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

Broward County Government PPO Dental Finalist Presentation FLORIDA April 24t h, 2019 Introductions Laurie Mandell Sara Davis VP, Account Management Manager OCSM & FA M UnitedHeaJthcare Joe Vidal Jim Moore attendees: Account Executive Strategic Account Executive • Local Leadership • Proven Account Management Team • Local Decisions • Proven Implementation Capabilities Consistently recognized as a leader in the health industry. ™ E CI VIC 50 F ORTUNE MAGAZINE DOW J ONES FORTUNE MAGAZINE Since 20 1 2 , Unit edHealth In 2019 , UnitedHealth Part of the Dow In 2019, Unit ed H ealt h Group ranked es one o f Group Na med World 's J ones Sustainability Group ranked No . 1 the 50 most community- Most Adm ir ed Company World I ndex . in It s sector for minded companies in the in th e I nsurance and innovat i on . nation by The Civic 50, a Managed Care sec t or. Point s of Light initiativ e . 201 8 201 8 20 19 20 19 20 18 201 8 2019 N ATIONA L B U SINESS F ORTUNE 500 LIST VICTORY MEDIA GROUP ON HEAL TH In 2018 , Unit ed H ea lth Nam ed a 2019 In 2018, receiv ed a Group rank ed No . 5 . Mi l itary Fri end ly p l atinum award tor Employe r . "Best Employ e rs tor Healthy Life s ty l es ." The power of partnership is built on working together toward the same goal. Our values: Honor comm i tments. Walk in t he shoes Bui ld trust In vent the future . Demonstrate Never comprom i se o f peop le we seNe through l earn from the exce ll ence in et hi cs. a nd th ose w ith co ll aboration . past. everything we d o. whom we wo rk. I ] lJnitedIIealthcare'

ti a l~/ Consumer MaxMultiplier Rewarding members to engage in preventive dental care .. • At the end of the plan year, if a $1 ,500 An nu al Maxim um member completed at least one dental visit and had $750 claims less than the claim Cl aim Th resho ld threshold, they can receive award dollars that will go toward $4QQ Award Dolla rs next year's annual maximum. $1 Q 0 • Dental PPO members can earn Network Bonus a $100 bonus for network-only claims. $ Dollars Awarded • Award dollars can grow year T oward Naxt Year's to year but are capped at the An n ual Maximum amount equal to the plan's annual maximum. ($3,000 Annual Ma ximum capj Value- Added Benefits Oral cancer screenings Enhanced prenatal benefits Benef it s during pregnancy and three months fo ll ow i ng Covered ora l cancer screenings each year using the de li very are not applied to frequency limits or t he ann u al newest technologies for ear ly detection. max i mum. Did you know? ... D id yo u know? .. . Mo u th l esi on s ar e no t a lways e asi ly s e en du rin g a r out in e Gum d is eas e may inc r ease the risks of pre - term birth and low b irt h exam. w e i ght. : And an e stimated 1 in 92 a dults will be diagnosed with oral Gum in~amation can poten 3 role in cancer in th e ir life t im e . play a the deve l opmen t oi pre - eclamps ia .'

~ n in , 1!J~r t· l ~ ~ ~ t'I ~ lu l s - ?i" ~c.:!e.-.· ~ ~ i. i c ~i Provider Network Net Statewide South Florida 15 0 00 12 1~2 DPPO access: 99010 10 0 00 of all eligible employees 5 0 00 & retirees have access to at least two PPO general dentists within . five miles of their hom e. = .. f 0 9;. ,;o l .. : 0 t o '" t . i . .. • 1 i H i if 1 Q ! ~ : t ' J a: 2 5 0 Access Points The Mouth-Body Connection The Lungs: gum disease may increase the The Brain: oral bacte ri a has been identified as a possible contributor to Alzheimer's risk of ch ro nic obstructive pulmonary disease (C OPD ).3 disease. 1 /'!"'\ W The He art: Gum disease may increase your The Pancr eas : The pancreas produces " ins ul in, the hormone responsible for ri sk of heart disease and stroke.2 controlling blood sugar. Treating gum disease can improve your ability to manage yo ur The Ki dn eys: Poor oral care makes infections progress faster, which means more Z '.= Arr:.?r'C3r"1 ~c.:i1ef"' cl P":'l;-:::o '"h":.\.l work for your kidneys. 2 1 .:t: cl P.: -:-::: .. ·::11 ~\o · ., ... , g(·~ 3 Brldge2Health (updated) Bridge2Heallh Results l nteg r. Jt•d F OuDtlH .anti He .a rt ----- ------· II -----·- Wllt U MJ Ut U - ....... . 57 % 32 % 27% '"-"*" - -·, 1 , 15.0% of adult members , driving Net Paid PMPM for Dental Compliant= 60.4% of the medical spend $741 vs. Non-Compliant= $1, 134 Bridge2Health Delivers: Specific reporting showing aggregated data for Broward County members • In creased 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

~em UnitedHealthcare's Value Proposition: ../ Local Prese nce • 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 Servic e • 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 Te am dedicated to credentialing and re-credentialing our pr ov iders, verifying their continuation of their li cense with the State and providing this information f or members to access ../ Enrollm e nt & Implem entat ion • 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 • Excelle nt benefits for Pr eventive, 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 • P re natal care and oral cancer screening benefits ../ Network/Provider Dis ruption . • Only 1 of Broward County's Top 100 Providers is out of network and we are working to recruit - • 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% ../ Price • 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 h av ing proper dental care and helping them to avoid hund re ds to thousands of dollars in medical costs • UnitedHealthcare is willing to have further negotiations with Broward County regarding th e fees and premiums for medical, dental and vision plans