efa-capabilities-short-7 8 2015 (5)

Evidence-Based Predictive & Prescriptive Analyticsfor Accurate & Persistent Informing

CONFIDENTIAL

Copyright © April 20, 2014, All Rights Reserved

EagleForce Associates, Inc. 2250 Corporate Park DriveSuite 205, Herndon, VA 20171

Capabilities Presentation

CONFIDENTIAL

EagleForce Health is a technology solutions company providing a broad range of systems development, organizational, and operational assistance to “Big Data” processing and Predictive Analytics functions.

We have extensive experience in implementing large, complex Public sector, Defense, Intelligence and Healthcare analytics and developing leading-edge technology solutions to address our clients’ most challenging issues.

Founded in 2001

Headquartered in Herndon, VA

Interoperability for NATO

TSA Passenger Screening Predictive Analytics

Predictive Analytics for the Veterans Affairs

Company Overview

Solving The World’s Biggest Challenges

Eligibility & Claims Processing for CMS

Security * Unstructured Data Analytics * Persistent Collaborative Care

Company Overview

WHAT WE DODeliver the most accurate & persistent predictive & prescriptive analytics in the world

WHYImprove quality and reduce costs of healthcare services by informing stakeholders and care team with “actionable” clinical decision support

HOW WE DO IT• Establish the worlds most secure interoperability hub & collaborative care environment for

centralizing & sharing patient data (clinical, financial, behavioral and environmental) including voice, video and sensors

• Apply our evidence-based and patented methodologies & technologies for measuring, monitoring & predicting human behavior and the associated costs

• Deliver meaningful insights to members of the care team in real-time/near real time for persistent informing and alerts

SUCCESS METRICSBetter outcomes and lower healthcare costs through demonstrated CQPM Reporting

CONFIDENTIAL


Healthcare’s Biggest Challenges

CONFIDENTIALCONFIDENTIAL

1. Much of healthcare data is in multiple places and disparate EMRs

2. The data is structured and unstructured (85% unstructured)

3. Inconsistent/variable definitions; Evidence-based practice and new research is coming out every day

4. The data is complex

5. Changing regulatory requirements

6. Healthcare data will only get more complex

Business Solutions

EagleForce Health is applying its proprietary technologies & methodologies to enable our healthcare clients to solve their biggest and most complex challenges.

Re-AdmissionsMeaningful Use

ScoringMedication Adherence

Clinical Quality & Performance Measures

Patient Safety

Eligibility

Revenue Cycle Management

Collaborative Care

Applying Our Technologies & Methodologies to Healthcare

Personalized Medicine

Claims Adjudication

Risk StratificationAcross Disparate Systems

Patient Engagement

CONFIDENTIAL

85% of Healthcare Data is Unstructured…yet 90% of

Analysis is on Structured Data

Patient Outcomes

Cost Avoidance

SecurityA Competitive Advantage

EagleForce Health SwissVault™

CONFIDENTIAL

Universal Adapter enabling our customers to Securely & Seamlessly aggregate, integrate and share large data sets including voice, video & sensors across disparate systems leveraging the most sophisticated and secure cloud-based appliance in the market today.

Military Grade Security Privacy meeting MU Stage 2 requirements, Defense Information Systems Agency (DISA) Standard Technical Implementation Guidelines (STIG’s)and only entity meeting the standards within the International Health Information Exchange environment NATO Standards Agreement (STANAG).

Redu

ndan

tMan

aged

PDU

s(P

DU

)

Storage as a Service (STaaS)

Redundant firewalls (FW,FWHA)

Redundant switch fabrics(LESW,FCSW)

RHEV-M Cluster (SRVA)

RHEV-H Cluster (SRVA)

Object Storage (OBJsecondary storage)

Block Storage (SANBprimary storage)

File Storage (NASNFS storage)

AD / Defender (SRVB)

Cloud Orchestrator (RHEL 6.4),Compellent Storage Center (RHEL 6.4),AD Certificate Server (Windows Server 2008 R2).RHEV-H Compute Cluster (RedHat), Business and Technical Portal (RHEL 6.4),Quest Change Auditor (Windows Server 2008 R2),Quest Authentication Server (Windows 2008R2),Quest Intrust Server (RHEL 6.4), (2)STaaS(Win)

SecurityA Competitive Advantage

EagleForce Health SwissVault™

Evidence-Based Proprietary & Patented Methodology

Built on neural computing & artificial intelligence, our proprietary methodology uses advanced machine learning techniques, pattern recognition, link analysis, feature vector scoring and other analytic functions deliver greater accuracy and performance including speed of information aggregation and analysis for real-time analysis & dashboard informing.

1. Applying our patented Predictive Analytic Markup Language (PAML), which allows for context variances (i.e. temporal & geospatial) for resolving asymmetrical and non-linear problems.

2. Ability to manage structured, unstructured and semi-structured data from voice, video, data and sensor sources at the same time.

