The document provides an overview of Health Catalyst's Value Optimizer product, which is a web-based application that aims to help healthcare organizations develop data-informed strategies for value-based care. It describes three key capabilities of Value Optimizer: 1) Creating a comprehensive, benchmarked strategy using complete data, 2) Providing transparent and actionable insights into total cost of care and contracts, and 3) Enabling exploration of various clinical areas to uncover opportunities. The document includes several use cases that demonstrate how Value Optimizer can be used to analyze areas like inpatient utilization, pharmacy spending, imaging utilization, and more. It also discusses the support services that Health Catalyst provides to help customers implement and optimize the Value Optimizer

1. © 2021 Health Catalyst
Master Your Value-Based Care
Strategy: Introducing Health Catalyst
Value Optimizer™
July 21, 2021

2. Agenda
1 - Product Demo: Health Catalyst Value
Optimizer
• Overview of Population Health Suite
• Use Cases
- Creating a Data-informed Strategy
- Understanding Contracts and the Total Cost of
Care
- Exploring: Rx, End of Life, Imaging
- Rapid Review
2 – Support
3 – Q&A

3. 1- Product Demo: Value Optimizer

4. Population Health Tools
Our Population Health Management Offering
Self-service Analytics
Accelerator Library
Data Models and APIs
Healthcare.AI
Strategy Solution
+ Strategic Guidance Services
Value Optimizer
Quality Gap Solution
Care Management Solution
Stratification Population Care Flow Population Care Insights
Quality Measures EMR-embedded Insights
+ Measure and Workflow Services
+ Population and Care Management Design Services
Data and Analytics Platform
Strategy
Data-driven insights to find
greatest opportunity for ROI
Targeted Interventions
Analytically-driven solutions to drive better
front-line decision-making
Build-Your-Own
Create your own analytics and
access the best of our client-created solutions
+ Variety of services to maximize ROI and value

5. © Health Catalyst. Confidential and proprietary.
Value Optimizer
“To understand
is to
know what to do.”
— Ludwig Wittgenstein
Our Population Health Management Offering

6. The Problem: No Data-rich Strategy
“I know my PMPM’s and other metrics—but are they good or bad?”
“Do I need to compare to benchmark or is it sufficient to compare to last year?”
“Is the benchmark like me or, more importantly, like my patients?”
Wait, what about….
• Post-acute utilization?
• Emergency department use?
• Readmission rates?
• Lengths of stay?
• PCP paneling and scorecards?
• HCC coding?
• Retail pharmacy?
• Generic drugs?
• Polychronic patients?
• High-cost Imaging?
• Palliative care?
• Infusions?
• Out-of-network spending?
• Home health?
• Ambulatory-sensitive conditions?
• SDOH?
• Clinical variation?
If you can’t access a complete list of benchmarked opportunities—
and can’t compare them to one other—you don’t have an optimal,
data-informed STRATEGY to win in Value-based Care.

7. The Solution: Finally, a Data-informed Way to Win at VBC
Value Optimizer leaves no stone unturned in the discovery of improvement opportunities within value-based
care—allowing you to master your strategy and achieve profitability.
Strategy drives interventions—interventions drive results seen in Value Optimizer. Repeat.
Post-acute care chronic patients are high-
spending and need prioritization. (Population
Builder)
Diabetes population is overspending to
benchmark. (Care Management)
Preventable care is driving too many admits.
(Measures program)
HCC coding shows opportunity to benchmark.
(Embed intel into EMR at point of care)
DATA
High out-of-network activity to key competitor
needs constant reporting. (Leading Wisely)
STRATEGY
INTERVENTION OPPORTUNITIES

