360° Health® eTour Local Group Fully Insured

U.S. Obesity Trends in Adults

1991 2006

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

65% of Americans are overweight or obese, accounting for

27% growth in overall health care spending*

*Source: Watson Wyatt

U.S. Diabetes Trends in Adults

1990 2001

No Data <4% 4%-6% 6%-8% 8%-10% >10%

People with diabetes, have medical expenditures that are

approximately 2.3 times higher than those without diabetes.*

*Source: American Diabetes Association www.diabetes.org

Percent of Chronic Diseases Caused by Unhealthy Lifestyles

1

Stroke

Cancers

Heart disease

Diabetes

91%

82%

71%

70%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Sources: Stampfer, 2000 Platz, 2000 Hu, 2000

Overview: A Case for 360º Health

Productivity losses related to personal and

family health problems costs U.S. employers

$1,685 per-employee-per-year or $225.8

billion annually

This loss in productivity represents about

20% of the payroll

Chronic illness accounts for 75% of annual

health care costs

More than half of these conditions are the

result of lifestyle choices or health behaviors.

The Cost of Unhealthy Employees

Source: Watson Wyatt

A Case for 360º Health

Anthem Blue Cross and Blue

Shield created 360° Health to

improve the health of our

members, the companies

they work for, and our

communities.

360° Health - Your Total Health Solution

360° Health surrounds members with the help they need to live healthier lives.

Provides meaningful programs for everyone at every stage of health

Much more than a disease management program, it’s designed around each member’s total need

Includes everything from online tools and information to complex care management

Differentiators: Broad Spectrum of Services

360° Health covers a spectrum of health services that are designed to address the needs of your total employee population.

Proactive care management programs for a broad range of impactable health conditions

Online health and wellness information and tools

Discounts on health-related items and services

Program Goals:

Reduce claims

Increase productivity

Lower health care costs

Better Health with Proven Outcomes

Improve member health 85% of people who have used a 360° Health® program say their health has improved as a result. 1

Lower health care costs360° Health’s disease management programs contributed to a 32% decrease in emergency room visits due to the condition; a 20% decrease in inpatient admissions due to the condition; and a 7% drop in the number of inpatient days2

Increase productivity Members report more than 50% reduction in missed

days of work due to their condition2

1 Source: WellPoint Voice of the Customer, 20072 Results are from a recent, three-year internal analysis of diabetes, CAD and HF programs for CO and NV. For clients included in the study, service delivery began in September 2002, Asthma and COPD were added in 2007 . (275,000 total members; 12,000 participating in Condition Management). Study Code: 140750.

Through the many services offered, 360° Health® helps to:

360º Health: Typical Programs

Tools & Resources Guidance

Management

MyHealth@Anthem• MyHealth Assessment• MyHealth Record• Condition Centers• Online Communities

Healthcare Advisor

AudioHealth Library

SpecialOffers@Anthem

Staying Healthy Reminders• Immunizations• Cancer Screenings

Worksite Wellness

24/7 NurseLine

Future Moms

Pharmacy

Behavioral Health

EAP Healthy Lifestyles• Online• One-on-one• Complete (Groups of 500+ members)

MyHealth Coach(Groups of 500+ members)

MyHealth Advantage(Groups of 1,000+ members)

ConditionCare• Asthma• Diabetes• Coronary Artery

Disease• Chronic Obstructive

Pulmonary Disease• Heart Failure

ComplexCare

ConditionCare Support Programs• Low Back Pain• Musculoskeletal• Cancer• Vascular At-Risk

Comprehensive Medical Management

Blue Distinction Specialty Centers

Centers of Medical Excellence

ConditionCare for Kidney Disease

360º Health program offering varies by state. Specific programs are

included in your plan and others are available for

additional cost.

Time Well Spent

24/7 NurseLine: Overview

Provide convenient, expert resource

Promote appropriate use of health care resources

24/7 NurseLine provides members toll-free access to trained registered nurses any time of the day or night.

