Title: The United Health Group Family
1The United Health Group Family
2007
2UHG Participates in a Huge Market
Health care growth is rapidly spawning attractive
new opportunities.
U.S. Health Spend
Government Sponsored Markets
Commercial Benefits
Out-of-Pocket Spend
Total
Medicare Advantage
Part D
Total
CDHP
Total
Size (B)
CAGR
7
8
7
21
11
11
5
Initial Part D number is for 2006.
Sources CMS National Health Expenditures
Kaiser Family Foundation CBO ICDC
3Growth in the Sector is Driven by Unprecedented
Social Change
Consumers are the central theme in the
transformation of health care.
A dramatic increase in age
with a resulting increase in health spending
Evolution of 55 Population (M)
Consumer Health Care Expenditures by Age ()
2010
2015
35-45
45-54
55-64
2005
Millions
A steady rise in the population covered by
government programs
and an employer base with changing expectations
about benefits
Lives Covered by Government Programs (M)
500 Employers Offering Retiree Health Benefits
()
2005
2010
2015
Pre-65
65
Millions
Sources Census Bureau Mature Market Institute
CMS HHS Kaiser/Hewitt 2004 Survey Mercer HR
Consulting Watson Wyatt CPS March Supplement
4Other Environmental Factors
- The US workforce is mobile and nomadic, driving
demand for portable flexible products - Distribution models are evolving and expanding
- Financial/Healthcare Convergence
- Long life products enormous variation
- An aging IT workforce and aging mainframe
operating applications - Challenging regulatory environment
- 50 States, 50 Insurance Departments, plus federal
regulation - Dramatically different regulatory regimes for
government programs - ICD 10 Bigger than Y2K
Change Risk Opportunity
5The Marketplace Is Seeking Solutions to Market
Imperatives
- Affordability Manage the effectiveness and
efficiency of care and provide choices within
the financial means of the consumer - Quality and Safety Health care services delivered
safely and consistently within the norms of
current science - Human Usability An environment that is simple and
understandable, usable, efficient,
consistent and trustworthy - Fair and Rational Access Efficient and fair
access to, and distribution of, care
These imperatives drive our business agenda
6Growth Enablers
- BPM/Rules/Integration
- Effectively Addresses the Information and Process
Silos - Maximize Workflow Efficiency
- Modernize Business Processes and Create
Re-useable Services - Leverage Business Rules Repositories to Increase
Agility - Legacy Modernization
- High Cost of Maintaining and Upgrading
- Risk Associated with Aging Systems and Hardware
- Difficulty in Obtaining Trained Knowledgeable
Resources - Complexity and Lack of Flexibility During
Integration Activities
- Web Portal and eBusiness
- Enabling Safe and Easy Web Sales
- eService for Customer, Brokers, Providers
- Business Intelligence
- Integrating Disparate Data to Build a Complete
View of Customers - Creating Transparency and Improving Decision
Making - Moving toward a Real-Time Enterprise
- Global Sourcing
- Enabling Agile Application Development
- Targeted Business Process Outsourcing
- Understanding and Piloting Knowledge Process
Outsourcing