360 ° Health ® eTour Local Group Fully Insured

U.S. Obesity Trends in Adults No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30% 65% of Americans are overweight or obese, accounting for 27% growth in overall health care spending * * Source: Watson Wyatt

U.S. Diabetes Trends in Adults No Data 10% People with diabetes, have medical expenditures that are approximately 2.3 times higher than those without diabetes. * * Source: American Diabetes Association

Percent of Chronic Diseases Caused by Unhealthy Lifestyles Sources: Stampfer, 2000 Platz, 2000 Hu, 2000 Overview: A Case for 360 º Health

 Productivity losses related to personal and family health problems costs U.S. employers $1,685 per-employee-per-year or $225.8 billion annually  This loss in productivity represents about 20% of the payroll  Chronic illness accounts for 75% of annual health care costs  More than half of these conditions are the result of lifestyle choices or health behaviors. The Cost of Unhealthy Employees Source: Watson Wyatt A Case for 360 º Health Anthem Blue Cross and Blue Shield created 360° Health to improve the health of our members, the companies they work for, and our communities.

360 ° Health - Your Total Health Solution 360 ° Health surrounds members with the help they need to live healthier lives.  Provides meaningful programs for everyone at every stage of health  Much more than a disease management program, it’s designed around each member’s total need  Includes everything from online tools and information to complex care management

Differentiators: Broad Spectrum of Services 360 ° Health covers a spectrum of health services that are designed to address the needs of your total employee population.  Proactive care management programs for a broad range of impactable health conditions  Online health and wellness information and tools  Discounts on health-related items and services Program Goals:  Reduce claims  Increase productivity  Lower health care costs

Better Health with Proven Outcomes  Improve member health 85% of people who have used a 360° Health ® program say their health has improved as a result. 1  Lower health care costs 360° Health’s disease management programs contributed to a 32% decrease in emergency room visits due to the condition; a 20% decrease in inpatient admissions due to the condition; and a 7% drop in the number of inpatient days 2  Increase productivity Members report more than 50% reduction in missed days of work due to their condition 2 1 Source: WellPoint Voice of the Customer, Results are from a recent, three-year internal analysis of diabetes, CAD and HF programs for CO and NV. For clients included in the study, service delivery began in September 2002, Asthma and COPD were added in (275,000 total members; 12,000 participating in Condition Management). Study Code: Through the many services offered, 360° Health ® helps to:

360º Health: Typical Programs Tools & Resources Guidance Management MyHealth Assessment MyHealth Record Condition Centers Online Communities Healthcare Advisor AudioHealth Library Staying Healthy Reminders Immunizations Cancer Screenings Worksite Wellness 24/7 NurseLine Future Moms Pharmacy Behavioral Health EAP Healthy Lifestyles Online One-on-one Complete (Groups of 500+ members) MyHealth Coach (Groups of 500+ members) MyHealth Advantage (Groups of 1,000+ members) ConditionCare Asthma Diabetes Coronary Artery Disease Chronic Obstructive Pulmonary Disease Heart Failure ComplexCare ConditionCare Support Programs Low Back Pain Musculoskeletal Cancer Vascular At-Risk Comprehensive Medical Management Blue Distinction Specialty Centers Centers of Medical Excellence ConditionCare for Kidney Disease 360 º Health program offering varies by state. Specific programs are included in your plan and others are available for additional cost. Time Well Spent

24/7 NurseLine: Overview  Provide convenient, expert resource  Promote appropriate use of health care resources 24/7 NurseLine provides members toll-free access to trained registered nurses any time of the day or night. Program goals:

24/7 NurseLine: Differentiators  Pioneer in the industry – we have more than 20 years of experience  Objective information resource – not affiliated with a hospital  Staffed by RNs with access to integrated systems platform  Incorporates AudioHealth Library with extensive health topics recordings that can be listened to privately

24/7 NurseLine: Benefits  Access to expert medical advice 24/7, 365 days a year  Entry point to 360 ° Health comprehensive programs  Proactive follow up calls within hours as needed  Reduced health care costs due to more appropriate use of health care resources  Comprehensive reporting package  Decreased absenteeism/ increased productivity Member Benefits Employer Benefits

Future Moms: Overview Future Moms provides individualized support to expectant moms to achieve healthier pregnancies and deliveries. Program goals:  Fewer pre-term births  Fewer low-birth-weight deliveries  Reduced pregnancy-related costs

Future Moms: Differentiators  Industry leader – one of the first maternity management programs of its kind  24/7 access to registered nurses with experience in obstetrical care  Re-assessment at 28 weeks gestation for all program registrants  Depression screenings at 28 weeks and post partum

Future Moms: Benefits  Support for a healthy pregnancy and healthy baby  One-on-one relationship with maternity RN  Educational materials for easy reference, including pregnancy guide  Post-delivery follow up, including postpartum depression assessments Member Benefits Employer Benefits  Reduced health care costs through prevention of pregnancy complications, pre-term births, and NICU admissions  Decreased absenteeism/ increased productivity  Comprehensive reporting package  High member satisfaction

ConditionCare: Overview ConditionCare helps members better manage the following prevalent, high-cost conditions: Asthma Diabetes Chronic Obstructive Pulmonary Disease Coronary Artery Disease Heart Failure Proven ROI of 2.8:1* * Based on internal studies

ConditionCare: Differentiators  Sophisticated predictive modeling identifies eligible members and appropriate level of support  Dynamic management process, personalized by member need  Holistic approach to member management allows for integration with other 360º Health programs as needed  One-on-one primary nurse model

ConditionCare: Benefits Member Benefits Employer Benefits  Supportive one-on-one relationship with RN  Individualized education, care goals and health self- management tips  Holistic health and wellness support, not just focused on condition  Reduced health care costs through better management of prevalent health conditions  Comprehensive reporting package  Decreased absenteeism/ increased productivity

ComplexCare: Overview  Reduce hospitalizations and costs associated with serious illness  Provide extensive care coordination  Maximize the member’s health ComplexCare identifies complex cases predicted to be high-cost before they happen, and responds to and aggressively manages those cases should they occur. Program goals:

ComplexCare: Differentiators  Sophisticated predictive modeling effectively identifies eligible members  Comprehensive assessments drive individualized care plan goals  Fully integrated with 360°Health programs  RNs specially trained to manage complex health needs  Intervention team of pharmacists, registered dietitians, respiratory therapists and licensed clinical social workers

ComplexCare: Benefits Member Benefits Employer Benefits  Reduced potential for future health issues  Individualized care plan, health self-management and preventive care tips  Access to multidisciplinary team including: social workers, dietitians, pharmacists, respiratory therapists, medical directors  Reduced health care costs through prevention of more costly health conditions  Decreased absenteeism/ increased productivity

What is Time Well Spent?  A turnkey solution to help create a culture of health in the workplace and improve the health of employees.  A health and wellness promotional campaign designed to foster a culture of health (employees spend most of their time at work) and increase awareness of the need to change unhealthy behaviors.  Tool kit to help employers educate their employees about healthy lifestyle choices that can help to improve their health.  Part of 360° Health; just one component of our overall wellness strategy.  Please visit to follow along with the presenterhttp://

Thank You! If you have further questions, please contact your broker or Anthem representative.