Lehman Brothers 11th Annual Global Healthcare … Brothers 11th Annual Global Healthcare Conference...
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Transcript of Lehman Brothers 11th Annual Global Healthcare … Brothers 11th Annual Global Healthcare Conference...
Lehman Brothers 11th Annual Global Healthcare ConferenceWayne S. DeVeydtExecutive Vice President & Chief Financial OfficerMarch 19, 2008
2
Safe Harbor Statement Under The Private Securities Litigation Reform Act of 1995
The statements made during this presentation that are not historical facts are forward-looking statements within the meaning for the Federal securities laws, and may involve a number of risks and uncertainties.
Factors that could cause actual results to differ materially from expectations include, but are not limited to, the risks discussed in the Company’s most recent filings with the SEC, including its Annual Report on Form 10-K for the year ended December 31, 2007.
3
Agenda
WellPoint Profile & Superior Value Proposition
Earnings Per Share Growth Model
Investment Considerations
4
Medical Members~ 35 million
2008E*:Operating Revenue~ $62.0 billion
Pre-Tax Margin~ 7.7% - 8.0%
Operating Cash Flow~ $3.7 billion
WellPoint: A Health Benefits Leader
Note: Membership as of 12/31/07; * Estimated based on projections as of 3/10/08.
5
BC or BCBS licensed plans
UniCare > 100K members
UniCare < 100K members
Diverse Membership Base
Self-Funded51%
Fully Insured49%
Note: Data as of 12/31/07.
Senior4%
BlueCard13%
State Sponsored
6%Individual
7%
National Accounts
18%Local Group48%
FEP4%
• Growing Specialty and Health Solutions businesses
• Largest Medicare Parts A & B claims-processor in the nation
Geographic Diversity of Membership
Broad Customer Base
6
Brand Name Leader
41%
13%9%
4% 3%
0%
10%
20%
30%
40%
50%
BCBS in WLP's14 states
UnitedHealthGroup
Aetna Kaiser CIGNA
“When you think of health insurers, which one health insurance company comes
to mind first?”
Source: 2007 WellPoint Consumer Image Studies conducted in WLP’s 14 Blue States.
carry a Blue Cross and Blue Shield ID card
1in3A M E R I C A N S
7
Strong Local Presence & National Reach
0%
10%
20%
30%
40%
50%
Wel
lPoi
nt, I
nc. M
arke
t Sha
res
CT NH VA ME IN KY MO GA OH CA NY CO WI NV
Source: Company estimates as of 9/30/07.
Local MarketAdvantages
Provider network advantage
Cost advantagesVast data setCommunity involvement
8* Sources: Blue Cross Blue Shield Association, Company estimates, 2008.
BCBS National Provider Network*:
260,000 PCPs and467,000 Specialists, approximately 80% of nation’s total
6,300 hospitals, approximately 95% of nation’s total
Deep network discounts
Extensive & Cost-Effective Provider Networks
The Blue Cross Blue Shield National Provider Network includes more physicians and hospitals than any other network in the industry
9
2010 Strategy Builds on WellPoint’sUnique Market Position
TransformHealth Care
MostTrustedChoice
Leader InAffordable
QualityCare
National Scale / Local Depth
2010 Strategy2010 Strategy
National Scale• Broad & cost-effective provider
networks
• Administrative efficiencies of scale
• Large diverse medical business
• Ownership of PBM & Behavioral Health
Local Depth• Highest brand recognition
• Leading local market shares
• Strong broker & community relationships
• Vast data set
WLPWLP’’s Unique Market Positions Unique Market Position
Building on our current strengths should further differentiate us from the competition
10
Comprehensive Health Solutions To Address Cost and Quality
•360° Health
•Wellness programs
•Disease management
•More than 15 million members
•Network and utilization management
•Comprehensive medical management
•Medical trend management
•Nearly 35 million members
•Pharmacy management programs
•Pharmacy network management
•Mail service and OTC programs
•Process about 400 million scripts each year
•High-cost biotech pharmaceuticals
•Clinical and utilization management
•Patient care and advocacy plans
11
Industry-Leading Transparency Tools
Industry leading online tool for performing side-by-side comparisons for 39 common medical procedures and services based on facility performance
In 5 markets at end of 2007
Expanding to at least 10 new markets in Q1 2008
Displays total costs for episode of care using actual contracted rates
Also displays selected quality factors
12
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
1,400,000
1,600,000
12/31/05 12/31/06 12/31/07
Perio
d-En
d M
embe
rshi
p
CDHP Membership
Innovation-Driven Growth
Demonstrated ability to deliver new, innovative products that drive membership growth
ASO, 45%
Fully Insured,
55%
12/31/07
CDHP Membership grew by 501,000, or 59%, in 2007
CDHP membership composition is slightly weighted towards
fully insured
IncentivesIntegrationInformation
Lumenos Key Competitive Advantages
13
Agenda
WellPoint Profile & Superior Value Proposition
Earnings Per Share Growth Model
Investment Considerations
14
EPS Growth Model
OperatingCost
Improvement
DisciplinedRevenueGrowth
EffectiveCapital
Management
EPS Growth
EPS Growth Model
• Organic Membership Gains
• Price to Exceed Total Cost Trends
• Introduce New Products & Services
• Optimize Cost of Care
• Lower Administrative Costs Per Member
• Increase Efficiency & Enhance Service
• Reinvest In Our Business
• Operate Within Targeted Leverage Range
• Return Capital to Shareholders
15* Estimated based on projections as of 3/10/08.
