R E A C H F O R T H E S T A R SHOMETOWN HEALTH BROKER SUMMIT 2017

Ty Windfeldt

CEO, Hometown Health

Jon Hager

Director, Planning

& Performance

Commercial Update

• Current Market

• Geographic Expansion

• Product Differences

• Plan Designs

• Commissions

Current Small Group MarketNumber of plans by carrier, year and rating area

Reduction to plans Increase to plans

Year 2017 2018

Rating Area 1 2 3 4 1 2 3 4

Aetna Health (HMO) 4 1 4? 1?

Aetna Life (PPO) 19 19 19 19 19? 19? 19? 19?

Anthem (HMO) 7 7 7 7 5 5 5 5

Anthem (PPO) 35 35 35 35 42 42 42 42

Humana (HMO) 29 25 25 25

Humana (PPO) 26 26 26 26

Prominence (HMO) 30 35 35 33 6 14 14 14

Prominence (PPO) 6 6 6 6 9 9 9 9

HPN (HMO) 42 21 22 22

Sierra (PPO) 28 28 28 28 58 58 58 58

UnitedHealthcare (PPO) 39 39 39 1 39 39 39 1

WMI Mutual (PPO) 4 4 4 4 4 4 4 4

Hometown (HMO) 18 18 22 22

Hometown (PPO) 18 18 22 22 22 22

Aetna HMO -14.41%Aetna PPO -2.82%Hometown Health PPO 0.04%Hometown Health HMO 1.85%United PPO 2.85%WMI Mutual PPO 4.30%Sierra Health PPO 6.80%Prominence HMO 7.64%Prominence PPO 8.27%Anthem HMO 10.80%Anthem PPO 11.80%HPN HMO 15.80%

Average Proposed Rate Change

Current Individual Market

On Exchange/Off-Exchange

Year 2017 2018

Rating Area 1 2 3 4 1 2 3 4

Aetna Health (HMO) 4

Aetna Life (PPO) 3 3 3 3

Anthem (HMO) 10/22 10/22 10/22 10/22 1? 1? 1? 1?

Anthem (PPO) 9/22 9/22 9/22 9/22 1 1 1 1

Anthem Multi-State (HMO) 2/2 2/2 2/2 2/2

Freedom Life (PPO) 4 4 4 4

Prominence (HMO) 12/12 9/9 9/9

Golden Rule (PPO) 5 5 5 5

HPN (HMO) 10/23 10/23 10/23 10/23

Sierra (PPO) 16 16 16 16 12

SilverSummit (HMO) 4/4 4/4 4/4? 4/4?

Hometown (HMO) 19 19 23 23

Hometown (PPO) 19 19 23 23 23

Number of plans by carrier, year and rating area Average Proposed Rate Change

SilverSummit HMO N/A Hometown Health PPO 15.28% Hometown Health HMO 16.69% Sierra Health PPO 24.90% HPN HMO 26.10% Anthem PPO 60.90% Anthem HMO 61.70%

Reduction to plans Increase to plans

2017 Service Areas2018 Service AreasIndividual & Family

HMO

PPO

Small Group Large Group Senior Care Plus

Product DifferencesMarket Individual and Family Small Group Large Group

Product HMO PPO HMO PPO HMO PPO

Hometown Network Premier PPO Premier PPO Prem Stndrd PPO

Referral Required Yes No Yes No Yes No No

OneHealth Network No* Yes No* Yes No* Yes Yes

National Network No* No* No* Available* No* Available*

Access Outside of Network No Yes No Yes No Yes

Formulary Standard EHB Standard EHB Standard EHB Standard EHB Enhanced Enhanced

Pharmacy Network CVS-Centric CVS-Centric CVS-Centric CVS-Centric Full Full

Pediatric Vision Covered Covered Covered Covered Supplemental Supplemental

Pediatric Dental Available Available Available Available Supplemental Supplemental

Hearing Aids Covered Covered Covered Covered Not Covered Not Covered

* National network is available for emergencies and urgent care

Questions?