3. Presenting both “plausibility” and “potentiality” scoring to reduce the “noise factor” when analyzing big data.

CONFIDENTIAL

Predictive Analytics A Competitive Advantage

Clinical, Financial, Behavioral, Environmental & Sensor Data

CONFIDENTIAL

Proprietary Data Sources & MethodologyA Competitive Advantage

Sharing Prescriptive Analytics Across Stakeholders and Members of the Care Team

1. Easy-to-use communication gateway for secure encrypted exchange of data, voice, video, chat and sensor data with two clicks on any device.

2. Highest level security & privacy meeting MU Stage 2 requirements, DISA guidelines and the standards within the International Health Information Exchange environment (STANAG).

3. Real-time analytics with real-time persistent reporting & patient monitoring using all informed data sources simultaneously without interruption at administrative, practice, provider & care team levels.

EagleForce Secure Collaboration Gateway™ Appliance

CONFIDENTIAL

Collaborative Medicine A Competitive Advantage

End-to-end Encryption with just two clicks on any device

CONFIDENTIAL

EagleForce Health StrategyA Competitive Advantage

TARGETED CONDITIONSDiabetes Heart Disease COPD Hypertension Asthma Cancer HIV

DELIVERY CHANNELS

Hospitals

Payors

IDNs

ACOs

HIEs

PBMs

Pharmacies

QUADRANT 1Provider & Patient Content

QUADRANT 4Provider & Patient Engagement

QUADRANT 2Data Analytics

QUADRANT 3Predictive & Prescriptive Analytics

Retrospective RISK

Patient Outcomes

Eligibility

Gaps-in-Care

MedicationAdherence

Engagement (why and how)

Cost Avoidance

Cost Savings

Future Risk

eRx Copay Savings

Persistent RemoteMonitoring

Workflow Alerts& Dashboards

EMR driven Education

Population Health Portals

CLINICAL Q

UALITY & PERFO

RMAN

CE MEASU

RES

PHARMACEUTICAL MANUFACTURERS (PERSONALIZED MEDICINE)

Safety


Success Dependencies1. Accurate Data & Analysis2. Timely Information3. Provider – Patient Engagement

EagleForce brings innovative technology solutions and strategic consulting support to both government and commercial customers. Our leadership team is solving healthcare’s biggest challenges.

• Using Our Knowledge, Methodology & Technology to Solve Complex Challenges

• Seamlessly aggregating, integrating data from disparate systems• Providing actionable clinical and business insights in a persistent manner • Meeting Rigorous Quality Standards both domestically and internationally

Strategic Partners

Enabling our Strategic Partners to Succeed

Summary

Competitive Advantages

CONFIDENTIAL

1. Highest Security in the Industry & only entity meeting International Security Standards for Health Information Exchange (STANAG) for both aggregation & integration and sharing of data/insights domestically and internationally including voice, video and sensors.

2. Most Advanced Predictive Analytics Systems in the World Leveraging Both Structured and Unstructured Data Simultaneously with Context Informing

3. Real-Time Persistent Analytics with Real-Time Persistent Monitoring & Reporting including benchmarking against CQPM.

Appendix AIntellectual Property

BLACKDRAGON

CONFIDENTIAL

EagleForce Associates, Inc. has two patent applications published by the U.S. Patent & Trademark Office, 2005-0038805 A1 and 2005-0278362 A1, directed to its Knowledge Discovery technology (called Black Dragon).

This next generation technology is designed to overcome information silos, unreliable data, and highly disaggregated data to enable customers to identify complex, time critical patterns, and uncover non-obvious relationships to power informed decision making.

EagleForce's Black Dragon knowledge discovery architecture, system and software technology brings context to the vast universe of content across both an enterprise and public domain data. The patent-pending technology enables organizations for the first time to comprehensively search data regardless of the format.

EagleForce's technology encompasses all analytic capabilities for structured and unstructured data and has been recognized as a best of breed approach in the DoD's Global Information Grid -Enterprise Service (GIG-ES) for Discovery, which is intended to tie together all information across the Department of Defense - the world's largest holder of content.


Patents in Predictive Analytics

1. U.S. Serial No. 13/281,349 – Filed: October 25, 2011, Claims Priority from Provisional Application 61/406,672 Filed: October 26, 2010 Title: SYSTEM AND METHOD FOR MACHINE BASED MEDICAL DIAGNOSTIC CODE IDENTIFICATION, ACCUMULATION, ANALYSIS AND AUTOMATIC CLAIM PROCESS ADJUDICATION

2. System and Method for Predictive Analysis and Predictive Analysis Markup Language, May 2006: WO 2006/050245 / Aug 2007: EP1812898

CONFIDENTIAL


Patents in Predictive Analytics

3. System and Method for Evidence Accumulation and HypothesisGeneration, Oct 2006: WO 2006/110853 / Jan 2008: EP1877968

A methodology, a system, and an apparatus is defined for performing evidence-based decision-making about matching a given entity against one or more of a set of known or reference entities. A satisfactory decision is achieved as a function of both potentiality and plausibility, where plausibility ...

