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Published byBranden Payne Modified over 9 years ago
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1 Jerry Vaccaro, M.D. SVP, Specialty Health Businesses.…a health and consumer services company making people’s lives better
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2 Specialty Companies Best in Class Margins Best in Class Care and Service Steady Growth and Profitability
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PacifiCare Behavioral Health Company Overview
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4 Downward Spending Leveling Off 1988 - 1998 –Behavioral health spending continuously declined, reaching a total drop of 54.7% –As a percent of premium, behavioral health dropped from 6.2% to 3.1% 1998 - 1999 –Behavioral health spending experienced its lowest drop in a decade of 1.5% –Declining trend appears to have leveled off U.S. Annual Behavioral Health Spending per Covered Life 1988 - $154.48 1998 - $69.67 Over Spending Appropriate Spending Under Spending
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5 National Competitive Landscape
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6 CA Market Share by Revenue #1 in CA
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7 PBH Today In operation since 1986 4.3 million members in 12 states NCQA accredited in Western, NW Regions –Only fully accredited MBHO in CA CA Knox-Keene licensed
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8 Internal vs. External Membership As of June 2002
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9 PBH Differentiators ALERT Best Care IT Infrastructure & Reporting NCQA Health Plan Expertise
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10 Product Leadership ALERT SM Best Care SM PBH Spectrum PBH Caregiver Taking Charge of Depression SM Taking Charge SM Health Improvement Series LifeStrategies
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11 ALERT SM Groundbreaking Outcomes Management Program Decreases medical errors (35%, year one) Next generation Provider Report Cards
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12 Growth Strategy Super-Regional Company –Market Leader in California –Selective expansion (health plans, Labor/ Trust, other niches) –Evaluate Acquisition Opportunities Take advantage of Federal Parity Legislation –PBH risk-based experience
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13 Steady Growth 1996 1997 1998 1999 2000 2001 2002 (est.)
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14 Net Income Analysis (in 000s)
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PacifiCare Dental & Vision Company Overview
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16 Market at a Glance Dental penetration: 50-60% purchase dental benefits Vision penetration: 20-40% purchase vision benefits DHMO growth flat, PPO expanding
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17 PDV Today Largest California DHMO network PacifiCare Dental penetration 13% PacifiCare Vision penetration under 5% Product offerings in all PacifiCare states
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18 Growth Strategy Super-Regional Company Service Excellence: #1 in Service Maximize penetration within PacifiCare
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19 Steady Growth 2002 estimate
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20 Total Commercial Membership & Penetration 2002 estimate
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