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Jerry Vaccaro, M.D.

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Behavioral health spending continuously declined, reaching ... NCQA accredited in Western, NW Regions. Only fully accredited MBHO in CA. CA Knox-Keene licensed ... – PowerPoint PPT presentation

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Title: Jerry Vaccaro, M.D.


1
.a health and consumer services company making
peoples lives better
Jerry Vaccaro, M.D. SVP, Specialty Health
Businesses
2
Specialty Companies
  • Best in Class Margins
  • Best in Class Care and Service
  • Steady Growth and Profitability

3
PacifiCare Behavioral HealthCompany Overview
4
Downward Spending Leveling Off
  • 1988 - 1998
  • Behavioral health spending continuously declined,
    reaching a total drop of 54.7
  • As a percent of premium, behavioral health
    dropped from 6.2 to 3.1
  • 1998 - 1999
  • Behavioral health spending experienced its lowest
    drop in a decade of 1.5
  • Declining trend appears to have leveled off

U.S. Annual Behavioral Health Spending per
Covered Life
5
National Competitive Landscape
6
CA Market Share by Revenue
1 in CA
7
PBH Today
  • In operation since 1986
  • 4.3 million members in 12 states
  • NCQA accredited in Western, NW Regions
  • Only fully accredited MBHO in CA
  • CA Knox-Keene licensed

8
Internal vs. External Membership
As of June 2002
9
PBH Differentiators
10
Product Leadership
  • ALERTSM
  • Best CareSM
  • PBH Spectrum
  • PBH Caregiver
  • Taking Charge of DepressionSM
  • Taking ChargeSM Health Improvement Series
  • LifeStrategies

11
ALERTSM
  • Groundbreaking Outcomes Management Program
  • Decreases medical errors (35, year one)
  • Next generation Provider Report Cards

12
Growth Strategy
  • Super-Regional Company
  • Market Leader in California
  • Selective expansion (health plans, Labor/ Trust,
    other niches)
  • Evaluate Acquisition Opportunities
  • Take advantage of Federal Parity Legislation
  • PBH risk-based experience

13
Steady Growth
1996 1997 1998
1999 2000 2001 2002 (est.)
14
Net Income Analysis(in 000s)
15
PacifiCare Dental VisionCompany Overview
16
Market at a Glance
  • Dental penetration 50-60 purchase dental
    benefits
  • Vision penetration 20-40 purchase vision
    benefits
  • DHMO growth flat, PPO expanding

17
PDV Today
  • Largest California DHMO network
  • PacifiCare Dental penetration 13
  • PacifiCare Vision penetration under 5
  • Product offerings in all PacifiCare states

18
Growth Strategy
  • Super-Regional Company
  • Service Excellence 1 in Service
  • Maximize penetration within PacifiCare

19
Steady Growth
2002 estimate
20
Total Commercial Membership Penetration
2002 estimate
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