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DRIVING HEALTH CARE CONSUMERISM VIA TRANSPARENCY

DRIVING HEALTH CARE CONSUMERISM VIA TRANSPARENCY. Todays Environment. High deductible health plans Narrow networks Tiered networks and plan designs Cost variability Rising health coverage costs Consumers are expected to make informed choices. What if there was a tool….

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DRIVING HEALTH CARE CONSUMERISM VIA TRANSPARENCY

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  1. DRIVING HEALTH CARE CONSUMERISM VIA TRANSPARENCY

  2. Todays Environment. • High deductible health plans • Narrow networks • Tiered networks and plan designs • Cost variability • Rising health coverage costs • Consumers are expected to make informed choices

  3. What if there was a tool… A TOOL DESIGNED TO KEEP YOUR HEALTH CARE COSTS DOWN • That helped consumers know the cost of a procedure? • And their share of the cost? • Compared the cost for the same procedure at different places of service? • By different providers? • That helped consumers understand that they have choice in where they receive care? • That provides “shopping advice” on how to save on care? • Available to them in their home or office or on the go?

  4. WHAT IF THE TOOL WAS WHERE THEY WERE ALREADY LOOKING FOR INFORMATION? • EMBEDDED IN FIND A DOCTOR • Quality • Provider information • Physician & Hospital • Patient Reviews • Cost • Cost of Care Estimates • Shoppable procedures • Savings alerts • Experience • Engagement strategies • Personalized messages

  5. …And what if the tool was powered by robust National data? The Blues have a distinct advantage in providing transparency tools due to the breadth and depth of data available 100 Million Lives 96% of Hospitals and92% of Physicians Every ZIP in the US UnparalleledConsumer Research DeeperInsights

  6. And the tool focused on “shoppable” procedures.

  7. TRANSPARENCY SOLUTION. Standard Solution • Available Now • FIND A DOCTOR PLATFORM • Treatment cost estimator (170+ procedures) • Physician quality • Physician recognition • Hospital quality measures • Blue distinction centers • Patient reviews of physicians • Mobile-enabled site • Spanish • Available May 2013 • MEMBER OUT OF POCKET • Additional procedures added to treatment cost estimator • Member-specific cost estimator • Customer service integration • Displays SelectAccount® balances • Procedure-specific messaging AVAILABLE AT NO ADDITIONAL COST

  8. Blue Cross’ Standard Solution vs. the Competition. Transparency vendor capabilities vary *UHC and Aetna have selected geographies

  9. QUESTIONS?

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