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INVESTOR DAY For personal use only

INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

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Page 1: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

INVESTOR DAY

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Page 2: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

AGENDA FOR THE DAY F

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Page 3: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

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3

EXECUTIVE COMMITTEE STRUCTURE STRUCTURE ALIGNED WITH STRATEGY

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Page 4: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

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HEALTHCARE SYSTEM LEAKAGES MUST BE ADDRESSED TO IMPROVE AFFORDABILITY

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Page 5: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GROUP STRATEGY

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Page 6: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

STRATEGY, CUSTOMER AND OPERATIONAL EXCELLENCE TEAM

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Page 7: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

KEY TRENDS FOUR KEY TRENDS IMPACTING THE PRIVATE HEALTH INSURANCE INDUSTRY

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Page 8: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

AFFORDABILITY AFFORDABILITY PRESSURES RISING; PARTICIPATION REMAINS STRONG

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Page 9: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CONSUMER TRENDS CHANGING CONSUMER BEHAVIOUR CREATES OPPORTUNITIES

1

2

3

4

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Page 10: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

INDUSTRY DYNAMICS WELL POSITIONED TO TAKE ADVANTAGE OF CHANGING INDUSTRY DYNAMICS

AU Bupa Medibank HBF nib HCF 3

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Page 11: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

REGULATORY ENVIRONMENT ACTIVE PARTICIPANT IN REGULATORY CHANGE

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Page 12: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

SUSTAINING PROFITABLE GROWTH OUR STRATEGY IS DESIGNED TO ADDRESS THE NEEDS OF ALL OUR MEMBERS

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Page 13: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

SUSTAINING PROFITABLE GROWTH DEEPLY COMMITTED TO DRIVING BETTER HEALTH

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Page 14: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PROFITABLE GROWTH: TWO-BRAND STRATEGY

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Page 15: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

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PROFITABLE GROWTH FOUR KEY AREAS TO DRIVE PROFITABLE GROWTH

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Page 16: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PORTFOLIO PERSPECTIVE ACTIVELY BALANCE TRADE-OFFS ACROSS THE PORTFOLIO

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Page 17: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

REFRESHED CUSTOMER SEGMENTATION ADOPTING A NEW APPROACH TO ENGAGE MEMBERS

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Page 18: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

TWO-BRAND STRATEGY DISTINCT BRAND POSITIONING

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Page 19: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

TWO-BRAND STRATEGY THE TWO BRANDS ARE DISTINCT AND COMPLEMENT EACH OTHER THROUGHOUT THE VALUE CHAIN

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Page 20: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

BUILDING STRENGTH THROUGHOUT THE SALES FUNNEL EACH BRAND HAS A DIFFERENT PRIMARY FOCUS FOR IMPROVEMENT

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Page 21: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PROFITABLE GROWTH: CUSTOMER ENGAGEMENT

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Page 22: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

RETENTION IS A KEY PRIORITY OUR AMBITION IS TO BE BEST IN CLASS IN RETENTION

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Page 23: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

MULTIPLE POINTS OF ENGAGEMENT VARIETY OF TOUCHPOINTS AND OUTLETS FOR ENGAGEMENT IN PLACE AND UNDER DEVELOPMENT

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Page 24: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PARTNERING WITH MEMBERS FOR LIFE BUILDING RELATIONSHIPS WITH OUR MEMBERS THROUGHOUT THEIR HEALTH JOURNEY

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Page 25: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

OMNI CHANNEL APPROACH ACROSS THE BRANDS PROVIDES CUSTOMERS WITH OPTIONS, ALLOWS CHANNEL OPTIMISATION

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Page 26: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PROFITABLE GROWTH: PROJECT DELPHI PROFITABLE GROWTH: PROJECT DELPHI

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Page 27: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

WHAT IS PROJECT DELPHI? F

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Page 28: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

DELPHI INSIGHTS PROJECT DELPHI WILL REPLACE LEGACY CUSTOMER, POLICY, PREMIUM AND PRODUCT MANAGEMENT SYSTEMS

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Page 29: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

DELIVERING BUSINESS PRIORITIES TARGET BUSINESS OUTCOMES ARE CLEAR AND REMAIN VALID

• °

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Page 30: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

