This document discusses the rise of urgent care and primary care physician (PCP) services, and the hidden battle for control occurring in this market. It notes that payers are increasingly focused on identifying and reducing "low-value care" that does not improve outcomes, in order to lower costs. Using government benchmark data and analytics tools, payers and risk-bearing organizations aim to determine which providers offer high or low value care, and establish networks focused on high-value providers. Reducing low-value services can significantly reduce total medical spending.

1. All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS:
The Unexpected Rise of
PCP & Urgent Care
and The Hidden Battle for Control

2. 2
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Disclaimers
This presentation has a lot in it and we’ll go quickly;
it’s available for you to look at in detail later:
cf. Merchant Med or email info@RowdMap.com
Also see the Merchant Med report @ http://bit.ly/2fMtWvr
Note: If you have an NPI – you are being viewed by
risk-owners, competitors and provider partners.
Your hidden value is being captured in every major market;
You can calculate it, capture it, and control it…

3. 3
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

4. 4
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

5. 5
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Why Listen?
Leading the way…
US CTO on
RowdMap:
“Visionary
Genius”
…in the shift from fee-for-
service to pay-for-value.
As featured in…

6. 6
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Why Listen?
Health plans and providers in 48 states and the
District of Columbia use RowdMap’s benchmarks to
reduce the delivery of low-value care.
RowdMap’s benchmarks comprehensively describe the $850
billion the nation spends on care that leads to no better
outcomes.
The clients RowdMap serves collectively cover the
lives of more than 100 million Americans.
RowdMap was founded in 2011 and has offices in
Louisville, KY and Portland, ME.
Payers in Marketplace/Exchange, MA, Medicaid,
Commercial/Group and Government Programs
Providers including PCP & Specialty Groups, CINs & Systems,
ACOs, Bundles & other CMMI Program Participants

7. 7
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Why Listen?
Melanie Rosenthal – Chief Executive Officer
Co-Founder & CEO @ Sprigley [acquired by Eliza Corporation, 2008]; VP of Product Ops @ Eliza
[Majority Equity Investment Parthenon Capital, 2011]; Health Dialog, Yale, Human Genome Project, Tufte, Solstice Capital
Henriette Coetzer, MD – Chief Clinical Risk Officer
Clinical Transformation, NHS (National Health Service, United Kingdom); Global Medical Director, Towers Watson; Senior Medical
Director and Clinical Analytics, BUPA and Health Dialog; Product Development, Healthways; Practicing Physician; Patent Holder
Joshua Rosenthal, PhD – Chief Scientific Officer
Co-Founder & CSO @ Sprigley [acquired by Eliza Corporation, 2008]; VP of Product Ops @ Eliza
[Majority Equity Investment Parthenon Capital, 2011], Fulbright, Sorbonne (Applied Institute for Advanced Studies),
HHS/CMS/ONC/NCHVS Public Adviser and HCTTF Speaker/Guest Lecturer @ Harvard, Hopkins, MIT , SXSW, HDI, RWJ, AF4Q, NPR
Burak Sezen – Chief Information Officer
Co-Founder & CTO @ Sprigley [acquired by Eliza Corporation, 2008]; Platform Architect @ Eliza [Majority Equity
Investment Parthenon Capital, 2011], Health Dialog, Pricewaterhouse Coopers; Ernst & Young; Standards Committees
Kimberly Spalding, CPA – Chief Financial Officer
Co-Founder Tech Republic [acquired by CNET, 2001]; Co-founder & CFO Narrowcast
[acquired by QuinStreet, 2011]; Ernst & Young’s Entrepreneurial Services
Marshall Votta – Chief Market Officer
Advisory Board @RowdMap; SVP @ Leverage Health; VP, Network Development @ NaviNet; Healthspottr; Congressional
Campaign & Finance Manager; Health Care Transformation Task Force; MIT, Providence College; Ben & Jerry’s Ice Cream
Ashley Distler & Bryant Hutson – VPs Provider Strategy, Payer Strategy
Cornell, Xavier; Cincinnati Children’s Hospital, Optimity Advisors, Presence Health; Skydiver, Travel Connoisseur
Industry Leading
Advisory Board
David
Wennberg, MD
Kyle
Rolfing
Abir
Sen
Dave
Dickey

8. 8
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Why Listen?
CMS: 50% of FFS will
be gone by 2018
What if you knew which
providers would
drive your success?
What if you knew which
providers would sink you? WHAT WOULD YOU DO IF YOU KNEW
who will win and who will lose in
value-based arrangements?