Strong Enrollment Growth
20
25
30
35
40
12/31/05 12/31/06 12/31/07 12/31/08E*
Med
ical
Mem
bers
(in
mill
ions
)
33.9 34.1 34.8 35.3215,000Local Group
(325,000)State Sponsored
65,000Senior
545,000National Accts.
500,000Total
2008 Membership Growth*
We expect to add 500,000 new medical members in 2008
16
National Accounts: Consistent Performance With Significant Upside
Consistent National Accounts growth year after year
44% of Fortune 1000 companies are in our service areas
29% penetration in our 14 states with continued upside potential
Expect to continue being a net taker due to our superior value proposition
0
2
4
6
8
10
12
12/31/05 12/31/06 12/31/07 12/31/08 *
Mem
bers
hip
* (in
mill
ions
)
Control Accounts BlueCard Membership
9.510.4 11.0 11.55
0
5
10
15
20
25
30
Penetration @ 12/31/07 Potential Market**
Mem
bers
hip
(in
mill
ions
)
6.4
22.0
* Estimated based on projections as of 3/10/08; ** Potential market represents prospects in WellPoint’s 14 Blue States (based on company estimates)
17
Impact of Group Benefit Coverage On Individual Insurance Market
Employer groups shifting costs cause employees to migrate to Individual market
Decline in Small Group offer rate from 2002 to 2006
Individual market has grown from 16.6 million to 17.1 million over the same period
15.0
15.5
16.0
16.5
17.0
17.5
18.0
02 03 04 05 0655%
60%
65%
70%
75%
Individual Insurance Market Small Group Offer Rate
Indi
vidu
al In
sura
nce
Mar
ket Sm
all Group O
ffer Rate
* Sources: U.S. Census Bureau and Kaiser/HRET Survey of Employer-Sponsored Health Benefits; Small Group defined as 3-199 workers.
18
Need Assistance:
Uninsured Americans:A Growth Opportunity
Low income but not eligible for current programs
(55%)Income
above 300% of FPL(20%)
Already eligible for
public programs
(25%)
• TonikSM
• Blue Access Economy
• BeneFits
• SmartSense
• CDHP
• Community Resource Centers
• Enrollment vans
Sources: Company estimates; Dubay, Holahan, Cook, “The Uninsured And The Affordability Of Health Insurance Coverage,” Health Affairs, 11/2006; U.S. Census Bureau, 8/2007.
Outreach Efforts:
Innovative & Flexible Products:
• Expansion of state health care programs
• Tax credits
• Premium assistance programs
• High risk pools
~ 47 Million Uninsured Americans
In 2007, WellPoint enrolled an estimated 365,000 individuals whopreviously had no health insurance
19
31%
75% 36%
19%
6%
33%
Total Medicaid Estimated Medicaid Spending
State Sponsored Growth Opportunities
WellPoint Has Nation’s Largest Medicaid Managed Care Operation
With 2.2 Million Members at 12/31/07
WellPoint Medicaid Operations (including SC)
Total Medicaid Enrollees
(52M)*
Total Estimated Medicaid Spending ($252B)*
Medicaid ABD & LTC Populations: Significant Growth Opportunities
TANF ABD LTC
* Sources: Centers for Medicare & Medicaid Services, 2004; Kaiser Commission on Medicaid and the Uninsured, 2004; U.S. Department of Health and Human Services, April 2005.
20
Senior Market Expansion
1,614,000Medicare Part D
1,250,000Total Senior Membership
870,000Medicare Supplement
380,000Medicare Advantage
Membership at 12/31/07
Note: Medicare Part D enrollment includes stand-alone, Medicare Advantage, Group Waiver and external PBM members with the PDP benefit.
WellPoint is increasing its focus on this growing market through geographic expansion
Collectively, this group spends $600 billion on health care
38 million seniors age 65+
Additional 50 million people in 50-64 age band
Senior Market:
21
Integrating Specialty ProductsBehavioral Health: 20.2 million members
2nd largest health plan-owned behavioral health company*
Life: 5.6 million members14th largest in the nation*
Dental: 5.0 million members7th largest in the nation*
Vision: 2.4 million membersAdded more than 2 million members in less than 6 yearsOne of the largest national provider networks (44,000 locations)
MEDICAL
VISION
DENTAL
BEHAVIORALHEALTH
LIFE
DISABILITY
WellPoint intends to increase the penetration of its Specialty Products in the future
* Company estimates based on membership as of 12/31/07.
