Business Plan

Exhibit A

Business Plan

Clovis ai management team are a collection of professionals that came from different divisions of the healthcare industry. Each of these individuals were working with Mack Bryson, the CEO and founder of Clovis, prior to the company’s existence. Each of them recognized the importance and the industry need of the product and helped Mack in bringing it to the market.

Discovering business opportunities, in itself, does not create value. To achieve the benefits, you must choose to pursue the opportunities and take steps to exploit them.

Mack has been one of the pioneers in the Telehealth industry for a large portion of his career in the manage care market. Where they embraced the concept of monitoring people from home years before Medicare implemented and offer reimbursement to the doctors.

Because of Mack’s lengthy experience in manage care he knew that the industry needed a product that was not yet available. Even though the reimbursement from Medicare was very lucrative without the creation of this product it would not have the expected success. 56% of the Medicare community cannot or will not utilize technology to the extent of transferring data to the internet through the use of a cell phone.

Mack found the means to manufacturer the samples and develop the software through a vendor he had done business with for years. The vendor was in the manufacturing/importing business of similar products that were not cellular, and the Clovis Router piggy backed on this existing technology and was able to produce enough routers for a pilot.

With the help of Dev Watson the CIO of Georgia Physician Group he was able to get his Clovis Router recognized as the preferred product for the reimbursable grant offered by the Trump administration for $250 million and also for Biden administration grant for $300 million. Supplying the hospitals in Georgia the needed routers for the grant would give Mack the volume needed for the opening order and then enable him to start supplying the Medicare physician market that is expected to become the next trillion-dollar industry.

Therefore, Clovis ai is looking for investment to fund the cost to private label the products and fulfill the pending orders. Clovis is needing $125,000 to private label the cellular transmittal device to supply the presold orders and seeking additional revenue to support the upcoming orders and marketing funds.

Supplying the needed products for the grant business is beautiful however not sustainable. The birds eye of how the business model functions is Clovis ai supplies the Medicare patients that has one or more chronic condition with a product that can monitor their health and transfer the information to the health cloud. Clovis charges $60.00 per patient per month for this service.

The beauty of the offering is that the doctor is reimbursed by Medicare and Insurance companies for $126 at a national average. Thus, after expenses from Clovis the doctor will profit $792.00 per patient annually without any out-of-pocket expense and with very little involvement. The average physician practice has 500 patients who qualify for RPM and will generate the practice an additional $396,000 annually.

Currently there are a group of twenty doctors who are part of the health care clinics in two states that is expected to sign up 800 to 1,200 patients. The financials attached to this offering is based on 1,000 patients signing up to Clovis ai.

