insurance that PUTS YOU · 4 Lasso Healthcare Insurance Company 2020 Lasso Healthcare MSA Overview...

insurance thatPUTS YOUIN CONTROL

2020Lasso Healthcare

MSAH1924_2020MSAPres4_M

2 Lasso Healthcare Insurance Company

2020 Lasso Healthcare MSA Overview

Your money. Your choice. Take control with Lasso Healthcare.

Confidential & proprietary to Lasso Healthcare Insurance Company | LassoHealthcare.com

One Type of MedicareAdvantagePlan

MSAs, or Medicare Medical Savings Accounts, combine a high-deductible health plan with a special medical savings account.

Optum Bank, a market leader in health savings and spending accounts, is our banking partner.

HMO POS

MSAMedicalSavingsAccount

High-deductible

health planSavingsaccount

BasicOperationof an MSA

MSAs are comparatively simple benefit plans...no copays, referrals or prior authorizations...and operate on four basic premises.

We deposit money intoyour MSA savings account

You decide how to spend, save and/or invest the funds

You are responsible for expenses until you reach the plan deductible, then we pay 100% of additional Medicare A/B expenses incurred

Any funds remaining atyear-end belong to you and roll over to the next year

MSAs OfferUniqueFeaturesand Appeal

MSAs offer a combination of features unique to Medicare Advantage (MA) plans.

These features mean many different types of individuals can find value in an MSA plan.

No network —

see any Medicare provider

Only MA product

to give money (growth potential)

Enhanced

tax-free expensecoverage

2020ServiceArea

State-specific maps and county listings are included in Appendix B.

Region 1

Region 2

Region 3

CompetitiveBenefitStructure

Our MSA's member responsibility amounts are competitive with maximum out-of-pocket amounts of other MA plans. With $0 monthly premium and the chance to grow your funds over time, the MSA can provide a unique financial opportunity.

Region 1 $7,400 $3,240 $4,160

DEDUCTIBLE DEPOSIT MEMBER

RESPONSIBILITY

Region 2 $8,400 $3,240 $5,160

Region 3 $9,400 $3,240 $6,160

MSA PLANS ARE $0 PREMIUM BY LAW

Preventive HealthIncentive Program

You can use MSA funds on preventive services tax-free, and those services count toward your plan deductible.

Our For Your Health program rewards you for seeking smart, preventive care, with up to $250 in gift card rewards to major brands like Amazon, Walmart and more, or a Visa® prepaid card.

Complete ahealth survey

Order labs and discuss results

Conduct an annual wellness visit and

establish a care plan

$100gift card

$75gift card

Joiningan MSAPlan

As compared to other MA plans, there are additional requirements to join an MSA plan.

Medicare-eligible

Live in the Lasso Healthcare MSA service area

Reside in the U.S. for 183 days or more during the calendar year

Do not have other coverage that would cover the MSA plan deductible, including benefits under an employer or union group, TRICARE, the VA or FEHBP

Not currently eligible for Medicaid

Not currently receiving Medicare hospice benefits

Do not have end-stage renal disease, unless client was enrolled with an MA plan that left Medicare and hasn't yet joined another MA plan

PlanEnrollmentand Setup

Enrollment in the Lasso Healthcare MSA plan is easy, and includes establishing both your Lasso Healthcare-backed health insurance, plus your Optum Bank-administered savings account.

You submit the completed application materials via web, phone, mail or fax.

We set up both your health insurance plan and your medical savings account

We deposit the funds into your medical savings account

You receive both a Lasso Healthcare member ID card and a debit card linked to your savings account

Deposit and Deductible Amounts

Enrollment is generally for a full calendar year, unless you meet certain exceptions. As such, the plan deposit and deductible are full calendar year amounts. Both are prorated monthly for any enrollment or disenrollment happening within the calendar year.

You enrolleffective January 1

Receive full-year deposit and deductible amounts

You enrolleffective April 1

Receive 9-month prorated deposit and deductible

amounts

You disenrolleffective July 1

Owe 6-month prorated amount of current year's

deposit back to Lasso Healthcare

You remain amember through

December 31

Keep any remaining funds from current year's

deposit

Payment Responsibilitywith theMSA

We pay any additional Medicare-covered services incurred after you reach your plan deductible. You are responsible for all other expenses. Remember, MSA funds are only taxed and penalized if used on non-qualified expenses.

Medicare-coveredexpenses

Non-MedicareIRS-deemed QMEs

Non-qualifiedexpenses

Deductible

MSA and/or out-of-pocket

(MSA funds not taxed)

(MSA funds taxed + penalty)

These expenses are also considered Qualified Medical Expenses (QMEs) by the IRS.

For a full list of both Medicare and non-Medicare QMEs, see

IRS publication 502.

What$3,240Can Cover

The deposit amount stretches quite a bit farther than you might think. Here are the average costs of Medicare's most frequently used procedures. As you can see, the deposit amount covers each expense many times over.

Existing Patient Dr Visit

$22 - $148

New Patient Dr Visit$22 - $210

Joint Aspiration/Injection

Dermatology Biopsies$68 - $114

Eye and Cataract

$104 - $656

Ambulance$436

Colonoscopy-related

$352 - $437

Emergency Room$889

ClinicalAccessin theMSA

With no plan network and clinical access just like Original Medicare, you are free to see any provider you choose, but get the most value by seeing Medicare-participating providers.

Medicare-Participating

MedicareNon-participating

MedicareOpt-out

REQUIRED TO

SEE YOU?

SERVICE

CHARGES

HANDLING

Yes, if accepting new patients

Pay lesser of billed charges or 100% Medicare rates

Can balance bill, where allowed by law, up to limiting

charge

Private contract between you and

provider; billing not limited by Medicare

Medicare-covered charges count

toward deductible

Excess charges not reimbursed by plan, do not count toward deductible

Charges not reimbursed by

plan, do not count toward deductible

Prescription Drug and Ancillary Coverages

You can purchase additional, limited benefit policies that best fit your needs, and use your MSA funds to pay for items such as the plan copays or deductibles.

Common CoveragesUse MSA funds on:

Premiums Copays Coinsurance Deductibles

Standalone Medicare Prescription Drug

(Part D) Plan

Hospital IndemnityPolicy (HIP)

Critical IllnessInsurance

Long-termCare (LTC)

Dental

Vision

How MSA ClaimsWork

Claims under the MSA work like any other MA plan with $0 copay — claims are submitted to Lasso Healthcare for repricing and a check to see if the plan deductible has been met to determine payment responsibility.

1 | You see Medicare-participating provider for

annual wellness visit($0 copay)

2 | Provider bills visit to

Lasso Healthcare

$150$100

3 | Lasso Healthcarereprices to 100%

Medicare rate

4 | Lasso Healthcarechecks progress

toward deductible

$150$100

5 | Lasso Healthcaresends you the

Explanation of Benefits

4A | Lasso Healthcare pays

provider $100

$150$100 $150

4B1 | Lasso Healthcarenotifies provider ofyour responsibility

4B2 | Providerinvoices you

4B3 | You pay provider(MSA or out-of-pocket)

NotMet

Optum Bank Benefits for Members

Once the initial deposit has been made to your Optum Bank-administered account, you are free to move the funds to your choice of financial institution.

