Houston s Accountable Care Plan

Houston s Accountable Care Plan

KelseyCare. The only Houston-area health plan whose core network is based on the nation s first NCQAaccredited Accountable Care Organization (ACO). KelseyCare consistently delivers higher quality at a lower total medical cost.* kelseycare.com * Source: AON Hewitt, 2004, 2005, 2007, 2008, 2009, 2010 and 2011. For the most current information go to kelseycare.com 1

What Our Clients Say About KelseyCare What sets KelseyCare apart is the fact that it is an efficient and unique delivery model. St. Luke s plans are running better and are less expensive, when compared to other peer (hospital) industry groups. St. Luke s cost performance is less than the 50th percentile when compared to these groups. We ve been able to achieve that because of the KelseyCare plan. Drew Brown Administrative Director, Human Resources St. Luke s Episcopal Health System MCFA has offered KelseyCare health insurance as an option since 2010. The convenience of this plan is a big deal for our employees. And we know they re getting quality healthcare from quality doctors. With the KelseyCare health plan, we ve experienced high employee satisfaction and lower costs. That s a true win-win. Jesse Welsh Human Resources Manager Mitsubishi Caterpillar Forklift America 2 For the most current information go to kelseycare.com

KelseyCare Conveniences and Quality Make Our Members Smile When you choose KelseyCare, you select Kelsey-Seybold doctors to coordinate your healthcare. S ee the Kelsey-Seybold physician you want with no referral required 70 Kelsey-Seybold physicians at 21 Houston-area locations. elsey physicians partner with 1,800 medical specialists and premier hospitals including St. Luke s Episcopal Hospital K Texas Medical Center, Sugar Land and The Woodlands; Texas Children s Hospital; the Texas Heart Institute; Methodist Sugar Land and Willowbrook; and Clear Lake Regional Medical Center. ancer care is delivered by Kelsey-Seybold s nationally recognized Cancer Center in coordination with St. Luke s Cancer C Center. MD Anderson Cancer Center is available as part of the affiliate referral network for complex cancer cases. Members have total access to all 21 locations and physicians no referral is ever needed. Saturday visits for ill or injured patients at four locations from 9 a.m. to 2 p.m. 24-hour appointment scheduling and After-Hours Kelsey Nurse Hotline, with on-call physicians. Secure e-mail messaging with your physician. Onsite lab and X-ray at all locations with all testing included in the co-pay. Outpatient Ambulatory Surgery Center and Endoscopy services. Personal Concierge exclusively for KelseyCare members. For the most current information go to kelseycare.com

The difference Between the KelseyCare Plan and Large PPO Plans Including Kelsey-Seybold Physicians KelseyCare s Integrated Delivery Model vs. Proactive outreach and monitoring of KelseyCare member s preventive care. Kelsey-Seybold Physicians Listed In Network Advanced Clinical Initiatives (ACI): Integrated Disease Management (DM) and Case Management (CM) delivered by KelseyCare DM/CM Nurses who are part of the KelseyCare medical team. Full integration of electronic medical records and Best Practice alerts to all Primary Care, Specialist and Hospitalist Physicians. KelseyCare Hospitalist physicians actively manage hospital care and discharge planning at the bedside.. KelseyCare members receive triple benefit: Patient-Centered Medical Home + Integrated Disease/Case Management + Integrated RxQI Initiative + Integrated Hospitalist Program. Active monitoring of Rx generics and Therapeutic opportunities through the KelseyCare RxQI initiative. The KelseyCare Integrated Delivery Model provides quality, evidence-based medical care and consistently scores higher on enrollee satisfaction.* It is the same model of care used by the prestigious Mayo Clinic and Cleveland Clinic. *Source: Consumer Assessment of Healthcare Providers and Systems Survey, 2005, 2006, 2007 and 2010. 4 For the most current information go to kelseycare.com

The AON Hewitt Health Value Initiative 2011 According to a leading benchmark study performed by the AON Hewitt Health Value Initiative a cost and performance analysis database of more than 1,800 health plans throughout the United States KelseyCare s health benefits plan has a track record of being rated the most financially efficient * in overall medical costs compared to all benefits plans in the greater Houston market. Texas Houston Market Profile KelseyCare s health benefits plan is the most financially efficient. * *Source: AON Hewitt Associates Health Value Initiative National Benchmarking Survey, 2004, 2005, 2007, 2008, 2009, 2010, and 2011. + The Strategy: Plan Design and Pricing KelseyCare Advanced Clinical Initiatives and Coordinated 'Accountable Care' Delivery Model The Results: Lower total medical costs, higher quality outcomes and highly satisfied enrolles. For the most current information go to kelseycare.com 5

