Retail Healthcare increases complexity of healthcare ecosystem while delivering flexibility to consumer

1. DATE 1 Retail Healthcare is an extension from traditional provider based care to convenient , faster ,reliable and affordable care Convenient , faster, reliable and affordable care Retail Outlets Remote Devices Technology Consumer Products EHR EMR CDHP Cholesterol Monitor Weight Scale HSA Blood-pressure Glucose Meter Health 2.0 HCA + + + FSA Thermo-meter Pulse Oximeter Individual Products PHR Retail Clinics Implant Monitors = Retail Healthcare

3. Increased complexity in providing integrated care history, as care is delivered through multiple outlets

5. Lack of control over these devices creates challenges in managing and providing timely care

6. Payer governance over devices will be challenging

8. Difficulty in providing consolidated view of consumer care and profile increases with too many information sources

9. Creates too many channels for consumer to interact with plan/provider; increasing investments required to maintain interactions across channels

11. Increases product administration costs and servicing costs as the processes have to be customized

12. Increases need for constant innovation in product developmentConsumer Products

13. DATE 3 Government regulations and reforms will influence the way healthcare ecosystem has been working Payers: Expansion in access to coverage Health insurance Exchanges Consumers Requirement to have coverage Tax credits Employers Requirement to offer coverage Tax credits

14. DATE 4 National Plans/HIEs have unique opportunity to influence the market place by bringing synergies across plans Knowledge repository Educate plans on addressing quality of care concerns with retail clinics Provide ready to use educational materials on opportunities for retail clinics leverage Provide guidance on partnerships for health and wellness information Technology Provide tools and platform for providing integrated consumer care history Provide services for care coverage, provider coverage and cost of care Provide advisory services for improving direct to consumer sales leveraging web channel Innovation Leveraging analytics power institutions can provide guidance on custom product design Product design and innovation concepts across plans can be facilitated by HIEs Establish benchmark metrics for distribution channel usage for sales and service