EFFICIENCY OPTIMIZATION TRANSFORMATION INNOVATION Enable interoperability and data access to deliver intelligence across the broader ecosystem. Seamlessly integrate business partners to deliver outcome based care and a 360° view of an individual. You have created a modern, secure health plan by uniting technology and stakeholders in a connected, continually refreshed ecosystem. CIO Leadership Deliver scalable, IoT-adaptable digital applications and business models to improve customer experience. Deliver reliable, efficient and secure core IT services at a lower cost by shifting plan technology to the cloud. Efficiency Efficiency Efficiency CIO’s ROLE CIO’s ROLE CIO’s ROLE DATA SECURITY DATA AND ANALYTICS OF CIOS 95% 88% OF PROVIDERS AND PAYERS use or plan to use predictive analytics in the next 5 years. 4 90% OF HEALTH CARE ORGANIZATIONS had a data breach in the past two years. 2 OF CMS PAYMENTS 50% will be moved to value-based care in 2018. 5 expect digitalization to change their jobs. 1 CIOs accelerate the digital transformation that responds to evolving business demands. CIOS ARE THE ARCHITECTS OF THE CONNECTED HEALTH CARE ECOSYSTEM MODERNIZED OPERATIONS MEMBER EXPERIENCE AND ENGAGEMENT PROCESS ACCURACY OF CONSUMERS prefer electronic payment methods to pay their medical bills. 3 68% Efficiency Innovation Optimization Transformation CIO’s ROLE CIO’s ROLE CIO’s ROLE CIO’s ROLE Get your assessment at www.optum.com/CIO 1 Gartner, The 2018 CIO Agenda, Mastering the New Job of the CIO 2 https://www.ponemon.org/local/upload/file/Sixth%20Annual%20Patient%20Privacy%20%26%20Data%20Security%20Report%20FINAL%206.pdf 3 https://instamedcorpprd.cachefly.net/wp-content/uploads/Trends-in-Healthcare-Payments-2016-Infographic.png 4 https://www.soa.org/healthcare-analytics/ 5 https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-01-26-3.html CHIEF VP INFORMATICS CHIEF CHIEF CHIEF CHIEF Secure ecosystem Proactive protection of digital data, systems and networks. Process accuracy Across claims, enrollment, billing, reconciliation, and encounters to reduce waste and increase quality. Consumer engagement Expert guidance, education and resources to find the best care at the right price. Member growth and retention Sustained engagement through exceptional experiences to drive growth. Outcome based partnerships Robust data and analytics paired with top medical, behavioral and Rx care programs. Connected Aligned member, payer and delivery system for a healthier community. REALIZE YOUR VISION Modernized operations Manage administration processes to lower PMPM costs, adapt quickly and thrive. EFFICIENCY OPTIMIZATION TRANSFORMATION INNOVATION Optum Health Care Technology as a Service A P P L I C A T I O N S E R V I C E S S Y S T E M S I N T E G R A T I O N E N T E R P R I S E D A T A P L A T F O R M I N F R A S T R U C T U R E S E R V I C E S S E C U R I T Y A N D C O M P L I A N C E A D V I S O R Y S E R V I C E S Data Driven Decisions Financial Management Benefit Plan Management Claims and Member Administration Medical Management Customer Service Risk and Quality Management Provider and Network Management Comprehensive Payment Integrity CHIEF EXECUTIVE OFFICER CHIEF MEDICAL OFFICER CHIEF OPERATIONS OFFICER CHIEF COMPLIANCE OFFICER VP CLAIMS CONSUMER CHIEF INFORMATION SECURITY OFFICER CHIEF FINANCIAL OFFICER CHIEF MARKETING OFFICER CHIEF STRATEGY OFFICER VP INFORMATICS VP CLAIMS CLINICAL CARE OPERATIONS MEMBERSHIP Reduce administrative expenses Provide rapid response to security threats Reduce cost of paying claims Automate business processes Reduce medical expenses Reduce cost per acquisition gains better understanding of services e o o C F l D I G I T A L A C C E S S C O N S U M E R 1.9 BILLION Claims processed annually with 99% accuracy. CLINICAL CARE OPERATIONS MEMBERSHIP 1,000+ Optum business advisory consultants with unmatched health care expertise. gains better understanding of cost and risk e o o C F l D I G I T A L A C C E S S C O N S U M E R Balance CAPEX/OPEX Maintain compliance with regulations Improve claim accuracy Provide quick, flexible delivery capability Simplify data to understand membership Ensure data security and privacy CLINICAL CARE OPERATIONS MEMBERSHIP experiences convenient, integrated, personalized services e o o C F l D I G I T A L A C C E S S C O N S U M E R Pilot new provider payment models Create transformative pilot programs Use analytics to lower costs, improve care Evolve goals based on analytics Offer value-based payment models Provide flexibility to enter/exit models Proprietary health care data on more than 240 MILLION LIVES CLINICAL CARE OPERATIONS MEMBERSHIP achieves ability to proactively manage health concerns e o o C F l D I G I T A L A C C E S S C O N S U M E R Spot industry points of growth Offer concurrent, real-time payment options Create high-performing networks and variated CoEs Operationalize successful transformative programs Provide a 360º view of members Improve contracting through shared data Create a differentiated market network $2.9 BILLION Invested annually in technology and innovation