9. 9
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

10. 10
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Economic pressures, political changes, and shifting socio-demographic
trends will continue to constrain per-member reimbursement.
Managing network expenditures represents the only consistent
opportunity across all lines of business and payment/delivery models.
RHIOs
PCMH
RomneyCare
HITECH
ACA
MACRA
MIPS
What’s
next…
High-Value Network
Focus on providers who manage unwarranted variation and
reduce the delivery of low-value care. This network foundation
can support all innovation opportunities and regulatory
changes while withstanding competitive threats.

11. 11
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Who will move beyond demand-driven risk management and
address the real opportunity: eliminating low-value care?
Currently, thirty cents of every U.S. healthcare dollar goes to low-value care. Reducing that low-value
care reduces the cost of ownership of your network. There is a tangible economic impact that can
either be kept, or reinvested in payment to high-value providers or benefit to members.
Benefit-Driven
Risk Management v2
Profitability driven by
designing benefits and pricing
products to reduce demand.
Supply-Driven
Risk Management v3
Profitability driven by
identifying and reducing waste
from low-value care
Member-Driven
Risk Management v1
Profitability driven by choosing
which members could buy
which products.
Health plans have increasingly fewer options to manage risk given
guaranteed issue and standardized benefit designs.
Individual underwriting
decreased or eliminated.
Less flexibility in benefit
decreased or eliminated.
Demand-Driven

12. 12
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
The economic driver for pay-for-value programs is the ability of a government program or
marketplace arrangement to not only achieve Triple Aim goals but to also mitigate Low-Value
services, which account for thirty cents of every dollar spent on the delivery of care.
Over $9B in
Orange County, CA
$850 Billion Unnecessary Spend in 2014
(Institute of Medicine “Best Care at Lower Cost”)
Low-Value
Care (30%)
Necessary Utilization
(70%)
“It’s generally agreed that about
30 percent of what we spend on
healthcare is unnecessary. If we
eliminate the unneeded care, there
are more than enough resources in
our system to cover everybody.”
-Dr. Elliott Fisher,
Dartmouth Institute for
Health Policy
“Bigger than higher prices,
administrative expenses, and
fraud, however, was the amount
spent on unnecessary healthcare
services.” In just a single year,
up to 42% of patients receive
“Low-Value” Care.
- Dr. Atul Gawande, Harvard
University

13. 13
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Risk-Readiness® benchmarks helps physician groups, and hospital systems
identify and quantify Risky Revenue and protect and diversify it —
a central tenet of surviving evolving economic pressures.
RowdMap has low-value care and
population health benchmarks for…
every physician,
every hospital,
every zip code
…in the United States.
Identify risky revenue and exactly how it is vulnerable
Use gov benchmark data to defend and protect revenue in current economic models
Form a plan to diversify vulnerable revenue with specific tactics
Form a plan capture value you are currently leaving on the table in current models
Risk-Owners are working to reduce identify vulnerable revenue, and:

14. 14
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Medicare DocGraph
Referral file
(Patient flows between
PCPS, specialists, hospitals
and post acute centers)
Dartmouth Atlas of Health Care &
Choosing Wisely
(Decades of research and data on
unwarranted variation by condition
and geography to keep things
apples-to-apples for comparisons)
CMS FFS Data Sets, CDC Data Sets
(MEDPAR, Part B, Part D, BRFSS)
(Individual providers, groups,
hospitals and post acute centers)
Provider Pattern Intensity Profiles and
Risk Readiness for every provider,
hospital, post acute center in the US.
All preloaded with no IT.
New Government Benchmark Data
Particularly powerful when pulled together
Government Benchmark data to determine
Risk-Readiness® of Providers / Networks

