can slash health-care costs

Jan 8, 2015

"Direct primary care, coupled with a high-deductible health insurance plan, can oftentimes be an outstanding and relatively affordable solution…When direct primary care is combined with a high-deductible plan, it can often save 12 percent to 15 percent over what a firm would spend for traditional health insurance.*

#5

*http://www.cnbc.com/id/102306190

Heritage Foundation Study on DPC

• DPC fixes problems with third-party payment, paperwork, and government bureaucracy.

• Data shows excellent outcomes, reduced costs.

• Policymakers should create less restrictive regulations for DPC:

… Reform the tax code to allow DPC payments through HSAs

• DPC encourages innovation and competition unlike the dysfunctional status quo

• Growing Model: Roughly 4,400 DPC physicians in 2012 up from 756 in 2010 and a mere 146 in 2005

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CDC: Employer Benefits Beyond Savings

Lower health care and disability costs Enhanced employee productivity Reduced employee absenteeism Decreased rates of illness and injuries Enhanced corporate image Improved employee morale Improved employee recruitment and

retentionSource: http://www.cdc.gov/workplacehealthpromotion/businesscase/benefits/

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CDC: Employee Benefits

Increased well-being, self-image, and self-esteem Improved coping skills with stress or other factors

affecting health Improved health status Lower costs for acute health issues Lower out of pocket costs for health care services Increased access to health promotion resources and

social support Improved job satisfaction Safer and more supportive work environment

Source: http://www.cdc.gov/workplacehealthpromotion/businesscase/benefits/

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Capacity: Staffing & Facility

1 MD and 2 Nurse Practitioners Each provider manages 1,000-1,500 lives (50%

industry standard) Team-based approach 30 minute visits

Facility Large, spacious reception 7 Exam rooms 3 Virtual stations Virtual drive-thru

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Summary

Increased access: 85% of employee needs (primary & urgent care) Employees view as a substantial perk

(retention/recruitment tool) Extended hours and weekends Virtual or in-person; text/email/call

Lower premiums Raise deductible as high as $12k Free urgent care membership for children of employees

ages 6-25 Free annual well exams

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Awards

Anne Arundel County Chamber of Commerce Entrepreneur of the Year, 2015

Baltimore Business Journal Healthcare Innovator, 2015

Chesapeake Family Favorite Docs, 2015 Capital Reader’s Choice Top Docs, 2015 All 5 Star Reviews: Google, Yelp, Facebook

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Founder and CEO

Board Certified Internist; 17+ yrs practice Member of National Direct Primary Care Steering

Committee Extensive executive committee background at

AAMC Experience in developing and managing large

multi-specialty clinics Comprehensive management experience in high

volume primary and urgent care settings

www.evolvemedicalclinics.com

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