1 / 27

4th Annual Investor Conference

4th Annual Investor Conference. BUSINESS TRANSFORMATION AND INNOVATION SERVICES Gary Velasquez President. May 16, 2001. Business Transformation and Innovation Services was formed to:. Expand capabilities to ensure business goals are met Reduce operating costs

gwylan
Download Presentation

4th Annual Investor Conference

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 4th Annual Investor Conference BUSINESS TRANSFORMATION AND INNOVATION SERVICES Gary Velasquez President May 16, 2001

  2. Business Transformation and Innovation Services was formed to: • Expand capabilities to ensure business goals are met • Reduce operating costs • Manage operating/technology risks • Ensure disciplined use of capital for technology projects

  3. Infrastructure a year ago was complex adding non-value added costs Existing Environment New Provider Connectivity External EAI Internal Network Enterprise Portal ABS QCare MC400 KBASE IRMA Call CenterApplications Macess Macess Imagine FARE Filenet Call Center Applications CSC MH Power JD Edwards Packaged Applications

  4. BTIS Short-term Goals • Reduce operating costs • Extend PPO Infrastructure to meet current production goals • Develop and implement product enhancements to drive top-line growth • Create a common technology architecture

  5. BTIS Long-term Goals • Continue to reduce operating costs • Install common technology architecture • Expand capability to support broader product portfolio • Develop solutions that support seamless interaction among consumer, provider, employer and health plans

  6. Health Net is moving to enterprise standards Customer Interface Provider Connectivity EAI External Network Internal Data Warehouse Sales Force Automation Call Center Applications Product Configurator Consumer Self Service Consumer Analytics Medical Management Digital Transaction Engine ...building in flexibility & speed to market

  7. Product Development Customer Services Distribution Care Management Administrative Services To meet goals, focus on the five core competencies... which drives annual SG&A expenditures of $1.4Bor 14% of Revenue

  8. Targeted savings will reduce SG&A expenditures by 100 bps Fully Operational Annual SG&A Savings Targets 1500 20 20 Total 100 bps 20 10 5 25 0 Medical Mgmt Information Technology Customer Service Enrollment & Billing Target Spend Current Spend Other Claims “Reductions are not driven by revenue volume”

  9. Project Portfolio Health Net Competencies Questium MedUnite NaviMedix

  10. Partner for Solutions, not Build Partners bring: • Proven, market-tested solutions and services • Highly technical and skilled labor force • R&D environment • Leverage non-Health Net capital base

  11. Execution requires a disciplined approach 5-phased Approach to Deployment Phase Specific Outcomes for each phase Demonstrate the flexibility and capability of the system Prototype Maximum benefits will be realized from engineering business processes. Most efficient/effective processes with companion metrics will be developed Model Office Solution Lab Fully test the model office hypotheses in a non-live environment on real business Create tailored implementation plan Small scale, live environment test (10-20K lives) Pilot Deployment Deploy to the full book of business …to achieve results and mitigate risks

  12. Product Development and Customer Service Distribution Care Management Administrative Services Steve Sell Kathleen Richard Jonathan Scheff, MD Paul Gilbertson Moderated Panel

  13. Product Development/Customer Service Competencies Steve Sell Questium Business Transformation and Innovation Services Health Net, Inc.

  14. Consumer Timetable - May 15, 2000 • Consumer Website Development Well Along • Functions Include: Registration, Changes, History, E-mail, Reminders, Actionable Content • Introduce for Health Net California for 2000 Open Enrollment

  15. Questium Health and Wellness

  16. Questium Personal and Professional Life

  17. Distribution Competency Kathleen Richard Senior Vice President Business Transformation and Innovation Services Health Net, Inc.

  18. Sales Automation System Challenges/Opportunities:• Streamlined, effective processes and tools to drive new sales and retention Target Market: • Health Net California Mid Market Capabilities: • Contact/communication management • Lead/prospect management • Reporting • 150+ Users Partner: • Seibel Systems Expected Outcomes: • 8% Increased Sales Force Capacity • 8% Improved Close Rate • 8% Improved Sales to Existing Customers • 8% Improved Retention • Full Benefits Realized in 2003

  19. Sales Web Portal Challenges/Opportunities:• Provide customers with access to online quotes • Automate and streamline current processes Target Market: • Health Net California Individual and Small Group Capabilities: • Online Quoting • Interactive Product Comparisons • Proposal Generation • Collateral Ordering/Downloads • Full Broker Sales Functionality • “Smart” Applications & e-Signature Expected Outcomes: • 15-25% Improved Sales Force Productivity • 95% “Clean” Application; 30% With No Underwriting • Improved Account Management, Lead Management and Broker Service

  20. Care Management Competency Jonathan Scheff, MD Chief Medical Officer Health Net Federal Services

  21. Medical Management Capability

  22. Administrative Services Competencies Paul Gilbertson Senior Vice President Business Transformation and Innovation Services Health Net, Inc.

  23. Enrollment and Billing

  24. Provider Initiative - May 15, 2000 • Single Website for Provider Interaction with Plans • Focus on Eligibility, Claims Referral and Formulary Compliance First • Claims Adjudication and Payment Further Out • Easy to Use, Single Site with Links to Plans and Other Services

  25. Provider Connectivity

  26. Business Transformation and Innovation Services was formed to: Goals Actions • Utilize partnerships that have technical capability and financial resources • Develop an enterprise technical architecture which leverages existing investments • Implement a portfolio of business/technology linked initiatives that drive results across business units • Continue use of existing capital approval process; ensure all major initiatives are driven through “Solution Lab” methodology • Expand capabilities to ensure business goals are met • Reduce operating costs • Manage operating/technology risks • Ensure disciplined use of capital for technology projects

  27. Demonstration Booths • Questium - Personal and Professional Life • Questium - Health and Wellness • Online Enrollment & Billing • MedUnite • Enterprise Portal

More Related