DELPHI DESIGN PRINCIPLES CUSTOMER EXPERIENCE IS TOP PRIORITY

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Page 31: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CURRENT STATUS ON TRACK TO DELIVER THE FULL SCOPE OF BENEFITS BY END OF CALENDAR YEAR 2016

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Page 32: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

Q&A – PROFITABLE GROWTH

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Page 33: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HEALTH COST LEADERSHIP: OVERVIEW

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Page 34: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PROVIDER NETWORKS AND INTEGRATED CARE TEAM

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Page 35: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

RISING COSTS OF HEALTHCARE HEALTH COST LEADERSHIP REQUIRED TO BEND THE COST CURVE

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Page 36: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HEALTHCARE SYSTEM LEAKAGES MUST BE ADDRESSED TO IMPROVE AFFORDABILITY

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Page 37: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

REGULATORY REFORM – ESTIMATED TIMELINE MOMENTUM FOR CHANGE BUILDING

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Page 38: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

MEDIBANK’S APPROACH REVERSING THE TREND REQUIRES ACTION ON MULTIPLE FRONTS

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Page 39: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

AUSTRALIAN HEALTHCARE EXPENDITURE AND CLAIMS OUTGROWN GDP OVER 10 YEARS

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Page 40: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

AUSTRALIAN HEALTHCARE EXPENDITURE AND CLAIMS INCREASED ADMISSIONS DRIVING COSTS FOR INDUSTRY AND MEDIBANK

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Page 41: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

AUSTRALIAN HEALTHCARE EXPENDITURE AND CLAIMS TECHNOLOGY AND CHRONIC DISEASE ARE DRIVING THE TREND OF INCREASING COSTS

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Page 42: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

THE CHALLENGE FOR HEALTHCARE TRIPLE AIM OF HEALTHCARE THE KEY FOCUS

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Page 43: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HOSPITAL ACQUIRED COMPLICATIONS HIGHER COST DOESN’T ALWAYS MEAN BETTER OUTCOMES

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Page 44: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

READMISSIONS HIGHER COST DOESN’T ALWAYS MEAN BETTER OUTCOMES

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Page 45: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

THE CHALLENGE FOR HEALTHCARE CREATING SUSTAINABILITY THROUGH A FOCUS ON HEALTH OUTCOMES

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Page 46: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HEALTH COST LEADERSHIP: HOSPITAL CONTRACTING

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Page 47: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HOSPITAL HEALTH BENEFIT CLAIMS CONTRACTS WITH HOSPITALS TO MEET THE HEALTHCARE NEEDS OF MEMBERS

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Page 48: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

FUNDING MECHANISM INDUSTRY FUNDING IS NOW MAINLY ACTIVITY BASED/ CASE MIX

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Page 49: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HOSPITAL CONTRACTING VARIETY OF LEVERS USED AS PART OF CONTRACT NEGOTIATION

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Page 50: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

OUT OF CONTRACT (OOC) SCENARIO OUR PREFERENCE IS TO STAY IN CONTRACT

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Page 51: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

ANCILLARY FOCUS ON MINIMISING GROWTH IN COSTS WHILE ENSURING QUALITY HEALTH SERVICES TO MEMBERS

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Page 52: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HEALTH COST LEADERSHIP: DELIVERING HIGH VALUE CARE

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Page 53: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CURRENT STATUS IS NOT ACCEPTABLE F

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Page 54: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

UNWARRANTED VARIATION HIGH LEVELS OF VARIANCE IN TREATMENT OUTCOMES

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Page 55: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

TRIPLE AIM OF HEALTHCARE HEALTH PROVISION AND REFORM MUST ADDRESS ALL THREE AREAS

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Page 56: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HIGH VALUE CARE F

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Page 57: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HOSPITAL ACQUIRED COMPLICATIONS F

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Page 58: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

LEADERSHIP DRIVING CHANGE WILL CREATE DEBATE

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Page 59: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

HEALTH COST LEADERSHIP: PAYMENT INTEGRITY

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Page 60: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CONTEXT IMPROPER CLAIMS ARE NOT UNIQUE TO AUSTRALIA

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Page 61: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PAYMENT INTEGRITY PROGRAM AN OVER-ARCHING GROUPING OF MULTIPLE RELATED PROGRAMS