However, Optum Bank provides special benefits to Lasso Healthcare MSA members.

NO custodial fees as long as you remain a Lasso Healthcare member*

2A debit card linked to

your account forusing MSA funds

NO minimum balanceto maintain 3

4Interest earned on the

account balance; see current rates on Optum’s website

Monthly statementsshowing account activity 5

6Option to invest any

balance over $2,000 to potentially grow funds

*Monthly maintenance fees will be charged if the account holder is no longer a Lasso Healthcare MSA member; alternatively, the account holder can transfer funds to a custodian of their choice, subject to a transfer fee.

TaxImplications

MSAs offer tax advantages unique to MA, but also have special reporting requirements that must be followed.

Funds are not taxed when deposited into the account

Funds, and any gains, are not taxed while they remain in the account

Funds, and any gains, are not taxed upon withdrawal, if used for Qualified Medical Expenses

Optum Bank sends you a Form 1099-SA if MSA funds are withdrawn during the year (any amount/reason)

If you used MSA funds during the year (any amount/reason), you must file both IRS Forms 8853 and 1040, even if you are not otherwise required to file an income tax return

Review IRS Publications 969 and 502, and speak with a tax advisor for more information

Maximizing Value and Health

With just a little discipline, the power of the MSA can be harnessed to get the most financial value...and better health...from your plan.

Establish a plan to cover the member responsibility portion of health costs

Partner with providers, be a good patient and health care consumer...and live a healthier lifestyle

Limit MSA funds used on non-qualified expenses

Consider investing excess MSA funds to potentially grow money for future health expenses

COMING SOON!Meet MAISY, our Medicare Financial Analyst

Lasso Healthcare is the only Medicare Advantage carrier to offer Medicare Suggest, an experience-based Medicare coverage decision tool powered by industry expert, Milliman. MAISY is our Medicare Suggest mascot, and can help you assess the financial impact of Medicare coverage options.

1 You securely import actual claims history (automated or manually), or answer a short series of health questions to build a generic health profile

MAISY privately extrapolates your info against millions of

Medicare enrollees' (blinded) data and all available MA

options in your county, plus Original Medicare

MAISY generates a list of financially-prioritized Medicare coverage options to consider

Review MAISY's results as part of annual coverage discussions

with your agent

EnrollToday

Online:LassoHealthcare.com

Phone:

1-800-918-2795

1-888-638-6943

P.O. Box 60690Harrisburg, PA 17106-0690

Questions? Call us at 1-866-766-2583 / TTY: 711October 1 - March 31: 8 a.m. - 8 p.m. 7 days a week

April 1 - September 30: 8 a.m. - 8 p.m. Monday - Friday

We look forward to servicing you as a Lasso Healthcare member in 2020!

Lasso Healthcare MSA is a Medicare Advantage Medical Savings Account (MSA) plan with a Medicare contract. Enrollment in the Plan depends on contract renewal.

APPENDIX

Appendix A: Enrollment and Disenrollment

Medicare Periods

AEPAnnual

EnrollmentPeriod

OEPOpen

Enrollment Period

ICEPInitial CoverageElection Period

(at 65)

OEP NEWOpen Enrollment Period — Newly

Eligible

SEPSpecialElectionPeriod

PeriodTiming Oct 15 - Dec 7 Jan 1 - Mar 31

Birth (entitlement) month + 3 months before + 3

months after3 months following ICEP Varies

Enroll in MSA? Yes No Yes No No

CoverageEffective Jan 1 N/A

3-1 mos. prior = first day of entitlement month

Birth & 1-3 mos. post = first day of month after completed enrollment

form received

N/A N/A

Disenroll from MSA? Yes No N/A No Yes, but limited*

Compared to other MA plans, there are limited opportunities to enroll and disenroll in an MSA. Generally speaking, enrollment is for a full calendar year.

CMS extends a special accommodation to first-time MSA enrollees who enroll during AEP: MSA-first-timers are allowed to change their mind and disenroll from an MSA by December 15. Keep in mind if you disenroll after December 7 (the end of AEP), your only option is to return to Original Medicare.

*Disenrollment is limited to AEP and a select set of SEP circumstances:• A permanent move out of the service area• Gaining Medicaid eligibility• Gaining other coverage duplicating Medicare A/B services• Enrolling in a 5-star MA plan

Appendix B:2020 Region 1Deposit and Deductible Amounts by Month

Appendix C:

Confidential and Proprietary to Lasso HealthcareAgent Use Only – Not for use with Medicare beneficiaries

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Apache 3 3 Cochise 3 3

Coconino 3 3 Gila 3 3

Graham 1 1 Greenlee 3 3

La Paz 1 3 Maricopa 1 1 Mohave 1 3 Navajo 3 3 Pima 1 1 Pinal 1 1

Santa Cruz 1 1 Yavapai 3 3 Yuma 3 3

LASSO HEALTHCARE MSA ARIZONA

Appendix C:

LASSO HEALTHCARE MSA ARIZONA 2020 SERVICE AREA MAP

Region 1Deposit = $3,240

Deductible = $7,400Member Responsibility = $4,160

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Arkansas 3 3 Garland 2 2 Newton 1 3 Ashley 3 3 Grant 2 3 Ouachita 3 3 Baxter 1 3 Greene 2 3 Perry 2 3 Benton 1 1 Hempstead 3 3 Phillips 2 3 Boone 1 2 Hot Spring 2 2 Pike 3 3

Bradley 3 3 Howard 3 3 Poinsett 2 3 Calhoun 3 3 Independence 2 3 Polk 2 3 Carroll 1 1 Izard 3 3 Pope 1 2 Chicot 3 3 Jackson 2 3 Prairie 2 3 Clark 2 3 Jefferson 1 2 Pulaski 2 1 Clay 2 3 Johnson 1 2 Randolph 2 3

Cleburne 2 2 Lafayette 3 3 St. Francis 2 3 Cleveland 3 3 Lawrence 3 3 Saline 2 2 Columbia 3 3 Lee 2 3 Scott 1 1 Conway 2 3 Lincoln 2 3 Searcy 1 3

Craighead 2 3 Little River 3 3 Sebastian 1 1 Crawford 1 1 Logan 1 1 Sevier 3 3 Crittenden 2 3 Lonoke 2 3 Sharp 3 3

Cross 2 3 Madison 1 2 Stone 2 3 Dallas 2 3 Marion 1 2 Union 3 3 Desha 2 3 Miller 3 3 Van Buren 2 3 Drew 3 3 Mississippi 3 3 Washington 1 1

Faulkner 2 2 Monroe 2 3 White 2 3 Franklin 1 1 Montgomery 2 2 Woodruff 2 3 Fulton 1 3 Nevada 3 3 Yell 2 2

LASSO HEALTHCARE MSA ARKANSAS

Appendix C:

LASSO HEALTHCARE MSA ARKANSAS 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Kent 1 3 New Castle 1 3

Sussex 1 3

LASSO HEALTHCARE MSA DELAWARE

Appendix C:

