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Mark Bertolini
Chairman, CEO and
President


               Aetna’s  Strategy  for  Success

               December 15, 2011
What We Believe

                                                                                         Health
Access and
                 Employers        Consumerism                       Providers         Information
Affordability
                                                                                      Technology




                                                  Source: Premier




is a universal   demand more       in charge of        transforming the                  helping
     issue       cost-effective      their own          network model                  people live
                   solutions        health care                                       healthier lives


        Our strategy is designed to capitalize on the changing
                         external environment

                  AETNA INVESTOR CONFERENCE                          The Changing Environment     13
What We Believe
                            Access and Affordability

        The ACA addresses access without providing for affordability


                             Supreme Court               Opportunity to improve
                                                               the ACA

                                                          Currently implemented
                            Deficit Reduction
                                                         changes likely to remain
                                 Efforts

                                                          Employer sponsored
                                                         insurance will continue
                              2012 Elections                    to thrive


ACA = Affordable Care Act
Photo: Bloomberg News

                             AETNA INVESTOR CONFERENCE       The Changing Environment   14
What We Believe
                Employers

            Employers need more cost-effective solutions

   1990’s                         2000’s                            2012

                                              Consumer
Indemnity                          Open                         Innovative
                 Strong-                       Directed
 Medical                          Access                         Network
               form HMOs                        Health
  Plans                            Plans                          Models
                                                Plans


            We  are  developing  new  products  based  on  …

                            Tiered networks
                            Narrow networks
                    Accountable Care Solutions

                  AETNA INVESTOR CONFERENCE        The Changing Environment   15
What We Believe
                                           Consumers

 Consumers will continue to bear higher health care cost increases

                                                                                                 $19,393
          Employees have borne                                                      +7.5%
           half of the dollar increase
                                                                           $14,500
           in medical costs since
                                                                                     +9.4%
           2007

          The annual rate of
           increase in Employee
                                                                                     +6.3%
           costs has been almost
           50% higher than                                                           CAGRs
           Employer cost increases                                                   shown




Sources: Milliman Medical Cost index
2007-2011: Average medical cost for a family
of four shown.


                                               AETNA INVESTOR CONFERENCE             The Changing Environment   16
What We Believe
                                                   Providers

                       Provider systems are increasingly institution-based
            Changing Hands
            Medical practice ownership
            100%
                                                                                     Less than one-third of US
                                                          Hospital-                  medical practices are truly
             75%                                            owned
                                                                                           independent
             50%

                                                                                 The ACA and shifting economics
             25%
                                                        Physician-                  are forcing providers to re-
                                                           owned
                                                                                  evaluate their business models
               0%
                      '02         '04        '06        '08        '10
             Source:  “MGMA  Physician  Compensation  and  Production      
                       Survey  Report”




      Accountable Care Organizations are the future business model
                    for provider/plan collaboration
Sources: MGMA and Wall Street Journal.

                                                         AETNA INVESTOR CONFERENCE            The Changing Environment   17
What We Believe
         Health Information Technology (HIT)




Today’s  technologies  enable  a  360º  view  of  the  patient

           AETNA INVESTOR CONFERENCE         The Changing Environment   18
What We Believe
      Health Information Technology (HIT)

                             Consumers
   Provider
Meaningful Use
      +
  Consumer
 Connectivity                                   Accountable
                                                   Care
      +                                          Solutions
  Incentive
  Alignment
                                         Intellectual
      =                                   Property


  Paradigm
     Shift                                         Medical
                                                  Membership

        AETNA INVESTOR CONFERENCE               The Changing Environment   19
Our Unique Capabilities Can Meet State
           and Local Needs

         Unique and Configurable Aetna Capabilities


 Medicare / Retirees               Medicaid      State Employees


 Accountable Care
                                 ActiveHealth         Medicity
    Solutions


                              Patient Centered
       iTriage                                   Care Management
                               Medical Home



Positions Aetna as a solutions provider to address full set
                of State and Local needs

                 AETNA INVESTOR CONFERENCE       Advancing the Core   27
Our Unique Capabilities Can Meet State
           and Local Needs
    North Carolina Patient Centered Medical Home
         Unique and Configurable Aetna Capabilities


 Medicare / Retirees               Medicaid      State Employees


 Accountable Care
                                 ActiveHealth         Medicity
    Solutions


                              Patient Centered
       iTriage                                   Care Management
                               Medical Home



