From hospital systems to large employers, organizations are increasingly taking on financial risk for the health of populations. Drivers of this trend include the update to the MSSP model, the recent CMS Primary Cares Initiative announcement, the increasing prevalence of the Medicare Advantage model, innovative partnerships in the self-insured employer space, and the proliferation of Medicaid ACOs. Yet while market pressures push organizations toward population risk, they don't necessarily help them succeed: most organizations are struggling to attain or sustain the dual imperatives of high-quality care and cost containment. A primary reason? Short-sighted and tactical approaches that don't provide the flexible data infrastructure and tools to adapt to emerging trends in population health—or to support short-term contractual requirements while building toward long-term success. View this launch webinar to learn about Health Catalyst’s Population Health Foundations solution, a data and analytics-first starter set aimed at optimizing performance in value-based risk arrangements and providing the data ecosystem that will flex and adapt to complex needs of risk-bearing organizations. Solution services ensure that the strategic value of data is maximized to improve performance in risk contracts—and provide side-by-side subject matter expert partnership for establishing short- and long-term goals for population health management (PHM). Built on Health Catalyst’s foundational technology and supported by the nationwide experience and perspective of its experts, the Population Health Foundations solution helps organizations leverage multiple data sources to understand their patient populations and create meaningful views of financial and clinical quality performance. As a starter set that organizations can build on based on their needs, the solution is designed to compensate for the known limitations of “black box” population health applications that fail to reveal the “why” of analytic insights and exacerbate the challenges of transforming quality, cost, and care. The Population Health Foundations solution delivers the essential analytic tools needed for success under value-based risk arrangements. In these slides you can expect to: - Review recent changes to the field of value-based care, and reactions and insights from the market - Discover how the Population Health Foundations solution can act as a comprehensive, data-first analytics solution to support your population stratification and monitoring needs - Understand how this solution functions as a foundational starter set for value-based care success, enabling clients to leverage all their data and other relevant population health tools

1. The Foundations of Success
in Population Health Management
A guided—yet flexible—approach for value-based care
through essential analytics and optimization services
Amy Flaster, MD, MBA – SVP Population Health, Health Catalyst
Eric Just – SVP and GM of Application Suites, Health Catalyst

2. Background
• Trends in population health
• Market response
• Challenges to success
Population Health Foundations
Solution
• Technology and service
components
• Key benefits and features
Agenda

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Health
Catalyst
Current Trends: ACO Growth
Continued growth in ACOs, value-based care (VBC) models
3
www.healthaffairs.org/do/10.1377/
hblog20180810.481968/full/

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Growth across contract types
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Current Trends: ACO Growth
www.healthaffairs.org/do/10.1377/
hblog20180810.481968/full/

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Catalyst
Signs of struggle?
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Current Trends: ACO Growth
www.healthaffairs.org/do/10.1377/
hblog20180810.481968/full/

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Catalyst
Enrollment continues to climb
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Current Trends: Medicare Advantage Growth
www.CMS.gov www.kff.org

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• Reduces the time that an ACO can participate
in MSSP without taking financial accountability
for healthcare spending
• 3 years for low-revenue or physician-led ACOS
• 2 years for other new ACOs
• 1 year for existing one-sided ACOs
• Shared savings rate set at 40% for ACOs in
upside-only models, 50% for ACOs at all
levels of risk
The final rule on the Medicare
Shared Savings Program (MSSP),
released in December 2018, is
projected to drive $2.9 billion in
savings over the next 10 years
Current Trends: Changes to MSSP
“Pathways to Success” compels greater accountability for ACOs

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• Five voluntary, risk-based models focused on
primary care for chronically and seriously ill
patients
1. Primary Care First (PCF)
2. Primary Care First – High Need Populations
3. Direct Contracting – Global
4. Direct Contracting – Professional
5. Direct Contracting – Geographic
• Represent a range of risk arrangements
• Incentivize providers to reduce hospitalizations
and cost of care by rewarding them via
performance-based payments
HHS expects one-quarter
of traditional Medicare
beneficiaries—nearly 11
million people—to opt into
the initiative
11
million
Current Trends: Primary Cares Initiative
Accelerate volume à value?