LASSO HEALTHCARE MSA DELAWARE 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Appling 2 N/A Chattahoochee 2 N/A Effingham 2 N/AAtkinson 3 N/A Chattooga 3 N/A Elbert 2 N/ABacon 3 N/A Cherokee 2 N/A Emanuel 3 N/ABaker 2 N/A Clarke 2 N/A Evans 2 N/A

Baldwin 2 N/A Clay 2 N/A Fannin 2 N/ABanks 2 N/A Clayton 2 N/A Fayette 2 N/ABarrow 2 N/A Clinch 3 N/A Floyd 3 N/ABartow 2 N/A Cobb 2 N/A Forsyth 2 N/ABen Hill 3 N/A Coffee 2 N/A Franklin 2 N/ABerrien 3 N/A Colquitt 2 N/A Fulton 2 N/A

Bibb 2 N/A Columbia 2 N/A Gilmer 2 N/ABleckley 3 N/A Cook 3 N/A Glascock 3 N/ABrantley 3 N/A Coweta 2 N/A Glynn 2 N/ABrooks 3 N/A Crawford 3 N/A Gordon 3 N/ABryan 2 N/A Crisp 2 N/A Grady 3 N/A

Bulloch 3 N/A Dade 3 N/A Greene 3 N/ABurke 2 N/A Dawson 2 N/A Gwinnett 2 N/AButts 2 N/A Decatur 3 N/A Habersham 2 N/A

Calhoun 3 N/A DeKalb 2 N/A Hall 3 N/ACamden 3 N/A Dodge 3 N/A Hancock 2 N/ACandler 3 N/A Dooly 2 N/A Haralson 3 N/ACarroll 3 N/A Dougherty 2 N/A Harris 2 N/A

Catoosa 3 N/A Douglas 2 N/A Hart 2 N/ACharlton 3 N/A Early 3 N/A Heard 2 N/AChatham 2 N/A Echols 3 N/A Henry 2 N/A

LASSO HEALTHCARE MSA GEORGIA

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Houston 3 N/A Mitchell 3 N/A Spalding 2 N/AIrwin 2 N/A Monroe 2 N/A Stephens 2 N/A

Jackson 2 N/A Montgomery 3 N/A Stewart 2 N/AJasper 2 N/A Morgan 2 N/A Sumter 2 N/A

Jeff Davis 3 N/A Murray 3 N/A Talbot 3 N/AJefferson 3 N/A Muscogee 2 N/A Taliaferro 3 N/AJenkins 3 N/A Newton 2 N/A Tattnall 3 N/AJohnson 2 N/A Oconee 2 N/A Taylor 2 N/A

Jones 2 N/A Oglethorpe 2 N/A Telfair 3 N/ALamar 2 N/A Paulding 3 N/A Terrell 2 N/ALanier 3 N/A Peach 2 N/A Thomas 3 N/A

Laurens 2 N/A Pickens 2 N/A Tift 2 N/ALee 2 N/A Pierce 3 N/A Toombs 2 N/A

Liberty 2 N/A Pike 2 N/A Towns 2 N/ALincoln 2 N/A Polk 3 N/A Treutlen 2 N/ALong 3 N/A Pulaski 3 N/A Troup 3 N/A

Lowndes 3 N/A Putnam 3 N/A Turner 2 N/ALumpkin 3 N/A Quitman 2 N/A Twiggs 2 N/AMcDuffie 2 N/A Rabun 3 N/A Union 2 N/AMcIntosh 2 N/A Randolph 2 N/A Upson 2 N/AMacon 2 N/A Richmond 2 N/A Walker 3 N/A

Madison 2 N/A Rockdale 2 N/A Walton 2 N/AMarion 2 N/A Schley 2 N/A Ware 2 N/A

Meriwether 2 N/A Screven 3 N/A Warren 2 N/AMiller 3 N/A Seminole 3 N/A Washington 2 N/A

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Wayne 3 N/AWebster 3 N/AWheeler 3 N/A

White 2 N/AWhitfield 3 N/AWilcox 3 N/AWilkes 3 N/A

Wilkinson 3 N/AWorth 2 N/A

Appendix C:

LASSO HEALTHCARE MSA GEORGIA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Hawaii 2 2 Honolulu 2 1 Kalawao 2 3

Kauai 2 2 Maui 2 2

LASSO HEALTHCARE MSA HAWAII

Appendix C:

LASSO HEALTHCARE MSA HAWAII 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 1 1 Fayette 1 1 Lawrence 3 3 Alexander 3 3 Ford 1 1 Lee 1 1

Bond 1 1 Franklin 2 2 Livingston 1 2 Boone 1 1 Fulton 1 1 Logan 1 1 Brown 1 1 Gallatin 3 3 McDonough 3 3 Bureau 1 1 Greene 1 1 McHenry 1 1 Calhoun 1 2 Grundy 1 1 McLean 1 1 Carroll 1 1 Hamilton 3 3 Macon 1 1 Cass 1 1 Hancock 2 2 Macoupin 1 1

Champaign 1 1 Hardin 3 3 Madison 1 1 Christian 1 1 Henderson 1 1 Marion 3 3

Clark 1 1 Henry 1 1 Marshall 1 1 Clay 2 3 Iroquois 2 2 Mason 1 1

Clinton 1 1 Jackson 2 3 Massac 3 3 Coles 2 2 Jasper 1 1 Menard 1 1 Cook 1 1 Jefferson 3 3 Mercer 1 1

Crawford 2 3 Jersey 1 1 Monroe 1 1 Cumberland 1 1 Jo Daviess 1 1 Montgomery 1 1

DeKalb 2 2 Johnson 3 3 Morgan 1 1 De Witt 1 1 Kane 1 1 Moultrie 1 1 Douglas 1 1 Kankakee 1 1 Ogle 2 1 DuPage 1 1 Kendall 1 1 Peoria 1 1 Edgar 1 1 Knox 1 1 Perry 3 3

Edwards 2 3 Lake 1 1 Piatt 1 1 Effingham 1 1 La Salle 2 3 Pike 1 1

LASSO HEALTHCARE MSA ILLINOIS

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA ILLINOIS

Pope 3 3 Winnebago 1 1 Pulaski 3 3 Woodford 1 1 Putnam 1 1

Randolph 1 1 Richland 2 3

Rock Island 1 1 St. Clair 1 1 Saline 2 3

Sangamon 1 1 Schuyler 3 3

Scott 1 1 Shelby 1 1 Stark 1 1

Stephenson 1 1 Tazewell 1 1

Union 3 3 Vermilion 1 1 Wabash 2 3 Warren 1 1

Washington 1 1 Wayne 2 3 White 3 3

Whiteside 1 1 Will 1 1

Williamson 2 2

Appendix C:

LASSO HEALTHCARE MSA ILLINOIS 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 1 1 Gibson 1 1 Martin 1 1 Allen 1 1 Grant 1 2 Miami 1 1

Bartholomew 1 1 Greene 1 1 Monroe 1 1 Benton 1 1 Hamilton 1 1 Montgomery 1 1

Blackford 1 1 Hancock 1 1 Morgan 1 1 Boone 1 1 Harrison 1 1 Newton 1 2 Brown 1 1 Hendricks 1 1 Noble 1 1 Carroll 1 1 Henry 1 1 Ohio 1 3 Cass 1 1 Howard 1 1 Orange 1 1 Clark 1 1 Huntington 1 1 Owen 1 1 Clay 1 1 Jackson 1 1 Parke 1 1