Positions Aetna as a solutions provider to address full set
                of State and Local needs

                 AETNA INVESTOR CONFERENCE       Advancing the Core   28
Our Unique Capabilities Can Meet State
           and Local Needs
                              Carilion Clinic
         Unique and Configurable Aetna Capabilities


 Medicare / Retirees               Medicaid      State Employees


 Accountable Care
                                 ActiveHealth         Medicity
    Solutions


                              Patient Centered
       iTriage                                   Care Management
                               Medical Home



Positions Aetna as a solutions provider to address full set
                of State and Local needs

                 AETNA INVESTOR CONFERENCE       Advancing the Core   29
Customer Experience:
          Enhanced for a Digital Age

                               Leveraging technology to redefine
                                    quality as convenience

                         Our new customer models target:

                          Installing cases in days, not weeks

                          Rate and product availability in minutes,
                           not days

                          Online provider availability and scheduling

                          Online adjudication and payment estimation

                          Payment online, rather than by check or wire

Aetna’s  consumer  platform  will  be  a  competitive  advantage  in  the  
                      changing environment


             AETNA INVESTOR CONFERENCE                 Commercial Insured     67
Charles E. Saunders, MD
Head of Strategic
Diversification

                  Accountable Care Solutions —
                  Collaborating To Transform Health Care
                  December 15, 2011
Agenda




 Accountable Care Solutions


 Customer Testimonial




    AETNA INVESTOR CONFERENCE   86
The Market is Demanding More Value

                                                                                       Health
Access and
                Employers       Consumerism                     Providers           Information
Affordability
                                                                                    Technology




                                              Source: Premier




   Aetna believes Accountable Care Solutions will power the
   next transformative network model to help meet the needs
              of the changing external environment


                 AETNA INVESTOR CONFERENCE                       Accountable Care Solutions   87
Rate Pressures are Forcing Providers to
                                       Re-evaluate the Network Model
               S&P Healthcare Economic Composite Index
                                                                                          The growth in health care
         120%
                            Commercial Health                                                 cost is ultimately
                            Care Cost Index
                                                                                               unsustainable
                            Medicare Health Care
         115%               Cost Index
                                                                            Cost Shift
                                                                            Pressure     It is estimated that Medicare
         110%
                                                                                           and Medicaid account for
                                                                                           55% of hospital revenues*
         105%



                                    Source: S&P Healthcare Economic Composite Index        Commercial payors are
         100%
                                                                                            unable to continue to
                                                                                           subsidize cost shifting

            Health Care Reform is forcing providers to re-evaluate their
                            revenue and profit model
* New York Times, July 4, 2011


                                           AETNA INVESTOR CONFERENCE                          Accountable Care Solutions   88
Changing the provider focus from
              Volume to Value

            Volume                                        Value

Provider revenues contingent on               Re-aligned financial incentives
volume of care services provided            create diversified revenue sources

 Encourages additional capacity                Improved cost structure and
     and unnecessary care                    efficiency increases profitability

  Denied claims, un-reimbursed
                                              Quality improvement increases
admissions and other penalties as
                                            performance-based reimbursement
    payors manage utilization

    Payors and providers as                   Aligned incentives to provide
          adversaries                       appropriate care in the best setting


Providers recognize the value offered through Accountable
              Care Solutions Collaborations
                AETNA INVESTOR CONFERENCE              Accountable Care Solutions   89
We see Accountable Care as a Broad,
            Transformational Commercial Model

                          Aetna Perspective
             All patient model – Medicare, Medicaid, Commercial
               All payor model – not limited to Aetna members
              Committed to quality and total cost management
                          Symmetrical risk sharing


                               CMS Model
                                 Medicare only
                                Defined network
                                Shared savings
                        Quality measures and reporting


Aetna’s  Accountable  Care  Solutions  offering  is  a  sustainable  
                long-term model for change

              AETNA INVESTOR CONFERENCE                  Accountable Care Solutions   90
Driving Change and Creating Value
                          Through Accountable Care Solutions

                                              Empower Accountable
Aetna  Capabilities…                                                           Driving…
                                                Care  Solutions…



                                                                            Improved
                                                                           Medical Cost
                                                                            Structure

                                                                            Membership
                                                                              Growth

  Intellectual Property                                                      Service Fee
                            Source: Premier
                                                                              Revenue


                           AETNA INVESTOR CONFERENCE                Accountable Care Solutions   91
Connecting Providers and Patients with
                        Powerful, Personal Technology
                                     Clinical Data Integration
                                     Secure Data Exchange