Executive Summary

Today’s healthcare organizations are trying to navigate, not only a transitioning technology landscape, but also a payment reform shifting from a Fee for Service to a new Value Based payment model. Healthcare providers are continuously assessing how they can enhance patient care and grow revenue, while also improving cost, risk management, and outcomes. Many clinicians, policymakers and health economists agree that improving healthcare quality while controlling costs and risk requires greater patient engagement. Improved patient engagement can result in better disease prevention, by giving patients the tools to self-monitor and change behavior; greater treatment success, based on increased compliance with lifestyle changes, therapy; and better clinical decision making, as a result of more information sharing between the patient and clinician.
Clovis ai provides the avenue for greater patient engagement and a world class platform as unique as the patient, whether they prefer their smart phone, tablet, laptop, or nothing but the Router. Clovis  allows the care team to provide automated messaging and reminders of upcoming daily activities including medication adherence, physical fitness routines, wellness and education videos, doctor appointments, etc. This type of daily interaction enables the care team to virtually become part of the patients’ life.
Telemedicine is a part of an evolution of a more connected, patient-centered healthcare ecosystem. Clovis offers a user-friendly platform that not only analyzes real time patient diagnostic data in order to identify trends or episodic events, but also offers unprecedented, automated patient engagement using the patient’s Clovis router as the communication portal.
Medical Need
As the ongoing management of serious, chronic diseases impact healthcare infrastructures, new ways to solve the urgent need for cost effective, reliable, and consistent patient monitoring have become paramount in attempting to decrease the burden healthcare organizations are currently experiencing.
75% of hospitals are being fined by Medicare because of their high re-admissions rate. According to Touchstone survey, virtual care will be one of the main deflators in an industry full of escalating healthcare costs projected to reach $3.207 trillion this year, roughly $10,000 per person (Source: National Healthcare Expenditure).
According to a report published by the National Health Council, “generally incurable and ongoing, chronic diseases affect approximately 133 million Americans, representing more than 40% of the total population of this country. By 2024, that number is projected to grow to an estimated 157 million, with 81 million having multiple conditions. About half of all adults have a chronic condition. More and more people are living with not just one chronic illness, such as diabetes, heart disease or depression, but with two or more conditions. Almost a third of the population is now living with multiple chronic conditions. In 2020, 7 out of 10 deaths in the U.S. were due to chronic diseases. Heart disease, cancer and stroke account for more than half of all deaths each year. According to the New England Journal of Medicine, people with chronic conditions receive only 56% of recommended preventive health care services. A 2018 study reported that seven chronic diseases – cancer, diabetes, hypertension, stroke, heart disease, pulmonary conditions, and mental illness – have a total impact on the economy of $1.3 trillion annually. By the year 2023, this number is projected to increase to $4.2 trillion in treatment costs and lost economic output.”
A few years ago, in a first-of-its-kind move, Centers for Medicare and Medicaid Service (CMS) made Remote Patient Monitoring (RPM) a separately reimbursable service under Medicare. Now, CMS has proposed three new codes for RPM services, retitled “Chronic Care Remote Physiologic Monitoring,” which do a far better job reflecting how providers can more effectively and efficiently use RPM technology to monitor and manage patient care needs, including chronic care management.
Medicare already offers separate reimbursement for RPM. The service is defined as the “collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 20 minutes of time.”
The new Chronic Care Remote Physiologic Monitoring codes are: ▪ CPT code 99457: “Remote monitoring of physiologic parameter(s) (e.g, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment.” ▪ CPT code 99453: “Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days.”
▪ CPT code 99454: “Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month.”
Chronic Care Remote Physiologic Monitoring is not a telehealth service. Providers frustrated with the labyrinthine and narrow Medicare coverage of telehealth services can take comfort in the fact that RPM is not considered a Medicare telehealth service. Instead, like a physician interpretation of an electrocardiogram or radiological image that has been transmitted electronically, RPM services involve the interpretation of medical information without a direct interaction between the practitioner and beneficiary. As such, Medicare pays for RPM services under the same conditions as in-person physicians’ services with no additional requirements regarding permissible originating sites or use of the telehealth place of service (POS) 02 code. This means Chronic Care Remote Physiologic Monitoring does not require the use of interactive audio-video, nor must the patient be located in a rural area or a qualified originating site. Patients can receive RPM services in their homes.
Companies currently offering Chronic Care Management (CCM) services should be particularly focused on expanding their business lines into RPM. Not only do CCM companies have current customers who can benefit from RPM services, the non-face-to-face technology and clinical integration requirements are fairly similar. Moreover, CCM and RPM can both be separately billed for the same patient in the same month, allowing additional revenue.
