UnitedHealthcare ' \ i al~/ ~ - . ~ -: An Innovative DHMO - PDF document

~ Broward County Governme~t DHMO Dental Finalist Presentation FLORIDA Apri I 24t h , 2019 Introductions Manager OCSM & FAM Sara Davis Laurie Mandell VP, Account Management United Healthcare Joe Vidal Jim Moore attendees: Senior 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. TH E CNIC 50 FORTUNE MAGAZINE OOVVJONES F ORTU N E MAGAZINE Si nce 2012, Uni tedHea l th In 20 1 9, U nitedHea l th Pan of the Dow In 20 1 9, U nited H ea l th Gro u p ranked as one of G r oup Named Wo r l d's Jones Sustainability Group r a nk ed No . 1 the 50 mo s t commun i ty- Most Admi r ed Compa ny in its sec to r for Wor ld In d ex. mi n ded compan i es in the in t he I ns u rance and innovation . nation by Th e Civ ic 50, a Managed Care sec tor . Point s of Li g ht initi at i ve. 2018 2018 2019 2019 2018 2018 2019 NATIONAL BUSINESS FORTUNE 500 UST VICTORY MEDIA GROUP ON HEAL TH In 2018 , UnitedH ea lth Named a 2019 In 2018, r ece ived a G r oup ranked No . 5. Mi l itary Fri e ndly platinum award for Emp l oyer . "B es t Employers fo r H ealthy L ifesty l es ." The power of partnership is built on working together toward the same goal. Our values: Honor comm i tments. Walk in the sh oes B uil d trust In ve nt the future. D emonst r ate Never comp r omise of people we seNe through learn from t he excellence in et hi cs. a nd those with co ll aboration. past. everyth in g we do. w h om we work. UnitedHealthcare '

\ · i al~/ ~ - . ~ -: An Innovative DHMO Unique delivery mode l. Compre hensive b enefits .. • F ee ­for­service model I • Savings on implan ts with specific fee, abutments, prosthesis no capitation. removal and crown s. • No dentist assignments, • 490 procedures covered at a copayment level. no provider office rosters to • Prenatal benefits. ve ri fy eligibility. • Or al cancer screening. • Members can sw itch offices at any ti me with no wait - • Cosmetic benefits at specific copayments I discounts. open access to car e. • Pediatric dentistry up to age 16. • No cl osed office s. • Di scount on procedur es not li sted on the Sched ul e of Benefits. • No waiti ng pe riods. • Allows for a better view into use of preventive care services. • No maximums. You can say A network Open access: goodbye free of the typical freedom pain points to frustrating to satisfied to choose hello associated with rosters, and emp loyees anyone in our traditional benefit network. by p roviding access to carriers. quality, affordable care. Capitation hast potential to More than 50% of capitation ­t onger average increase a patient ' s heatth risk appointment delays were plan participants reported because there are incent1ves to 1 dissatisfactio n with the p l ans related to acceptance of reduce services and 2 cap it at ion mode ls 3 In centives t9 defer care 1 A meri c an De nta l A os o c 1 ation He alth Po li cy p ubh c.:itlon. 2.D epartrnon t of H e alt h Servi ces G tud y 3lJnlver• rty of Qi hfornin D epo rt me nt of Me d lc 1 st ud y Value-Added Benefits Oral cancer screenings Enha n ced prenata l benefits Ben efit s du r ing pr egnanc y and three months fo ll ow in g Co v ered ora l cancer screen i ngs each yea r usi ng the delivery are not applied to fr equency lim i ts or the annu al ne w est techno l ogies for earl y detect i on . ma xim u m . D id you know? ... D id you k no w? . .. G um disease ma y increase th e risk s of pre· term birth and 101 ·1 birth Mo u th l es ions a re not a lw a ys e asily s ee n during a r outine vieigh t. 1 exam. Gum i nflammation can potent And an est i ma t ed 1 in 92 adults w i ll be di agnosed with ora l play a ro le in the deve l opment of e. 3 pre ­ eclampsi a .2 c ancer in their lifet im ­­1· ·.:; :· ' ,. ,. ­ ! :.1' ( 1 ~