                                                                              Intelligent provider
 Leading consumer                                                             interface
  mobile app                                                                  Cloud-based
 Symptom-to-                                                                  application store
  Provider pathway                                                            Rapid / viral
 Navigation, access,                                                          distribution
  appointments,
  registration                         Accountable
                                          Care
                                        Solutions                      Population-based clinical
                                                                        intelligence, decision
    Risk management                                                    support, disease registries
                                                                        and alerts
    Health plan services
                                                                       Care Management,
    Network and member
                                                                        communication and
     management                 Intellectual
                                 Property                               workflow technology
    Distribution
                                                                       Personal Health Record


                         AETNA INVESTOR CONFERENCE                Accountable Care Solutions      92
Medicity Transforms Data Into Action

                                         Analytics, Risk-stratified
                                          Populations & Quality
                                                Measures




                                                       Clinical Decision
                                                            Support


HIS


         •   Data Aggregation
         •   Community Health Record           Patient Portal
         •   Identity Management
         •   Semantic Interoperability
         •   Security Framework
         •   Patient Consent Framework

       AETNA INVESTOR CONFERENCE         Accountable Care Solutions        93
Aetna provides a Path to Accountable Care
                    at Any Stage of Provider Readiness
                                                   Accountable Care

                                                            Risk
                            Clinical Integration         Management

                                  Workflow                Workflow
                                 Management              Management

                                Outcomes Data          Outcomes Data
Meaningful Use                                             Analytics
                                  Analytics

      HIE                            HIE                      HIE

      EMR                            EMR                      EMR
Clinical Decision              Clinical Decision      Clinical Decision
     Support                        Support                Support


                                  Manage                 Manage
 Coordinate
                                performance            populations


                     AETNA INVESTOR CONFERENCE     Accountable Care Solutions   94
ACS is aligning its Market Opportunities to
                                    its Core Business Network Strategy

                                              ACO                     PCMH
                                      Large integrated Systems    Mid/large Group
                                      No Provider-owned Plans     IPA / MSO
                                      Critical Mass Locally

                                            ~330(a)                  ~230(b)

                                        ACO / PCMH Network Strategy

                    High Presence
       Current                                                                                  Plan
        Aetna                                                                                 Sponsor
      Presence                                                                                Coverage
                   Low Presence                                                                Needs



(a)   Ideal candidate Independent
      Delivery Network                  Current pipeline is > 150 health systems
(b)   Ideal candidate groups

                                     AETNA INVESTOR CONFERENCE             Accountable Care Solutions    95
In Addition to New Growth ACS Creates
       Synergies to the Core


 Network enhancement

 Improved value proposition to plan sponsors

 Improved provider discounts

 Reduced cost of care / MBR

 Provider relationship enhancement

 Differentiation of the Aetna brand



         AETNA INVESTOR CONFERENCE     Accountable Care Solutions   96
Road to Competitive Product Rates and
                   Membership Growth: Illustrative
     Market broker study                                    Health System and Aetna ACS
 concluded that small group                                     collaborate to identify
narrow network product would                                 opportunities and implement
need to be priced ~10% lower                                  technology tools and care
  than competitors to attract                               management initiatives to close
          members                                                       the gap

                                       Unit Price                     10-25% Cost
    Goal: 10% Better than
                                  Concessions = Parity              Reduction from
        Competitors
                                   with Competitors               Collaboration and IT


                                 Health System unit cost
                                concessions of ~10% put
                                collaboration on par with
                                    local competitors

   Aetna’s  new  network  model  is  creating  high-quality, low-cost
                      options in local markets
                      AETNA INVESTOR CONFERENCE               Accountable Care Solutions   97
Select Customer Examples

                                                                           Experience
                                                              52 MA Collaborations
Breadth of Populations Served




                                                              6 Multi-payor PCMHs
                                                              1 Medicaid PCMH
                                                              2 Statewide ACOs
                                                              10+ bundled payment models
                                                              26 multi-line, multi-payor
                                                               ACOs being contracted or
                                                               launched
                                                              >150 health systems in
                                                               pipeline
                                 ACO Scope