According to the American Medical Associations (AMA), the inclusion of the remote patient monitoring codes “reflect how healthcare professionals can more effectively and efficiently use technology to connect with their patients at home and gather data for care management and coordination,” while the inter-professional internet consultation codes “have been added to reflect the increasing importance of using non-verbal communication technology to coordinate patient care between a consulting physician and a treating physician.”
A proven technology solution is urgently needed to alleviate the strain on the medical system and provide new monitoring options to patients with chronic diseases that will help mitigate the high rates of re-admissions, resulting in lower costs overall and better patient care long term.
Market Need
Clovis ai offers healthcare providers a Telemedicine platform to monitor patient populations thus reducing re-admissions and easing concerns of emergency room utilization. A recent CDC report showed that 80 percent of adults between the ages of 18 to 64 who visited an emergency room during the first half of 2020 did so because they lacked access to other providers. Telemedicine also advances the legislative intent of CMS to provide evidence-based medicine and engage patients. Telemedicine referred to as telehealth in the CMS rule is a central element to this end. As written in CMS’ final rule for the Medicare Shared Savings Program, “Accountable Care Organizations must define processes to promote evidence-based medicine and patient engagement, report on quality and cost measures, and coordinate care, such as through the use of telehealth, remote patient monitoring, and other such enabling technologies.” Being able to engage and educate the patient is the only way to ultimately change their behavior and accomplish the goal of Triple Aim healthcare – Better Health, to More Patients for Less Money.
However, connecting with patients outside of the office visit, and providing ongoing access and transparency to care and support resources, is challenging, particularly when it requires coordination between patients, physicians, clinical staff and third-party resources. To meet consumer demands, healthcare providers need new ways to connect with patients and deliver value-added information in a cost effective, easy to access and simple manner – and in a way that maintains consistency and continuity throughout the entire treatment process. Today’s healthcare providers need digital solutions that are custom-tailored specifically for their businesses. The Clovis ai platform provides the right digital solutions that are incorporated strategically into a provider’s business leaving little question that Clovis ai can improve each patient’s overall experience.
Products
With Clovis telemedicine tools, patients can virtually engage a physician or care coordinator anytime, anywhere. They are not limited by distance or cost and time spent driving to and from appointments.
Background
Platform Description: Clovis ai adopted a “hub and spoke” architecture for its platform. The central ‘hub’ is a single control device that communicates with a heterogeneous collection of end point devices into a functional team irrespective of what protocols or connectivity options a particular device uses. The platform provides the coordination intelligence and allows seamless access to broad range of services at home thus providing consumers with a degree of choice in what devices from various vendors they can add to the network.
The Clovis Router can stand on its own and transmit data collected through the embedded sim card. Patients can view their diagnostic Data on their PCs, Tablets and mobile phones as soon as the measurement is taken. The system will also send notifications to the care team if the readings are not normal.
System Details: The Clovis Router and content was developed by a team of engineers financed by HME Technology Inc. Highlights of the system and content are as follows:
▪ Automated Coaching: The Clovis platform was designed with automated messaging capabilities that enable case managers to leverage technology in their delivery and access of healthcare. Most episodic events go unnoticed or not addressed simply because there are more pressing or higher cost scenarios monopolizing their resources and attention. Case managers can create their own automated triage of events, which not only enables them to deliver consistent messaging with documented read receipts from the patient but allows them to touch the patient based on exception, even when it is something minor. This provides case managers latitude to focus on more severe situations and events that warrant their personal touch.
▪ Patient Reward: Modifying patient behavior is challenging but maintaining the patients’ motivation and keeping them engaged over time may be even more difficult. Gamification is a term used to reward someone for performing a chore. Clovis ai has Gamification technology built into the architecture and enables any healthcare organization to create a myriad of rewards to offer to their patients for adherence to their prescribed treatment plan. Each population can be divided into subgroups that are driven by different rewards, whether it is monetary, entertainment, gifts, and the like. Gamification is pinnacle to keeping patients engaged and having a successful population health management program.
▪ “Connected” Diagnostic Devices: Clovis ai approved diagnostic devices have kept pace with scientific and technological advancement. All the diagnostic devices are incorporated with ability to connect out of the box to the Router and transfer biometric data collected.
▪ Patient Health Management System: The Clovis ai  Patient Health Management System is the backbone of the Routers’ platform. It offers healthcare providers the ability to develop personalized programs that aid the patient in monitoring their health and forming positive health habits. Each program is comprised of intervention strategies that improve patient adherence and increase the clinical benefits of doctor prescribed therapies.
