Consumer-driven health (CDH)
and our new health care strategy
Making the case for the new health care strategy and why we
chose UnitedHealthcare
What we will cover
• Making the case for CDH and a
change in our health care strategy
• Why UnitedHealthcare?
2
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Consumer-driven health
The case for a change in health care strategy
Factors affecting the rising costs:
•
•
•
•
Poor lifestyle habits and behaviors
Preventive care is not being received
True costs often shielded from consumer
Consumers do not recognize the
difference in quality & cost among health
care providers
• Lack of financial accountability for
health care actions
For every 100 employees:
• 64 are overweight or
obese: average health
costs 10-12% higher
• 23 smoke: average health
costs 30-33% higher and
annual productivity
costs 60% higher
• 19 experience stress: average
health costs
46% higher
Source: Adapted from Department of Health
and Human Services, Centers for Disease
Control and Prevention
3
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Consumer-driven health
The case for a change in health care strategy
50% of health care
costs driven by
behaviors
Genetic
20%
Access
10%
Behavior
50%
Environment
20%
Source: Adapted from Department of Health
and Human Services, Centers for Disease
Control and Prevention
4
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Consumer-driven health
The case for a change in health care strategy
We need to encourage better decisions
• Introduce a high-deductible health plan which results in more
thoughtful use of health care services
• Fund a special spending account to help pay deductible and related
costs
• Cover preventive care 100% to encourage routine care
• Provide education and support tools to make informed choices
5
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Why UnitedHealthcare?
1. Mission: to help people liver healthier lives
2. Leader in consumer-driven health
3. Serves more than 3 million CDH members
Plus:
•
•
•
•
Large national network
No referrals to see a specialist
24/7 registered nurse support
Member website to manage plan and
account (myuhc.com®)
• Recognizes physicians and hospitals for
meeting quality guidelines
• Focused on wellness and personalized
messaging
National
Network
660,000
doctors
5,100
hospitals
60,000
pharmacies
1,000
convenience
care clinics
World-wide
emergency care
coverage
6
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Why UnitedHealthcare?
Network includes convenience care clinics
Convenience care clinics
• Lower cost than local network primary care
physician for routine care
• DO NOT replace your primary care
relationship
• Alternative to urgent/emergent care for many
simple services, e.g. sprains, strains, colds
• Staffed by nurse practitioners or physician
assistants
• Separate category in myuhc.com physician
search
More than 900 locations
including some CVS,
Target, Walgreens and
retail locations…
...support our network as
additional low cost health
care access points
7
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
7
Why UnitedHealthcare?
Ability to recognize quality & affordable care
The UnitedHealth Premium program evaluates doctors for
quality and cost efficiency to help you choose a doctor
with confidence
Doctors who meet both quality and cost-efficiency
guidelines receive two stars, and those who meet quality
receive one star
Quality Care
+
UnitedHealthcare
awards one star to
physicians who meet
national standards for
quality care.
Cost-efficient Care
UnitedHealthcare
awards a second star
to physicians who
meet local area
benchmarks for costefficient use of
resources in delivering
health care.
=
UnitedHealth Premium
Two-Star Physicians
Two-star physicians have
been recognized for
providing quality and costefficient care to their patients.
They meet or exceed
nationally recognized
guidelines, and they’re likely
to recommend the right tests
and treatments for a variety
of conditions.
8
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Learn More at Health Care Lane®
Healthcarelane.com
9
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.
Have More Questions?
Visit welcometouhc.com
Visit healthcarelane.com
Call X-XXX-XXX-XXXX
The information provided on included programs is for informational purposes only and is not a substitute for your doctor’s care. Please
discuss with your doctor how the information provided is right for you.
myuhc.com,® Health Care Lane,® UnitedHealth Premium® and Healthy Mind Healthy Body® are all registered trademarks of
UnitedHealth Group Incorporated.
Quicken Expense Health Tracker® is a registered trademark of Intuit, Inc. Used by permission.
© 2011 United HealthCare Services, Inc.
10
Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.