Coordinated accountable care saves lives and shrinks healthcare costs. Thank God, Sam came into my life. Hilaria Medrano says that KelseyCare Disease Management Nurse Sam Samaniego, R.N., made the difference in my life. Today, Hilaria is successfully managing her diabetes with Sam s continued intervention, her doctor s support, and real time feedback using the Kelsey-Seybold Electronic Medical Record. The KelseyCare Accountable Care Model connects members with KelseyCare physicians and the KelseyCare Integrated Delivery System where we specialize in the prevention, early identification, and ongoing intervention of disease. We dramatically alter care outcomes because we are so focused and connected in our approach to patient care best practices and integrated disease and case management. Our health plan model is highly effective in the ongoing treatment of chronically ill and medically complex plan members who drive the greatest costs. We improve the delivery of healthcare through highly-effective clinical processes that are proven to deliver results in quality and cost savings. These clinical processes include a coordinated, accountable delivery system based on the nation s first NCQA-Accredited Accountable Care Organization --along with integrated disease management, case management, and onsite hospitalist physicians who meet our patients at the hospital bedside. No other health plan offers this delivery system and these outcomes. 6 For the most current information go to kelseycare.com

Recognized as the nation s first accredited Accountable Care Organization by the National Committee for Quality Assurance (NCQA) Kelsey-Seybold Clinic has been named the nation's first Accredited Accountable Care Organization by the prestigious National Committee for Quality Assurance (NCQA). R E C O G N I T I O N Recognized for excellence in diabetes care, heart and stroke care and back care by the NCQA Highest Honors by the Accreditation Association for Ambulatory Health Care (AAAHC) The nation s first freestanding Cancer Program approved with multiple commendations by the American College of Surgeons Commission on Cancer Cholesterol Management Program Nationally recognized by the American Society of Gastrointestinal Endoscopy for Superior Quality and Safety Kelsey-Seybold Clinic. Known for Quality. Nationally Recognized for Excellence. Named a National Model of Excellence in Cholesterol Management (American Medical Group Association) Recognized for Excellence in Breast Health (National Consortium of Breast Centers, Inc.) For a complete list of awards and distinctions, visit kelsey-seybold.com. For the most current information go to kelseycare.com 7

21 Convenient Locations Close to Home and Work Open access to all locations, Kelsey-Seybold Clinic specialists and primary care physicians with no referral required. Cinco Ranch 2000 Highland Knolls Dr. Katy, Texas 77494 71-442-4200 Clear Lake Clinic 80 Gemini St. Houston, Texas 77058 71-442-4500 Hardy Toll Rd. Clear Lake Medical Center 17448 Highway Webster, Texas 77598 71-442-400 Cypress Clinic 1114 FM 1960 West Suite 200 Houston, Texas 77065 71-442-4000 Downtown at The Shops 1200 McKinney St., Suite 47 Houston, Texas 77010 71-442-4700 Westpark Tollway Meyerland Sleep Center 5 146 Fort Bend Medical and Diagnostic Center 11555 University Blvd. Sugar Land, Texas 77478 71-442-9100 Humble Clinic 8484 Will Clayton Pkwy. Humble, Texas 778 71-442-2000 Katy Clinic 21660 Kingsland Blvd. Katy, Texas 77450 71-442-4100 Kingwood Clinic 2755 W. Lake Houston Pkwy. Kingwood, Texas 779 71-442-2100 Main Campus 2727 W. Holcombe Blvd. Houston, Texas 77025 71-442-0000 Meyerland Plaza Clinic 560 Meyerland Plaza Houston, Texas 77025 71-442-222 Pasadena Clinic 508 E. Pasadena Frwy. Pasadena, Texas 7750 71-442-7100 Shadow Creek Ranch 10970 Shadow Creek Pkwy. Pearland, Texas 77584 71-442-7200 Silverlake Clinic 940 Broadway St., Suite 120 Pearland, Texas 77584 71-442-7400 Sleep Center 900 Essex, Suite 500 Houston, Texas 77027 71-442-8700 8 For the most current information go to kelseycare.com Ambulatory Surgery Center at this location Kelsey-Seybold Clinic Sleep Center Spring Medical and Diagnostic Center 15665 Cypress Woods Medical Drive, Suite 100 Houston, Texas 77014 71-442-1700 St. Luke s Medical Tower Clinic 6624 Fannin St. Houston, Texas 7700 71-442-0000 The Vintage 10701 Vintage Preserve Pkwy. Houston, Texas 77070 71-442-1500 The Woodlands Clinic Medical Arts Center II 1750 St. Luke s Way, Suites 175 and 200 Broadway St. / FM 518 Nasa Rd. 1 (Pharmacy, Suite 150) The Woodlands, Texas 7784 71-442-1800 The Woodlands OB/GYN Clinic 17198 St. Luke s Way, Suite 540 The Woodlands, Texas 7784 71-442-1900 West Clinic (Galleria-area) 1111 Augusta Drive Houston, Texas 77057 71-442-2400 Woman s Center 7900 Fannin St., Suite 2100 Houston, Texas 77054 71-442-700

kelseycare.com 71-442-0067