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Cambia Profiles in Innovation: 100 Years of Driving Health Care Transformation CAMBIA PROFILES IN INNOVATION / TABLE OF CONTENTS Table of Contents 03 Forward by Cambia CEO Mark Ganz: Putting People at the Center of the Health Care Experience 04 Cambia Health Solutions: A 100 Year-Old Start Up 06 Palliative Care: Powering Palliative Care 2.0 09 Strategic Investing: A Cause-Driven Approach 12 Cambia Grove: A Pacific Northwest Hub for Seeding Innovation in Health Care 16 Internal Culture of Innovation: Driving Innovation from the Inside Out CAMBIA PROFILES IN INNOVATION / © 2011-2017 Cambia Health Solutions, Inc. 2 CAMBIA PROFILES IN INNOVATION / FORWARD BY CAMBIA CEO MARK GANZ Forward by Cambia CEO Mark Ganz: Putting People at the Center of the Health Care Experience My mother spent most of her As the son of a family up with an idea based on the our industry was built to help. adult life raising six children. physician in Spokane, need to protect themselves We are not just talking She inspired our love of Washington, I watched my and their families. They pooled about innovation, we have learning and our commitment father provide care for his a percentage of their weekly restructured our business to the community. She was patients and their families wages, creating a safety net in model to lead innovation. a remarkable woman with a that always centered on their case of injury or sickness. It We hope these stories will great sense of humor. When needs. I learned from him that was an innovation based on help you remember and she was diagnosed with keeping people well involved neighbor helping neighbor, reflect on your own stories, congestive heart failure in treating the whole person, and it was from this idea our because it is our own 2004, it felt as if my siblings their mind, body and spirit company and the health personal experiences and I had to arm-wrestle and that healing was not insurance industry was born. that inspire and empower the hospital staff to avoid just about finding a cure. In 2003, when I became us to lead change. unnecessary tests and invasive These are my stories. CEO, I reflected on my own procedures that would not Read on to see what we are Two personal health care stories and the story of those change her outcome. Worse learning. We invite you to experiences that continue timber workers, and realized yet, their recommendations take this journey with us, so to fire my passion toward our health care system was would have added to her that together we can create creating health care centered failing the people it was built stress and ours as a family. the seamless health care on the needs of people and to serve. We had strayed experiences we have always On the night my mother their families. Health care is from the original intent of wanted for ourselves and passed, she went into full personal to all of us and we our founders. So we defined for our families. cardiac arrest. The medical all have our own stories which Cambia’s Cause: to be a team ignored the “Do Not shine a light on how health catalyst to transform health Mark Ganz Resuscitate” sign my mom had care should and should not be care, creating a person- President and CEO insisted be posted in full view experienced. Our company focused and economically Cambia Health Solutions on her door, and proceeded and the health insurance sustainable system. to do a full code on her. When industry also has a story, On this journey, we have been we asked the medical team of how it all began. squarely focused on steering why they ignored our mother’s One hundred years ago, a our company and leading the wishes, they responded group of timber workers in industry toward change— “we didn’t want her to die the Pacific Northwest came refocusing on helping those on our shift.” CAMBIA PROFILES IN INNOVATION / © 2011-2017 Cambia Health Solutions, Inc. 3 Cambia Health Solutions: A 100-Year-Old Startup CAMBIA PROFILES IN INNOVATION / CAMBIA HEALTH SOLUTIONS Cambia Health Solutions: A 100-Year-Old Startup In 2017, Cambia Health Solutions celebrates its Centennial and 100 years of innovating for health care consumers. With deep roots in the Pacific Northwest, the spirit of Cambia was born from an idea in 1917 when timber workers decided to pool their wages in case of injury or sickness. It was an innovative idea based on neighbor helping neighbor, with the goal of serving people and their families. As a “100-year-old startup” with taken its legacy business and Finally, we have six health a long tradition of innovation, pivoted to meet the needs plans in four states, providing Cambia committed several of today’s health care insurance to more than years ago to removing the consumers—through our 2.6 million people; and we complexity and inconvenience numerous companies, offer best-in-class member from the consumer health care investments and the satisfaction as measured experience in an economically Cambia Health Foundation. by Forrester CXi. Through sustainable way. This became bold thinking and innovative our Cause. To put it into action, Harnessing the power technology, we are delivering of entrepreneurism, the the company realized it would solutions that make quality company has delivered have to upend its own business many first-to-market health care more available, model—to recreate its core. solutions including: affordable and personally That’s when CEO Mark Ganz relevant for everyone. set out to create a whole new • bringing transparency to business category: a total 70 million consumers in health solutions company. 