:~ C "'f.~ ~l't f"_~Tj : ~ -:• n s~ :7~ -i.~ = .: G-~a ~\O ~ O.~ ~ r :. " ~ CG ~ : e ~ U"' er-• i;3j9-•; Provider Network Net St atewide South Flo r ida , Jc9 , 300 DHMO access: 800 94010 1 000 600 of a ll e li gi b le employees J O O & retirees have access 500 to at least two DH MO general dent is ts wi thin 200 five miles of their hom e. Vt t :l :>. :a L'9:.. '• _.•:""• ::Ct. Me :... •s .;.1 :. ·1 ,.... :.­ a .._ :. · .: • :. ­!.te "4t11 ­i :. 1 .. Or t• :l­...,.90 : ~-t .. S=.l!Ct ­=L. ., . .. l .. Unique Offices The Mouth­Body Connection E The Brain: oral bacteria has been identified Th e Lun gs: gum disease m ay increase the as a possible contributor to Alzheimer's ri sk of chronic obst ructive pulmonary disease disease. 1 (CO PD ). 3 /'!'!'\. T he Hea rt : Gum disease may increase your .... . T he P an c r eas: The pancreas produces risk of heart disease and stroke. 2 insulin, the h ormo ne responsible for controlling blood sugar. Treating gum disease can improve yo ur ability to manage your The Kid neys: Poor or al care makes infections progress faster, which means more .l,(T'"e' car ~:~1 ;o:•"''.J'?.J'I 2C • 5 , :t P~ work for your kidneys. 2 3 .0."""2'"C ar' . ~ P ­;:r,cr.cr!: IC :J 'I 2C" •. Brfdge2Hea lth (updated) Brldge 2H ealth Re•ul~ lntegrJ te d Fln~ncl:ds I l n•·i! l._,. tf , _ .,,. · ... ___ _ CMoetu and H urt lunlJ ____ ­­­­­ ­­­­­­­· II ,,. .,,..., ...­ .. . ... 57 % 32 % 27 % • ,..,,,._._ 4 _ 15.0% of adult members, driving Net Paid PMPM for Dental Compliant= ­­­ ­ ­­­­- 60.4% of the medical spend $741 vs. Non­Compliant= $1,134 Bridge2Health Delivers: Speci fi c repo rti ng 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

UnitedHealthcare's Value Proposition: v' Local Presenc e • 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 nurs e, nutritionist, and two on­site re pr esentatives working with Browa rd County members daily. v' Company Profile • #1 Nationally ranked provider of benefits wi th regards to premium, employees, providers and membership • Ranked #5 on the Fortune 500 list • Largest DHMO Network in South Fl orida with a GEO access over 99% for the tri­county area v' Quality of Servic e & Customer Service • Advocate4Me service team available to help members with the ir medical, vision and dental questions at one phone number with one ID number • Open access DHMO plan network which removes the barriers for members to see a provider • Provider Re lations Team dedicated to credentialing and re­credentialing our providers, verifying their continuation of their license with the State and providing this information for members to access v' Enrollment & Impl ementat i on • 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 v' 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 on­site team members • Agreed to all Performance Guarantees without exception v' Plan Benefits • Open access network removing barriers for many members to see a dentist • 490 dental procedures covered at copay level • Prenatal care and oral cancer screening benefits v' Network/Provider Disruption • 95% of current top providers in the DHMO network, with the balance being worked on by Provider Relations for recruitment • Increased DHMO provider network allowing more members who may be on the PPO plan or not covered to now come on the DHMO since their dentist now may be participating • Pediatric dentists covered up to age 16, allowing more children to stay/see a dentist who they feel comfortable with and enjoy going to v' Price • Proposed premiums to match current premiums that members are paying for ease of administrati on , 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 do ll ars in medical costs • UnitedHealthcare is wi ll ing to have further negotiations wi th Broward County regarding the fees and premiums for medical, dental and vision plans