Clinton 1 1 Jasper 1 2 Perry 1 1 Crawford 1 1 Jay 1 1 Pike 1 1 Daviess 1 1 Jefferson 1 1 Porter 1 1

Dearborn 1 1 Jennings 1 1 Posey 1 1 Decatur 1 1 Johnson 1 1 Pulaski 1 2 De Kalb 1 1 Knox 1 1 Putnam 1 1

Delaware 1 1 Kosciusko 1 1 Randolph 1 1 Dubois 1 1 Lagrange 1 1 Ripley 1 1 Elkhart 1 1 Lake 1 1 Rush 1 1 Fayette 1 1 La Porte 1 1 St. Joseph 1 1 Floyd 1 1 Lawrence 1 1 Scott 1 1

Fountain 1 1 Madison 1 1 Shelby 1 1 Franklin 1 1 Marion 1 1 Spencer 1 1 Fulton 1 1 Marshall 1 1 Starke 1 1

LASSO HEALTHCARE MSA INDIANA

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA INDIANA

Steuben 1 1 Sullivan 1 1

Switzerland 1 1 Tippecanoe 1 1

Tipton 1 1 Union 1 1

Vanderburgh 1 1 Vermillion 1 1

Vigo 1 1 Wabash 1 1 Warren 1 1 Warrick 1 1

Washington 1 1 Wayne 1 3 Wells 1 1 White 1 1

Whitley 1 1

Appendix C:

LASSO HEALTHCARE MSA INDIANA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Allen 1 2 Ellis 3 3 Lane 3 3 Anderson 1 2 Ellsworth 3 3 Leavenworth 1 1 Atchison 1 2 Finney 3 3 Lincoln 3 3 Barber 3 3 Ford 3 3 Linn 1 2 Barton 3 3 Franklin 1 2 Logan 3 3

Bourbon 1 2 Geary 3 3 Lyon 2 2 Brown 3 3 Gove 3 3 McPherson 1 3 Butler 2 1 Graham 3 3 Marion 3 3 Chase 3 3 Grant 3 3 Marshall 3 3

Chautauqua 3 3 Gray 3 3 Meade 3 3 Cherokee 2 2 Greeley 3 3 Miami 1 1 Cheyenne 3 3 Greenwood 3 3 Mitchell 3 3

Clark 3 3 Hamilton 3 3 Montgomery 1 2 Clay 3 3 Harper 3 3 Morris 3 3

Cloud 3 3 Harvey 2 1 Morton 3 3 Coffey 2 3 Haskell 3 3 Nemaha 3 3

Comanche 3 3 Hodgeman 3 3 Neosho 3 3 Cowley 3 3 Jackson 2 2 Ness 3 3

Crawford 1 2 Jefferson 2 2 Norton 3 3 Decatur 3 3 Jewell 3 3 Osage 2 2

Dickinson 1 3 Johnson 1 1 Osborne 3 3 Doniphan 3 3 Kearny 3 3 Ottawa 3 3 Douglas 1 1 Kingman 3 3 Pawnee 3 3 Edwards 3 3 Kiowa 3 3 Phillips 3 3

Elk 3 3 Labette 1 2 Pottawatomie 2 2

LASSO HEALTHCARE MSA KANSAS

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA KANSAS

Pratt 3 3 Washington 3 3 Rawlins 3 3 Wichita 3 3

Reno 1 3 Wilson 3 3 Republic 3 3 Woodson 3 3

Rice 3 3 Wyandotte 1 1 Riley 3 3

Rooks 3 3 Rush 3 3

Russell 3 3 Saline 3 3 Scott 3 3

Sedgwick 2 2 Seward 3 3

Shawnee 2 2 Sheridan 3 3 Sherman 3 3

Smith 3 3 Stafford 3 3 Stanton 3 3 Stevens 3 3 Sumner 3 3 Thomas 3 3 Trego 3 3

Wabaunsee 2 2 Wallace 3 3

Appendix C:

LASSO HEALTHCARE MSA KANSAS 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adair 1 N/A Clay 1 N/A Henderson 1 N/AAllen 1 N/A Clinton 3 N/A Henry 1 N/A

Anderson 1 N/A Crittenden 3 N/A Hickman 3 N/ABallard 3 N/A Cumberland 3 N/A Hopkins 3 N/ABarren 3 N/A Daviess 1 N/A Jackson 1 N/ABath 1 N/A Edmonson 1 N/A Jefferson 1 N/ABell 1 N/A Elliott 1 N/A Jessamine 1 N/A

Boone 1 N/A Estill 3 N/A Johnson 3 N/ABourbon 1 N/A Fayette 1 N/A Kenton 1 N/A

Boyd 1 N/A Fleming 1 N/A Knott 3 N/ABoyle 3 N/A Floyd 3 N/A Knox 1 N/A

Bracken 2 N/A Franklin 1 N/A Larue 3 N/ABreathitt 1 N/A Fulton 3 N/A Laurel 1 N/A

Breckinridge 1 N/A Gallatin 1 N/A Lawrence 1 N/ABullitt 1 N/A Garrard 1 N/A Lee 1 N/AButler 1 N/A Grant 1 N/A Leslie 1 N/A

Caldwell 3 N/A Graves 1 N/A Letcher 3 N/ACalloway 1 N/A Grayson 1 N/A Lewis 1 N/ACampbell 1 N/A Green 3 N/A Lincoln 3 N/ACarlisle 3 N/A Greenup 1 N/A Livingston 1 N/ACarroll 1 N/A Hancock 1 N/A Logan 1 N/ACarter 1 N/A Hardin 1 N/A Lyon 3 N/ACasey 1 N/A Harlan 1 N/A McCracken 1 N/A

Christian 3 N/A Harrison 1 N/A McCreary 1 N/AClark 1 N/A Hart 1 N/A McLean 1 N/A

LASSO HEALTHCARE MSA KENTUCKY

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA KENTUCKY

Madison 1 N/A Robertson 3 N/AMagoffin 3 N/A Rockcastle 1 N/AMarion 3 N/A Rowan 1 N/A

Marshall 1 N/A Russell 3 N/AMartin 3 N/A Scott 1 N/AMason 3 N/A Shelby 1 N/AMeade 1 N/A Simpson 1 N/A

Menifee 1 N/A Spencer 1 N/AMercer 3 N/A Taylor 1 N/A

Metcalfe 3 N/A Todd 3 N/AMonroe 3 N/A Trigg 3 N/A

Montgomery 2 N/A Trimble 3 N/AMorgan 3 N/A Union 3 N/A

Muhlenberg 1 N/A Warren 1 N/ANelson 1 N/A Washington 3 N/A

Nicholas 3 N/A Wayne 3 N/AOhio 1 N/A Webster 1 N/A

Oldham 1 N/A Whitley 1 N/AOwen 1 N/A Wolfe 1 N/A

Owsley 3 N/A Woodford 1 N/APendleton 1 N/A

Perry 1 N/APike 3 N/A

Powell 1 N/APulaski 1 N/A

Appendix C:

