I ] lJnitedIIealthcare' ti a l~/ Consumer MaxMultiplier Rewarding - - PDF document

SLIDE 1

Broward County Government

PPO Dental Finalist Presentation

April 24th, 2019 FLORIDA

Introductions Laurie Mandell

VP, Account Management Sara Davis Manager OCSM & FAM

UnitedHeaJthcare attendees:

Joe Vidal Account Executive Jim Moore Strategic Account Executive

• Local Leadership
• Proven Account Management Team
• Local Decisions
• Proven Implementation Capabilities

Consistently recognized as a leader in the health industry.

™ E CIVIC 50

Since 201 2 , UnitedHealth Group ranked es one o f the 50 most community- minded companies in the nation by The Civic 50, a Points of Light initiative .

2018

FORTUNE MAGAZINE

Part of the Dow

J ones Sustainability

World Index.

201 8

DOW JONES

In 2019, UnitedHealth

Group ranked No. 1 in Its sector for innovation.

2019

FORTUNE MAGAZINE

In 2019, UnitedHealth Group Named World 's Most Admir ed Company in the Insurance and Managed Care sector.

2019 2018

NATIONAL B U SINESS GROUP ON HEAL TH

In 2018, received a p latinum award tor

"Best Employe rs tor Healthy Lifes tyles."

201 8

FORTUNE 500 LIST

In 2018, UnitedHealth Group ranked No. 5 .

2019

VICTORY MEDIA

Named a 2019 Military Friendly Employer .

The power of partnership is built on working

together toward the same goal.

Our values:

Honor commitments. Never compromise ethics. Walk in the shoes

• f people we seNe

a nd those w ith

whom we work. Build trust through collaboration. Invent the future.

learn from the past. Demonstrate

excellence in everything we d o.

I ] lJnitedIIealthcare'

SLIDE 2

Consumer MaxMultiplier

Rewarding members to engage in preventive dental care

..

• At the end of the plan year, if a

member completed at least

• ne dental visit and had

claims less than the claim threshold, they can receive award dollars that will go toward next year's annual maximum.

• Dental PPO members can earn

a $100 bonus for network-only claims.

• Award dollars can grow year

to year but are capped at the

amount equal to the plan's annual maximum.

$1 ,500

Annual Maximum

$750

Claim Threshold

$4QQ

Award Dollars

$

Dollars Awarded Toward Naxt Year's Annual Maximum

($3,000 Annual Maximum capj

$1 Q

Network Bonus

Value-Added Benefits

Enhanced prenatal benefits

Benefits during pregnancy and three months following delivery are not applied to frequency limits or the annu al maxi mum.

D

id you know? ...

Gum d isease may incr ease the risks of pre- term birth and low b irth

w e ight.:

Gum in~amation can poten

ti a l~/

play a role in the devel

• pment
• i

pre- eclampsia

.'

Oral cancer screenings

Covered oral cancer screenings each year using the newest technologies for early detection.

Did you know? ...

Mou

th lesions

are not

a

lways e asily

s e

en during

a r

• utine

exam. And an e stimated 1 in 92 a dults will be diagnosed with oral cancer in

th e

ir lifetime

.

3

SLIDE 3

Statewide

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Brldge2Health (updated)

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• Bridge2Heallh Results

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Provider Network

DPPO access:

99010

• f all eligible employees

& retirees have access to at least two PPO general dentists within five miles of their home. Access Points

The Mouth-Body Connection

The Brain: oral bacteria has been identified as a possible contributor to Alzheimer's disease.1

~

/'!"'\ W The Heart: Gum disease may increase your

risk of heart disease and stroke.2

"

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The Pancreas: The pancreas produces insulin, the hormone responsible for controlling blood sugar. Treating gum disease can improve your ability to manage your The Kidneys: Poor oral care makes infections progress faster, which means more work for your kidneys.2 The Lungs: gum disease may increase the risk of chronic obstructive pulmonary disease (COPD).3

15.0% of adult members, driving 60.4% of the medical spend Net Paid PMPM for Dental Compliant= $741 vs. Non-Compliant= $1, 134

Bridge2Health Delivers:

Specific reporting showing aggregated data for Broward County members

• Increased engagement from members in the "at risk" category

Increased compliance with dental care

• Decreased medical claim costs for these engaged members = less member out of

pocket costs

SLIDE 4

UnitedHealthcare's Value Proposition:

../ Local Presence

• Large UHG/UHC employee population based in Broward
• Senior Leadership to support the Account Management Team
• Account Management Team (AMT) including a Strategic Account Manager, Field Account

Manager and a dedicated nurse, nutritionist, and two on-site representatives working with Broward County members daily . ../ Company Profile

• #1 Nationally ranked provider of benefits with regards to premium, employees, providers and

membership

• Ranked #5 on the Fortune 500 list
• Largest Dental PPO Network in the US, Florida, South Florida with a GEO access over 99%

../ Quality of Service & Customer Service

• Advocate4Me service team available to help members with their medical, vision and dental

questions at one phone number with one ID number

• Dental Cost Estimator to help members see the different costs of procedures by dentist
• Provider Relations Team dedicated to credentialing and re-credentialing our providers, verifying

their continuation of their license with the State and providing this information for members to access ../ Enrollment & Implementation

• Proven Implementation Team able to enroll Broward County's medical coverage in under 30

days

• AMT familiar with the Broward County employees and the Open Enrollment processes
• Medical, dental and vision in one booklet, available in various languages if needed

../ Project Specific Questionnaire & Performance Guarantees

• Experienced with large Public Sector groups in South Florida and skilled at best practices for

higher member engagement

• Understand the culture within Broward County and can help guide members through all of their

benefits via web based tools, apps, telephonic member support and coaching along with on-site team members

• Agreed to all Performance Guarantees without exception

../ Plan Benefits

• Excellent benefits for Preventive, Diagnostic, Basic, Major and Orthodontia
• Consumer MaxMultiplier incentivizes members to have preventive care and to.utilize In-Network

providers by rewarding them with additional calendar year maximum which can roll over

• Prenatal care and oral cancer screening benefits

../ Network/Provider Disruption

.

../ Price

• Only 1 of Broward County's Top 100 Providers is out of network and we are working to recruit

~em

• Largest PPO provider network in the US
• 99% GEO match to all active and retirees for all types of providers with the exception of

Prosthodontists which is at 98%

• Proposed premiums to match current premiums that members are paying tor ease of

administration, implementation and open enrollment

• Bridge2Health program to help members to be healthier through having proper dental care and

helping them to avoid hundreds to thousands of dollars in medical costs

• UnitedHealthcare is willing to have further negotiations with Broward County regarding the fees

and premiums for medical, dental and vision plans