1. JAMES B. BRAMSON, DDS UNITED CONCORDIA COMPANIES, INC. Dental -- Politics and Health Care: It’s a New Day ADEA Deans Conference Rancho Mirage, California November 10, 2012

2. 2 Today’s Agenda Dental/Benefit Industry Trends Health Reform Insurance Industry Perspective/Plan Design/HCR problems New directions: Oral Wellness

3. 3 United Concordia Fast Facts Over 40 years dental only experience, second largest dental only insurer/administrator in US Headquarters in Harrisburg, PA Subsidiary Company of Highmark BCBS 8.1 million members Network—91,00 dentists at more than 225,000 access points in Alliance network Over 26,000 Clients Employees—1,200 workers at 25 offices across the United States *United Concordia internal data–2010, 2011

4. DENTAL/INDUSTRY TRENDS

5. 5 Dental Spending, 1960-2011

6. 6 GDP vs. Dental Expenditures (Real), Indexed 1960-2011 Source: Department of Commerce, Bureau of Economic Analysis, 1960-2010

7. 7 Real Dental Expenditures per Capita, 1950-2010 Source: U.S. Department of Commerce, Bureau of Economic Analysis, 1950-2010

8. 8 Utilization of Dental Services -US Pop., 1960-2009 Source: Centers for Disease Control, National Health Interview Survey, 1950-2009

9. 9 Solo Private Practicing Dentists, Percentage, 1986-2009 Source: ADA, Survey of Dental Practice, 1987-2010.

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16. HEALTH REFORM

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18. 18 Democratic Health Plan

19. 19 Republican Health Care Plan Don’t Get Sick

20. 20 The American Public