LASSO HEALTHCARE MSA KENTUCKY 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGIONAcadia 3 N/A Jefferson 1 N/A St. Mary 3 N/AAllen 3 N/A Jefferson Davis 3 N/A St. Tammany 3 N/A

Ascension 1 N/A Lafayette 3 N/A Tangipahoa 3 N/AAssumption 3 N/A Lafourche 3 N/A Tensas 3 N/AAvoyelles 3 N/A LaSalle 3 N/A Terrebonne 3 N/A

Beauregard 3 N/A Lincoln 3 N/A Union 3 N/ABienville 3 N/A Livingston 1 N/A Vermilion 3 N/ABossier 3 N/A Madison 3 N/A Vernon 3 N/ACaddo 3 N/A Morehouse 3 N/A Washington 3 N/A

Calcasieu 3 N/A Natchitoches 3 N/A Webster 3 N/ACaldwell 3 N/A Orleans 1 N/A West Baton Rouge 1 N/A

Cameron 3 N/A Ouachita 3 N/A West Carroll 3 N/ACatahoula 3 N/A Plaquemines 3 N/A West Feliciana 3 N/AClaiborne 3 N/A Pointe Coupee 3 N/A Winn 3 N/AConcordia 3 N/A Rapides 3 N/ADe Soto 3 N/A Red River 3 N/A

East Baton Rouge 1 N/A Richland 3 N/AEast Carroll 3 N/A Sabine 3 N/A

East Feliciana 3 N/A St. Bernard 3 N/AEvangeline 3 N/A St. Charles 1 N/A

Franklin 3 N/A St. Helena 3 N/AGrant 3 N/A St. James 3 N/AIberia 3 N/A St. John the Baptist 3 N/A

Iberville 3 N/A St. Landry 3 N/AJackson 3 N/A St. Martin 3 N/A

LASSO HEALTHCARE MSA LOUISIANA

Appendix C:

LASSO HEALTHCARE MSA LOUISIANA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Allegany 3 3 Anne Arundel 3 1

Baltimore 3 1 Baltimore City 3 1

Calvert 3 3 Caroline 3 3 Carroll 3 3 Cecil 3 3

Charles 3 3 Dorchester 3 3 Frederick 3 3 Garrett 3 3 Harford 3 1 Howard 3 1

Kent 3 3 Montgomery 3 1

Prince George's 3 1 Queen Anne's 3 3

St. Mary's 3 3 Somerset 3 3

Talbot 3 3 Washington 3 3

Wicomico 3 3 Worcester 3 3

LASSO HEALTHCARE MSA MARYLAND

Appendix C:

LASSO HEALTHCARE MSA MARYLAND 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Aitkin 1 N/A Grant 1 N/A Murray 1 N/AAnoka 1 N/A Hennepin 1 N/A Nicollet 1 N/ABecker 1 N/A Houston 1 N/A Nobles 1 N/ABeltrami 1 N/A Hubbard 1 N/A Norman 1 N/ABenton 1 N/A Isanti 1 N/A Olmsted 1 N/A

Big Stone 1 N/A Itasca 1 N/A Otter Tail 1 N/ABlue Earth 1 N/A Jackson 1 N/A Pennington 1 N/A

Brown 1 N/A Kanabec 1 N/A Pine 1 N/ACarlton 1 N/A Kandiyohi 1 N/A Pipestone 1 N/ACarver 1 N/A Kittson 1 N/A Polk 1 N/ACass 1 N/A Koochiching 1 N/A Pope 1 N/A

Chippewa 1 N/A Lac qui Parle 1 N/A Ramsey 1 N/AChisago 1 N/A Lake 1 N/A Red Lake 1 N/A

Clay 1 N/A Lake of the Woods 1 N/A Redwood 1 N/AClearwater 1 N/A Le Sueur 1 N/A Renville 1 N/A

Cook 1 N/A Lincoln 1 N/A Rice 1 N/ACottonwood 1 N/A Lyon 1 N/A Rock 1 N/ACrow Wing 1 N/A McLeod 1 N/A Roseau 1 N/A

Dakota 1 N/A Mahnomen 1 N/A St. Louis 1 N/ADodge 1 N/A Marshall 1 N/A Scott 1 N/A

Douglas 1 N/A Martin 1 N/A Sherburne 1 N/AFaribault 1 N/A Meeker 1 N/A Sibley 1 N/AFillmore 1 N/A Mille Lacs 1 N/A Stearns 1 N/A

Freeborn 1 N/A Morrison 1 N/A Steele 1 N/AGoodhue 1 N/A Mower 1 N/A Stevens 1 N/A

LASSO HEALTHCARE MSA MINNESOTA

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA MINNESOTA

Swift 1 N/ATodd 1 N/A

Traverse 1 N/AWabasha 1 N/AWadena 1 N/AWaseca 1 N/A

Washington 1 N/AWatonwan 1 N/A

Wilkin 1 N/AWinona 1 N/AWright 1 N/A

Yellow Medicine 1 N/A

Appendix C:

LASSO HEALTHCARE MSA MINNESOTA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 3 3 Holmes 3 3 Newton 3 3 Alcorn 3 3 Humphreys 3 3 Noxubee 3 3 Amite 3 3 Issaquena 3 3 Oktibbeha 3 3 Attala 3 3 Itawamba 3 3 Panola 3 3

Benton 3 3 Jackson 3 3 Pearl River 3 3 Bolivar 3 3 Jasper 3 3 Perry 3 3

Calhoun 3 3 Jefferson 3 3 Pike 3 3 Carroll 3 3 Jefferson Davis 3 3 Pontotoc 3 3

Chickasaw 3 3 Jones 3 3 Prentiss 3 3 Choctaw 3 3 Kemper 3 3 Quitman 3 3 Claiborne 3 3 Lafayette 3 3 Rankin 3 3

Clarke 3 3 Lamar 3 3 Scott 3 3 Clay 3 3 Lauderdale 3 3 Sharkey 3 3

Coahoma 3 3 Lawrence 3 3 Simpson 3 3 Copiah 3 3 Leake 3 3 Smith 3 3

Covington 3 3 Lee 3 3 Stone 3 3 DeSoto 3 3 Leflore 3 3 Sunflower 3 3 Forrest 3 3 Lincoln 3 3 Tallahatchie 3 3 Franklin 3 3 Lowndes 3 3 Tate 3 3 George 3 3 Madison 3 3 Tippah 3 3 Greene 3 3 Marion 3 3 Tishomingo 3 3

Grenada 3 3 Marshall 3 3 Tunica 3 3 Hancock 3 3 Monroe 3 3 Union 3 3 Harrison 3 3 Montgomery 3 3 Walthall 3 3

Hinds 3 3 Neshoba 3 3 Warren 3 3

LASSO HEALTHCARE MSA MISSISSIPPI

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA MISSISSIPPI

Washington 3 3 Wayne 3 3

Webster 3 3 Wilkinson 3 3 Winston 3 3

Yalobusha 3 3 Yazoo 3 3

Appendix C:

LASSO HEALTHCARE MSA MISSISSIPPI 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Beaverhead 3 3 Liberty 3 3 Toole 3 3 Big Horn 1 1 Lincoln 1 1 Treasure 1 1

Blaine 3 3 McCone 3 3 Valley 3 3 Broadwater 1 1 Madison 3 3 Wheatland 1 1

Carbon 1 1 Meagher 3 3 Wibaux 3 3 Carter 3 3 Mineral 1 1 Yellowstone 1 1

Cascade 1 1 Missoula 1 1 Chouteau 1 1 Musselshell 1 1

Custer 1 1 Park 3 3 Daniels 3 3 Petroleum 3 3 Dawson 3 3 Phillips 3 3

Deer Lodge 1 1 Pondera 1 1 Fallon 3 3 Powder River 3 3 Fergus 1 1 Powell 1 1

Flathead 1 1 Prairie 3 3 Gallatin 1 1 Ravalli 1 1 Garfield 3 3 Richland 3 3 Glacier 3 3 Roosevelt 3 3

Golden Valley 1 1 Rosebud 1 1 Granite 3 3 Sanders 1 1

Hill 3 3 Sheridan 3 3 Jefferson 1 1 Silver Bow 1 1

Judith Basin 3 3 Stillwater 1 1 Lake 1 1 Sweet Grass 1 1

Lewis and Clark 1 1 Teton 1 1

LASSO HEALTHCARE MSA MONTANA

Appendix C:

LASSO HEALTHCARE MSA MONTANA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Churchill 1 N/AClark 1 N/A

Douglas 1 N/AElko 3 N/A

Esmeralda 3 N/AEureka 3 N/A

Humboldt 3 N/ALander 3 N/ALincoln 3 N/ALyon 1 N/A

Mineral 2 N/ANye 1 N/A

Carson City 1 N/APershing 3 N/AStorey 1 N/A

Washoe 1 N/AWhite Pine 3 N/A

LASSO HEALTHCARE MSA NEVADA

Appendix C:

LASSO HEALTHCARE MSA NEVADA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Bernalillo 1 N/A San Miguel 1 N/ACatron 3 N/A Santa Fe 1 N/AChaves 3 N/A Sierra 1 N/ACibola 1 N/A Socorro 1 N/AColfax 3 N/A Taos 3 N/ACurry 3 N/A Torrance 1 N/A

DeBaca 3 N/A Union 3 N/ADona Ana 1 N/A Valencia 1 N/A

Eddy 3 N/AGrant 1 N/A

Guadalupe 3 N/AHarding 3 N/AHidalgo 1 N/A

Lea 3 N/ALincoln 3 N/A

Los Alamos 3 N/ALuna 1 N/A

McKinley 3 N/AMora 3 N/AOtero 1 N/AQuay 3 N/A

Rio Arriba 1 N/ARoosevelt 3 N/ASandoval 1 N/ASan Juan 3 N/A

LASSO HEALTHCARE MSA NEW MEXICO

Appendix C:

LASSO HEALTHCARE MSA NEW MEXICO 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Alamance 1 1 Cumberland 1 1 Johnston 1 1 Alexander 1 1 Currituck 3 3 Jones 3 3 Alleghany 3 2 Dare 3 3 Lee 2 2

Anson 1 2 Davidson 1 1 Lenoir 3 3 Ashe 3 3 Davie 1 1 Lincoln 1 1 Avery 2 1 Duplin 3 3 McDowell 2 1

Beaufort 3 3 Durham 1 1 Macon 2 1 Bertie 3 3 Edgecombe 3 3 Madison 2 1 Bladen 2 3 Forsyth 1 1 Martin 3 3

Brunswick 3 3 Franklin 3 3 Mecklenburg 1 1 Buncombe 2 1 Gaston 1 1 Mitchell 2 1

Burke 1 1 Gates 3 3 Montgomery 2 2 Cabarrus 1 1 Graham 2 1 Moore 2 2 Caldwell 1 1 Granville 3 3 Nash 3 3 Camden 3 3 Greene 3 3 New Hanover 3 3 Carteret 3 3 Guilford 1 1 Northampton 3 3 Caswell 1 1 Halifax 3 3 Onslow 3 3

Catawba 1 1 Harnett 2 2 Orange 1 1 Chatham 1 1 Haywood 2 1 Pamlico 3 3 Cherokee 2 1 Henderson 1 1 Pasquotank 3 3 Chowan 3 3 Hertford 3 3 Pender 3 3

Clay 2 1 Hoke 2 2 Perquimans 3 3 Cleveland 1 1 Hyde 3 3 Person 1 1 Columbus 3 3 Iredell 1 1 Pitt 3 3

Craven 3 3 Jackson 2 1 Polk 2 1

LASSO HEALTHCARE MSA NORTH CAROLINA

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA NORTH CAROLINA

Randolph 1 1 Richmond 2 1 Robeson 2 3

Rockingham 1 1 Rowan 1 1

Rutherford 2 1 Sampson 2 2 Scotland 2 2

Stanly 1 2 Stokes 1 1 Surry 1 1 Swain 2 1

Transylvania 2 1 Tyrrell 3 3 Union 1 1 Vance 3 3 Wake 1 1

Warren 3 3 Washington 3 3

Watauga 3 3 Wayne 3 3 Wilkes 1 1 Wilson 3 3 Yadkin 1 1 Yancey 2 1

Appendix C:

LASSO HEALTHCARE MSA NORTH CAROLINA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 2 3 McIntosh 2 3 Ward 2 2 Barnes 2 2 McKenzie 3 3 Wells 2 3 Benson 2 3 McLean 2 2 Williams 2 2 Billings 2 3 Mercer 2 2

Bottineau 3 3 Morton 1 1 Bowman 2 3 Mountrail 3 3

Burke 3 3 Nelson 2 3 Burleigh 1 1 Oliver 2 3

Cass 1 1 Pembina 2 2 Cavalier 2 3 Pierce 2 2 Dickey 2 2 Ramsey 2 2 Divide 3 3 Ransom 2 2 Dunn 2 3 Renville 3 3 Eddy 2 3 Richland 1 1

Emmons 2 2 Rolette 2 3 Foster 2 2 Sargent 2 3

Golden Valley 3 3 Sheridan 2 3 Grand Forks 1 1 Sioux 2 3

Grant 2 3 Slope 2 3 Griggs 2 2 Stark 2 2

Hettinger 2 3 Steele 2 2 Kidder 2 2 Stutsman 1 1

LaMoure 2 2 Towner 2 3 Logan 2 3 Traill 2 2

McHenry 2 2 Walsh 2 2

LASSO HEALTHCARE MSA NORTH DAKOTA

Appendix C:

LASSO HEALTHCARE MSA NORTH DAKOTA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 1 N/A Fulton 1 N/A Marion 1 N/AAllen 1 N/A Gallia 1 N/A Medina 1 N/A

Ashland 1 N/A Geauga 1 N/A Meigs 1 N/AAshtabula 1 N/A Greene 1 N/A Mercer 1 N/A

Athens 1 N/A Guernsey 1 N/A Miami 1 N/AAuglaize 1 N/A Hamilton 1 N/A Monroe 1 N/ABelmont 1 N/A Hancock 1 N/A Montgomery 1 N/ABrown 1 N/A Hardin 1 N/A Morgan 1 N/AButler 1 N/A Harrison 1 N/A Morrow 1 N/ACarroll 1 N/A Henry 1 N/A Muskingum 1 N/A