                                 AETNA INVESTOR CONFERENCE        Accountable Care Solutions   98
Case Study
                    Headquartered in Roanoke, VA
                    More than 1,200 licensed beds and net revenues of $1.25B in FY2009
  Background
                    600+ physicians in a multi-specialty group practice and 8 not-for-profit hospitals
                    Serves approximately 1 million people in Western Virginia
                    Employees
    Targeted        Commercial
Customer Markets    Medicare Advantage (MA)
                    Medicaid
                    Improving  profitability  of  Carilion  Clinic’s  MA  health  plan  using,  in  part,  Aetna’s  MA  
                     provider collaboration model
  Collaboration     Building a co-branded Carilion Clinic/Aetna suite of products for commercial market
    Model(s)
                    Transitioned employees off cycle to be Aetna members and manage them in the ACO
                    Launching a provider-driven managed Medicaid program with Carilion
Payment Reform
                    Risk sharing (up and down) – cost saving based on clinical and financial efficiencies
   Highlights
                    Care management: Exploring use of ActiveHealth care management platform, PHR,
     Other           health management programs and staff support
 Collaborations
                    Health plan services: Aetna insurance license, customized enrollment support, etc.

                         AETNA INVESTOR CONFERENCE                                 Accountable Care Solutions               99
Accountable Care Solutions Can Play a
          Transformational Role in Health Care

 Accountable Care Solutions is becoming the marketplace
  leader in enabling population health management for
  providers

    … And it puts Aetna on a path to play a transformational
      role in health care

 Aetna is uniquely positioned to drive benefit from this new
  model for health care finance and delivery

    … And fundamentally change the value proposition for
      purchasers and patients




            AETNA INVESTOR CONFERENCE          Accountable Care Solutions   100

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Aetna December 2011 investor conference presentation (final) copy