15. 15
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Here’s why these benchmarks are so powerful
Government benchmark data serves as the common language
necessary to build relationships with providers to
improve the member experience and profitability
The benchmarks are available today with no IT involvement
The data already have a level of analysis on top,
so you can see if a provider is over/under benchmarks
It’s from CMS; it’s a standard;
it’s already used to day to drive reimbursement

16. 16
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
CMS has made historic data releases both relevant both for a populations health and behaviors as
well as the practice patterns of providers across the healthcare delivery system, allowing resource
allocation and quantitative measurement of the impact of a given population health initiative.
Open Weather Data Open Health DataOpen Geo-Location Data
Gov Data Powering
a Marketplace
Gov Data Powering
a Marketplace
Gov Data Powering
a Marketplace

17. 17
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Context
Those parties who can best identify, manage and capture the financial impact of managing a
populations health by improving outcomes, reducing costs, improving experience as well as
reduce low-value services stand to not only benefit financially but also create the greatest
degree of public and social good for a population and its health.
Majority of
book in FFS
arrangement
Majority of
Book in Pay
for Value
Today
Paid more to perform
more & higher
intensity services
Sicker population may
be more profitable
Paid the same
regardless of service
volume & intensity
Healthier population
is more profitable
Population
Health as Social
Investment
Population
Health Proficiency
as Profit Driver
Upside Up/Downside Full Cap
Low-Value Services
Driving Billing
Low-Value Services
Reduce Profit
MSSP ACO Flat Payment
Government Program
Private Market Arrangement
%ofRevenue
Time

18. 18
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

19. 19
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Payer Mindset
High
&
Neutral
Value
Low
Value
High
&
Neutral
Value
Low
Value
Total Medical
Spend Reduction
Post Risk-
Readiness®
Implementation
Total
Medical Spend
Baseline
Total
Medical
Spend
Low-Value Care
Low-Value
Reduction
Care That Doesn’t Produce Better Outcomes
$850 Billion Unnecessary Spend
Reducing Low Value Care Lowers
Your Network’s Cost of Ownership

20. 20
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Payer Mindset
~$300B of U.S healthcare spend
is related to low-value care
from inefficient and
unnecessary services.
[Conservative estimate
excluding second order savings
from claims payment, admin
costs and missed prevention.]
We focus primarily on addressing low-
value care from health plans rather than
direct government programs (Medicare &
Medicaid FFS). [Conservative estimate
excluding providers practicing across
government programs and self-insured
employers.] Billions of low-value care
opportunity across the country.
If your organization adopts all of our
recommendations across all of your
spend, you could make a modest
improvement in your network score
to achieve millions in through a
lower cost of ownership from
reducing unnecessary care and
focusing on high value alternatives.
Low-Value Care
by Specialty
14.4% in Cardiac
9.1% in Ortho
2.25% in Ophthalmology
73.1% in Other
>$900B (1) ~$300B ~ 30% of Your
Medical Expenditures
100%
80
60
40
20
0
Inefficient and
Unnecessary
Services
Excessive
administrative
costs
Inaccurate claims
payment
Missed prevention
Total healthcare
waste
Managed Care
Organizations
Your Organization …addressable by
our solutions
1.15% in Gastroenterology

21. 21
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Payer Mindset
Year 1: 4%
Network Score
2.82
Network Score
2.79
Year 2: 5%
Savings: $
Network Score
2.64**
Year 3: 7%
Network Score
2.43
Year 4: 9%
Network
2.13
Savings: $
Savings: $
Savings: $
Baseline
Regional Benchmark
2.14% Network
Improvement
Using proven tactics from a ToolKit, work to improve efficiency of your Network by:
- Reducing member interaction with the least efficient providers (4s and 5s)
- Increasing member interaction with the most efficient providers (1s, 2s, 3s)