Additionally, Clovis ai Patient Health Management System generates all the reports and analytics that are required by the healthcare professionals. It allows the healthcare professional to customize reports and schedule them to be printed or faxed. The system provides instantaneous vital sign feedback, health coaching with virtual visits, and patient rewards, all of which encourage the patient to remain engaged in the management of their health. The system also allows access to patients whereby, patients can update his or her contact information, review reports, search for notes and add notes. Most importantly, patients can review their logbook settings and make changes to their daily schedule. Further, patients can customize how they would like to view reports by selecting the time frame to view reports (such as last 30 days, or last 14 days), They can also select multiple reports to add to their “On-Demand Reports”.
The Clovis ai Patient Health Management System makes it easier for the patient and their health care team to stay up to date on the patient’s current status with the software ability to create a five star rating for the patient and the doctor. The star rating capability embraces Medicare current structure used today that determines how much a doctor is reimbursed based on their star rating.
Competition
As with any industry, there is competition in the telemedicine arena. According to mHealth Intelligence, “Telemedicine technology first began as a form of healthcare delivery in the late 1960s due to the needs of the National Aeronautics and Space Administration (NASA) and the Nebraska Psychology Institute, according to a paper written by researchers from Saint Louis University and Bentley University and published in the International Journal of Environmental  Research and Public Health. Throughout the last fifty years, there have been multiple barriers standing in the way of widespread adoption of telemedicine technology and remote monitoring tools. Financial, regulatory, and technological challenges made it more difficult to advance telehealth adoption, but current healthcare reforms may bring about a change in this arena. The lack of broadband infrastructure has proven challenging for the advancement of many forms of telemedicine, specifically high demand video and store-and-forward services, which require expansive health networks,” the research paper stated.”
With the proliferation and improvement of broadband networks across the United States, telemedicine can now be utilized to its maximum potential. Additionally, electronic medical records and other health technology systems have advanced to the point where telemedicine can communicate effectively to the care giver. The Clovis platform has been under development for several years, waiting for this moment, and stands tall above the competition in the following ways:
 Full suite of products – Clovis is designed as an all-in-one system whereby the care giver can order a full suite of products that already connect and interact with the platform and thus with the care giver.
 Future proof – the Clovis system is designed to accept most, if not all, other technology patient diagnostic devices which may be required by the care giver.
▪ Clinical and non-clinical – The system is designed to provide the clinician and patient with non-clinical information as well. The system can accept other IoT devices such as motion sensors and electronic light switches in order to establish patterns which may assist in establishing patterns important in the patients’ life.
▪ Price Point – The system is very well positioned price wise due to the number of years the founders of the Company have in the industry as well as their long-established relationships with manufacturers in Asia.
▪ Flexible Open Source – the platform is designed in a way to allow other devices to connect into the system easily.
The primary competitors and their telemedicine systems are:
▪ Phillips – IntelliVue
▪ Honeywell – Lifestream
▪ McKesson – Homecare
▪ Vivify – Pathways +Home
There are several other companies in the market, but only the Clovis platform gives the competitive advantages described above.
Target Markets
Clovis anticipates on attacking the United States and International markets in three primary channels:
▪ Payor Patient Management Groups – these represent organizations responsible for managing chronic care patients on a capitation basis (a set amount on each patient for a period of time).
These organizations need ways to cost effectively and efficiently care for the patient in order to maintain profitability.
 Direct to Doctor – Clovis is contracting with organizations on a wholesale basis to sell the platform directly to physicians whereby the physicians utilize existing fee for service billing
codes for remote patient care.
International – Most international health systems and institutions are not prepared for the entire Clovis platform but are in need of improved Diabetes management. Therefore, the Company will assist international customer/partners in setting up the server in their country. The sim card built into the Router will accommodate the majority of the world’s cellular transmission sites.
In the United States, the Company has entered into agreements with Early Adopter Care Givers;
Georgia Physician Group
Test-n-Share
Heath Observation Platform (HOP)
Pinnacle RX
Anderson Health
Corporate Structure
Clovis ai LLC is registered in the state of South Carolina.
The Offering
Clovis ai is seeking an equity investment of $1,000,000 to be used for inventory and operating capital. The funds will be used as follows:
▪ Purchase of initial inventory required until cash flow can self-fund inventory purchases.
▪ Increase staffing in the sales, operations and management areas.
▪ General and administrative expenditures to operate the company.
Summary of the Offering
The following material is intended to summarize information contained elsewhere in this Limited Offering Memorandum (the “Memorandum”). This summary is qualified in its entirety by express reference to this Memorandum and the materials referred to and contained herein. Each prospective subscriber should carefully review the entire Memorandum and all materials referred to herein and conduct his or her own due diligence before subscribing for member units.