Title: Health Net, Inc. Health Plans Positioned for Profitable Growth
1(No Transcript)
2Health Net, Inc. Health PlansPositioned for
Profitable Growth
- Solid Operating Performance in 2000 and Entering
2001 - New Products Introduced in 2000 and More Planned
for 2001 - Diligent Focus on Pricing Discipline and
Product/Market Profitability
32001 Operating PerformanceHealth Plans Division
4Drivers of Membership Growth
- Diversify the Product Portfolio
- Diversify Market Segments
- Explore Niche Products
- Provide Flexible Benefits Designs to Meet the
Consumer at the Price They Want to Pay - Expand Choice Access
- Price Ahead of Cost Trends
5Membership Results By Line of Business
Membership Growth Between Q1 2000 and Q1 2001
Excludes Florida, Washington and Colorado
Medicare Supp is in Medicare
6Membership ResultsBy Product
Commercial Membership Growth Between Q1 2000
and Q1 2001
Excludes Florida, Washington and Colorado
Medicare Supp is in Medicare
7Membership ResultsBy Market Segment
Commercial Membership Growth Between Q1 2000
and Q1 2001
Excludes Florida, Washington and Colorado
Medicare Supp is in Medicare
8Successfully Managing The Shift in Risk
- Pricing That Reflects Medical Cost Trends
- Claims Processing Under Control
- Claims Volume Increased 25 from 1999 to 2000 and
Projected to Increase 27 in 2001 - Successfully Managing Inventory - Days Work on
Hand Consistently Under 5 Days - Increased Staff 25 Over Past 12 Months
- Expanded Outsourced Adjudication Capabilities
- Implemented Technology Enhancements - EDI,
Auto-Adjudication
9Successfully Managing The Shift in Risk (Cont)
- Enhanced Medical Management Capabilities
- Adding Staff
- Focus on High Risk Physician Groups
- Improved Reporting
- Keeping Providers in Risk Arrangements Where
Feasible
10Health Net, Inc. Health PlansPositioned for
Profitable Growth
- Solid Operating Performance in 2000 and Entering
2001 - New Products Introduced in 2000 and More Planned
for 2001 - Diligent Focus on Pricing Discipline and
Product/Market Profitability
11Product Strategy Will Deliver Diversified Growth
- Product At Every Price Point - Meet the Customer
Where They Want To Be - Diversification
- Choice Products
- Niche Markets
- New Customer Segments
- Affinity Marketing
- Benefit Designs That Maintain Affordability
- Profitable Growth
- Pricing Ahead of Cost Trends
- Medicare Changes
12Offering More Choice ProductsPPO Strategy - West
- California PPO Projected to Grow to 100,000
Members - Initial Focus on Individual and Small Group
- Competitive Pricing and Benefit Design
- Strong Alternative to Market Leader
- Product Well Received By Brokers and Consultants
13Offering More Choice ProductsPPO Strategy -
Northeast
- July 1, 2001 Product Effective Date
- Over 70 Plan Designs Will Be Introduced
- Product Flexibility Allows For All Combinations
of Plan Design - Focus on Middle Market (50 to 1,500 Lives) Where
Margins Are Strong - Products Will Appeal to Price Sensitive Segment
- National Network Access - Leveraging Provider
Relationships of Sister Plans - Collaborating With West on National Opportunities
14Maintaining AffordabilityCopay Strategy
- New Copays Copay Increases Across All Services
- Inpatient and Outpatient Surgery Copay
- Emergency Room Copay
- Option to Increase Physician Visit Copay
- Maintains Product Affordability Through Cost
Sharing - Expect Price Savings From 3 to 7
- Should Stem Shift to Self-Insurance
- Recent Study(1) Shows More Than Half of Employers
Will Increase Cost Sharing In Response to Rising
Costs
(1) Watson Wyatt, Changing Role of Health
Benefits, 2001
15Product Focus in 2002
- National Accounts
- Operations Aligned Across Health Plans
- Internet Capabilities
- ASO and PPO
- National Practice Leaders for National Accounts
and Labor Trust - Continued Growth in PPO Membership
- Products at all Price Points
- Significant Win in Large Group Segment
- Niche Products
- Operations Enhancements
16Health Net, Inc. Health PlansPositioned for
Profitable Growth
- Solid Operating Performance in 2000 and Entering
2001 - New Products Introduced in 2000 and More Planned
for 2001 - Diligent Focus on Pricing Discipline and
Product/Market Profitability
17CalPERS
- Proposal Accepted - Maintains Key Account for
Health Net of California (200,000 Members) - CalPERS Increased Copays on All Plans, Shaving
143 Million Off Original HMO Bids - 13 Rate Increase in Line With Medical Costs
- Benefit Buy-down Reduces Premium Rate Increase to
7.4 With Same Margin Results - Gave the Least Credit Moving to the Low Option
Plan Compared to 3 Largest HMOs
18CalPERS (Cont)
- Five County Exit Will Improve Account
Profitability - Impacts 21,000 CalPERS Members - Enrollment Frozen for 2002
- EPO Approach Will Retain Provider Relationships
For Our Other Members in the Five County Area