  • 1. Mark Bertolini Chairman, CEO and President Aetna’s  Strategy  for  Success December 15, 2011
  • 2. What We Believe Health Access and Employers Consumerism Providers Information Affordability Technology Source: Premier is a universal demand more in charge of transforming the helping issue cost-effective their own network model people live solutions health care healthier lives Our strategy is designed to capitalize on the changing external environment AETNA INVESTOR CONFERENCE The Changing Environment 13
  • 3. What We Believe Access and Affordability The ACA addresses access without providing for affordability Supreme Court Opportunity to improve the ACA Currently implemented Deficit Reduction changes likely to remain Efforts Employer sponsored insurance will continue 2012 Elections to thrive ACA = Affordable Care Act Photo: Bloomberg News AETNA INVESTOR CONFERENCE The Changing Environment 14
  • 4. What We Believe Employers Employers need more cost-effective solutions 1990’s 2000’s 2012 Consumer Indemnity Open Innovative Strong- Directed Medical Access Network form HMOs Health Plans Plans Models Plans We  are  developing  new  products  based  on  … Tiered networks Narrow networks Accountable Care Solutions AETNA INVESTOR CONFERENCE The Changing Environment 15
  • 5. What We Believe Consumers Consumers will continue to bear higher health care cost increases $19,393  Employees have borne +7.5% half of the dollar increase $14,500 in medical costs since +9.4% 2007  The annual rate of increase in Employee +6.3% costs has been almost 50% higher than CAGRs Employer cost increases shown Sources: Milliman Medical Cost index 2007-2011: Average medical cost for a family of four shown. AETNA INVESTOR CONFERENCE The Changing Environment 16
  • 6. What We Believe Providers Provider systems are increasingly institution-based Changing Hands Medical practice ownership 100% Less than one-third of US Hospital- medical practices are truly 75% owned independent 50% The ACA and shifting economics 25% Physician- are forcing providers to re- owned evaluate their business models 0% '02 '04 '06 '08 '10 Source:  “MGMA  Physician  Compensation  and  Production       Survey  Report” Accountable Care Organizations are the future business model for provider/plan collaboration Sources: MGMA and Wall Street Journal. AETNA INVESTOR CONFERENCE The Changing Environment 17
  • 7. What We Believe Health Information Technology (HIT) Today’s  technologies  enable  a  360º  view  of  the  patient AETNA INVESTOR CONFERENCE The Changing Environment 18
  • 8. What We Believe Health Information Technology (HIT) Consumers Provider Meaningful Use + Consumer Connectivity Accountable Care + Solutions Incentive Alignment Intellectual = Property Paradigm Shift Medical Membership AETNA INVESTOR CONFERENCE The Changing Environment 19
  • 9. Our Unique Capabilities Can Meet State and Local Needs Unique and Configurable Aetna Capabilities Medicare / Retirees Medicaid State Employees Accountable Care ActiveHealth Medicity Solutions Patient Centered iTriage Care Management Medical Home Positions Aetna as a solutions provider to address full set of State and Local needs AETNA INVESTOR CONFERENCE Advancing the Core 27
  • 10. Our Unique Capabilities Can Meet State and Local Needs North Carolina Patient Centered Medical Home Unique and Configurable Aetna Capabilities Medicare / Retirees Medicaid State Employees Accountable Care ActiveHealth Medicity Solutions Patient Centered iTriage Care Management Medical Home Positions Aetna as a solutions provider to address full set of State and Local needs AETNA INVESTOR CONFERENCE Advancing the Core 28
  • 11. Our Unique Capabilities Can Meet State and Local Needs Carilion Clinic Unique and Configurable Aetna Capabilities Medicare / Retirees Medicaid State Employees Accountable Care ActiveHealth Medicity Solutions Patient Centered iTriage Care Management Medical Home Positions Aetna as a solutions provider to address full set of State and Local needs AETNA INVESTOR CONFERENCE Advancing the Core 29
  • 12. Customer Experience: Enhanced for a Digital Age Leveraging technology to redefine quality as convenience Our new customer models target:  Installing cases in days, not weeks  Rate and product availability in minutes, not days  Online provider availability and scheduling  Online adjudication and payment estimation  Payment online, rather than by check or wire Aetna’s  consumer  platform  will  be  a  competitive  advantage  in  the   changing environment AETNA INVESTOR CONFERENCE Commercial Insured 67
  • 13. Charles E. Saunders, MD Head of Strategic Diversification Accountable Care Solutions — Collaborating To Transform Health Care December 15, 2011
  • 14. Agenda  Accountable Care Solutions  Customer Testimonial AETNA INVESTOR CONFERENCE 86
  • 15. The Market is Demanding More Value Health Access and Employers Consumerism Providers Information Affordability Technology Source: Premier Aetna believes Accountable Care Solutions will power the next transformative network model to help meet the needs of the changing external environment AETNA INVESTOR CONFERENCE Accountable Care Solutions 87
  • 16. Rate Pressures are Forcing Providers to Re-evaluate the Network Model S&P Healthcare Economic Composite Index The growth in health care 120% Commercial Health cost is ultimately Care Cost Index unsustainable Medicare Health Care 115% Cost Index Cost Shift Pressure It is estimated that Medicare 110% and Medicaid account for 55% of hospital revenues* 105% Source: S&P Healthcare Economic Composite Index Commercial payors are 100% unable to continue to subsidize cost shifting Health Care Reform is forcing providers to re-evaluate their revenue and profit model * New York Times, July 4, 2011 AETNA INVESTOR CONFERENCE Accountable Care Solutions 88
  • 17. Changing the provider focus from Volume to Value Volume Value Provider revenues contingent on Re-aligned financial incentives volume of care services provided create diversified revenue sources Encourages additional capacity Improved cost structure and and unnecessary care efficiency increases profitability Denied claims, un-reimbursed Quality improvement increases admissions and other penalties as performance-based reimbursement payors manage utilization Payors and providers as Aligned incentives to provide adversaries appropriate care in the best setting Providers recognize the value offered through Accountable Care Solutions Collaborations AETNA INVESTOR CONFERENCE Accountable Care Solutions 89
