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Enhancing Value Through Innovative Solutions

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Page 1: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

Enhancing Value Through Innovative

Solutions

Page 2: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

WHAT PRODUCTS & SERVICES ARE TOP OF MIND FOR YOUR CLIENTS

TODAY?

Page 3: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

Market Trends Driving Employer Health Care Strategy

DRIVERS OF CHANGE

• Large and growing health care costs• Heightened consumer expectations• Rise of employer coverage• Regulatory uncertainty

CHANGE IN REIMBURSEMENT MODELS

DRIVING CONSUMER ENGAGEMENT

DEMAND FOR INTEGRATION

RISE OF POINT SOLUTIONS

HEALTH & WEALTH CONVERGENCE

Page 4: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs

DRIVING ENGAGEMENT Amplify the impact of products and services through consumer engagement capabilities

HEALTH & WEALTH CONVERGENCE Focus on financial well-being

RISE OF POINT SOLUTIONS Curate best-in-class point solutions

DEMAND FOR INTEGRATION Unlock the value of integration

Translating Trends Into Client Solutions

Page 5: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

Unlocking the Value of Integration

CLIENT

FACILITATING PAYMENT

ADMINISTRATION SIMPLIFICATION

PRIVACY & COMPLIANCE

DATA INSIGHTS & REPORTING

MEMBER ENGAGEMENT

VETTING BEST-IN-CLASS SOLUTIONS

Page 6: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

CARE MANAGEMENT & MEMBER SOLUTIONS

• Achieve Better Health Portfolio• Specialized Solutions

– Naturally Slim – Catapult Health – Propeller – Ovia

• Member Concierge• College Tuition Benefit• Spending Accounts• Financial Advocacy• Achieve Well-Being Rewards

Organizing Solutions Based on Value Provided to Clients

HEALTH & CORE ANCILLARY PRODUCTS

• Health Plan Design Solutions – HPN 2020 – Select Networks – Choice Advantage (Site of Service) – Centers of Excellence – Value-Based Care

• Telemedicine • Behavioral Health• Acupuncture• Guardian Portfolio• International Travel Solutions• Core Ancillary Products

MEDICAL COST ADVOCACY PROGRAMS

• Claims Fiduciary• Return on Recoveries• Subrogation• Price Protection Program• Utilization Management Programs

Page 7: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

Customer-Specific GuaranteesAligned with the value of bundled purchases

NETWORK BREADTH GUARANTEE

DISCOUNT GUARANTEE

ROI GUARANTEE

TREND GUARANTEE

Page 8: Enhancing Value Through Innovative Solutions · CHANGE IN REIMBURSEMENT MODELS Develop unique network solutions in benefit designs DRIVING ENGAGEMENT Amplify the impact of products

HOW CAN WE BESTCOLLABORATE TO SERVE OUR MUTUAL CLIENTS’ NEEDS?