Program goals:

24/7 NurseLine: Differentiators

Pioneer in the industry – we have more than 20 years of experience

Objective information resource – not affiliated with a hospital

Staffed by RNs with access to integrated systems platform

Incorporates AudioHealth Library with extensive health topics recordings that can be listened to privately

24/7 NurseLine: Benefits

Access to expert medical advice 24/7, 365 days a year

Entry point to 360° Health comprehensive programs

Proactive follow up calls within 24-48 hours as needed

Reduced health care costs due to more appropriate use of health care resources

Comprehensive reporting package

Decreased absenteeism/ increased productivity

Member Benefits Employer Benefits

Future Moms: Overview

Future Moms provides individualized support to expectant moms to achieve healthier pregnancies and deliveries.

Program goals:

Fewer pre-term births

Fewer low-birth-weight deliveries

Reduced pregnancy-related costs

Future Moms: Differentiators

Industry leader – one of the first maternity management programs of its kind

24/7 access to registered nurses with experience in obstetrical care

Re-assessment at 28 weeks gestation for all program registrants

Depression screenings at 28 weeks and post partum

Future Moms: Benefits

Support for a healthy pregnancy and healthy baby

One-on-one relationship with maternity RN

Educational materials for easy reference, including pregnancy guide

Post-delivery follow up, including postpartum depression assessments

Member Benefits Employer Benefits

Reduced health care costs through prevention of pregnancy complications, pre-term births, and NICU admissions

Decreased absenteeism/ increased productivity

Comprehensive reporting package

High member satisfaction

ConditionCare: Overview

ConditionCare helps members better manage the following prevalent, high-cost conditions:

• Asthma• Diabetes• Chronic Obstructive Pulmonary

Disease• Coronary Artery Disease• Heart Failure

Proven ROI of 2.8:1* * Based on internal studies

ConditionCare: Differentiators

Sophisticated predictive modeling identifies eligible members and appropriate level of support

Dynamic management process, personalized by member need

Holistic approach to member management allows for integration with other 360º Health programs as needed

One-on-one primary nurse model

ConditionCare: Benefits

Member Benefits Employer Benefits

Supportive one-on-one relationship with RN

Individualized education, care goals and health self-management tips

Holistic health and wellness support, not just focused on condition

Reduced health care costs through better management of prevalent health conditions

Comprehensive reporting package

Decreased absenteeism/ increased productivity

ComplexCare: Overview

Reduce hospitalizations and costs associated with serious illness Provide extensive care coordinationMaximize the member’s health

ComplexCare identifies complex cases predicted to be high-cost before they happen, and responds to and aggressively manages those cases should they occur.

Program goals:

ComplexCare: Differentiators

Sophisticated predictive modeling effectively identifies eligible members

Comprehensive assessments drive individualized care plan goals

Fully integrated with 360°Health programs

RNs specially trained to manage complex health needs

Intervention team of pharmacists, registered dietitians, respiratory therapists and licensed clinical social workers

ComplexCare: Benefits

Member Benefits Employer Benefits

Reduced potential for future health issues

Individualized care plan, health self-management and preventive care tips

Access to multidisciplinary team including: social workers, dietitians, pharmacists, respiratory therapists, medical directors

Reduced health care costs through prevention of more costly health conditions

Decreased absenteeism/ increased productivity

What is Time Well Spent?

A turnkey solution to help create a culture of health in the workplace and improve the health of employees.

A health and wellness promotional campaign designed to foster a culture of health (employees spend most of their time at work) and increase awareness of the need to change unhealthy behaviors.

Tool kit to help employers educate their employees about healthy lifestyle choices that can help to improve their health.

Part of 360° Health; just one component of our overall wellness strategy.

Please visit http://www.anthem.com/timewellspent/ to follow along with the presenter

Thank You!

If you have further questions, please contact your broker or Anthem representative.