JAMES B. BRAMSON, DDSUNITED CONCORDIA COMPANIES, INC.

Dental -- Politics and Health Care: It’s a New Day

ADEA Deans ConferenceRancho Mirage, CaliforniaNovember 10, 2012

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Today’s Agenda

• Dental/Benefit Industry Trends

• Health Reform

• Insurance Industry Perspective/Plan Design/HCR problems

• New directions: Oral Wellness

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United Concordia Fast Facts

• Over 40 years dental only experience, second largest dental only insurer/administrator in US

• Headquarters in Harrisburg, PA

• Subsidiary Company of Highmark BCBS

• 8.1 million members

• Network—91,00 dentists at more than 225,000 access points in Alliance network

• Over 26,000 Clients

• Employees—1,200 workers at 25 offices across the United States

*United Concordia internal data–2010, 2011

DENTAL/INDUSTRY TRENDS

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Dental Spending, 1960-2011

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GDP vs. Dental Expenditures (Real), Indexed 1960-2011

Source: Department of Commerce, Bureau of Economic Analysis, 1960-2010

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Real Dental Expenditures per Capita, 1950-2010

• Source: U.S. Department of Commerce, Bureau of Economic Analysis, 1950-2010

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Utilization of Dental Services -US Pop., 1960-2009

Source: Centers for Disease Control, National Health Interview Survey, 1950-2009

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Solo Private Practicing Dentists, Percentage, 1986-2009

• Source: ADA, Survey of Dental Practice, 1987-2010.

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HEALTH REFORM

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Democratic Health Plan

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Republican Health Care Plan

Don’t Get Sick

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The American Public