Anthem and Episcopal Right people. Right tools. Right solutions.

Transcription

1 Anthem and Episcopal Right people. Right tools. Right solutions.

2 Who is Anthem?

3 One of the Largest Health Plans Dedicated to Better Care and Value Measurable Impact on the Health of our Communities 40M members 1 92% of physicians 2 82 of Fortune 100 offer a Blue Health Plan 2 1. As of 02/27/2017, As of 11/5/15, 96% of hospitals nationwide 2 98% in-network utilization 3

4 Leading the shift to outcomes-based health care Our size and strength give us the ability to influence the health care system in profound ways Engage Transform Improve Lower each member in improving their health the relationship between patient and primary care doctor quality of care and outcomes costs for everyone 4

5 The Anthem Foundation Working together to create a healthier generation of Americans $165M+ ASSOCIATE VOLUNTEERISM AND GIVING 61,384 Hours Granted to organizations that support our healthy generations program $2.5M Associate gifts DISASTER RELIEF $1M-LEVEL partner in Red Cross Disaster Giving Program 5

6 We have the network Anthem is the leader in network access, and it starts with the powerful relationship between a patient and their primary care doctor 6

7 Network Fundamentals The strength and depth of Anthem s network Network Leader, Including 96% of Hospitals 92% of Physicians and 98% of claims paid in-network (vs competitors 92%) Leveraging our network s value and quality 447k+ physicians participating in value-based care programs 1,900 hospitals earning recognition as centers for excellence 7

8 Value Based Care Delivery We re leading the shift to outcomes-based healthcare Blue Distinction Centers for Specialty Care Quality hospital care for complex specialty areas Knee and hip replacement 7% fewer complications Spine surgery 47% fewer reoperations Cardiac Care 29% lower rate of inappropriate procedures Blue Distinction Total Care Network of providers meeting consistent, quality and valuebased criteria 8

9 We have the Service We empower our agents to be caring specialists, your partner in navigating healthcare

10 Episcopal Resources that Church make good Medical agents Trust great Dedicated Customer Service Unit TRAINING Includes Episcopal s expectations, culture and specific benefits TECHNOLOGY Helps deliver an exceptional member experience ROBUST QUALITY PROGRAMS Ensure your employees receive the right information 10

11 This is personal. Our CARING culture is designed to make our members feel like their call is the most important one we ve answered that day. C A R I N G onnect with the member personally lways sound confident esponsible for owning the issue will set clear expectations ever miss a service promise reat situational service our members value and trust 11

12 We have the access to care A multi channel approach to finding, selecting, and accessing treatment

13 Our website Anthem.com has tools that help members make smarter, more cost-effective decisions about their health care FIND A DOCTOR ESTIMATE YOUR COST SHOW ME THE MATH 13

14 Our App The Anthem Anywhere app helps you find the information you need in a flash Find a Doctor Urgent Care Digital ID Card Claims Status

15 LiveHealth Online 24 hour a day, 7 day a week access to board-certified doctors Medical and Psychology Services eprescribe Savings Increased Productivity Because life doesn t wait.

16 Radiology and Cardiology Decision Support Decision support for providers and members for high-cost radiology and cardiology services Services Supported CT scans, MRI scans, Echocardiography, and Arterial Ultrasound Supporting member choice Helps employers and members better manage costs Radiology and Cardiology Review Model Promotes evidence-based medicine Reduces unnecessary procedures and expenses 16

17 We have the clinical strength Our clinical solution is powered by strong human and digital connections to build quality outcomes

18 Episcopal s Clinical Programs Focused assistance and guidance when members need it most. Case Management & ComplexCare For members with high-risk health problems Virtual Second Opinion Access to a second opinion from highly specialized providers Future Moms Provides individual support to pregnant women Cancer Quality Care High quality, evidence-based cancer care that is costeffective 18

19 Behavioral Health Resource Center For CDHP Plan Members Ramping up the care, for those who need the extra help Dedicated 24/7 Behavioral-Health Call Center Depression Care Management Autism Spectrum Disorder Program A program for families touched by ASD, providing them with highly tailored resources, guidance, and coordination

20 We have the tools you need Leverage our free resources to build a culture of wellness

21 Time Well Spent A one stop FREE resource for all your wellness needs. Learn Build or enhance your workplace wellness strategy Plan Annual wellness calendar, Health Kits, LunchWell and fun challenges. Share Employee-facing educational materials 21 21

22 Time Well Spent A one stop FREE resource for all your wellness needs. Health Kits Turn-key digital wellness campaigns Wellness Calendar Communications focused on one wellness topic a month Employee Webinars On a variety of health topics Fliers, Posters, s Low to no cost communications Ideas 22

23 Questions