4. Knowledge Discovery System, Aug 2007: EP1817723 / May 2006: WO2006/050142

A knowledge discovery apparatus and method that extracts both specifically desired as well as pertinent and relevant information to query from a corpus of multiple elements that can be structured, unstructured, and/or semi-structured, along with imagery, video, speech, and other forms of data ...

5. System for Hypothesis Generation, March 2007: WO 2007/027967 A2An extraction processor extracts an entity from a data set. An association processor associates the extracted entity with a set of reference entities to obtain a potential association wherein the potential association between the extracted entity and the set of reference entities is described using a vector-based belief-value-set.

CONFIDENTIAL

Appendix BCMS Eligibility & Claim Adjudication Case Study

CONFIDENTIAL

350 disparate CMS systems with no interoperability or standardization

Eligibility Information

Users

Ctr for Medicare & Medicaid Svcs (CMS)

Accountable Care Orgs (ACO)

Medicare Admin Contractors (MAC)

Recovery Audit Contractors (RAC)

Zone Integrity Program Contractor (ZPIC)

Other Independent Systems:

Medicare

Medicaid1 National System

54 State Systems

200+ Systems

19 MACs -38 Systems

4 Regions -8 Systems

14 Systems

VA

Indian Affairs2 Systems

2 SystemsPrisons

2 Systems

110 Systems

350+Independent

Systems

Separate Patient & Provider System

s

Interoperability & Automation of Claim Adjudication

Results9 Out of 43 companies, only 4 finished9 EagleForce scored 5X better than CMS expected 9 EagleForce scored 2.5X better than the next best vendor

Appendix BPredictive Analytics Case Study

CONFIDENTIAL

TSA Passenger Screening

Implementation Summary▪ Integrated Structured and Unstructured data▪ Performed analytic value scoring for each element of the Passenger Name Record

(PNR)▪ Built analytic verification module for passenger identification system▪ Implemented language variant analysis for matching different name versions and

variants▪ Developed evidence accrual methodology, enabling partial matches to statistically

contribute to overall match within and extensive rules structure▪ Data model and system Ontology scaled to process an individual in 4 seconds or

less▪ Fraud and Criminal detection technology and overall strategies used world wide for

the flying public under the name Secure Flight▪ Real Time Complex Event Analysis and actionable reporting ranging from eligibility

to criminal activity scoring. ▪ Enabled context-based thresholds for decisions on gathering additional evidence

Realizations and ROIProvided the identity verification and

adjudication method and the algorithms to process over 1.8M

passengers per day while reducing False Positives by over 68 percent with the

ROI ranging from an average of 4.9 min per passenger to 22 seconds

The US Congress and the Senate Select Committee on Intelligence ordered the

Department of Homeland Security to Test, Demonstrate and Report on their ability to properly identify, analyze and dynamically

report on individuals who would improperly travel on US or International aircraft through

the use of Predictive Analytic methods.

Although initially focused on TSA passenger screening EagleForce has demonstrated the use of the technology for Provider and Patient eligibility claims. Our Predictive Analytic Rules Ontology structure has incorporated Parts A, B, Hospice, Ambulatory and DME claims for processing without human intervention

Appendix BNATO Case Study

2014 NATO Interoperability & Secure Exchange of Data, Voice & Video

Coordinated collection management to enhance battle space awareness

Participation Requirements & ChallengesMilitary Problem & Trial Objective

� Create persistent Dev/ Test environment in CFBLNet with ability to quickly transition to C4 ISR Ops networks

� Deploy software and modeling capabilities for synchronization of multiple ISR platforms and sensors and exploitation

� Accomplish risk reduction test events� Develop Use Case � Refine TTP

Problem� Improve NATO ISR information sharing capabilities within an

enduring NATO architecture

Objectives � Improve Commander’s battle-space awareness� Provide operational knowledge of all collection assets,

strategic & tactical� Provide optimal intelligence collection strategies� Provide Automatic taxonomy generation capabilities� Provide Enhanced Portal search capabilities

� Answers commander’s information needs through optimization and synchronization of collection assets

� Optimizes assets, routes, schedule, and ops support� Rapid Contingency & Collection Mgt Planning Tool� Coordination and Synchronization of Multiple ISR Assets

� Automatically generates, maintains, and visualize coordinated multi-asset collection plans, Flight paths (for airborne), and Detailed sensor schedules

� Enables difficult synchronized collections� TDOA/FDOA geolocation, GMTI multilateration

� Dynamic Replanning

Overview

CONFIDENTIAL

efa-capabilities-short-7 8 2015 (5)

Documents

healthcare data

healthcare analytics

unstructured data analytics

healthcare clients

predictive analytics

big data processing

large data sets

confidential page