Ron White

Memory Expert

Heather Reimer

Director, Self-Funded

& Wellness Experience

Self-Funded Operations

Heather ReimerDirector, Self-Funded

& Wellness Experience

Meghan PescioManager, Self-Funded

& Wellness Experience

Trevor HallamAccount Manager, Self-Funded

& Wellness Experience

• Self-Funded Services

• Third Party Administration• Account Management

• Claims Administration

• Reporting – SiMax

• Health and Disease Management

• Statewide Provider Network

• Wellness Services – Healthy Tracks

• Workers Compensation – WorkersChoice

• Pharmacy Benefit Management – Hometown RX

• Medical Stop-Loss Services

TPA / Self-Funded Product Offerings

Brenda Grace-Smith

Manager, Sales & Marketing

Dayna Clark

Account Specialist

• New Small Group Online Application Process

• Small Group Online Renewal Process

• VUE Broker Commission System

• Online Commission Statements

• EFT Payments

• Paperless Processes for Reduction of Errors and Waste

Broker Partnership and Support

eQuote Broker Portal

VUE Producer Portal

Hometown Health Website

Hometown Health Broker Portal

Meet our Marketing Team

Questions?

Matthew Ladich

COO, Hometown Health

Operational Effectiveness:• Communication Opportunities with Hometown Health

• Broker Events

• Broker Ambassador Program

• Dedicated Customer Service Staff

• Dedicated TPA Staff

• Marketing & Sales Contacts

• Access to Senior Management• Level of Transparency with Clients, Groups, Brokers, and Members

• Internal Monitoring Activities

• Distribution of Issues, Concerns, and Complaints internally• Organizational Effectiveness, “Back to Basics,”

Lessons Learned, Audits

Operational Effectiveness:• Hometown Health Policies

• Out-of-Network, Emergency, National Network

• Training and Education• Dedicated staff and reimplementation of training programs

• Staffing Enhancements

• Process Improvements• Transformational Healthcare (Lean)

• Accumulators – Benefits, IT, Decision Support, Customer Service, Claims, Pharmacy

• Process Flowcharts, Standard Work

• Work Plan (Recognition of needed work to handle growth)

Hometown Health 2018 Strategic Initiatives

Back to BasicsThe operational fundamentals

to be improved in order for

Renown to successfully

execute on all other initiatives.

Population HealthLeverage our assets to transform

the way be serve population in

our communities.

OutreachHow we expand the populations

we serve and remain viable.

• Grow by 13,500 Members

• Southern Nevada Expansion

• Broker Outreach & Support

• Decision Maker Outreach

• Platinum Care

• Medicare Marketing for Senior

Care Plus Growth

• Promote Hometown Rx® and TPA

Services

• Community Advertising / Local

Non-Profit Sponsorships

• 5 Star Initiative & Committees

• ACO/PHMO Collaboration

• Expand Quality is Premium

• Commercial Risk Adjustment

Improvement

• CAHPS/HEDIS/HOS

Customer Engagement

• URAC Reaccreditation

• Member Mobile App / Digital

Engagement

• Departmental Performance

Initiatives

• Communication Opportunities

• Simaxx Dashboard Reporting Tool

• Organizational Effectiveness

• Internal Auditing and Accuracy

Monitoring

• Reduce Group Configuration Set

Up Time

• Automate Credit Card Payments

• Staff Training & Staffing

Enhancements

Questions?

Ask Hometown Health

Ty Windfeldt

Matthew Ladich

Jon Hager

Heather Reimer

Brenda Grace-Smith

CJ Bawden

CJ Bawden

Manager, Sales & Marketing

Distinguished Broker 2017

Lauren Yurick

Todd Wilson

Felix Oroz

Deanna DeHart

Distinguished Broker 2017

Tanna Prince

Lloyd Barnes

Tim Holland

Kevin Monaghan

Distinguished Broker 2017

Inspiring Broker 2017

Mike Dillon

Inspiring Broker 2017

Charlie Knight

Inspiring Broker 2017

Mark LehmannAsset

Solutions Group

Inspiring Broker 2017

Andy Perwein

Inspiring Broker 2017

Kevin Sampson

Alex Sampson

Rising Star 2017

Matt Law

Jake Young

Rising Star 2017

Pete Gilbert

Ty Windfeldt

CEO, Hometown Health

R E A C H F O R T H E S T A R SHOMETOWN HEALTH BROKER SUMMIT 2017