22. 22
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Payer Mindset
Your Provider Partners Your Members
Reduced Overall Cost
Reduced Low Value Care
Network Chassis to Serve All
Lines of Business
Competitive Product Pricing
Reflecting Network Efficiency
Ability to Grow Through High
Value Providers
Focused Sales/Marketing Efforts
on a Select Few, High Value
Providers
Specialized Reporting using
Publicly Available CMS Data to
Compare Performance to
Benchmark
Metrics Aligned with Future
Value Models, MIPS/MACRA
Cohesive
and Consistent
Relationship
Across
All Payer
Relationships
Reduced Low Value Care
Overall Health Care
Expenditures
Reduced Cost Sharing
Better Interactions with the
System
Your Organization
High Value Networks Built from Benchmarks Directly Improve Your
Bottom Line and Benefit Your Physician Partners and Members
Dr. Atul Gawande,
OverKill

23. 23
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Payer Mindset
ToolKit
Pay Providers Based on Their High/Low Value Performance – [Value-Based Pay]
Drive Members to Visit High-Value Providers – [Member Steerage]
Contract High-Value Providers – [Network Sculpting]
Differentiate Benefits for Member Visits to High-Value Providers
List High-Value Providers First/Bold in Your Provider Directories/Transparency Tools
Attribute Members to High-Value Providers during PCP Auto-Assignment
List High-Value Providers First/Bold in Care Coordination Workflows
Price Products Using Your Network’s Low-Value Care PMPM Benchmarks
Share Low-Value Care Benchmarks with Physicians – [Behavior Change]
Encourage Sales/Brokers to Assign Members to High-Value Providers at Time of Enrollment
Share Referral Benchmarks with Physicians – [Referral Efficiency]
For All Lines of Business
Tactics in Blue
are for All Lines
of Business
including
Medicaid

24. Network
Sculpting
Referral
Efficiency
Member
Steerage
Value
Based
Payment
Behavior
Change
Total
5%
(0.01)
$0.158M
90%
(0.11)
$2.835M
5%
(0.01)
$0.158M
0% 0% $3.15M
0.12
15%
(0.02)
$1.181M
70%
(0.11)
$5.513M
15%
(0.02)
$1.181M
0% 0% $7.875M
0.15
20%
(0.04)
$2.52M
50%
(0.11)
$6.30M
20%
(0.04)
$2.52M
5%
(0.01)
$0.63M
5%
(0.01)
$0.63M
$12.60M
0.21
20%
(0.05)
$3.15M
30%
(0.08)
$4.725M
20%
(0.05)
$3.15M
20%
(0.05)
$3.15M
10%
(0.03)
$1.575M
$15.75M
0.27
Grand Total $39.38M
0.75
0% 20% 40% 60% 80% 100%
Network Skulpting Referral Efficiency Member Steerage
Value Based Payment Behavioral Change
24
MAKING OUT LIKE BANDITS
Payer Mindset
% of Tactic to Use to improve
network score and lower your
network’s Cost of Ownership
Work with leaders across network, product, sales,
marketing and finance to create a ‘RoadMap’
to define goals, select tactics, measure progress
and adjust tactics as needed.
Multi-Year Strategy
Year
2017
2018
2019
2020

25. 25
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

26. 26
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Risk Owners Goggles
At the core of Risk-Readiness® is
Unexplained Variation:
RowdMap applies the Dartmouth Atlas for
Unwarranted Variation methodologies to data
on Medicare Parts A,B & D. This research has
been repeatedly validated over the last 30 years
and we now have a national data set to apply the
methodologies at a large scale.
The estimated 30% of medical expense
that goes to low-value care.
This unnecessary spending drives billing in a
fee-for-service economic model, but success
in pay-for-value comes from managing and
mitigating these pockets of variation. Every provider has a unique practice pattern
or finger print that informs Risk-Readiness®

27. 27
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Risk Owners Goggles
You can have great outcomes…
On a surgery you don’t need
You can have great patient experience...
On a surgery you don’t need
You can have relatively low costs...
On a surgery you don’t need
How Much Outcome Does Your Dollar Buy?
Guys, it’s $/Outcome.
Think Moneyball

