Bright Health and Colorado Health Neighborhoods May 15
Bright Health and Colorado Health Neighborhoods May 15, 2019 Jana Dost, Bright Health National Director Provider Marketing and Engagement
Agenda ● ● ● 2 Bright Health Overview Our Vision for Providers Member Support Our Care Partner in Colorado: Centura Health and Colorado Health Neighborhoods Membership Statistics Network Model
Our Vision and Mission Collaborating with Care Partners to make consumer health care simpler, personal, and more affordable. Making Healthcare Right. Together. 3 Bright Health | Proprietary + Confidential | 2019
Bright Health’s Foundation and Initial Growth 4 3 2 1 4 2019 – Growth and Expansion 2018 - Ability to Scale ~70, 00 0 6 2. 7 x $200 M Year 3 Membership New Care Partners Revenue Growth In New Capital ~25, 000 2 3 76% Year 2 Membership New Care Partners MA Products Anticipate d Y 2 MLR 2017 - Successful First Care Partnership 10, 791 87% 95% 50% 45 Year 1 membership Year 1 MLR In-network IP utilization rate Care Navigation Engagement Guided Net Promoter Score 2016 - Strong Foundation o Founding team with 60+ years of direct plan experience o Deep management bench with substantial healthcare, informatics, and consumer expertise o Exclusive provider organization (“EPO”) model that partners with Health Systems exclusively specific+ Bright Health |in. Proprietary 2019 geographies Supported by the World’s Leading Investors – $400 M Raised Confidential |
…and Adding New Markets Each Year Expanding to nine new markets, in addition to one new product launch in an existing market, for 2019 New York Toledo Youngstown Springfield Cincinnati Denver Nashville Knoxville Memphis Phoenix Tucson Birmingham 2017 Launch 2018 Launch 2019 Launch New Product New Market Bright Health | Proprietary + Confidential | 2018© Partnership Discussion Materials 5
Vision For Bright Health Providers • • Enable the delivery of excellent patient care Reduce administrative burden, grow trust • Give relevant information when needed • Help manage patients’ expectations Bright Health Improves the Provider-Payer Experience What Sets Bright Health Apart ü No referrals required to send a member to an in-network specialist or facility ü High-performing narrow network model drives patient volume to in-network physicians, improves care coordination, contains costs, and improves patient compliance and outcomes ü Local dedicated resources are always available to assist providers and members ü Data sharing, population health, and quality improvement collaboration ü Alignment and extensive collaboration with Care Partners to enhance the provider and member experience
Support For Bright Health Members In between visits to the doctor, we connect our members to a suite of personalized tools designed to make life easier
olorado Health Neighborhoods Overview o § § § § 16 Centura Health hospitals in Colorado 2 Children’s Hospital locations 30 Centura Health Urgent Care facilities 5 Children’s Hospital pediatric Urgent Care locations 3 Emergency Centers for pediatric members 7, 000+ network providers 95% + accepting new patients 1, 350 pediatric primary and specialists in-network. CVS Caremark Da. Vita Kidney Care and ARA Home Health and Homelink DME Dispatch Health access Quest Diagnostics Member Perks Benefits offered in Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson and Summit When we choose a Care Partner, we think about the kind of care, empathy, and expertise we’d want for ourselves. That’s why we don’t promote endless choice. Our partnership with Centura Health and Colorado Health Neighborhoods offers our members access to the largest clinically integrated network in the state of CO. We continuously work together to deliver innovative and cost effective care delivery solutions to the communities we serve.
Colorado Membership Summary Significant growth across products 9 2019 OEP/AEP Snapshot IFP MA New members 8, 873 541 Renewals Total members 17, 624 26, 497 Product breakdown 66% Bronze 26% Silver 700 1, 241 74% HMO 26% HMO-POS 63% chose $0 premium plans Sales channel breakdown 21% exchange only (unassisted) 71% broker 3% call center 5% web Bright Health | Proprietary + Confidential | 2019 30% broker 57% call center 13% direct
In-Network Coverage Bright Health educates members and providers about the importance of receiving care in-network through; • • Certificate of Coverage Member and provider welcome kits Care Navigation – INN steerage Repatriation – transfer members to INN hospitals and facilities for best care and pricing Member Education Statement Bright Health has carefully selected a network of doctors, hospitals, pharmacies, and other providers. To keep your costs down, it’s important that you receive care from an in-network provider. In most cases, if you choose to get care outside of the plan’s network, you will likely pay more for the service. However, if you need out-ofnetwork emergency services, urgently needed services or dialysis services, then we’ve got you covered.
Advantages of Staying In-Network Care Coordination 11 Plan Risk Adjustment Decreased Member Cost Overall Member Statisfaction Bright Health | Proprietary + Confidential | 2019
THANK YOU 12 Bright Health | Proprietary + Confidential | 2019
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