AGENDA

HEALTH PLAN

•Customizable benefit design

•Funding options

•Comprehensive network options

CLIENT SERVICES

•Customer service

•Core administrative services

•Reporting

CARE DELIVERY

•Patient-centered care

•Care management

•Wellness Solution

•Occupational Health Services

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Contain your total cost of care byintegrating a customized health planwith our unique care delivery systemand exceptional client services.

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Achieve optimal coverage for your companywith our flexible options.

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Customize your benefits to meet the needs of your employees.

• Defined network

• Point-of-service plans (POS)

• Preferred provider organizations (PPO)

• Consumer-directed health plans (CDHP)

– Health savings account (HSA)

– Health reimbursement arrangement (HRA)

– Integrated HSA and HRA administration through HealthEquity®

– High deductible health plans (HDHP)

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Manage your risk with our full-spectrum of funding options.

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Your employees can get the care they need wherever they live.

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Care at Group Health Medical Centers

• It offers our greatest

competitive advantage.

• It’s where care and coverage

work together to create more

value for patients and employers.

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Empower your employees to improve their health and the result can be a more productive workforce and lower overallhealth care costs.

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No one else brings it all together in one package like we do.

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Experience something different with patient-centered care at Group Health Medical Centers.

• Patients can spend more time with their doctors*

• Doctors with Group Health Physicians partner with patients

in health care decisions

• Primary and specialty care physicians can focus

more attention on patient care

• Each clinic features a variety of services, including doctor visits,

X-rays, lab, and pharmacy services

* Group Health Research Institute study published in Health Advisor, Vol. 29, May 2010. * Group Health Research Institute is the research division of Group Health Cooperative.

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Employees can save time and money with online services at ghc.org.*

• Appointment scheduling

• Prescription refill ordering

• Electronic medical records, including lab and test results

• Secure e-mail exchanges with their doctor

• An award-winning** app for iPhone® and AndroidTM

smartphones to access care on the go

** Some services only available with care at Group Health Medical Centers** Source: Best Mobile App of 2011, TechFlash Newsmakers Award

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Manage your medication costs with our safe, competitive pharmacy solution.

• Extensive pharmacy network includes 25 Group Health

pharmacies, contracted network pharmacies, and the

MedImpact pharmacy network.*

• 2013 Medicare 5-star quality rating for prescription drug coverage

for Group Health Cooperative Clear Care® (HMO) plans.

• Market leader in prescribing generic drugs.

• Competitive formulary based on rigorous review of

new drugs for safety and effectiveness.

• Online and mail-order refills.

* Available for some plans 15

Care management beyond the exam room helps patients get the care they need, and reduces unnecessary services.

• 24/7 Consulting Nurse Service

• Complex case management

• Transition management between care settings

• Utilization review

• Disease management coaching

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Keep employees healthier with our Wellness Solution.

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Make wellness an integral part of the workplace.

We provide wellness consulting to help you build multi-year

programs and for an additional fee, we offer:

•Wellness challenges

•Worksite biometric screening events

•Worksite flu shot events

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For help with workplace injury care and safety, there’s our Occupational Health Services.

• Injured worker care at Group Health Medical Centers

• For an additional fee, we offer the following:

– Industry-specific physicals and employment exams

– Screening

– Drug and alcohol testing

– Prevention services

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Published research demonstrates that our model of care boosts quality and curbs costs.

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You don’t just get a plan.You get advice every step of the way.

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Exceptional customer service you can rely on.

• Local designated account management

and customer service teams

• Win-win relationships where everyone benefits—

employees, employers, and providers

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Core administrative services

• Claims administration

– Subrogation

– Coordination of benefits

• Eligibility maintenance

• Appeals

• Summary of benefits

and coverage

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Ongoing data-driven consultation helps you understand both health plan and care delivery cost and utilization.

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Let’s talk about how your company canbenefit from the Group Health difference.

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