8. Value Optimizer: The New Industry Standard for VBC Analytics
How the Health Catalyst Value Optimizer, a web-based application, will lead the industry:
1. Data informed strategy to win in VBC
Population Health Executives have struggled to lead their analysts to create an optimal data-
informed strategy, including benchmarking and sized comparison. Until now…
2. Total Cost of Care: comprehensive, transparent, actionable
Population Health Executives and Analyst Teams want to know how they are doing in their
contracts & want comprehensive, transparent & actionable exploration of the Total Cost of Care
including condition specific research to network analytics.
Making pop health profitable requires intelligent analytics that account for your context.
3. Exploring for Insights: Rx, End of Life, Imaging
Population Health Executives and Analyst Teams want to know every major area of spend so they
can master their pop health strategy and own their future.
Use cases follow…

9. Value Optimizer Use Case 1: A complete, data-informed strategy
Pop health teams can be confident they understand the data that will help them win at VBC.
Area Gap Target Intervention(s)
Inpatient $21M $15M • Care management program/product to address ACSC
• Measures management to monitor chronic patient and prevent
admissions through focus on ACSC
• Readmissions program and care management analytics
Post-Acute $12M $8M • Partner with the best organizations
• Institute LOS and readmission goals and appropriate committees
• Improve risk identification through stratification models
Network Management $143M $30M • Support FFS margin and better patient care by keeping care in network
• Deepen PCP to patient relationships
• Establish CIN to improve coordination of care
(De-prioritize)
High-Cost Imaging
$5M $0 • Less gap than anticipated devote resources to above initiatives
• VBC success comes from prioritizing and pursuing only the most
valuable opportunities – what you DON’T do matters.
GOAL $53M

10. Value Optimizer Use Case 2 & 3: Total Cost of Care & More, More, More
Pop Health Teams should start to get this feeling…

11. Value Optimizer: The New Industry Standard for VBC Analytics
How the Health Catalyst Value Optimizer, a web-based application, will lead the industry:
1. Data informed strategy to win in VBC
Population Health Executives have struggled to lead their analysts to create an optimal data-
informed strategy, including benchmarking and sized comparison. Until now…
2. Total Cost of Care: comprehensive, transparent, actionable (detail next page)
Population Health Executives and Analyst Teams want to know how they are doing in their
contracts and want comprehensive, transparent, and actionable exploration of the Total Cost of
Care including condition specific research to network analytics.
Making pop health profitable requires intelligent analytics that account for your context.
3. Exploring for Insights: Rx, End of Life, Imaging
Population Health Executives and Analyst Teams want to know every major area of spend so they
can master their pop health strategy and own their future.
Use cases follow…

12. Health Catalyst Value Optimizer: Analyst Explorer
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
2. Total Cost of Care and Contracts Use Case
Population Health Executive and Analyst teams have variation across contracts
and need to understand the nuance unique to their situations. Among many
questions, they are focused on these three at their organization:
1. How am I doing in MY contracts overall?
2. Where can I see individual and polychronic patients across the entire
continuum of care (compared to benchmark)?
3. Where can I free-form explore for use cases that I haven’t even thought of yet?

13. © Health Catalyst. Confidential and proprietary.
Poll: Challenges to Creating a Data-informed Strategy
What do you find is the greatest hurdle to creating a data-informed strategy
today?
• Building the claims model
• Using complete benchmark data
• Covering the breadth of categories needed
• Combining all of the above
• Other

14. Value Optimizer: The New Industry Standard for VBC Analytics
How the Health Catalyst Value Optimizer, a web-based application, will lead the industry:
1. Data informed strategy to win in VBC
Population Health Executives have struggled to lead their analysts to create an optimal data-
informed strategy, including benchmarking and sized comparison. Until now…
2. Total Cost of Care: comprehensive, transparent, actionable Population Health Executives
and Analyst Teams want to know how they are doing in their contracts and want comprehensive,
transparent, and actionable exploration of the Total Cost of Care including condition specific
research to network analytics.
Making pop health profitable requires intelligent analytics that account for your context.
3. Exploring for Insights: Rx, End of Life, Imaging (detail next page)
Population Health Executives and Analyst Teams want to know every major area of spend so they
can master their pop health strategy and own their future.
Use cases follow…

15. Health Catalyst Value Optimizer: Retail Rx
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
Retail Rx Use Case
Your Population Health Executive has asked you, the Population Health
Analyst, to understand more about Retail Rx in the employee plan you are at
risk for. You hope you can do the following three things:
1. Make sure you can translate data into real insights and a clear
“so what” answer.
2. What detail can I provide on generic vs brand use?
3. Do we have members over the limit for MME/opioid use? What is their
PCP assignment?

