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2021-098A
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2021-098A
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DocuSign Envelope ID: 67705E7E-0794-4F3C=AF08-23523789F737 <br />Ka. -nnact" <br />STATEMENT OF WORK <br />Customer: Indian River County <br />Kannact Account Executive: Olivia McIver_, I Phone: 870-917-8300 I Email: Omciver@kannact.com <br />This Statement of Work (`•`SOW') is entered into as of the Effective Date stated on the Master Services Agreement <br />("MSA") between Kannact, Inc. and Indian River County. The Parties acknowledge and agree that the provisions of the <br />MSA shall apply to. this SOW as though such provisions were set forth herein in their entirety. <br />Services Offered to Plan Members: <br />Pro am <br />PP -PM <br />Kannact Essential Diabetes' Management Program <br />$70.00 <br />Management of Hypertension & Cardiovascular Disease included <br />at no -additional cost to Customer during Initial Term <br />Kannact Eligibility I Covered Chronic Conditions: Members must have a diagnosis of Diabetes to be eligible for The <br />Kannact Program, which shall be confirmed via Medical and/ or Pharmacy Claims Data. <br />Supplies Provided Per Condition Confirmation: <br />Diabetes: Glucoineter, Testing Strips, Lancing Device & Lancets <br />Hypertension and/ or Cardiovascular Disease: Blood Pressure Cuff and/or Weight Scale <br />Program Services Include: Proprietary Medical and Pharmacy Data Analysis, Biometric Testing Supplies (per eligible <br />condition(s),.Personalized, 1 -on -1 Coaching and/or personalized Digital Coaching, Medication Management Services, <br />Escalated Video Telephone conferencing, as needed. with Kannact Medical Guidance Team, Full Account and Client <br />Experience Support, Promotion Materials, Quarterly and Annual Health Outcomes Reporting with Annual Financial Cost <br />Trend Analysis and Reporting. <br />Program Design: Easy Enroll; All agreed upon eligible participants with a Diabetes diagnosis will be enrolled with the <br />opportunity to `opt -out' or to be disenrolled after being `unable.Ao-reach' -within the initial forty-five (45) day period. <br />Marketing and Promotion: Kannact shall provide all collateral for review and approval by Customer along with <br />recommended distribution calendar. Kannact shall perform outreach to eligible Members. <br />-Program Requirements: Enrolled Members must engage with their assigned coach and submit 15 readings/month via <br />Kannact provided devices to remain active and eligible. Members who do not adhere to these guidelines will be <br />automatically disenrolled. <br />Billing:. Kannact shall submit Direct Invoice to Indian River County for Active Participants in the Diabetes Management <br />Program. Kannact shall verify Participant eligibility and perform due diligence in confirming Participant's usage of the <br />Services prior to billing. <br />Key Performance Indicators: Kannact and Indian River County agree upon the following Key Performance Indicators. <br />to serve in the evaluating of Kannact Services: <br />• Improved. Biometric Trends: To include Blood Glucose; Hemoglobin Ale, and Blood Pressure. <br />• Increased Enrollment: Engagement of a minimum of fifty (50) eligible members by 12 months post - <br />implementation for reporting and proof of concept purposes. Customer agrees to promote, co -market and Easy <br />Enrollment Model. <br />• Increased Testing Adherence: Customer agrees to implement program requirements (i.e., engaging with <br />Kannact Coach and the submission of 15 biometric readings per month) for active Participants to remain eligible <br />for the Program. <br />IN WITNESS WHEREOF, the Parties, hereto, through their duly authorized officers, have executed this Stae 16fS8`" <br />Work to the Master Services Agreement, as of the Effective Date stated therein. ; J�>� /�''✓c�9 <br />CO <br />sil aftact, Inc. <br />CUSTO <br />ER: India River County <br />By. <br />By. <br />Name: <br />Krishna Rao, Kannact CEO <br />Na <br />Joseph E. Flescher '?oma'• off: <br />e: <br />9/16/2021 <br />Date: <br />Dater <br />September 21, 2021 <br />p ^••^••^ <br />Attest: Jeffrey.R. Smith, Clerk of <br />Page G of 5 <br />Cir it Court an7om fler <br />Denuty Clerk <br />
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