Champaign 1 N/A Highland 1 N/A Noble 1 N/AClark 1 N/A Hocking 1 N/A Ottawa 1 N/A

Clermont 1 N/A Holmes 1 N/A Paulding 1 N/AClinton 1 N/A Huron 1 N/A Perry 1 N/A

Columbiana 1 N/A Jackson 1 N/A Pickaway 1 N/ACoshocton 1 N/A Jefferson 1 N/A Pike 1 N/ACrawford 1 N/A Knox 1 N/A Portage 1 N/ACuyahoga 1 N/A Lake 1 N/A Preble 1 N/A

Darke 1 N/A Lawrence 1 N/A Putnam 1 N/ADefiance 1 N/A Licking 1 N/A Richland 1 N/ADelaware 1 N/A Logan 1 N/A Ross 1 N/A

Erie 1 N/A Lorain 1 N/A Sandusky 1 N/AFairfield 1 N/A Lucas 1 N/A Scioto 1 N/AFayette 1 N/A Madison 1 N/A Seneca 1 N/AFranklin 1 N/A Mahoning 1 N/A Shelby 1 N/A

LASSO HEALTHCARE MSA OHIO

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

LASSO HEALTHCARE MSA OHIO

Stark 1 N/ASummit 1 N/A

Trumbull 1 N/ATuscarawas 1 N/A

Union 1 N/AVan Wert 1 N/A

Vinton 1 N/AWarren 1 N/A

Washington 1 N/AWayne 1 N/A

Williams 1 N/AWood 1 N/A

Wyandot 1 N/A

Appendix C:

LASSO HEALTHCARE MSA OHIO 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Adams 3 2 Fayette 1 1 Philadelphia 3 3 Allegheny 1 1 Forest 1 1 Pike 3 3 Armstrong 1 1 Franklin 3 2 Potter 1 1

Beaver 1 1 Fulton 3 3 Schuylkill 2 1 Bedford 1 1 Greene 1 1 Snyder 2 1 Berks 2 1 Huntingdon 1 1 Somerset 1 1 Blair 1 1 Indiana 1 1 Sullivan 2 1

Bradford 3 3 Jefferson 1 1 Susquehanna 1 1 Bucks 3 3 Juniata 2 1 Tioga 2 2 Butler 1 1 Lackawanna 1 1 Union 2 1

Cambria 1 1 Lancaster 1 1 Venango 1 1 Cameron 1 1 Lawrence 1 1 Warren 1 1 Carbon 2 1 Lebanon 1 1 Washington 1 1 Centre 2 1 Lehigh 2 1 Wayne 1 1 Chester 3 3 Luzerne 2 1 Westmoreland 1 1 Clarion 1 1 Lycoming 2 1 Wyoming 1 1

Clearfield 1 1 McKean 1 1 York 1 1 Clinton 2 1 Mercer 1 1

Columbia 2 1 Mifflin 2 1 Crawford 1 1 Monroe 2 1

Cumberland 1 1 Montgomery 3 3 Dauphin 1 1 Montour 2 1

Delaware 3 3 Northampton 2 1 Elk 1 1 Northumberland 2 1 Erie 1 1 Perry 2 1

LASSO HEALTHCARE MSA PENNSYLVANIA

Appendix C:

LASSO HEALTHCARE MSA PENNSYLVANIA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Bristol 1 N/AKent 1 N/A

Newport 1 N/AProvidence 1 N/AWashington 1 N/A

LASSO HEALTHCARE MSA RHODE ISLAND

Appendix C:

LASSO HEALTHCARE MSA RHODE ISLAND 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Abbeville 2 N/A Horry 3 N/AAiken 3 N/A Jasper 3 N/A

Allendale 3 N/A Kershaw 3 N/AAnderson 2 N/A Lancaster 2 N/ABamberg 3 N/A Laurens 2 N/ABarnwell 3 N/A Lee 3 N/ABeaufort 3 N/A Lexington 2 N/ABerkeley 3 N/A McCormick 3 N/ACalhoun 2 N/A Marion 3 N/A

Charleston 2 N/A Marlboro 3 N/ACherokee 2 N/A Newberry 3 N/AChester 2 N/A Oconee 2 N/A

Chesterfield 2 N/A Orangeburg 3 N/AClarendon 3 N/A Pickens 2 N/AColleton 3 N/A Richland 3 N/A

Darlington 3 N/A Saluda 2 N/ADillon 3 N/A Spartanburg 2 N/A

Dorchester 3 N/A Sumter 3 N/AEdgefield 3 N/A Union 2 N/AFairfield 2 N/A Williamsburg 3 N/AFlorence 3 N/A York 2 N/A

Georgetown 3 N/AGreenville 2 N/A

Greenwood 2 N/AHampton 3 N/A

LASSO HEALTHCARE MSA SOUTH CAROLINA

Appendix C:

LASSO HEALTHCARE MSA SOUTH CAROLINA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Aurora 1 2 Gregory 2 3 Pennington 1 1 Beadle 2 2 Haakon 2 3 Perkins 2 3 Bennett 2 3 Hamlin 1 1 Potter 2 3

Bon Homme 1 1 Hand 2 2 Roberts 1 1 Brookings 1 1 Hanson 2 2 Sanborn 1 3

Brown 2 2 Harding 2 3 Oglala Lakota 2 3 Brule 2 2 Hughes 2 2 Spink 1 2

Buffalo 2 3 Hutchinson 1 1 Stanley 2 3 Butte 1 1 Hyde 2 3 Sully 2 3

Campbell 2 3 Jackson 2 3 Todd 2 3 Charles Mix 2 2 Jerauld 2 3 Tripp 2 3

Clark 1 1 Jones 2 3 Turner 1 1 Clay 1 1 Kingsbury 1 2 Union 1 1

Codington 1 1 Lake 1 1 Walworth 2 3 Corson 2 3 Lawrence 1 1 Yankton 1 1 Custer 1 1 Lincoln 1 1 Ziebach 2 3

Davison 1 1 Lyman 2 2 Day 1 2 McCook 2 2

Deuel 1 1 McPherson 2 3 Dewey 2 3 Marshall 2 2

Douglas 2 3 Meade 1 1 Edmunds 2 3 Mellette 2 3 Fall River 1 1 Miner 1 2

Faulk 2 3 Minnehaha 1 1 Grant 1 1 Moody 1 1

LASSO HEALTHCARE MSA SOUTH DAKOTA

Appendix C:

LASSO HEALTHCARE MSA SOUTH DAKOTA 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Anderson 1 3 Burleson 2 2 Cottle 3 3 Andrews 3 3 Burnet 2 1 Crane 3 3 Angelina 1 1 Caldwell 1 1 Crockett 3 2 Aransas 1 1 Calhoun 3 3 Crosby 3 3 Archer 3 3 Callahan 3 3 Culberson 3 3

