"From Good to Great: Triple the Value of Global Sourcing for IT"- Healthcare and Insurance industry perspective

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    "From Good to Great: Triple the Value of Global Sourcing for IT"- Healthcare and Insurance industry perspective - Presentation Transcript

    1. The United Health Group Family 2007 National Benefit Resources ®
    2. UHG Participates in a Huge Market U.S. Health Spend Government Sponsored Markets Commercial Benefits Out-of-Pocket Spend Size ($B) Total Medicare Advantage Part D* Total CDHP Total Health care growth is rapidly spawning attractive new opportunities. CAGR 7% 8% 7% 21% 11% 11% 5% Sources: CMS National Health Expenditures; Kaiser Family Foundation; CBO; ICDC * Initial Part D number is for 2006. 2005 2015
    3. Growth in the Sector is Driven by Unprecedented Social Change A dramatic increase in age… Evolution of 55+ Population (M) … with a resulting increase in health spending 2005 2010 2015 Lives Covered by Government Programs (M) A steady rise in the population covered by government programs… 2005 2010 2015 … and an employer base with changing expectations about benefits Consumers are the central theme in the transformation of health care. Sources: Census Bureau; Mature Market Institute; CMS; HHS; Kaiser/Hewitt 2004 Survey; Mercer HR Consulting; Watson Wyatt; CPS March Supplement 500+ Employers Offering Retiree Health Benefits (%) Pre-65 65+ 35-45 45-54 55-64 Consumer Health Care Expenditures by Age (%) % Millions Millions
      • The US workforce is mobile and nomadic, driving demand for portable flexible products
      • Distribution models are evolving and expanding
      • Financial/Healthcare Convergence
      • Long life products – enormous variation
      • An aging IT workforce and aging mainframe operating applications
      • Challenging regulatory environment
        • 50 States, 50 Insurance Departments, plus federal regulation
        • Dramatically different regulatory regimes for government programs
        • ICD 10 – Bigger than Y2K
      Other Environmental Factors Change + Risk = Opportunity
    4. The Marketplace Is Seeking Solutions to Market Imperatives
      • Affordability Manage the effectiveness and efficiency of care and provide choices within the financial means of the consumer
      • Quality and Safety Health care services delivered safely and consistently within the norms of current science
      • Human Usability An environment that is simple and understandable, usable, efficient, consistent and trustworthy
      • Fair and Rational Access Efficient and fair access to, and distribution of, care
      These imperatives drive our business agenda
    5. Growth Enablers
      • BPM/Rules/Integration
        • Effectively Addresses the Information and Process Silo’s
        • Maximize Workflow Efficiency
        • Modernize Business Processes and Create Re-useable Services
        • Leverage Business Rules Repositories to Increase Agility
      • Legacy Modernization
        • High Cost of Maintaining and Upgrading
        • Risk Associated with Aging Systems and Hardware
        • Difficulty in Obtaining Trained Knowledgeable Resources
        • Complexity and Lack of Flexibility During Integration Activities
      • Web Portal and eBusiness
        • Enabling Safe and Easy Web Sales
        • eService for Customer, Brokers, Providers
      • Business Intelligence
        • Integrating Disparate Data to Build a Complete View of Customers
        • Creating Transparency and Improving Decision Making
        • Moving toward a Real-Time Enterprise
      • Global Sourcing
        • Enabling Agile Application Development
        • Targeted Business Process Outsourcing
        • Understanding and Piloting Knowledge Process Outsourcing

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    Track B - Global Sourcing Conclave

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