“Concierge Medicine for Everyone”

with

Technology Enhanced Primary Care

Providers.

• Affordable

• Best value proposition in the marketplace

• Priority Access to Network Providers• Primary Care

• Specialists

• Direct Primary Care (DPC) Component

• “Concierge Medicine for Everyone”

• Encourages relationship with PCP

• Lessens dependence on Emergency Departments and Urgent Care Centers

• Encourages most cost efficient mode of delivery

• Enhanced outpatient surgery at network centers• Including Spine and Total Joint

• Low/no deductible outpatient services

• Surgery, procedures, testing and imaging

• Transparent pricing

• Bundled procedures

• Aligns financial incentives

Priority Access Health Plan Features

Addresses Major Faults of Current Offerings

Comprehensive Direct Primary Care:(with no deductible or copay)

• Unlimited Technology Enhanced Primary Care (TEPC)• 24/7/365 access to your PCP (or coverage team)

• via text, voice or video w/ 1 hour target response time

• Unlimited Priority Access Clinic Visits (w/in 24 hours or 1 business day)• Priority Unlimited Plan

• Unlimited priority access clinic visits with mid level provider

• Priority Unlimited Plus+MD

• Unlimited priority access clinic visits with primary care physician

• Personalized health plans and wellness coaching

• Health risk assessments and Biometrics

• Chronic disease management• Diabetes, hypertension, basic mental health, etc.

• Preventive care

• Hospital care coordination

• Annual physical exams• Wellness, work, school and sports

• Well checks for infants and children • only available for pediatricians and family practice physicians

Direct Primary Care: Plan Options

Silver Gold

PPPM $55($44/net)

$75($64/net)

Overview Unlimited visits with a mid-level

provider

Unlimited visits with your physician

Clinic VisitsWithin 24 Hours

Included Included

Annual Wellness Check-up

Included with Mid-level

Included with

PCP

Major Medical Plan Design Snapshot

• Traditional co-pay plans

• for all non-primary care

• Employer determined deductibles and copays

• Comprehensive medical coverage• Hospitalization

• Surgery

• Diagnostic Testing

• Emergency room and urgent care

• NueHealth Missouri IPN physicians & facilities are Tier 1 providers

• Out of network coverage available for• Providers not a member of the NMIPN

• Out of area

• Services not available in network

• Paid at “reference based pricing”

• Priority access to NueHealth Missouri specialists• Clinic visits within 1 week if referred by PCP

• Normal deductibles and copays apply

• COBRA or Missouri Continuance administration included

Major Medical Plan Design Snapshot

• Targeting groups with 2 to 200 employees

• NHIPN as Tier 1 network options

• Experience Underwritten

• Defined and contained risk:

• maximum exposure and cost set upfront

• One predictable monthly payment

• Stabilized cash flow:

• maximum claims liability funded over 12 months

• Aggregate stop loss protection

• for higher than expected claims

• Extraordinary plan design flexibility

• Great rates for low risk groups:

• savings can exceed 30%

• Not subject to

• adjusted community rating or

• state mandated benefits

• Flexible minimum participation rules

• 2 enrolled employee minimum

• Potential for refund in favorable claims years

• COBRA or Missouri Continuance administration included

Level Funded Highlights

Serving mid-Missouri since 1921

• Only 5-star CMS rated hospital outside of St. Louis and Kanas City

• #1 rated hospital in mid-Missouri by U.S. News & World Report, 2015-2018

• Level I Stroke Center

• Level I STEMI Center

• 3-time Magnet®

designated for nursing excellence

About Facility Partner

More than 20+ years of experience.

• Family owned and operated in Kansas City

• Extensive experience with Direct Primary Care• Actually license their small group underwriting software to other TPAs

• Major emphasis on smaller employers 2-100

• Perform their own underwriting

• Fully integrated Claims Administration

• Serving employers across the United States

• Licensed presently in 20 states

About TPA Level Funded Partner

• Dedicated medical staff of 16 full time staff medical professionals under a medical director

• Integrated DPC medical support for managing chronic and complex conditions

• Patient-centered – work with DPC to steer to right specialists and providers to avoid unnecessary procedures and costs

• Integrated, managed care model

About Self Insured TPA Partner

HealthEZ Care Management and DPC Medical Support

• Contracts with local, regional and national networks throughout the US

• Custom and tiered networks available

• Custom networks include other specialists and providers in a tiered plan design

• 3 PBM partnerships – ranging from large traditional pricing to transparent and no rebate models with custom formularies

• Full network contracting team to establish custom network as required

Health Network Management

About Self Insured TPA Partner

• Full-Service Underwriting Department – power of the pen with Gerber, Standard Life & Accident

• Stop loss marketing with 30 global A-rated carriers –unbundled independent approach

• Max of 60% auto-adjudication

• Hands-on approach; review of claims $5000 +

• Negotiate in and out of network claims with sign-off by provider – no balance billing

Risk Management

About Self Insured TPA Partner

Provide Employer Census Data with individual Patient Health

Questionnaires along with the current Plan Summary

NueHealth Master General Agencyprepares the quote and rates

The offer is sent back to the employer (or broker if desired)

If the group accepts the offer provided by NMGA, enrollment is sent to

underwriter for the final approval

PriorityAccessHealth.com

Simple Quote Process

with

Technology Enhanced Primary Care

“Concierge Medicine for Everyone”