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WellCare Health Plans, Inc. Kathy Warner, Chief Operating Officer for SC and Tammie Burnette, Community Relations Re

WellCare Health Plans, Inc. Kathy Warner, Chief Operating Officer for SC and Tammie Burnette, Community Relations Representative. WellCare Health Plans, Inc. Company Snapshot. Medicaid, Medicare Advantage & Medicare Part D PDP. Medicare Advantage & Medicare Part D PDP.

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WellCare Health Plans, Inc. Kathy Warner, Chief Operating Officer for SC and Tammie Burnette, Community Relations Re

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  1. WellCare Health Plans, Inc. Kathy Warner, Chief Operating Officer for SC and Tammie Burnette, Community Relations Representative

  2. WellCare Health Plans, Inc. Company Snapshot Medicaid, Medicare Advantage & Medicare Part D PDP Medicare Advantage & Medicare Part D PDP Medicaid & Medicare Part D PDP Medicare Part D PDP (49 states & D.C.)

  3. WellCare Health Plans, Inc. • Vision • To be the leader in government-sponsored health care programs in partnership with the members, providers, government customers and communities we serve. • Mission • Enhance our members' health and quality of life • Partner with providers and government customers to provide quality, cost-effective health care solutions • Create a rewarding and enriching environment for our associates • Core Values • Partnership • Integrity • Accountability • Teamwork

  4. Our Mission to Serve Emphasis on lower income populations and value-focused benefit design At WellCare, our members are our reason for being. We work each day to enhance our members’health and quality of life. Communication among members and providers to improve outcomes Focus on preventive care including regular doctor visits Community-based solutions to close gaps in the social safety net

  5. Company History & Growth Medicaid and Medicare Advantage Plans

  6. WellCare of SC Timeline • Purchased United Health Care Community Plan 2/1/2013 • Transition of Services with United 2/1 through 8/31/2013 “Business as Usual” • Member Notices around 7/25/2013 • Provider Notices around 7/25/2013 • Provider and Member in-services and education month of August • Go Live and operate Medicaid plan as WellCare of South Carolina • Transition of Carolina Medical Homes Membership Projected for 12/1/2013

  7. Providing managed care services targeted to government-sponsored health care programs, focusing on Medicaid, Medicare and Prescription Drug Plans Serving a variety of people including families; children; and the aged, blind and disabled; includes a focus on low-income, dual-eligible populations Improving quality of care, increasing health care access and improving outcomes for members Relieving providers of administrative work and hassles Providing cost savings for government customers and taxpayers What We Do Reduce Cost and Improve Quality and Access for Government Health Programs by:

  8. Medicaid Presence Approximately 1.7 million members across9 states • Presence in 5 of the 10 largest states • Broad range of eligibility groups • Capabilities to integrate medical, pharmacy and behavioral services • Coordination with Medicare benefit a strength

  9. Medicare Advantage Presence Approximately 256,000members across 14 states • Serving 204 counties, encompassing more than 15 million Medicare-eligible residents • Offering Dual Special Needs Plans in nearly all counties • Complementary to Medicaid and stand-alone PDP

  10. Prescription Drug Plans Presence Approximately 757,000 members across 49 states and D.C. • Focused on value-conscious beneficiaries • A leader in generic utilization • More than 75% of our members have selected our plans (as opposed to being auto-assigned) • Pharmacy data, purchase volume and infrastructure benefit Medicaid and Medicare Advantage plans

  11. WellCare’s Integrated Care Model Community-Based Social Services Integrated Care Management and Coordination of Care can: • Enhance quality of life for members and family caregivers • Provide value to state customers and members • Significantly decrease inpatient readmissions • Reduce over-utilization across multiple segments • Reduce non-emergency ground transportation costs • Reduce inpatient bed days

  12. Focused Giving WellCare strives to enhance the health, well-being, safety and quality of life for the disabled, economically disadvantaged and medically underserved, and the communities in which they live. • The WellCare Community Foundation works with a number of organizations to improve outcomes for our members and lower the overall cost of health care, including: • Big Brothers and Big Sisters • The Family Café • The Greater New Orleans Foundation • The Judeo Christian Health Clinic • The National Association of Area Agencies on Aging • Nathaniel’s Hope The weCare WellCare Gives Back program encourages employee volunteerism, specifically in low-income, underserved and aged populations. In 2012, employees donated more than 1,500 hours to community partners through the weCare WellCare Gives Back program. Some of our partners include:

  13. Free Community Programs • Eating Healthy on a Budget • A is for Asthma • Lead Away • Know Your Number (Healthy Heart Presentation) • Heart Disease and Stroke (Healthy Heart Presentation) • Nutrition and the Heart (Healthy Heart Presentation) • Diabetes and the Heart (Healthy Heart Presentation) • Tobacco and the Heart (Healthy Heart Presentation) • Exercise Presentation combined with Stress Management Presentation (Healthy Heart Presentation) • Fitness Day/ Night (family friendly line dancing) • Sugar Presentation • Portion Distortion Presentation • Sodium Presentation • Fitness activities for kids

  14. Local Community Partnerships • Attend and participate in community meetings • Volunteer for community projects • Provide education for the community agency clients • We not only want to help to provide affordable healthcare for our Medicaid population, but we also want to help make the communities be healthier.

  15. Helpful Website for Us • https://www.wellcare.com

  16. Contact Information • Kathy Warner Phone: 803-724-1393 Email: kathy.warner@wellcare.com • Tammie Burnette Phone: 803-404-0653 Email: tammie.burnette@wellcare.com

  17. Questions?

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