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• Joint healthcare venture between Amazon,
J.P. Morgan, and Berkshire Hathaway
• Nonprofit organization to partner with providers,
focus on the healthcare needs of 1.2 million
employees of three founding companies
• Announced focus areas:
• Ease of healthcare system navigation
• Access to affordable treatment and
prescription medication
• “...Working with insurers, providers, and
pharmacy benefits managers”—work with
existing players rather than uproot them?
CEO Dr. Atul Gawande says that
Haven is “an advocate for the
patient and an ally to anyone—
clinicians, industry leaders,
innovators, policy makers, and
others—who makes patient care
and costs better.”
Current Trends: Employer Innovation
Haven is a place on Earth

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Health
Catalyst
PHM Remains a Strategic Priority
Recent survey of healthcare leaders
10
2%
14%
24%
32%
29%
0%
5%
10%
15%
20%
25%
30%
35%
Not at All Important Somewhat Important Important Very Important Extremely Important
N = 101

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Percentage in Downside Risk Contracts
More enthusiasm than risk-sharing
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28%
29%
22%
16%
4%
1%
0%
5%
10%
15%
20%
25%
30%
35%
Unsure 0% 1 to 25% 26 to 50% 51 to 75% 76 to 100%
N = 82

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Market is Responding to Growth and Change
Spend is increasing across areas… and in all market segments
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Catalyst
Market is Responding to Growth and Change
Spend is increasing across areas… and in all market segments
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Market is Responding to Growth and Change
1. Need for advanced analytics that stratify patients across combined
claims and clinical data sets
• PHM requires the ability to focus on the highest risk patients, including identifying rising risk
population segments
• Truly integrated data sets are a key differentiator
2. Increased use of AI and machine learning
• A significant area of new product development is in the use of machine learning and AI
algorithms.
3. Demand for expertise, solutions that span the range of PHM needs
• Organizations require extensible or modular technologies and guidance for tailoring
approaches
Personal Observations
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Fee-for-
volume
Fee-for-
value
Which data sources should we aggregate and enhance for a
cross-continuum view of patient care?
How do we identify and stratify patients
for high-risk care management?
Are we ready to take on risk
in our next contracts?
What’s driving my high
total cost of care?
How do we succeed in our fee-for-service business,
while continuing to move toward value-based care?
What should we prioritize to improve
quality measure performance?
Still More Questions Than Answers…
Can we transform care delivery in a way
that eases physician burnout?
What’s our chance of success
in this risk-sharing contract?

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Catalyst
The Health Catalyst PHM Framework outlines the transformative activities and investments
that grow your ability to deliver high quality, cost-effective care for patients across the continuum
Population Health Management (PHM) Framework
Data
Transformation
Lay the groundwork for a
high-functioning analytic
platform
Analytic
Transformation
Build a structure to
identify and evaluate
opportunities
Financial
Transformation
Balance risks and help
set a sustainable
course forward
Care
Transformation
Identify and implement
appropriate changes in
care delivery
Near term
ü Meet contractual
requirements in
FFV contracts
ü Remain successful
in FFS business
Long term
ü Better care quality
ü Lower costs
ü Stronger
organization
ü Healthier
community
1
3a
3b
SUCCESS
2
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To address immediate analytic needs and continue to grow their value-based care business, organizations
typically invest in numerous point solutions.
What Kind of Solution Do You Need?
They lack the foundational components essential for long-term success:
a DATA and ANALYTICS platform
to address the full spectrum and evolving complexity
of population health needs.
Point solutions typically operate from a limited data set.
They are closed systems that are not designed for integration or adaptation.
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Health Catalyst enables real solutions today—and tomorrow.
Our data- and analytics-first approach allows you to grow long-term success from the ground up.
A Data- and Analytics-first Approach
A foundation to make your
current population health efforts better
and your future efforts scalable

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PHF Solution Components
The basis for your organization’s transformation
SERVICES
• DOS Marts (Claims, Clinical, Person, Terminology): integrated data
from multiple sources and reusable, customizable logic and algorithms
• Excel-friendly analysis tools: direct access to DOS Marts’
normalized structures
• Population BuilderTM: Stratification Module: custom registries,
exportable to analytics
• Leading Wisely: Population Health Module: visibility and customizability
across key quality and financial performance metrics
• Community Care: track, manage care at the patient and provider level
TECHNOLOGY
• Solution Optimization
Services: strategic and
tactical advice for
optimizing analytic
infrastructure
• Opportunity Analysis
Services: deep-dive
assessment
with recommendations
and roadmap
P O P U L A T I O N H E A L T H F O U N D A T I O N S
Financial
Transformation
Data
Transformation
Analytic
Transformation Care
Transformation
1
3a
3b
2

