Change is in the air…
Selling real value.
Q4 2015 rev
In this discussion…
•  What’s changed.
•  What’s only getting better.
– Technology Innovations
– Wellness Leadership
•  Looking ahead…
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What’s changed (again).
•  2-50 – Business as usual, until 11/1/16.
– Virtual Visits added - UHC.
•  51-(99)100
– PACE expands our ability to find solutions for
many customers. Back to underwriting.
– Working to finalize portfolio grids and summaries.
– Expecting Virtual Visits by 7/1/16.
•  ATNE is the new counting method.
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It just makes sense.™
Virtual Visits 2016
•  Telephonic/Video connection to a doctor for triage,
treatment, or referral.
•  Provided as a convenience to care option for our
UHC 2-50 customers.
•  Same as PCP copay for a given plan.
•  All new UHC 2-50 products include this benefit.
•  Expected to be added mid-year 2016 to our 51-100
portfolio.
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It just makes sense.™
Facts for thought…
•  36% of US adults are obese.
•
20% do the recommended level of exercise.
•  18% of US adults are smokers.
•
10% eat their recommended veggies/fruit.
•  70% of US adults take 1+ Rx.
•
75% of US adults not compliant with their Rx.
Question: Can member-level wellness and outreach
efforts/tools impact these numbers?
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Redbox app anyone?
•  What if an app could help you save $20-$75 or more
per month?
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Health4Me
We’re using mobile capabilities to makes it
simpler for UHC customers to manage their
health by providing:
•  A mobile resource to find doctors and
facilities anytime, anywhere
•  Compare prices for like services and RX –
to specific location
•  Request a call back about a claim or
service question
•  Personal wellness tools and trackers
•  Download or fax ID Card to the doctor
office or pharmacy.
•  Call 24-hour NurseLine
•  Check claims, benefits, account balances
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Wellness Leadership and
Integration of Services
•  Care 24
•  Simply Engaged for Small
Business
•  United Benefit Services
•  All Savers ASO - Motion
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Care24® health & well-being concierge:
A single point of contact
Care24 is a health and well-being concierge
service in which members are connected to a
single point of contact who guides them to
clinical, wellness, financial, legal or counseling
resources. Care24 is available 24 hours a
day, seven days a week.
Care24 answers members’ questions:
!  How can I find a doctor?
!  Can someone help me lose weight?
!  Can you help me cope with my stress?
!  I need a living will, where do I start?
Care24 has two components:
!  NurseLineSM
!  Employee Assistance Program (EAP)
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© 2014 United HealthCare Services, Inc. All rights reserved. Do not distribute or reproduce without express permission of UnitedHealth Group.
NurseLine navigational advocacy
connects members to resources
Inbound member needs
Member referral abilities
Symptom Support & Care
Recommendation
Behavioral Health*
Decision Support*
Provider Search
Wellness* / Maternity*
Appointment Scheduling
Case & Disease Management
Health Questions
Medication Questions
Transplant
Congenital Heart Specialty
Medical Conditions*
Client Reporting Support
Better
Information
Better
Decisions
Better
Health
* Additional services available
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© 2014 United HealthCare Services, Inc. All rights reserved. Do not distribute or reproduce without express permission of UnitedHealth Group.
Consumer engagement
Engaging consumers in health care is key:
•  Enable consumers to be better stewards of their health
•  Incent members to change lifestyle behaviors tied to poor health
•  Support consumers to become efficient purchasers of health care
Our capabilities to help accomplish these goals include:
•  Personalized health and wellness consumer experience
•  Wellness resources provide information and tools
•  Incentives encourage continuous healthy actions and behaviors
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Wellness and my 10 year old…
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12
SimplyEngaged Portfolio features
•  Health Actions
­  UnitedHealthcare administers a bundled set of
health actions for employees & covered spouses
­  Support prevention and health risk modification
•
•
•
•
•
•
•
Health Survey
Biometric Screening
Biometric Outcomes*
Online Action Plans (Missions)
Telephonic Coaching
Fitness Reimbursement
myHealthcare Cost Estimator
•
Reimbursements
•
•
•
Personalization
Easy navigation
Mobile-enabled
•  Incentives
­  Rewards are earned by employees and covered
spouses who complete any combination of health
actions.
•  New Health & Wellness Digital Experience
­  UnitedHealthcare offers the new Rally experience
­  A user-friendly, digital experience to engage
consumers through online tools, information and
rewards via myuhc.com®.
*Applicable for states that sell SimplyEngaged Plus
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Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
Easy, everyday engagement
Point-and-click
health survey
Social Networking
Online support communities
to bring people together
with common interests
Personal dashboard
Devices
FitBit®, Jawbone®, and
BodyMedia® integration
Missions, challenges
and rewards
Gamification
Reward engagement and
goal setting through
RallySM coins and employerprovided incentives
Recommendations
Personalized health
programs, engagement
emails and campaigns
All trademarks are the property of their respective owners. * Available to employers offering a UnitedHealthcare member incentive program.
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Action:
Telephonic Health Coaching
•
After completion the employee (or
covered spouse) earns a reward
•
Programs typically run three to six
months
•
Certified wellness coaches are engaged
in these personalized behavior change
programs. Programs are personalized
based on:
•
•
•
An individual’s motivation and commitment to
change
Enhanced self-awareness of root causes that
trigger habitual behaviors
Personalized goal-setting, decision-making and
self-directed achievement
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Action:
Fitness Reimbursement Program
The Fitness Reimbursement Program
offers money back for members who go
to the gym on a regular basis. It’s
convenient, fun and profitable way to get
in shape.
• Register/Login
• Choose a participating fitness center from a
national network
• Present a fitness ID card each time a visit is
made to the gym
• Meet the minimum and earn $20 per month
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United Benefit Services
No cost services for our 20-99 employee
customers. Including:
•  COBRA Administration
•  FSA
•  Section 125 – Pre-Tax Plan
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All Savers ASO– we’re all in with Wellness/Motion
•  Alternate Funding – Small Group ASO
•  Savings relative to ACR and Shared Savings
•  Motion-earned Renewal Cap
•  Comprehensive Wellness Platform
•  Rally
•  Motion – employees earn OPM buy-down via action
•  Virtual Care
•  Employer Defined Contribution and Employee Plan
Selection
•  Traditional Plan Designs
•  Choice Plus national provider discounts
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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UHC – Choices, options, value
•  Robust Product Selection – Multi-Choice
•  Zero-Kid Copay
•  Virtual Visits on UHC 2-50
•  Enhanced Wellness
•  Rally
•  Fitness Club reimbursement
Care24 – Nurseline /EAP
•
•  Health4me App
•  Benefit Services – groups with 20-99 eligible
•  FSA/Sec 125/COBRA Admin
Specialty Products – Packaged Savings
•
•  All Savers ASO
•  10-99 Eligible groups
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Questions