16. Health Catalyst Value Optimizer: High-cost Imaging
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
High-cost Imaging Use Case
As a Population Health Analyst your Population Health Executive has asked
about high-cost imaging. It was challenging when you looked into this
before…this time you’re really hoping to accomplish the following:
1. Make sure you can compare to benchmark and have clear, “so what”
answers.
2. See a clear, clean grouping of codes for imaging, so you are not lost in
detail.
3. Know which locations are above and below average pricing – leading to
prioritized alignment.

17. Health Catalyst Value Optimizer: Hospice/End of Life
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
Hospice/End of life Use Case
You noticed in some reading about the industry that end-of-life care often has
significant spending and care opportunity. As a Population Health Analyst, you
decided to be proactive to understand this for your populations so you can report
to your leaders about it. You are hoping to understand:
1. Make sure you can translate data into real insights and a clear
“so what” answer.
2. What is the spending and care that these members receive? What role does
hospice play?
3. How do different hospice providers compare? Are we constructing our
program and approach intentionally?

18. Product Demo Capabilities: Value Optimizer –
Rapid Review (5)

19. Health Catalyst Value Optimizer: ED Analyzer
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
ED (Emergency Department) Analyzer Use Case
A Population Health Executive has asked you, the Population Health Analyst,
to understand more about emergency department use.
You’re hoping you can do the following three things:
1. Make sure you can translate data into real insights and a clear
“so what” answer.
2. Account for all the right codes, since that can be tricky in ED analytics.
3. Get a clear understanding of what is potentially avoidable and the
patients who could receive better care (via care management, PCP visits?).

20. Health Catalyst Value Optimizer: Outpatient
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
Outpatient Use Case
As a Population Health Analyst, you know outpatient spending is a key area
to research for your populations. You are hoping to understand:
1. How to translate data into real insights and a clear “so what” answer.
2. What about expensive drugs administered in outpatient settings vs
others?
3. How do my dialysis patients and providers compare?

21. Health Catalyst Value Optimizer: Physician Analyzer
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
Physician Analyzer Use Case
As a Population Health Analyst, you often need to deep dive on physician-
specific analytics. You are hoping to understand the following:
1. How do physician panels compare on any key metric in Value Optimizer?
2. How does my professional spending break down by service line?
3. Can I see and explain how patients are attributed to PCPs in
Value Optimizer?

22. Health Catalyst Value Optimizer: HCC Analyzer
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
HCC Analyzer Use Case
As a Population Health Analyst, you know accurate coding is important for
both patient care and financial margin. You need to share with the
Population Health Executive:
1. Real insights and a clear “so what” answer compared to benchmark.
2. How well you are recapturing codes in your risk populations.
3. When you are not coding because of access issues OR because of missed
opportunities during visits—on a patient-by-patient basis.
Does the gap warrant interventions at the point of care?

23. Health Catalyst Value Optimizer: Pregnancy Analyzer
The Health Catalyst Value Optimizer leaves no stone unturned in the discovery of improvement opportunities—
empowering you to master your value-based care strategy.
Pregnancy Analyzer Use Case
As a Population Health Analyst, you’ve run into difficulty accounting for the
nuance of data related to pregnancy. You want to understand:
1. What is the total spend (per total event – inclusive of all services) for
pregnancies in my at-risk population?
2. How much of that volume is going outside my network?
3. What percentage of our pregnancies involve the ICU? Cesarean?