22
SG&A Expense Ratio Reduction
21.4%19.7%19.4% 18.8%
17.0% 16.5% 15.7%14.5% 14.3%
0%
5%
10%
15%
20%
25%
2000 2001 2002 2003 2004 2005 2006 2007 2008E*
SG&
A E
xpen
se /
Tota
l Ope
ratin
g R
even
ue
710 basis point reduction
* Estimated based on projections as of 3/10/08.
We continue to reduce our administrative expense ratio while making the investments necessary to grow our business into the future
Strategic Initiatives:
• CDHP rollouts
• IT platform migrations
• On-line end-to-end sales capabilities
• Anthem Care Comparison
• 360° Health®
offering
• Behavioral health in-sourcing
23
Information Technology Strategy
Business Unit Platform
Consolidation
Future-StateProcessing
Development
InnovativeTechnology
Advancement
Class AInfrastructure
Parallel Activities
• CT• ME• NH
• OH/KY/IN• MO• WI
• CA, CO/NV• VA, GA• NY
• 4SB• National• UniCare
WGS(code set)
+Enterprise Components Enterprise Transaction System
• Portals• Information Management• Customer Service Desktop• Care / Disease Management
• Service Oriented Architecture• Real-Time Adjudication• Personal Health Records• Transparency
• Voice / Video• Data• Telecomm• Proactive Monitoring
• Information Security• Mainframe / Midrange Processing• Vendor Management• Business Continuity
WellPoint’s overall IT Strategy balances standardization with innovation that requires parallel activities beyond platform consolidation
FacetsFacetsACESACES WGSWGS
ETSETS
24
0.0
0.5
1.0
1.5
2.0
2003 2004 2005 2006 2007 2008E*
Ope
ratin
g C
ash
Flow
/ N
et In
com
eStrong Operating Cash FlowIn Excess Of Net Income
* Estimated based on projections as of 3/10/08.
WellPoint has consistently generated operating cash flow in excess of net income, and expects operating cash flow of approximately $3.7 billion in 2008*
25
WellPoint Capital Strategy
Reinvest In Our Business
New Products &Enhanced Services
Operate Within Targeted Leverage Range
Acquisitions
Return Capital to ShareholdersShare repurchases:$2.9 billion in Board-approved authorization as of 2/29/08
No Senior Debt maturities scheduled in 2008
26
Agenda
WellPoint Profile & Superior Value Proposition
Earnings Per Share Growth Model
Investment Considerations
27
Health Care Is Growing
Health Care Spending as a % of GDP*
0%
5%
10%
15%
20%
25%
30%
35%
1970 1980 1990 2000 2012E 2025E
The projected rise in health care spending creates opportunities for those who can most effectively optimize the affordability and quality of health care for consumers
* Source: “The Long-Term Outlook for Health Care Spending,” Congressional Budget Office, 11/2007.
28*Sources: WLP estimates, Bear Stearns, CMS, Office of the Actuary, U.S. Census Bureau, and competitor announcements (2007 data as of 12/31/07 or most recent public data prior to 12/31/07).
Era of Consolidation in Health Insurance
27%
73%
55%
45%
Ten largest health plans in each year1995 2007
Proportion of U.S. Health Insurance Market (based on membership)*
Consolidation is likely to continue in this industry due to the investments required to maintain competitiveness and comply with changing regulations
Key Drivers:
• Administrative economies of scale
• Demand for new products and services (CDHP)
• Infrastructure and tools (transparency, analytics)
• Cost of care capabilities
• Network size and scale
• Regulatory mandates
29
We Have A Diverse Membership Base With Many Growth Opportunities
* Data as of 12/31/07.
Senior• Expanding
population• Medicare
spending forecasts
BlueCard• Membership of fellow
Blues plans likely to continue growing
State Sponsored• Medicaid spending
forecasts• ABD and LTD under-
penetrated
Individual• Uninsured by choice
(20%)• Early retirees
National Accounts• Under-penetrated in our
core markets• Specialty Products• New cost of care servicesLocal Group
• >40% of small groups without insurance
• Specialty Products• New cost of care
services
FEP• Serve in
many states
34.8M members*
48%
6%4% 4%
7%
18%
13%
30
Earnings Per Share Growth
$4.82
$3.94
$3.05$2.73
$2.26
$1.65
$5.56
$0.00
$1.00
$2.00
$3.00
$4.00
$5.00
$6.00
$7.00
2001 2002 2003 2004 2005 2006 2007 2008E*
GA
AP
Dilu
ted
EPS
* Estimated based on projections as of 3/10/08.
$5.76 -$6.01