Papa provides Family-on-Demand services for older adults and families in the comfort of their home, at a distance, or virtually. The Papa Platform enables Members to connect with Papa Pal(s) who will, at a minimum offer and deliver on the following types of services requested by the Member or services at the direction of the Health Plan Partner. The Papa platform is highly configurable to meet your requirements for multiple benefit designs, Regions, Member populations, quality initiatives, etc. • Home Visits, Virtual Visits, and Respite Care: Augmented support for Instrumental Activities of Daily Living (IADLs), companionship, light housework, meal preparation, organization, laundry, assistance with pet(s) etc. • Guided Group Activities: Papa will host interactive webinars as directed by the Health Plan Partner where Members will be led through modifiable activities that help increase brain function, decrease loneliness, a empower Members such as meditation, scrapbooking, cooking, book clubs, stretching, chair aerobics, posture and coordination guidance. • Care Gaps: Reminders for open care gaps as identified in the Health Plan Partner’s eligibility file (such as Comprehensive Diabetes Care Measures, Annual Wellness Visits, Vaccines, Preventive Screenings, Health Risk Assessments, etc.). Care gaps are presented to the Papa Pal through the Papa Pal app. • Technical Guidance: Increase usage of Health Plan Partner’s virtual care, teaching new technologies, installing devices, assisting with use of technology, etc. • Benefit Plan Guidance: Proactively inform Members of Health Plan benefits such as telehealth, mail order pharmacy and meal support services as directed by the Health Plan Partner. • Transportation: Short-distance travel for errands, doctor’s appointments, pharmacy, grocery shopping, gym, etc. • Quality Supported Initiatives: Health Plan Objectives such as assistance with medication adherence, doctor’s appointments, scheduling, care gap reminders, etc. • Perform welfare checks – Visits intended to check on the wellbeing of the Member and provide resources and support such for those who may be homebound with increased isolation. • Exercise, Fitness and Activity: Walking, gardening, biking, health club visits, etc. • Events: pre-planned and pre-scheduled local event attendance, visits to local attractions (museums, fairs, community events), etc. • Companionship: Face-to-Face or virtual companion visits, conversation, board games, reading, hobbies • Grocery and Prescription Shop and Drop: Contactless shopping and delivery of groceries and prescriptions on behalf of the Member • Care Navigation Services: These services are provided in addition to standard Papa services listed above. All Health Plan benefits are digested in the Papa platform to help Members understand their benefits. Care Navigation enhances the Papa Pal services to assist Members through the process of understanding benefits to scheduling medical appointments to transportation, etc. Services can include but are not limited to: o Onboarding and Enrollment: Guided Papa Pal program enrollment and needs assessment o Health Risk Assessments: Engage eligible Members to complete HRA o Care Appointments and Transportation: Coordinate doctor visits, shopping and Rx pick up o Care Gap Reminders: Reminders to assist and schedule care gap closure, proactively engage Members with their providers for annual wellness visits, etc. o Benefits Resolution and Health Literacy: Guidance on available benefits, assistance to improve health literacy, and coaching on digital health tools and coaching on digital health tools and technology o Member Insights and Reporting: Data requested by the plan to gain more holistic view of the Member’s needs including loneliness Papa Pals shall not conduct the following activities below. Papa Pals can inform Members and coordinate with the Health Plan Partner or its’ partners for these clinical services: • Medical Assistance: Medical diagnoses or recommendations; medical procedures, drug administration, or any other activities which would normally be performed by a licensed medical professional • Personal Hygiene: Bathing, brushing teeth, bathroom assistance, dressing, nail clipping, or other acts which would be considered assistance with personal hygiene. • Physical Contact: Feeding, carrying, massaging, lifting, or other unnecessary physical contact. • Additional Prohibitions: Under no circumstances shall a Papa Pal visit or contact a Member outside of scheduled visits; develop a physical or romantic relationship with a Member; engage in any physical contact without the Member’s express consent; or act in any other manner that would not be consistent with a professional relationship.

Papa was built to provide an incredible experience by supporting Medicare Advantage, Medicaid, Employer Groups and their families throughout the aging journey. Founded in 2016 in Miami, FL, Papa began due to a personal need that Andrew Parker, CEO and Founder of Papa, had with his own family. Recognizing the extreme difficulty associated with juggling daily life and senior family member’s needs, Papa was initially built to support Andrew’s own grandfather. Andrew and his family recognized how impactful and positive it was to connect their grandfather with a young, energetic, and enthusiastic individual. After the first visit, he knew he had something special to offer other families with the same need. We've found this companionship-based offering helps drive high member satisfaction, care gap closure, and a decrease in inappropriate healthcare utilization.

Supporting At-Risk Members: Encouraging healthy living to facilitate wellness and simultaneously ensuring members have timely access to appropriate, quality care is essential to both your mission and success. This two-pronged approach helps manage costs, improve health/outcomes, and drive member satisfaction, loyalty, and retention. Of course, your members live in a multitude of environments and have varying levels of support and resources. Research shows ‘social determinants’ —circumstances and conditions in which people are born, grow up, play, live, and work — correlate with members’ ability to stay healthy, engage in preventive screenings, and access care. Understanding these correlations and addressing disparities is the key to helping at-risk members stay healthy and access the care they need. New Medicaid Rules: Federal rules governing Medicaid managed care now allow health plans to spend capitation dollars on value-added services not covered by the state to improve quality and/or reduce costs. While the cost of the services can’t be included in capitation rates, they can be included in the numerator of the medical loss ratio (MLR) if they’re part of a quality initiative. This policy shift emphasizes the importance of proactive outreach to members who need assistance obtaining services which support their mental, physical, and emotional well-being. Hierarchy of Needs: Wellness, healthcare, and social determinants are inextricably intertwined. Research shows 40% of health outcomes are attributable to social and economic factors, reflecting a stronger correlation than the link between health outcomes and genetics, health behavior, clinical care, or physical environment3. As an example: every year 63% of low-income households and older adults must make spending choices between food and medical care4. To engage your at-risk members in heathy behaviors and timely care, you must first help meet their most basic needs. Proactive Outreach: • Identifies members most in need of assistance • Provides a member-centric, concierge service with personal outreach via experienced, empathetic advocates • Leverages our robust database of thousands of private and public social programs • Assists members with determining program eligibility and enrollment • Confirms benefits are being received and maintains ongoing engagement Our Expertise and Experience: For over 17 years we have specialized in addressing social determinants of health (SDOH) by identifying barriers to care. With our time-tested engagement process, we assist members with eligibility identification and enrollment for dual status in Medicare/Medicaid as well as with annual recertification, Medicare Part D, and community programs.

Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.