28. 28
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Risk Owners Goggles
Provider profiles can be at physician level or rolled
up to the practice level (aggregating all physicians in
a practice).
Procedure Score
measures how
intense a doctor
practices medicine,
compared to peers.
Does she jump
immediately to high
intensity treatments
or start with
conservative
treatments?
Referral Score
measures both
the number,
performance
and
appropriateness
of the providers
in this
physician’s
value chain.
Pharmacy Score
measures,
compared to peers,
how a doctor
prescribes
medications. How
often, how much
and what kind of
prescriptions are
common with this
provider?
Visit Score
measures how
quickly a visit
escalates into
additional services
like procedures,
images, tests and
eventually surgery.
Overall Value
Score
combines the
first four
measures into an
overall
composite
metric.
Blue bars indicate Medicare Part
B fee-for-service volume
Low Performing High Performing
Red dot providers exhibit practice patterns
that are clinically appropriate, but
optimized around an old economic model.
Green dot providers exhibit practice
patterns that align with pay-for-value
models and make money for whoever
owns the risk.

29. 29
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Risk Owners Goggles
Your success in risk will depend less on profitability from flaws in current reimbursement models
and incentives, and instead, rely on profitable, high-performing networks that emphasize high-value
care. High-value networks prioritize outcomes per dollar spent.
Typical Approach Value-Based Approach
• Patient or member level
• Begins with a visit and a diagnosis
• Outcomes are measured by things like patient
satisfaction, A1C compliance, colonoscopy
screenings, episodic cost
• Prioritize individualized care pathways based on
evidence
• Data transfers and IT systems necessary to measure
• System-wide insight into how geographic supply
and demand affect your success
• Population-based measures
• Outcomes measured by quality of outcomes per
dollar spent (ROI or Value)
• Direction for refining clinical processes in a value-
based context
• Available on Day 1, no client data/IT needed
Triple Aim & Clinical Pathway Development
How do I make the most of every patient
interaction?
Ecosystem Drivers & Population-Level Outcomes
How do I optimize my inputs and outputs to be
successful in managing a population?
Traditional Triple Aim measures will not ensure success in risk over the long-term. A provider may
improve outcomes for a patient, but if a disproportionate amount of low-value care is generated, there
will be no savings. What does it mean to your risk profile if you have good outcomes on a surgery that
isn’t needed, or great patient satisfaction on a visit that didn’t add value?

30. 30
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Risk Owners Goggles
What are the financial impacts of my decisions and
what does this mean for our 1-year, 5-year, or 10-year forecasts?
Risk-Readiness® benchmarks are tied to dollars. These determine your
financial success in value-based payment models and allow you to pay
providers based on their contribution to mitigate low-value care.
Decreased
Cost
Average
Increased
Cost
LowPerforming
1
2
3
4
5
HighPerforming
CARDIAC
SURGERY
GASTROENTER
OLOGY
ORTHOPEDIC
SURGERY
DIAGNOSTIC
RADIOLOGY PATHOLOGY
$609 $228 $334 $65 $79
$770 $253 $365 $71 $88
$973 $271 $419 $72 $91
$1,191 $303 $467 $121 $106
$1,299 $387 $624 $245 $212
Cardiac
Surgery
Gastroent
erology
Ortho
Surgeon
Diagnostic
Radiology
Pathology
Impact on
Spend
Risk-Readiness®
Benchmark
Arizona $ PMPY per Specialty & Efficiency Score
Medical Economics Reporting

31. 31
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

32. 32
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Provider Revenue Risk
Distribution
Vulnerable Revenue
$#
Protected Revenue
$#
Lost Revenue
$#
Capture the Money Left
on the Table in FFS Models
Your Revenue Risk-Readiness®
Create a Plan to Diversify
this Vulnerable Revenue
Grow Volume and Increase
Compensation for this
Protected Revenue
Note this total is from Benchmark
line of business
Revenue % typically holds within 5%
for other revenue sources
For example if Vulnerable Revenue
Benchmark is $100MM at 50% of
Revenue Mix, Estimate for total
Remunerable Revenue is ~$200MM
(Actual numbers are tuned at high
confidence given with act. revenue mix)

