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Options to help reduce the total cost of care for your health plan

Options to help reduce the total cost of care for your health plan. What is the best option to help reduce the total cost of care? . *Including Place of Service Benefit Differential features . What is the best option to help reduce the total cost of care?. 2-5%. 2-6%.

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Options to help reduce the total cost of care for your health plan

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  1. Options to help reduce the total cost of care for your health plan

  2. What is the best option to help reduce the total cost of care? *Including Place of Service Benefit Differential features Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  3. What is the best option to help reduce the total cost of care? 2-5% 2-6% Savings estimates relate to UnitedHealthcare’s book-of-business results. Actual savings achieved will vary by customer depending on cost sharing differentials imposed, geographic availability and customer-specific service mix. All figures and estimated savings represent historical performance and are not a guarantee of future savings. Meaningful benefit design differentials needed to achieve the upper bound of savings. Quality and cost-efficiency based on national standards and local benchmarks. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  4. A new option: a “virtual” narrow network Place of Service Benefit Differentials and UnitedHealth Premium® Tier 1 Narrow Network Savings estimates relate to UnitedHealthcare’s book-of-business results and represents the national average expected savings opportunity associated with migrating 100% of non-Tier provider episodes to Tier 1 providers.   Actual savings achieved will vary by customer depending on cost sharing differentials, geographic availability, Tier-1 provider utilization levels and customer-specific service mix. All figures and estimated savings represent historical performance and are not a guarantee of future savings. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  5. How potential savings are achieved Premium Tier 1 doctors… follow Evidence Based Medicine UnitedHealth Premium Tier 1 physicians have received the Premium designation for Quality & Cost Efficiency, or Cost Efficiency and Not Enough Data to Assess Quality Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  6. Example: Downstream potential cost savings Savings estimates based on UnitedHealthcare's 2013 analysis for 25 specialties and 147 markets. Figures are based on book-of-business results and represent the national average expected cost differential between Tier 1 and non-Tier 1 providers for entire episodes of care.   Actual savings achieved will vary by customer depending geographic availability and customer-specific service mix. All figures and estimated savings represent historical performance and are not a guarantee of future savings. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  7. UnitedHealth Premium enhancements for 2014 Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  8. 2014 Premium Designation physician specialties25 specialties covering >80% of medical spend • (1) New in 2014 • The UnitedHealth Premium® designation program is an information resource to help members choose a physician. It may be used as one of many factors considered when choosing a physician. As with any performance assessment program, physician evaluations have a risk of error. Please visit myuhc.com ® for detailed program information and methodologies. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  9. Member resources promote Premium Tier 1 use Look for the UnitedHealth Premium Tier 1 symbol to quickly and easily find doctors who have been recognized for providing value.* TIER 1 First Name, Last Name, MD Estimated Distance: 0.6 miles 123 Hospital Drive , Suite 321 City, ST 04567-8901 987- 654-3210 *UnitedHealth Premium Tier 1 physicians have received the Premium designation for Quality & Cost Efficiency, or Cost Efficiency and Not Enough Data to Assess Quality Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  10. Combining Premium and Place of Service(Payer) = + UnitedHealth Premium® Tiering Place of Service Benefit Differentials Combined Savings Savings estimates relate to UnitedHealthcare’s book-of-business results. Actual savings achieved will vary by customer depending on cost sharing differentials imposed, geographic availability and customer-specific service mix. All figures and estimated savings represent historical performance and are not a guarantee of future savings. Meaningful benefit design differentials needed to achieve the upper bound of savings. Quality and cost-efficiency based on national standards and local benchmarks. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  11. Sample:Estimated 6% first-year potential savings Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group. ~2%-3% savings ~5%-6% savings

  12. Tiered Benefit Design powered by PremiumSavings opportunity (Consumer) Assumptions: Cost of MRI: $2100 Cost of OP surgery/facility: $10k; Cost of OP surgery/physician: $1.7k This example is provided for illustration purposes only. Actual experience will vary based on plan design and utilization. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  13. Tiered Benefit Design powered by PremiumSavings opportunity (Employer) Assumptions: Cost of MRI: $2100 Cost of OP surgery/facility: $10k; Cost of OP surgery/physician: $1.7k This example is provided for illustration purposes only. Actual experience will vary based on plan design and utilization. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  14. Our Network options 2-6% 2-5% 2-3% Plan designs that provide incentives or reduced deductibles/cost sharing for seeking care from identified health and service providers are referred to as High Value Networks. Customer level potential savings of High Value Networks will be a function of plan design, geographic mix, service mix, the proportion of total spend currently associated with non-Tier 1 providers, and the extent to which that current spend is redirected to Tier 1 providers. Savings estimates relate to UnitedHealthcare’s book-of-business results. All figures and estimated savings represent historical performance and are not a guarantee of future savings. Meaningful benefit design differentials needed to achieve the upper bound of savings. Quality and cost-efficiency based on national standards and local benchmarks. Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

  15. High Value Networks Proprietary Information of UnitedHealth Group. Do not distribute or reproduce without express permission of UnitedHealth Group.

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