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Jerry Vaccaro, M.D. SVP, Specialty Health Businesses

.…a health and consumer services company making people’s lives better. Jerry Vaccaro, M.D. SVP, Specialty Health Businesses. Specialty Companies. Best in Class Margins Best in Class Care and Service Steady Growth and Profitability. PacifiCare Behavioral Health Company Overview.

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Jerry Vaccaro, M.D. SVP, Specialty Health Businesses

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  1. .…a health and consumer services company making people’s lives better Jerry Vaccaro, M.D. SVP, Specialty Health Businesses

  2. Specialty Companies • Best in Class Margins • Best in Class Care and Service • Steady Growth and Profitability

  3. PacifiCare Behavioral HealthCompany Overview

  4. 1988 - $154.48 Over Spending Appropriate Spending Under Spending 1998 - $69.67 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

  5. National Competitive Landscape

  6. CA Market Share by Revenue #1 in CA

  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

  8. Internal vs. External Membership As of June 2002

  9. ALERT Best Care NCQA Health Plan Expertise IT Infrastructure & Reporting PBH Differentiators

  10. Product Leadership • ALERTSM • Best CareSM • PBH Spectrum • PBH Caregiver • Taking Charge of DepressionSM • Taking ChargeSM Health Improvement Series • LifeStrategies

  11. ALERTSM • Groundbreaking Outcomes Management Program • Decreases medical errors (35%, year one) • Next generation Provider Report Cards

  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

  13. Steady Growth 1996 1997 1998 1999 2000 2001 2002 (est.)

  14. Net Income Analysis(in 000s)

  15. PacifiCare Dental & VisionCompany Overview

  16. Market at a Glance • Dental penetration: 50-60% purchase dental benefits • Vision penetration: 20-40% purchase vision benefits • DHMO growth flat, PPO expanding

  17. PDV Today • Largest California DHMO network • PacifiCare Dental penetration 13% • PacifiCare Vision penetration under 5% • Product offerings in all PacifiCare states

  18. Growth Strategy • Super-Regional Company • Service Excellence: #1 in Service • Maximize penetration within PacifiCare

  19. Steady Growth 2002 estimate

  20. Total Commercial Membership & Penetration 2002 estimate

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