33. 33
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Network Sculpting:
Find and Contract with High-
Value Providers
Years 1-3: Quantify and Identify Your Vulnerable, Protected and Lost Revenue
Start Immediately by Using CMS Benchmarks
Referral Efficiency:
Share Value Chain Benchmarks
with Providers
Member Steerage:
Grow into profitable
membership through Providers
Value Based Payment:
Match incentives to your goals
Behavior Change:
Ongoing Improvement
 Network Explorer Assessment
 Network Builder Assessment
 Network Optimizer Analysis
 Network Calculator Analysis
 Primary Care Value Chain Reporting
 Specialty Value Chain Reporting
 Acute Care Value Chain Reporting
 Post Acute Value Chain Reporting
 Value Chain and Leakage
Assessment & Reporting
 Network Based Growth Analysis
 Provider Growth Analysis
 Measuring Growth Analysis
Years 2-5: Diversify Your Vulnerable Revenue and Capture Your Lost Revenue
Curate a Culture that Mitigates Low Value Care
 Provider Contracting Strategy
 Provider Compensation Strategy
 Service Line Benchmarking
 Medical Economics Reporting
 Process Variation &
Improvement Assessment
 Provider and Group Low Value
Care Reporting
Choose to share your claims
for inter-year reporting on
Risk-Readiness® performance
Years 1-3: Quantify and Identify Your Vulnerable, Protected and Lost Revenue
Start Immediately by Using CMS Benchmarks

34. 34
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Primary Care Groups
Network Sculpting
Regional Benchmarks
Contract High-Value Providers
Determine which providers help or hurt your network score the most.
Optimize your network by finding and growing into as many high value
providers as possible.

35. 35
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Primary Care Physicians
Regional Benchmarks
Outagamie and Winnebago Co, WI
Contract High-Value Providers
Determine which providers help or hurt your network score the most.
Optimize your network by finding and growing into as many high value
providers as possible.
Network Sculpting

36. 36
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Specialist
Post Acute
Facility
Low-Value
High-Value
Value Chain and Leakage: How does the population flow through the care continuum?
Identify natural patient flows and determine if your network is breaking or reinforcing high-value pathways
and then incentivize providers to optimize pathways through referrals.
Target this specialist to better
manage patient flows to high
performing post acute facilities.
Primary Care
Docs
University of Miami is underperforming
and referrals are internal.
This is a concentrated, low value pathway.
Holy Cross has high performing specialists, but its
PCPs are referring to a variety of specialists.
This is a fragmented, but high value pathway.
Thickness of lines indicates the
number of referrals.
Note: Some markets are
oversupplied. This market is
controlled by one provider.

37. 37
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Your patients should
be going here
Orthopedic Referral Management
Share Referral Benchmarks with Physicians
Use RowdMap’s Referral Report cards to educate PCPs on High Value
and Low Value patient flow patterns connected to their practice.
Optimize network performance by empowering PCPs to direct care
to high performing specialists. Track referrals and work with
providers to maximize the number of patient interactions in High
Value referral chains & consider paying PCPs on it. Reinforcing high
value referral chains maximizes the performance of your network.

38. 38
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
See how a provider stacks up
against peers. Pick a few outliers
and focus on these areas to
improve overall risk profile.
Dr. RowdMap
Figure out how far away a
provider is from the peer-
adjusted value benchmark.
Figure out what’s driving
the variation. Give your
process improvement
team priorities for
pathway development.
Pinpoint absolute High and
Low Value services quickly.
Dr. RowdMap is an average
performing provider. What goes
into his score and how does he
compare against his peers?
Dr. RowdMap
Share Low-Value Care Benchmarks with Your Physicians
Share individual procedures, codes and metrics with providers and
and regional rankings of named providers vs. his or her peers.

39. 39
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
CMS: 50% of FFS will
be gone by 2018
What if you knew which
providers create protected
revenue?
What if you knew which
providers create vulnerable
revenue?
WHAT WOULD YOU DO IF YOU KNEW
who will win and who will lose in
value-based arrangements?

