Investor Presentaiton

AES' Medicaid Market Performance Against the Cost Growth Target 2021 Medicaid spending growth is not presented for Lifespan because it did not hold a total cost of care contract with any Medicaid insurer in 2021. Medicaid spending growth is not presented for Thundermist because it did not have sufficient Medicaid attributed lives in both 2020 and 2021 to meet the minimum required for public reporting. Performance for two AES (BVCHC and Prospect Charter CARE [Prospect]) could not be assessed based on statistical testing because their confidence interval intersected with the cost growth target. The four remaining AEs met the cost growth target. Exhibit B.3: AEs' 2021 Medicaid Market Performance Against the Cost Growth Target -16.0% IHP -7.2% Integra -3.4% -12.0% Coastal -1.8% -8.0% PCHC 0.7% Prospect 1.4% -4.0% 0.0% 4.5% BVCHC 4.0% 8.0% 12.0% 16.0% Source: OHIC analysis of TME data from insurers. Target performance is calculated using truncated and age/sex-risk adjusted spending. 30 30 Annual Report: Health Care Spending and Quality in Rhode Island

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