Armstrong 3 3 Cameron 1 1 Dallam 3 3 Atascosa 1 1 Camp 3 3 Dallas 1 1

Austin 1 1 Carson 3 3 Dawson 3 3 Bailey 3 3 Cass 2 1 Deaf Smith 3 1

Bandera 1 1 Castro 3 3 Delta 1 1 Bastrop 1 1 Chambers 1 1 Denton 1 1 Baylor 3 3 Cherokee 1 1 DeWitt 3 3

Bee 1 1 Childress 3 3 Dickens 3 3 Bell 1 2 Clay 3 3 Dimmit 3 2

Bexar 1 1 Cochran 3 3 Donley 3 3 Blanco 3 2 Coke 3 2 Duval 3 3 Borden 3 3 Coleman 3 2 Eastland 3 3 Bosque 1 2 Collin 1 1 Ector 3 2 Bowie 2 1 Collingsworth 3 3 Edwards 3 3

Brazoria 1 1 Colorado 3 3 Ellis 1 1 Brazos 1 2 Comal 1 1 El Paso 1 1

Brewster 3 3 Comanche 3 3 Erath 3 3 Briscoe 3 3 Concho 3 2 Falls 1 2 Brooks 2 2 Cooke 1 1 Fannin 1 1 Brown 3 3 Coryell 1 2 Fayette 3 3

LASSO HEALTHCARE MSA TEXAS

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Fisher 3 3 Harris 1 1 Johnson 1 1 Floyd 3 3 Harrison 3 2 Jones 3 3 Foard 3 3 Hartley 3 3 Karnes 3 3

Fort Bend 1 1 Haskell 3 3 Kaufman 1 1 Franklin 3 3 Hays 1 1 Kendall 1 1

Freestone 3 3 Hemphill 3 3 Kenedy 2 3 Frio 3 3 Henderson 1 1 Kent 3 3

Gaines 3 3 Hidalgo 1 1 Kerr 3 1 Galveston 1 1 Hill 1 2 Kimble 3 2

Garza 3 3 Hockley 3 3 King 3 3 Gillespie 3 1 Hood 1 1 Kinney 3 3

Glasscock 3 3 Hopkins 1 3 Kleberg 1 1 Goliad 3 3 Houston 1 2 Knox 3 3

Gonzales 3 2 Howard 3 3 Lamar 3 3 Gray 3 1 Hudspeth 2 2 Lamb 3 3

Grayson 1 1 Hunt 1 3 Lampasas 1 2 Gregg 1 2 Hutchinson 3 3 La Salle 3 3 Grimes 1 2 Irion 3 3 Lavaca 3 3

Guadalupe 1 1 Jack 3 3 Lee 3 2 Hale 3 3 Jackson 3 3 Leon 2 2 Hall 3 3 Jasper 1 1 Liberty 1 1

Hamilton 1 2 Jeff Davis 3 3 Limestone 2 2 Hansford 3 3 Jefferson 1 1 Lipscomb 3 3

Hardeman 3 3 Jim Hogg 2 2 Live Oak 3 3 Hardin 1 1 Jim Wells 1 1 Llano 1 2

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Loving 3 3 Newton 1 1 Rusk 1 1 Lubbock 3 2 Nolan 3 3 Sabine 3 3

Lynn 3 3 Nueces 1 1 San Augustine 1 2 McCulloch 3 2 Ochiltree 3 3 San Jacinto 1 1 McLennan 1 2 Oldham 3 3 San Patricio 1 1 McMullen 3 3 Orange 1 1 San Saba 1 2 Madison 2 2 Palo Pinto 3 2 Schleicher 3 2 Marion 3 3 Panola 1 2 Scurry 3 3 Martin 3 3 Parker 1 1 Shackelford 3 3 Mason 3 2 Parmer 3 3 Shelby 1 2

Matagorda 1 2 Pecos 3 3 Sherman 3 3 Maverick 1 3 Polk 1 1 Smith 1 1 Medina 1 1 Potter 3 1 Somervell 3 2 Menard 3 2 Presidio 3 3 Starr 1 1 Midland 3 2 Rains 1 2 Stephens 3 3 Milam 1 2 Randall 3 1 Sterling 3 2 Mills 1 2 Reagan 3 2 Stonewall 3 3

Mitchell 3 3 Real 3 3 Sutton 3 2 Montague 3 2 Red River 2 1 Swisher 3 3

Montgomery 1 1 Reeves 3 3 Tarrant 1 1 Moore 3 1 Refugio 3 3 Taylor 3 2 Morris 3 3 Roberts 3 3 Terrell 3 3 Motley 3 3 Robertson 1 2 Terry 3 3

Nacogdoches 1 1 Rockwall 1 1 Throckmorton 3 3 Navarro 1 2 Runnels 3 2 Titus 2 1

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Tom Green 3 2 Yoakum 3 3 Travis 1 1 Young 3 2 Trinity 1 2 Zapata 3 3 Tyler 1 1 Zavala 1 3

Upshur 1 1 Upton 3 3 Uvalde 3 3

Val Verde 3 3 Van Zandt 1 1

Victoria 1 3 Walker 1 1 Waller 1 1 Ward 3 3

Washington 3 2 Webb 1 1

Wharton 1 2 Wheeler 3 3 Wichita 3 2

Wilbarger 3 3 Willacy 1 1

Williamson 1 1 Wilson 1 1

Winkler 3 3 Wise 1 1

Wood 1 1

Appendix C:

LASSO HEALTHCARE MSA TEXAS 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Beaver 3 3 Wasatch 2 2 Box Elder 2 2 Washington 3 3

Cache 2 2 Wayne 3 3 Carbon 3 3 Weber 1 1 Daggett 2 3

Davis 1 1 Duchesne 3 3

Emery 3 3 Garfield 3 3 Grand 3 3

Iron 3 3 Juab 3 3 Kane 3 3

Millard 3 3 Morgan 2 2

Piute 3 3 Rich 2 3

Salt Lake 1 1 San Juan 3 3 Sanpete 3 3 Sevier 3 3

Summit 2 2 Tooele 2 2 Uintah 3 3 Utah 1 1

LASSO HEALTHCARE MSA UTAH

Appendix C:

LASSO HEALTHCARE MSA UTAH 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

District of Columbia 3 N/A

LASSO HEALTHCARE MSA WASHINGTON, D.C.

Appendix C:

LASSO HEALTHCARE MSA WASHINGTON, D.C. 2020 SERVICE AREA MAP

Appendix C:

COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION COUNTY2020

REGION2019

REGION

Albany 3 3 Big Horn 3 3 Campbell 3 3 Carbon 3 3

Converse 3 3 Crook 3 3

Fremont 3 3 Goshen 3 3

Hot Springs 3 3 Johnson 3 3 Laramie 3 3 Lincoln 3 3

Natrona 3 3 Niobrara 3 3

Park 3 3 Platte 3 3

Sheridan 3 3 Sublette 3 3

Sweetwater 3 3 Teton 3 3 Uinta 3 3

Washakie 3 3 Weston 3 3

LASSO HEALTHCARE MSA WYOMING

Appendix C:

LASSO HEALTHCARE MSA WYOMING 2020 SERVICE AREA MAP

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