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Page 62: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CURRENT SPECTRUM OF ACTIVITY WIDE AND VARYING WAYS FOR IMPROPER CLAIMS TO OCCUR

•••••

••

––––

•••••••

•••••••

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Page 63: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

OPPORTUNITY IDENTIFICATION F

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Page 64: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

METHODOLOGY STRUCTURED APPROACH TO CONVERT OPPORTUNITIES INTO REALISED GAINS

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Page 65: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

LEVERS DIFFERENT LEVERS ARE APPLIED TO DIFFERENT RISK CATEGORIES

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Page 66: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PIPELINE ONGOING OPPORTUNITIES EXIST TO REALISE FURTHER IMPROVEMENTS

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Page 67: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

BETTER HEALTH FOR SPECIFIC AUSTRALIAN POPULATIONS

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Page 68: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

FURTHER BENEFITS OF POPULATION HEALTH SOLUTIONS ADDING VALUE TO EVERY HEALTH INTERACTION

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Page 69: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

Australian Defence Force

Department of Human Services

Care programs

KEY POPULATION HEALTH SOLUTIONS PROVIDING ACCESS TO, AND MANAGEMENT OF, INTEGRATED HEALTH SERVICES FOR SPECIFIC AUSTRALIAN POPULATIONS

Future opportunities

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Page 70: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GARRISON HEALTH SERVICES REDEFINING INTEGRATED HEALTHCARE DELIVERY FOR THE ADF

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Page 71: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GARRISON HEALTH SERVICES AN INTEGRATED HEALTHCARE SOLUTION

GHS

manages and

coordinates

relationships

with

Diagnostic, treatment and rehabilitation services*

260+ hospitals

8000+ allied health professionals

1100+ on-base primary healthcare experts*

4000+ medical specialists

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Page 72: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GARRISON HEALTH SERVICES MULTIPLE ON-BASE PRIMARY CARE SERVICES

ADF PERSONNEL

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Page 73: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GARRISON HEALTH SERVICES A SEAMLESS AND CONSISTENT APPROACH TO HEALTHCARE ACCESS

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Page 74: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

Centralised operations

Government contracted doctors

Data collation, monitoring and reporting

Government contracted psychologists

DISABILITY MEDICAL ASSESSMENT SERVICES PROVIDING A COORDINATED ACCESS POINT TO A NATIONAL PROVIDER NETWORK FOR THE DEPARTMENT OF HUMAN SERVICES

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Page 75: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GARRISON HEALTH SERVICES IN ACTION F

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Page 76: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PRIMARY CARE AND THE CARE SUITE OF PROGRAMS

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Page 77: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CHRONIC DISEASE THE CHALLENGE AND IMPACT IS INCREASING

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Page 78: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CONCENTRATION OF HEALTHCARE COSTS OUR OWN MEMBERS SHOW SIMILAR TRENDS TO WHAT WE SEE NATIONALLY

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Page 79: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

FEE FOR SERVICE IS COMPROMISING THE ABILITY TO PROVIDE GOOD PRIMARY CARE FOR PATIENTS WITH COMPLEX CONDITIONS

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Page 80: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

Integrated

Care

Chronic

Disease

Management

Discharge

assistance

Health Promotion for Healthy Populations

(no target healthcare needs)

Program integrated into the

hospital discharge process that

addresses the care needs of

those most at risk of unplanned

readmissions to hospital.

Integrated care program targeting people who

experience chronic & complex conditions.

Behaviour change focused

model supported by

telephonic & online

education & navigation.

Co

mp

lexit

y a

nd

co

st

of

mem

ber

need

s

OUR CARE SUITE OF PROGRAMS F

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CAREPOINT F

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Page 82: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

CAREFIRST F

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Page 83: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

PROVING IT WORKS STRUCTURED APPROACH TO DEMONSTRATING BENEFITS

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Page 84: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

Q&A – HEALTH COST LEADERSHIP

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Page 85: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

GROUP Q&A

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Page 86: INVESTOR DAY For personal use onlyproject delphi profitable growth: for personal use only project delphi . ... care programs key population health solutions providing access to, and

INVESTOR DAY

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