40. 40
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
CMS: 50% of FFS will
be gone by 2018
What if you knew which
providers create protected
revenue?
What if you knew which
providers create vulnerable
revenue?
WHAT WOULD YOU DO IF YOU KNEW
who will win and who will lose in
value-based arrangements?
For PCPs and Urgent Care – this is about :
– Lowering Intensity Level /
Practicing at Top or License
– Balancing Supply & Demand /
Maximizing Impact via Location
– Referring to High Value Specialists /
Calculating and Capturing Impact

41. 41
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Health Behaviors Average Risk Scores
Population Demand & Provider Supply
PCPs & Urgent Care Disproportionately Important to Risk
Where is health risk underrepresented or under-coded?
Which areas have lower risk scores than their behavioral profile / cost drivers.
In other words, where does the population sees providers less and therefore
has a lower risk profile based on the geography’s ‘supply’.

42. 42
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Diabetes Prevalence –
LA County
PCP Density –
LA County
Income
Obesity
Depression
Proximity to provider is more important for this geography.
Is my network aligned to not only meet adequacy
but to reflect my member demographic?
Population Demand & Provider Supply
PCPs & Urgent Care Disproportionately Important to Risk

43. 43
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Potential Impact to Risk Owners
from Network & PCP Referrals
Preferred Network Tampa, FL
PMPY
Total Cost= $12,209,105
Average Network Score= 2.08
* All Provider Types
Tampa, FL

44. 44
MAKING OUT LIKE BANDITS
Your Hidden Value
Preferred Physician Distribution
Tampa, FL
All Other Physicians
Tampa, FL
Percent of physicians
in each score bucket
Priorities for Creating Impact for Risk Owners
from Network & PCP Referrals PCP Referral Scenario

45. 45
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
ABC
PCP Referral Impact for Risk-Owners
1 HRR; 1 Specialty; Conservative Scenario = ~$3MM
MAKING OUT LIKE BANDITS
Your Hidden Value

46. ~$3,750,000,000
46
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Estimated total network expenditures
Customer Medical Claims Expense
Year 1 Year 2 Year 3
Conservative $2M
(1%)
$4M
(1.5%)
$7M
(2.5%)
Average $4M
(1.5%)
$7M
(2.5%)
$14M
(5%)
Aggressive $7M
(2.5%)
$14M
(5%)
$19M
(7%)
$281M
% 9.5 -- total savings
opportunity
Estimates of expected savings based on average
experience with health plan clients:
Impact to Risk Owners from PCP Referrals Yield

47. 47
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Your Hidden Value
Telling the Future
Network becoming primary driver to mitigate risk for risk owners
(supply side vs. demand/trend)
PCPs/Urgent Care as primary focus; primary tactic = referrals
Mitigate Risky Revenue – Exposure for low-value PCPs
(poor referrals & practice patterns) is explicit & ‘subtle exclusion’
Grow Protected Revenue
(moderate risk-readiness / moderate referrals)
Capture Lost Revenue from High-Value PCPs
(high-value referrals & Practice Patterns)

48. 48
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
The Plan
Here’s Why You Should Listen
Here’s the Context – Politics & Data
Here’s How Payers Are Thinking about It
Here’s How Risk Owners See You
Here’s Your Risk and Hidden Value – Like a Bandit
Summary and Q&A

49. 49
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Summary and Q&A
As PCPs, Urgent Care & ASCs become more
important to risk-mitigation & value-based care…
… will PCPs, Urgent Care capture they
value they create for risk-owners?

50. 50
All contents are proprietary to RowdMap, Inc. and are being provided on a confidential basis.
Any use, reproduction or distribution of this information, in whole or in part, or the disclosure of any of its contents
without the prior written consent of the Company, is prohibited.
MAKING OUT LIKE BANDITS
Summary and Q&A
Will PCPs, Urgent Care capture they
value they create for risk-owners?
Hospital-based systems, PCP systems, Specialty
systems, and even large groups are now doing this…
… with success, but still work to do…
A workgroup with
leading providers
sharing best practices
for this