50 states (HealthSparq and MedSavvy); and Today, Cambia is a family of more than 20 companies • using strategic philanthropy with a national footprint to grow palliative care and and approximately 5,000 improve the experience employees, all focused on of individuals with serious creating a more person-focused illness (Cambia Health and economically sustainable Foundation). health care system. Cambia has CAMBIA PROFILES IN INNOVATION / © 2011-2017 Cambia Health Solutions, Inc. 5 CAMBIA PROFILES IN INNOVATION Palliative Care: Powering Palliative Care 2.0 CAMBIA PROFILES IN INNOVATION / © 2011-2017 Cambia Health Solutions, Inc. 6 CAMBIA PROFILES IN INNOVATION / PALLIATIVE CARE Palliative Care: Powering Palliative Care 2.0 DELIVERING A RETURN ON HUMANITY At Cambia, we believe palliative care represents a model for how health care in general can— and should—be experienced. It is when people are facing serious, long-term or chronic illness that they need the “care” in health care the most. This is why we have invested in palliative care to fulfill Cambia’s Cause and as the company’s first version of fixing a broken health care experience. OUR APPROACH Key to our approach is placing Keeping the consumer at the people and patients at the Palliative care was the first version center of our focus serves as our A 2011 national poll found 76% center of our planning and North Star, guiding our leaders and of Cambia’s focus on addressing actions. When designing employees to challenge traditional of Americans were unfamiliar pain points in the consumer’s products and services and choosing philanthropic thinking with innovation. with the term “palliative care” health care experience from end to end. This journey started in investments, Cambia’s leaders and employees look through OUR ACTIONS But when educated about it, 2007 when the Cambia Health a consumer lens to ask to We didn’t start with the business 97% agreed it’s important that Foundation, Cambia’s 501(c)(3) ensure that palliative care: grant-making organization, was side of the equation, our health patients and their families be founded. It has continued with • Makes their path through plans. Instead we started educated about palliative care strategic investment in companies serious illness smoother with our Foundation and then and end-of-life care options. that innovate health care delivery, and easier made investments in innovative and has advanced further with companies and ventures. Finally, • Focuses on what matters to Cambia Health Foundation the development of the most in June 2014, we launched what patients rather than on National Journal survey comprehensive palliative care experts in the field have called what’s the matter with them benefits in the industry for the most comprehensive palliative our regional health plans • Involves shared decision- care benefits program through our across four states. making that helps them feel regional health plans. We believe in control of their experience we are the only health plan in We have focused all of these the United States with support in efforts on changing the experience • Provides an extra layer of place for the entire palliative care of people with serious illness support for patients and spectrum, from birth—and before by empowering them with more families that demonstrates birth—until natural end of life. control and changing the the palliative care team has paradigm of health care. the best interests of patients and families at heart CAMBIA PROFILES IN INNOVATION / © 2011-2017 Cambia Health Solutions, Inc. 7 CAMBIA PROFILES IN INNOVATION / PALLIATIVE CARE Through our Foundation, we The response and uptake have WRITING THE NEXT have invested in philanthropy Today, approximately exceeded expectations. In the CHAPTER, TOGETHER that advances the field of first two years, case managers: All of this work starts with a shared palliative care leadership. 90 million hope that we can create a system Americans are living with serious illness, • Almost 2,000 cases have been • Significant funding to and this number is expected to more than opened in palliative care case that supports and empowers people organizations and initiatives double over the next 25 years (state by management serving 1753 to have grace and respect when state report card).

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