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Ohio’s Prescription for Savings

Ohio’s Prescription for Savings. James K. Piper Associate Executive Director, Business/Product Development The Ohio State University Health Plan, Inc. Scott Streator, RPh , MBA Executive Director/CEO The Ohio State University Health Plan, Inc. Confidential and proprietary.

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Ohio’s Prescription for Savings

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  1. Ohio’s Prescription for Savings James K. Piper Associate Executive Director, Business/Product Development The Ohio State University Health Plan, Inc. Scott Streator, RPh, MBA Executive Director/CEO The Ohio State University Health Plan, Inc. Confidential and proprietary

  2. RxOC History and Timeline • 2004-2008 – Conceptual to Actual • Focus: Ohio Retirement Systems with Ohio’s active governmental employers • Leverage retiree population's advantageous Rx pricing vs. active groups • Comprehensive RFP process • Recognize fiduciary obligations and autonomy of plan sponsors • Improving health of all government employees and retirees • Reduce dependence on industry by capitalizing on Ohio’s clinical, academic & business infrastructure to transform Rx care and reduce Ohio’s costs • 2008-2010 – Increased Awareness • Official Launch June 2009 • Uniform drug discounts available for all Ohio government • RxOC infrastructure completed; administrative functions at OSU • Clinical & administrative services developed • 25% market share as of second quarter 2010 • 2010-2013– Synergy • Beyond discounts to evidenced-based medicine • Improve population health though optimal utilization patterns • Leverage Personalized Medicine • Original research and trusted analysis Confidential and proprietary

  3. RxOC Synergy RxOC Steering Committee Medical Advisory Board Institute of Pharmaceutical Outcomes (IPO) Clinical Committee QI Committee Outreach Committee Partnership Other Ohio Colleges/ Clinicians OSU Colleges of Medicine and Pharmacy Confidential and proprietary

  4. RxOC Services: Current and Future • Governance • Ohio-based Infrastructure • RxOC “trusted advisor” services Core Services • Institute of Pharmaceutical Outcomes- Proactive Management • Biotech/ Drug class analysis • RxOC Formulary • Analytics & recommendations for health outcomes • Provider strategies B. Shared Account Team Model- Active Management • Independent RxOC consulting for trend reduction C. Quality Improvement Services • Best practice dissemination • Product design laboratory • Consolidated due diligence- 1 audit per year • Ongoing Outreach with growth incentives Additional Services • MTM/Health Coaching for healthier active population Confidential and proprietary

  5. Success in Growth 485,000+ 481,244 431,869 431,869 412,000 412,000 1-1-2008 1-1-2009 1-1-2010 Confidential and proprietary

  6. RxOC Synergy Via Private-Public Sector Partnership RxOC RxOC Services Best Practice Client Recommendations Ohio/National Data IPO/ RxOC Literature Ohio Clinical/Academic Infrastructure Confidential and proprietary

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