24. Value Optimizer – Comprehensive & Actionable

25. Why so much?
To master your value-based care strategy, you
must understand and benchmark all the major
areas across the complete care continuum to
select only the most impactful options.
Value Optimizer was built to instantly compare
10,000 benchmarked opportunities and show a
comprehensive, transparent and actionable
solution to help clients master their VBC Strategy.

26. 2- Support

27. Value Optimizer Solution
Strategic Opportunity
Analysis
Prioritize your best opportunities for
short- and long-term care improvement
and cost savings initiatives to
operationalize your strategic plan
Strategic Consulting
Partner with nation-wide experts to
devise a population health strategy that
is grounded in current realities,
informed by and accounting of
organizational goals, and aligned with
your overall vision.
Strategy Deployment
Industry-leading technology and services bundle to help systems manage risk contracts
and achieve profitability in population health management.
Value Optimizer Product
Transparent, actionable, flexible self-service
financial analytics application
Product Optimization Services
Technology-enabled, expert-led, industry-experienced
Partner with our experts to tune the technology
tools to your populations and contracts
• Explore feasibility of success
• Plan and operationalize
• Guided interventions
Insights mined from your data support a holistic analysis
of VBC performance and its drivers
• Aggregate data for a comprehensive view
• Analyze populations, risk, performance, and opportunities
• Access timely and actionable data to guide financial and
operational decisions
Implementation plan and operational
model redesign that are grounded in
your current realities and aligned with
your overall strategy and vision
Contract Performance
Consulting
Access a strategic, data-informed
approach to evaluating your value-
based contracts and improving
performance in specific governmental
and commercial arrangements.
Expert services to help
deliver real ROI
(optional add-on services)

28. Supporting Materials
Health Catalyst Support & Community
• Configured installation
• Your network
• Your department structure
• Your PCP organization
• Benchmarks built on your populations
• Health Catalyst Community
• Training courses available for clients – levels I through IV
• Covers broad application use & core principles to upgrade knowledge
• Robust FAQ available
• searchable knowledge base of hundreds of population health
analytics related to Value Optimizer to get started deepening
expertise.

29. 3- Questions?

30. The Healthcare Analytics Summit 2021 - Virtual
Visit hasummit.com to register and learn more
• Industry-Leading Featured Speakers
• 21 Educational Breakout Sessions
• CME Accreditation for Clinicians
• Analytics and AI Showcases, Networking, and More
• Virtual Platform optimized for a live experience
Sept. 21 – 23, 2021 (half-day sessions)
o Steve Kerr
o Rana el Kaliouby, PhD
o Vin Gupta, MD, MPA, MSc
o Chris Chen, MD
o Amy Compton-Phillips, MD
o Brent C. James, MD, Mstat
o Sadiqa Mahmood, DDS, MPH
“The virtual experience was beyond any other that I've
attended. You all did a wonderful job of creating an "in-
person" feel and I appreciate that as a learner. The virtual
platform was very intuitive and fun.”

31. Thank you!

32. Appendix

33. © Health Catalyst. Confidential and proprietary.
Transparent and Enriched: DOS is the “Secret Sauce”
Content + 1,000,000 lines of code + 10,000 Benchmarks
Risk Scores
• CMS-HCC, HHS-HCC
Metrics
• Hundreds of metrics from combined data (PMPM,
LOS, Imaging, ED, Post-Acute)
PCP Attribution
• PCP visit-weighted attribution
• Client provided attribution
Groupings
• Clinical Hierarchy
• NPI Reference & maintenance
• CPT Code Reference & maintenance
• Ambulatory Sensitive Conditions
• Inpatient events
• Risk hierarchies
Standardized Data Model
• Many files into one standard
• Allow connection to clinical
• Available for other applications
• Allows additional fields & adaptations
• Adds more than 500 fields to standard payer files
• Solve for claim type & grain
• Single model allows deep benchmarking
Diagnosis
• Historical & current
• Chronic Condition Warehouses
Value add
• SDOH, American Community Survey
• Ambulatory Sensitive Conditions
• Bundles