Signify Health Results Presentation Deck

--> MSSP (ACO) vs. BPCIA (Episodes) How do these voluntary risk models operate? ● ● ● • ● What are the major differences? BPCIA CMMI program Specific patients / conditions Focus on hospitals & specialists Org. keeps savings net of CMS discount Approx. 90-day period BPCIA Specialists & Hospitals select from 34 potential episodes signifyhealth. Provider manages all spend over 90 days following an acute event Target prices set prospectively and reconciled semi-annually ● ● Who "owns" the risk? ● MSSP Federally enacted All patients / conditions Focus on PCPs Org. shares savings with CMS Annual total cost of care MSSP Beneficiaries are attributed to the PCP that they see most often The PCP is responsible for all member spend in a given year • Benchmarks set prospectively and reconciled annually BPCIA MSSP O acute event How long is the risk period? 90-days post-acute All Medicare spend for attributed members over the course of a year BPCIA CMS discount Provider savings (100%) How are savings generated & shared? MSSP CMS share (25-60%) benchmark While BPCIA covers timeboxed episodes, MSSP covers all spend for attributed members over the course of a year target price Provider/convener earns all savings below target price Provider savings (40-75%) benchmark Provider and CMS share in all savings below the benchmark 7

View entire presentation