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eSolutionsSimpler, Easier, Better®
UnitedHealthcare’s “Online Solutions for Employers and Members”
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Agenda
• Employer eServices (Employer)• UnitedHealthcare Benefit Services’ (Employer)• myuhc.com (member)
Leveraging technology to change the face of health care
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Leveraging technology to change the face of health care
Employer eServices®
Simply easier ways to administer benefits efficiently
Who uses the Employer eservices Web Site?• Group administrators and their designees• Brokers
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Employer eServices Home Page
AddTerminateReinstateChangeInquireElectronic File
Order ID Cards
View Claims
Account SummaryPayment HistoryChange Payment Method
Financial Reportsand Analysis
View BankingReports Online
Manage accessto EeS
Tools Links and information
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Paper Enrollment
Eligibility Options for all Employers
• Employees give enrollment election form to Employer
• Employer faxes or mails paper form
• Legible issues / missing data
• 5% return rate – creates delays in accessing health care system
• 98% accuracy keying rate
• 2% error ratio. More delays…
Least desirable. Most error prone. Excessive delays.
Web-Based Eligibility Updates
• Customer keys eligibility changes into system in real-time
• Ideal for customers whose HR system lacks the ability to produce an electronic eligibility file
• Adds, terms, changes are reflected immediately in UnitedHealth Group systems
Ideal for urgent or lower volume eligibility
transactions
Real-time24 – 48 Hours
Solutions for facilitating employees’ benefit enrollment process
Manual Self-Service
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Electronic Bill Presentment and Payment
Account Summary • View account balance• View current outstanding invoices• View closed invoices• View invoice details • View payment history• Print bill at customer site
On-line Payment • Scheduled direct debit• Pay invoices online• Request Adjustment Invoice
Email Notification • New User Registration• Invoice ready for view and payment• Request adjustment invoice• Pre and post termination
eServices Bill Presentment and Payment
Eligibility Processing
Eligibility Processing
InvoiceDistribution
InvoiceDistribution
Payment Processing
Payment Processing
ElectronicEmployer PortalOnlinEnrollElec Elig Mgmt
ElectronicOnline BillingView InvoiceAdjustments
ElectronicOnline BillingPay on-lineDirect Debit
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Communication tools
Communication Resource Center (CRC)
• Health and wellness articles & e-mail content
• Downloadable communication templates, toolkits, brochures, fliers, check stuffers, and posters
• Customized newsletters using the “Build a Custom Newsletter” capability
• Workplace wellness template work plans
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UnitedHealthcare Benefit ServicesUnitedHealthcare Benefit Services Bundled Value Services:Bundled Value Services: COBRA, FSA, PTPCOBRA, FSA, PTP
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10COBRA
For UHC medical clients with 20-99 eligible employees, UBS will handle COBRA administration at no cost for all eligible plans –
even those with other vendors
We will service all your COBRA needs with assured compliance and efficient record keeping
Simplified administration for Employers• Federal COBRA Administration
• Pre-Tax Premium Administration (PTP)
• Flexible Spending Accounts (FSA)
• Single provider allows one-stop shopping
• Ease of administration
• Limited employer liability
• Reduction of payroll-related taxes
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Leveraging technology to change the face of health care
myuhc.com®
Simply easier access to helpful information and support for your employees
April 9, 2009: UnitedHealth Group Earns Six 2008 World Wide Web Health Awards for Superior Online Content .
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• Compare physicians and hospitals, including quality and efficiency designations • See the cost of different prescription
choices • Consider mail order for additional savings
• Understand costs across treatment options
• Review health care activity, account balances and claims
Personalized, Relevant Online Data Promotes Engagement and Activation
Better health decisions supported @myuhc.com
Member enrollment on our consumer Web site increased 14 points in 2008 to 64%.
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
Explore the Health & Wellness Homepage
Online Health Assessment
Online Health Coach
Personalized articles
Personalized clinical content
Trackers, Tools
Personal Health Record
Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group.
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Health Discount Program
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Healthy Pregnancy Program
Enhanced website: www.healthy-pregnancy.com
Award-winning online pregnancy owner’s manual: http://mypregnancymanual.com/uhc
No cost to members
Identification of special needs or risks
24-hour toll-free access to experienced OB nurses
Participants receive:
Mom(me) kit Breastfeeding DVD Journey Through
Pregnancy book Breast pump discount
Healthy Pregnancy Program
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New enhanced Treatment Cost Estimator
An enhanced Treatment Cost Estimator was deployed to myuhc.com on June 30th. This tool provides personalized, comprehensive cost estimates to assist consumers in understanding the expenses associated with their treatment options.
Search/Select Treatments Search/Select Physicians View EstimatesSelect Member & Location
Previous TCE Tool Redesigned TCE Tool
Estimates incorporate the individual member’s deductible & OOPM accumulators
Estimates will be based on member’s own benefit plan (deductible, OOPM accumulators, co-payments, co-insurance, etc.)
Estimates are based on cross-payer geographical median claim amounts.
Estimates will be based on United Healthcare contracted rates for providers’ professional services.
Facility assumptions are incorporated in calculations
Estimates are provided by facility type to show cost differences and opportunities for savings.
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Health Care Transparency
“Wonder how much this procedure will cost; would like to start planning and budgeting now”
myuhc.com®
Treatment Cost Estimator
Members Physicians
“Wonder if she’s covered for the procedure and what our reimbursement will be”
UnitedHealthcareOnline.com®
Claim Estimator
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Health Care Simplicity
Simplicity…is having a single integrated health care statement
One comprehensive statement provides detailed content on account balances and claim activity.
A statement summarizes Explanation of Benefit information to help consumers get a clearer picture of their overall health care spending.
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Try the Web sites for yourself…
Interactive SessionDownload Demos to your Desktop
WelcometoEmployereServices.comWelcometouhcservices.com
Welcometomyuhc.com
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UnitedHealthcare…radically changing health care
Thank you for your time!