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DOS Marts Leading Wisely:
Population Health Module
Population Health Foundations: Technology
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>300 data sources
(EHR, Financial,
Patient Sat., etc.)
DOS includes tools to manage rapid ingestion
of data across a multitude of data sources
Population BuilderTM:
Stratification Module
Terminology DOS Mart
Person DOS Mart
Clinical DOS Mart
Claims DOS Mart
Configurable system with 50+
out-of-the-box claims-based
measures supports ACO
financial management and
quality measure performance
Data harmonized across multiple
sources into easy-to-use
common models; standard logic
and calculations are applied
Excel-friendly analysis tools
Flexible tools ensure transparency and
bring easy, extensible entrance to
in-depth analysis
Yo u r d a t a f l o w s a c r o s s c o m p o n e n t s
Lets non-technical users quickly
build custom registries; includes
chronic condition registry library,
machine learning risk algorithm,
and access to integrated
claims/clinical data
Community Care
Analytic Accelerator
Serves up data to review
population health, compare
performance to benchmarks,
find opportunities for cost
savings, and help PCPs meet
patient needs

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Opportunity Analysis
Population Health Foundations: Services
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An expert-led qualitative and quantitative assessment
that identifies your best opportunities for care
improvement and cost savings—and recommends
initiatives to support short- and long-term success within
specific contractual arrangements.
The analysis explores your position overall and in the
context of specific payer programs and typically includes
inquiry into areas such as:
• Clinical and cost variation
• High-risk cohort identification
• Utilization management
• Network utilization
Leverages our nation-wide experience and
perspective to deliver data-driven insight and
help define a roadmap to success in PHM
Our population health experts work side-by-side with you,
providing guidance for building an analytic infrastructure
aligned with your organization’s specific needs—as well as
helping you establish the logic for provider attribution,
develop stratification algorithms, identify quality measure
focus, select data sources, etc.
Helps organizations derive the most value from their
data and technology—and ensures that your
investments here are tuned to the use cases of VBC
and the goals and realities of the organization
Yo u r c l i n i c a l , f i n a n c i a l , a n d o p e r a t i o n a l e x p e r t s h a v e a p a r t n e r
Solution Optimization

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Population Health Foundations (PHF) Solution
PHF is your answer to population health analytics, with core technology
and services to enable success in value-based care arrangements
• Unified claims and clinical data.
Acquire a comprehensive, cross-continuum view of
each patient and the care they are receiving.
• Flexible, transparent tools for ad hoc
analysis. Open up the black box of PHM analytics,
and get fast access to deeper insights.
• Web-based patient stratification and
registry building. Start with predefined PHM
populations, standard risk scores, and machine
learning models; customize them for your
organization’s needs—and then export the registries
directly into your analytic environment.
• Quality and financial performance metrics
in a single executive dashboard. Choose,
measure, track, and manage the metrics that matter
most for success in your contracts.
• Ability to identify and address gaps in
care. Access actionable analytics to close gaps
in primary and preventive care—helping your
primary care practices deliver the right care at the
right time to every patient.
• Side-by-side partnership with PHM
experts. Access the experience of our
team to maximize the value of your data—and to
guide the way forward.
• An essential starter set to build on—and
grow from. Lay down a robust substructure of
data and analytics with PHF, then add other tools
as needed. Its extensibility and flexibility grow your
ability to respond to your organization’s needs—
whether it’s gaps in HCC coding, patient safety,
clinical variation in CHF, etc.

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Building on the Foundation
Data & Analytic Transformation makes possible Financial & Care Transformation
I n s i g h t t o k n o w w h e r e t o g o , t h e p l a t f o r m a n d t o o l s t h a t h e l p y o u g e t t h e r e
•DOS Marts
•Excel-friendly
analysis tools
•Population Builder:
Stratification Module
•Leading Wisely:
Population Health Module
•Community Care
analytic accelerator
TECHNOLOGY
•Solution
Optimization
•Opportunity
Analysis
P O P U L A T I O N H E A L T H
F O U N D A T I O N S
SERVICES
Identify year-over-year gaps in HCC coding…evaluate the drivers of PMPM
payment performance…understand and manage the true cost of care…
Create insights to drive cost and care improvement for conditions targeted by PHM
initiatives—diabetes, COPD, heart failure…detect, monitor, and prevent patient safety events
DIY
YOUR LOGO
HERE…
DOS and Population Health Foundations
empower you to build your own
differentiating applications and software
Powered by DOS
financial
transformation
care delivery
transformation

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Health
Catalyst
Sept. 10-12, Salt Lake City, Grand America Hotel
• National Keynotes
• Digital Innovation Showcase
• 28 Educational, Case Study, and Technical Breakouts
• 24 Analytics Walkabout Projects
• Machine Learning Marketplace
• Networking (bringing back ”Braindate”)
• CME Accreditation for Clinicians
• 5-Star Grand America Hotel Experience
• 96 Total Presentations
Healthcare Analytics Summit 19
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