  • 18. We see Accountable Care as a Broad, Transformational Commercial Model Aetna Perspective All patient model – Medicare, Medicaid, Commercial All payor model – not limited to Aetna members Committed to quality and total cost management Symmetrical risk sharing CMS Model Medicare only Defined network Shared savings Quality measures and reporting Aetna’s  Accountable  Care  Solutions  offering  is  a  sustainable   long-term model for change AETNA INVESTOR CONFERENCE Accountable Care Solutions 90
  • 19. Driving Change and Creating Value Through Accountable Care Solutions Empower Accountable Aetna  Capabilities… Driving… Care  Solutions… Improved Medical Cost Structure Membership Growth Intellectual Property Service Fee Source: Premier Revenue AETNA INVESTOR CONFERENCE Accountable Care Solutions 91
  • 20. Connecting Providers and Patients with Powerful, Personal Technology  Clinical Data Integration  Secure Data Exchange  Intelligent provider  Leading consumer interface mobile app  Cloud-based  Symptom-to- application store Provider pathway  Rapid / viral  Navigation, access, distribution appointments, registration Accountable Care Solutions  Population-based clinical intelligence, decision  Risk management support, disease registries and alerts  Health plan services  Care Management,  Network and member communication and management Intellectual Property workflow technology  Distribution  Personal Health Record AETNA INVESTOR CONFERENCE Accountable Care Solutions 92
  • 21. Medicity Transforms Data Into Action Analytics, Risk-stratified Populations & Quality Measures Clinical Decision Support HIS • Data Aggregation • Community Health Record Patient Portal • Identity Management • Semantic Interoperability • Security Framework • Patient Consent Framework AETNA INVESTOR CONFERENCE Accountable Care Solutions 93
  • 22. Aetna provides a Path to Accountable Care at Any Stage of Provider Readiness Accountable Care Risk Clinical Integration Management Workflow Workflow Management Management Outcomes Data Outcomes Data Meaningful Use Analytics Analytics HIE HIE HIE EMR EMR EMR Clinical Decision Clinical Decision Clinical Decision Support Support Support Manage Manage Coordinate performance populations AETNA INVESTOR CONFERENCE Accountable Care Solutions 94
  • 23. ACS is aligning its Market Opportunities to its Core Business Network Strategy ACO PCMH  Large integrated Systems  Mid/large Group  No Provider-owned Plans  IPA / MSO  Critical Mass Locally ~330(a) ~230(b) ACO / PCMH Network Strategy High Presence Current Plan Aetna Sponsor Presence Coverage Low Presence Needs (a) Ideal candidate Independent Delivery Network Current pipeline is > 150 health systems (b) Ideal candidate groups AETNA INVESTOR CONFERENCE Accountable Care Solutions 95
  • 24. In Addition to New Growth ACS Creates Synergies to the Core  Network enhancement  Improved value proposition to plan sponsors  Improved provider discounts  Reduced cost of care / MBR  Provider relationship enhancement  Differentiation of the Aetna brand AETNA INVESTOR CONFERENCE Accountable Care Solutions 96
  • 25. Road to Competitive Product Rates and Membership Growth: Illustrative Market broker study Health System and Aetna ACS concluded that small group collaborate to identify narrow network product would opportunities and implement need to be priced ~10% lower technology tools and care than competitors to attract management initiatives to close members the gap Unit Price 10-25% Cost Goal: 10% Better than Concessions = Parity Reduction from Competitors with Competitors Collaboration and IT Health System unit cost concessions of ~10% put collaboration on par with local competitors Aetna’s  new  network  model  is  creating  high-quality, low-cost options in local markets AETNA INVESTOR CONFERENCE Accountable Care Solutions 97
  • 26. Select Customer Examples Experience  52 MA Collaborations Breadth of Populations Served  6 Multi-payor PCMHs  1 Medicaid PCMH  2 Statewide ACOs  10+ bundled payment models  26 multi-line, multi-payor ACOs being contracted or launched  >150 health systems in pipeline ACO Scope AETNA INVESTOR CONFERENCE Accountable Care Solutions 98
  • 27. Case Study  Headquartered in Roanoke, VA  More than 1,200 licensed beds and net revenues of $1.25B in FY2009 Background  600+ physicians in a multi-specialty group practice and 8 not-for-profit hospitals  Serves approximately 1 million people in Western Virginia  Employees Targeted  Commercial Customer Markets  Medicare Advantage (MA)  Medicaid  Improving  profitability  of  Carilion  Clinic’s  MA  health  plan  using,  in  part,  Aetna’s  MA   provider collaboration model Collaboration  Building a co-branded Carilion Clinic/Aetna suite of products for commercial market Model(s)  Transitioned employees off cycle to be Aetna members and manage them in the ACO  Launching a provider-driven managed Medicaid program with Carilion Payment Reform  Risk sharing (up and down) – cost saving based on clinical and financial efficiencies Highlights  Care management: Exploring use of ActiveHealth care management platform, PHR, Other health management programs and staff support Collaborations  Health plan services: Aetna insurance license, customized enrollment support, etc. AETNA INVESTOR CONFERENCE Accountable Care Solutions 99
  • 28. Accountable Care Solutions Can Play a Transformational Role in Health Care  Accountable Care Solutions is becoming the marketplace leader in enabling population health management for providers … And it puts Aetna on a path to play a transformational role in health care  Aetna is uniquely positioned to drive benefit from this new model for health care finance and delivery … And fundamentally change the value proposition for purchasers and patients AETNA INVESTOR CONFERENCE Accountable Care Solutions 100